Knee Replacement Cost in Miami-Fort Lauderdale-West Palm Beach, FL

A total knee replacement is a surgical procedure in which damaged joint surfaces of the knee are removed and replaced with an artificial implant. The procedure produces a reconstructed joint, not images or lab results. The hospital facility fee covers the operating room, nursing care, supplies, and the inpatient or outpatient stay, but not the surgeon's own bill. This page lists one billing code, 27447 Total Knee Replacement (Arthroplasty), across 14 hospitals in the Miami-Fort Lauderdale-West Palm Beach area. All prices come from the machine-readable price transparency files that CMS requires hospitals to publish.

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Data may be outdated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.

Total Knee Replacement (Arthroplasty) (HCPCS 27447)

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Hospital	Gross Charge	Cash Price	Low Insured	High Insured
Cleveland Clinic Weston	$7,840	$5,096	$992.70	$27,897.39	Schedule →
HCA Aventura	N/A	N/A	$1,950	$45,224	Schedule →
HCA JFK	N/A	N/A	$1,950	$44,643	Schedule →
HCA JFK North	N/A	N/A	$1,495	$44,643	Schedule →
HCA Kendall	N/A	N/A	$1,950	$44,577	Schedule →
HCA Mercy	N/A	N/A	$1,950	$44,773	Schedule →
HCA Northwest	N/A	N/A	$1,950	$45,027	Schedule →
HCA Palms West	N/A	N/A	$1,950	$44,619	Schedule →
HCA University	N/A	N/A	$1,950	$44,532	Schedule →
HCA Westside	N/A	N/A	$1,950	$44,532	Schedule →
HCA Woodmont	N/A	N/A	$1,950	$44,310	Schedule →
Holy Cross Fort Lauderdale	N/A	$2,821	N/A	$28,825.40	Schedule →
Lakeside Medical Center	N/A	$12,915.46	$1,218.22	$14,207	Schedule →
Nicklaus Children's	N/A	N/A	$14,578	$78,199.82	Schedule →

What These Prices Mean

Gross, cash, and negotiated figures on this page
The gross charge is a hospital's list price before any discount, and only one of the 14 hospitals, Cleveland Clinic Weston Hospital, published one, at $7,840. The other 13 rows have a missing gross charge, which is missing data and not a price of zero. The cash price is what a self-pay patient is quoted. Cleveland Clinic Weston Hospital lists a cash price of $5,096, which is 65% of its gross charge. Insured figures are negotiated rates between a hospital and a health plan. Someone on a high-deductible plan who has not yet met the deductible usually pays the plan's negotiated rate for the facility charge, not the gross charge.

A single code across every row
Every row on this page uses code 27447, Total Knee Replacement (Arthroplasty), so there are no code-to-code comparisons to make. The code describes the hospital facility service for the knee replacement itself. Differences between rows therefore come from the hospital, not from the procedure listed. Insured rates for this one code run from $992.70 at Cleveland Clinic Weston Hospital to $78,199.82 at Nicklaus Children's Hospital.

Why Knee Replacement Prices Vary

Cash prices across 14 hospitals
Only 3 of 14 rows have a published cash price, and 11 hospitals published no cash price for any code on this page. The published cash prices run from $2,821 at Holy Cross Hospital to $12,915.46 at Lakeside Medical Center, and the highest is about 5x the lowest. Cleveland Clinic Weston Hospital falls between them at $5,096. The 10 HCA Healthcare hospitals on this page, from HCA Florida Aventura Hospital to HCA Florida Woodmont Hospital, show no cash price and no gross charge. Nicklaus Children's Hospital also published neither. No hospital here published a cash price equal to its gross charge.

Other facilities and plan-to-plan differences
Outpatient surgery centers and other facilities outside this dataset may price the same surgery differently. Plans also differ widely within a single hospital. Holy Cross Hospital has 6,434 published rates for code 27447, from $37.48 for a Medicaid entry to $28,825.40 for Centivo, and the highest is about 769x the lowest.

Paying cash? Health insurance could lower your Knee Replacement cost.

Published cash prices on this page range from $2,821 to $12,915.46. The lowest insured rate in the price table is $992.70 (Cleveland Clinic Weston Hospital). Insured rates depend on the plan, and the lowest are often Medicaid, CHIP or Medicare Advantage plans, so they may not reflect what a commercial or marketplace plan pays. If you are uninsured, a marketplace health plan could reduce your out-of-pocket cost for this procedure.

Compare Health Insurance Plans → Get Free Plan Estimate →

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

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

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

Insurer	Lowest Rate	At Hospital	Highest Rate	Hospitals
Aetna	$79.42	Holy Cross Hospital	$31,455	16
Florida Blue	$79.42	Holy Cross Hospital	$27,625	14
Humana	$79.42	Holy Cross Hospital	$14,479.74	16
UnitedHealthcare	$79.42	Holy Cross Hospital	$45,224	17
WellCare	$79.42	Holy Cross Hospital	$14,613.82	6
Cigna	$79.42	Holy Cross Hospital	$78,199.82	14
Freedom Health	$79.42	Holy Cross Hospital	$2,350	11
Molina Healthcare	$79.42	Holy Cross Hospital	$13,561.23	12

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 Total Knee Replacement (Arthroplasty) (HCPCS 27447) at Holy Cross Fort Lauderdale, outpatient facility fee:

Total Knee Replacement (Arthroplasty) (27447), Holy Cross Fort Lauderdale Payer Rates

Insurance Payer	Plan Type	Negotiated Rate
MEDICAID - IL	MEDICAID	$37.48
MEDICAID - IL	MEDICAID	$37.48
MEDICAID - IL	MEDICAID	$37.48
MEDICAID - IL	MEDICAID	$37.48
MEDICAID - MI	MEDICAID	$66.25
MEDICAID - MI	MEDICAID	$66.25
MEDI-CAL HEALTHNET	MEDICAID	$79.42
MEDI-CAL HEALTHNET	MEDICAID	$79.42
MEDICAID PENDING	MEDICAID	$79.42
MEDICAID PENDING	MEDICAID	$79.42
MARYLAND HEALTHY SMILES - SCION DENTAL	MEDICAID	$79.42
MARYLAND HEALTHY SMILES - SCION DENTAL	MEDICAID	$79.42
RX MEDICAID	MEDICAID	$79.42
RX MEDICAID	MEDICAID	$79.42
BLUE PLUS MO MEDICAID	MEDICAID	$79.42
PEACH STATE HEALTHPLAN	MEDICAID	$79.42
PEACH STATE HEALTHPLAN	MEDICAID	$79.42
FAMILY HEALTH NETWORK	MEDICAID	$79.42
FAMILY HEALTH NETWORK	MEDICAID	$79.42
IOWA TOTAL CARE	MEDICAID	$79.42
IOWA TOTAL CARE	MEDICAID	$79.42
BCCP	MEDICAID	$79.42
BCCP	MEDICAID	$79.42
JEFFERSON HEALTH PLANS MEDICAID	MEDICAID	$79.42
UCARE MEDICAID	MEDICAID	$79.42
UCARE MEDICAID	MEDICAID	$79.42
NASCENTIA HEALTH OPTIONS	MEDICAID	$79.42
NASCENTIA HEALTH OPTIONS	MEDICAID	$79.42
JEFFERSON HEALTH PLANS MEDICAID	MEDICAID	$79.42
MO HOME STATE HEALTH PLAN	MEDICAID	$79.42
MO HOME STATE HEALTH PLAN	MEDICAID	$79.42
HEALTHY BLUE NE	MEDICAID	$79.42
SOUTH COUNTRY HEALTH ALLIANCE MEDICAID	MEDICAID	$79.42
SOUTH COUNTRY HEALTH ALLIANCE MEDICAID	MEDICAID	$79.42
HEALTHY BLUE NE	MEDICAID	$79.42
HEALTHY BLUE PLUS MO MEDICAID	MEDICAID	$79.42
HEALTHY BLUE PLUS MO MEDICAID	MEDICAID	$79.42
CARE OREGON OHP	MEDICAID	$79.42
CARE OREGON OHP	MEDICAID	$79.42
BLUE PLUS MO MEDICAID	MEDICAID	$79.42
CMH ALLEGAN COUNTY	MEDICAID	$79.42
CMH AUSABLE VALLEY	MEDICAID	$79.42
CMH MONTCALM COUNTY	MEDICAID	$79.42
CMH MONTCALM COUNTY	MEDICAID	$79.42
CMH MISC	MEDICAID	$79.42
CMH VAN BUREN COUNTY	MEDICAID	$79.42
CMH WASHTENAW COUNTY	MEDICAID	$79.42
BCCCP-MICHIGAN	MEDICAID	$79.42
BCCCP-MICHIGAN	MEDICAID	$79.42
CMH AUSABLE VALLEY	MEDICAID	$79.42
CMH GENESEE COUNTY	MEDICAID	$79.42
CMH MONROE COUNTY	MEDICAID	$79.42
BMC HEALTHNET	MEDICAID	$79.42
BMC HEALTHNET	MEDICAID	$79.42
HARBOR HEALTH	MEDICAID	$79.42
AMERIGROUP MEDICAID	MEDICAID	$79.42
ROBERT F SING PROGRAM	MEDICAID	$79.42
ROBERT F SING PROGRAM	MEDICAID	$79.42
HARBOR HEALTH	MEDICAID	$79.42
CMH GENESEE COUNTY	MEDICAID	$79.42
CMH MONROE COUNTY	MEDICAID	$79.42
CMH LIVINGSTON COUNTY	MEDICAID	$79.42
AMERIGROUP MEDICAID	MEDICAID	$79.42
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MEDICAID	$79.42
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MEDICAID	$79.42
CMH CENTRAL MI COUNTY	MEDICAID	$79.42
CMH CENTRAL MI COUNTY	MEDICAID	$79.42
CMH LIVINGSTON COUNTY	MEDICAID	$79.42
CMH WASHTENAW COUNTY	MEDICAID	$79.42
CMH OTTAWA COUNTY	MEDICAID	$79.42
RX MEDI-CAL	MEDICAID	$79.42
RX MEDI-CAL	MEDICAID	$79.42
CMH CLINTON-EATON-INGHAM COUNTY	MEDICAID	$79.42
CMH CLINTON-EATON-INGHAM COUNTY	MEDICAID	$79.42
CMH OTTAWA COUNTY	MEDICAID	$79.42
CMH ALLEGAN COUNTY	MEDICAID	$79.42
CMH CASS COUNTY	MEDICAID	$79.42
CMH CASS COUNTY	MEDICAID	$79.42
CMH MISC	MEDICAID	$79.42
CMH OAKLAND COUNTY	MEDICAID	$79.42
CMH OAKLAND COUNTY	MEDICAID	$79.42
HAP MEDICAID	MEDICAID	$79.42
HAP MEDICAID	MEDICAID	$79.42
CMH KENT COUNTY	MEDICAID	$79.42
CMH KENT COUNTY	MEDICAID	$79.42
CMH NEWAYGO COUNTY	MEDICAID	$79.42
CMH NEWAYGO COUNTY	MEDICAID	$79.42
CMH NORTHERN LAKES COUNTY	MEDICAID	$79.42
MDWISE	MEDICAID	$79.42
MDWISE	MEDICAID	$79.42
MCLAREN HEALTH MEDICAID	MEDICAID	$79.42
MCLAREN HEALTH MEDICAID	MEDICAID	$79.42
CMH LENAWEE COUNTY	MEDICAID	$79.42
CMH LENAWEE COUNTY	MEDICAID	$79.42
CMH NORTHERN LAKES COUNTY	MEDICAID	$79.42
WASHTENAW HEALTH PLAN	MEDICAID	$79.42
WASHTENAW HEALTH PLAN	MEDICAID	$79.42
CMH JACKSON COUNTY/LIFEWAYS	MEDICAID	$79.42
CMH JACKSON COUNTY/LIFEWAYS	MEDICAID	$79.42
CMH WAYNE COUNTY/CARELINK	MEDICAID	$79.42
CMH WAYNE COUNTY/CARELINK	MEDICAID	$79.42
CMH BAY-ARENAC COUNTY	MEDICAID	$79.42
CMH BAY-ARENAC COUNTY	MEDICAID	$79.42
CMH BERRIEN COUNTY	MEDICAID	$79.42
CMH IONIA COUNTY	MEDICAID	$79.42
CMH IONIA COUNTY	MEDICAID	$79.42
CMH DETROIT WAYNE INTEGRATED HEALTH NETWORK	MEDICAID	$79.42
CMH DETROIT WAYNE INTEGRATED HEALTH NETWORK	MEDICAID	$79.42
CMH BERRIEN COUNTY	MEDICAID	$79.42
CMH WAYNE CTY/COM LIV SVCS	MEDICAID	$79.42
ALBANY COUNTY CORRECTIONAL FACILITY	MEDICAID	$79.42
ALBANY COUNTY CORRECTIONAL FACILITY	MEDICAID	$79.42
CMH BARRY COUNTY	MEDICAID	$79.42
CMH BARRY COUNTY	MEDICAID	$79.42
CMH MUSKEGON COUNTY	MEDICAID	$79.42
CMH MUSKEGON COUNTY	MEDICAID	$79.42
CMH WAYNE CTY/COM LIV SVCS	MEDICAID	$79.42
CMH VAN BUREN COUNTY	MEDICAID	$79.42
TOTAL HEALTH CARE MEDICAID	MEDICAID	$79.42
TOTAL HEALTH CARE MEDICAID	MEDICAID	$79.42
ID COUNTY PAYETTE	MEDICAID	$79.42
ID COUNTY PAYETTE	MEDICAID	$79.42
ID COUNTY CAT FUND	MEDICAID	$79.42
CMH NORTH COUNTRY	MEDICAID	$79.42
CENCAL HEALTH PLAN	MEDICAID	$79.42
CENCAL HEALTH PLAN	MEDICAID	$79.42
CITY OF PHILADELPHIA	MEDICAID	$79.42
CITY OF PHILADELPHIA	MEDICAID	$79.42
CMH NORTH COUNTRY	MEDICAID	$79.42
COUNTY FUNDING GENERIC	MEDICAID	$79.42
BROWARD COUNTY DEPT OF HEALTH	MEDICAID	$79.42
BROWARD COUNTY DEPT OF HEALTH	MEDICAID	$79.42
CALIFORNIA HEALTH AND WELLNESS	MEDICAID	$79.42
CALIFORNIA HEALTH AND WELLNESS	MEDICAID	$79.42
POSITIVE HEALTHCARE PARTNERS MEDICAID	MEDICAID	$79.42
POSITIVE HEALTHCARE PARTNERS MEDICAID	MEDICAID	$79.42
PARAMOUNT MEDICAID ADVANTAGE	MEDICAID	$79.42
ID COUNTY CAT FUND	MEDICAID	$79.42
LA CARE HEALTH PLAN	MEDICAID	$79.42
LA CARE HEALTH PLAN	MEDICAID	$79.42
ID COUNTY CANYON	MEDICAID	$79.42
ID COUNTY CANYON	MEDICAID	$79.42
INLAND EMPIRE HEALTH PLAN	MEDICAID	$79.42
INLAND EMPIRE HEALTH PLAN	MEDICAID	$79.42
PARAMOUNT MEDICAID ADVANTAGE	MEDICAID	$79.42
KERN FAMILY HEALTH PLAN	MEDICAID	$79.42
KERN FAMILY HEALTH PLAN	MEDICAID	$79.42
ID COUNTY ADA	MEDICAID	$79.42
ID COUNTY ADA	MEDICAID	$79.42
COUNTY FUNDING GENERIC	MEDICAID	$79.42
ID COUNTY OTHER	MEDICAID	$79.42
ID COUNTY OTHER	MEDICAID	$79.42
MEDICAID SPENDDOWN	MEDICAID	$79.42
MEDICAID SPENDDOWN	MEDICAID	$79.42
PRIORITY HEALTH MEDICAID	MEDICAID	$79.42
PRIORITY HEALTH MEDICAID	MEDICAID	$79.42
MEDICAID - MT	MEDICAID	$79.42
MEDICAID - MT	MEDICAID	$79.42
HUMANA MEDICAID	HUMANA MEDICAID	$79.42
WI WOMENS WELLNESS	MEDICAID	$79.42
WI WOMENS WELLNESS	MEDICAID	$79.42
EASTPOINTE LME	MEDICAID	$79.42
BLUE CROSS - SC MEDICAID ADVANTAGE	MEDICAID	$79.42
BLUE CROSS - SC MEDICAID ADVANTAGE	MEDICAID	$79.42
FIRSTCARE MEDICAID	MEDICAID	$79.42
FIRSTCARE MEDICAID	MEDICAID	$79.42
COMMUNITY HEALTH CHOICE	MEDICAID	$79.42
PHILADELPHIA COUNTY FUNDING	MEDICAID	$79.42
BLUE CROSS COMPLETE - MI	MEDICAID	$79.42
BLUE CROSS COMPLETE - MI	MEDICAID	$79.42
MEDICAID - MS	MEDICAID	$79.42
MEDICAID - MS	MEDICAID	$79.42
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICAID	MEDICAID	$79.42
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICAID	MEDICAID	$79.42
BUCKEYE HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$79.42
BUCKEYE HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$79.42
MOLINA CENTENNIAL CARE	MEDICAID	$79.42
MOLINA CENTENNIAL CARE	MEDICAID	$79.42
COMMUNITY HEALTH CHOICE	MEDICAID	$79.42
FIDELIS CARE MEDICAID ADVANTAGE	MEDICAID	$79.42
MEDICAID - NM	MEDICAID	$79.42
MEDICAID - NM	MEDICAID	$79.42
MEDICAID - NH	MEDICAID	$79.42
MEDICAID - NH	MEDICAID	$79.42
RYAN WHITE FLORIDA MSSRP	MEDICAID	$79.42
RYAN WHITE FLORIDA MSSRP	MEDICAID	$79.42
NEW YORK CANCER SERVICES PROGRAM	MEDICAID	$79.42
NEW YORK CANCER SERVICES PROGRAM	MEDICAID	$79.42
MEDICAID - NJ	MEDICAID	$79.42
MEDICAID - NJ	MEDICAID	$79.42
FIDELIS CARE MEDICAID ADVANTAGE	MEDICAID	$79.42
MEDI-CAL BLUE CROSS	MEDICAID	$79.42
MEDI-CAL BLUE CROSS	MEDICAID	$79.42
COMMUNITY CARE PARTNERS	MEDICAID	$79.42
COMMUNITY CARE PARTNERS	MEDICAID	$79.42
MEDICAID - NV	MEDICAID	$79.42
SECURITY HEALTH MEDICAID	MEDICAID	$79.42
SECURITY HEALTH MEDICAID	MEDICAID	$79.42
UNITY MEDICAID	MEDICAID	$79.42
PRESTIGE HEALTH CHOICE	MEDICAID	$79.42
EMBLEM HEALTH MEDICAID	MEDICAID	$79.42
EMBLEM HEALTH MEDICAID	MEDICAID	$79.42
HEALTHFIRST MEDICAID ADVANTAGE	MEDICAID	$79.42
DELAWARE COUNTY DEPARTMENT OF HEALTH	MEDICAID	$79.42
DELAWARE COUNTY DEPARTMENT OF HEALTH	MEDICAID	$79.42
MEDI-CAL	MEDICAID	$79.42
MEDI-CAL	MEDICAID	$79.42
UNITY MEDICAID	MEDICAID	$79.42
AMERIHEALTH CARITAS MEDICAID	MEDICAID	$79.42
AMERIHEALTH CARITAS MEDICAID	MEDICAID	$79.42
SANDHILLS CENTER LME	MEDICAID	$79.42
SANDHILLS CENTER LME	MEDICAID	$79.42
HEALTHFIRST MEDICAID ADVANTAGE	MEDICAID	$79.42
MEDICAID - LA	MEDICAID	$79.42
MEDICAID - LA	MEDICAID	$79.42
IDAHO DEPT HEALTH AND WELLFARE	MEDICAID	$79.42
IDAHO DEPT HEALTH AND WELLFARE	MEDICAID	$79.42
CARE WISCONSIN MEDICAID	MEDICAID	$79.42
NEBRASKA TOTAL CARE	MEDICAID	$79.42
ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL	MEDICAID	$79.42
CONNECTIONS CSP	MEDICAID	$79.42
CONNECTIONS CSP	MEDICAID	$79.42
VAYA HEALTH LME	MEDICAID	$79.42
PRESBYTERIAN CENTENNIAL CARE	MEDICAID	$79.42
PRESBYTERIAN CENTENNIAL CARE	MEDICAID	$79.42
VNSNY CHOICE MEDICAID	MEDICAID	$79.42
VNSNY CHOICE MEDICAID	MEDICAID	$79.42
CARE WISCONSIN MEDICAID	MEDICAID	$79.42
WELLPOINT MEDICAID	MEDICAID	$79.42
WELLPOINT MEDICAID	MEDICAID	$79.42
MERCYCARE MEDICAID	MEDICAID	$79.42
MERCYCARE MEDICAID	MEDICAID	$79.42
PRESTIGE HEALTH CHOICE	MEDICAID	$79.42
VAYA HEALTH LME	MEDICAID	$79.42
CARDINAL INNOVATIONS LME	MEDICAID	$79.42
CARDINAL INNOVATIONS LME	MEDICAID	$79.42
GHC SCW WI BADGERCARE	MEDICAID	$79.42
GHC SCW WI BADGERCARE	MEDICAID	$79.42
TENNCARE	MEDICAID	$79.42
TENNCARE	MEDICAID	$79.42
PARTNERS BEHAVIORAL LME	MEDICAID	$79.42
SIMPLY HEALTHCARE MEDICAID	MEDICAID	$79.42
SIMPLY HEALTHCARE MEDICAID	MEDICAID	$79.42
MEDICAID - ME	MEDICAID	$79.42
MEDICAID - MD	MEDICAID	$79.42
MEDICAID - MD	MEDICAID	$79.42
INDIANA BREAST CERVICAL CANCER	MEDICAID	$79.42
INDIANA BREAST CERVICAL CANCER	MEDICAID	$79.42
DEAN WI BADGERCARE	MEDICAID	$79.42
DEAN WI BADGERCARE	MEDICAID	$79.42
PARTNERS BEHAVIORAL LME	MEDICAID	$79.42
MEDICAID - MN	MEDICAID	$79.42
HEALTH SAFETY NET	MEDICAID	$79.42
HEALTH SAFETY NET	MEDICAID	$79.42
HUMANA MEDICAID	HUMANA MEDICAID	$79.42
BLUE CROSS - NM MEDICAID ADVANTAGE	MEDICAID	$79.42
BLUE CROSS - NM MEDICAID ADVANTAGE	MEDICAID	$79.42
BLUE CROSS - TN MEDICAID ADVANTAGE	MEDICAID	$79.42
PRIORITY PARTNERS	MEDICAID	$79.42
PRIORITY PARTNERS	MEDICAID	$79.42
TUFTS HEALTH PUBLIC PLANS	MEDICAID	$79.42
MEDICAID - MO	MEDICAID	$79.42
MEDICAID - MO	MEDICAID	$79.42
ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL	MEDICAID	$79.42
CMH MACOMB	MEDICAID	$79.42
STEPHENSON CTY HEALTH	MEDICAID	$79.42
STEPHENSON CTY HEALTH	MEDICAID	$79.42
IDAHO WOMENS HEALTH CHECK	MEDICAID	$79.42
IDAHO WOMENS HEALTH CHECK	MEDICAID	$79.42
FRESNO COUNTY CCS	MEDICAID	$79.42
FRESNO COUNTY CCS	MEDICAID	$79.42
MANAGED HEALTH SERVICES - INDIANA	MEDICAID	$79.42
MANAGED HEALTH SERVICES - INDIANA	MEDICAID	$79.42
BLUE CROSS - TN MEDICAID ADVANTAGE	MEDICAID	$79.42
CARESOURCE MEDICAID	MEDICAID	$79.42
CARESOURCE MEDICAID	MEDICAID	$79.42
TUFTS HEALTH PUBLIC PLANS	MEDICAID	$79.42
TEXAS CHILDREN'S HEALTH PLAN	MEDICAID	$79.42
TEXAS CHILDREN'S HEALTH PLAN	MEDICAID	$79.42
CMH KALAMAZOO	MEDICAID	$79.42
CMH KALAMAZOO	MEDICAID	$79.42
MVP MEDICAID ADVANTAGE	MEDICAID	$79.42
MVP MEDICAID ADVANTAGE	MEDICAID	$79.42
NEBRASKA TOTAL CARE	MEDICAID	$79.42
PHILADELPHIA COUNTY FUNDING	MEDICAID	$79.42
MEDICAID - MN	MEDICAID	$79.42
MEDICAID - MA	MEDICAID	$79.42
MEDICAID - MA	MEDICAID	$79.42
CMH MACOMB	MEDICAID	$79.42
EASTPOINTE LME	MEDICAID	$79.42
HURON VALLEY PACE MEDICAID	MEDICAID	$79.42
HURON VALLEY PACE MEDICAID	MEDICAID	$79.42
MEDICAID - ME	MEDICAID	$79.42
HENNEPIN HEALTH	MEDICAID	$79.42
ICARE MEDICAID	MEDICAID	$79.42
ICARE MEDICAID	MEDICAID	$79.42
JAI MEDICAL SYSTEM	MEDICAID	$79.42
JAI MEDICAL SYSTEM	MEDICAID	$79.42
ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE	MEDICAID	$79.42
ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE	MEDICAID	$79.42
UPMC MEDICAID ADVANTAGE	MEDICAID	$79.42
UPMC MEDICAID ADVANTAGE	MEDICAID	$79.42
MEDICAID - IN	MEDICAID	$79.42
RX MERIDIAN RX	MEDICAID	$79.42
RX 340B PASS ALONG	MEDICAID	$79.42
RX 340B PASS ALONG	MEDICAID	$79.42
MEDICAID - NY	MEDICAID	$79.42
MEDICAID - NY	MEDICAID	$79.42
MEDICAID - WA	MEDICAID	$79.42
MEDICAID - WA	MEDICAID	$79.42
MEDICAID - VA	MEDICAID	$79.42
MARYLAND BREAST & CERVICAL PROGRAM	MEDICAID	$79.42
MARYLAND BREAST & CERVICAL PROGRAM	MEDICAID	$79.42
BREAST GRANT-CONNECTICUT	MEDICAID	$79.42
BREAST GRANT-CONNECTICUT	MEDICAID	$79.42
GROUP HEALTH COOPERATIVE MEDICAID	MEDICAID	$79.42
GROUP HEALTH COOPERATIVE MEDICAID	MEDICAID	$79.42
DEAN HEALTH MEDICAID	MEDICAID	$79.42
MARYLAND PHYSICIANS CARE	MEDICAID	$79.42
MARYLAND PHYSICIANS CARE	MEDICAID	$79.42
DELTA DENTAL NJ	MEDICAID	$79.42
MEDICAID ADVANTAGE GENERIC	MEDICAID	$79.42
MEDICAID ADVANTAGE GENERIC	MEDICAID	$79.42
TRILLIUM COMMUNITY OHP	MEDICAID	$79.42
TRILLIUM COMMUNITY OHP	MEDICAID	$79.42
KAISER PERMANENTE MEDICAID ADVANTAGE	MEDICAID	$79.42
KAISER PERMANENTE MEDICAID ADVANTAGE	MEDICAID	$79.42
MEDICAID - AR	MEDICAID	$79.42
RX MERIDIAN RX	MEDICAID	$79.42
COMMUNITY CARE PLAN MEDICAID ADVANTAGE	MEDICAID	$79.42
COMMUNITY CARE PLAN MEDICAID ADVANTAGE	MEDICAID	$79.42
MEDICAID - NC	MEDICAID	$79.42
MEDICAID - NC	MEDICAID	$79.42
MEDICAID - VA	MEDICAID	$79.42
MEDICAID - UT	MEDICAID	$79.42
PACE OF SOUTHWEST MICHIGAN	MEDICAID	$79.42
BLUE CROSS - IL MEDICAID ADVANTAGE	MEDICAID	$79.42
BLUE CROSS - IL MEDICAID ADVANTAGE	MEDICAID	$79.42
DELTA DENTAL NJ	MEDICAID	$79.42
MEDICAID - AR	MEDICAID	$79.42
MEDICAID - CO	MEDICAID	$79.42
MEDICAID - CO	MEDICAID	$79.42
FALLON HEALTH MEDICAID ADVANTAGE	MEDICAID	$79.42
FALLON HEALTH MEDICAID ADVANTAGE	MEDICAID	$79.42
MAGELLAN BEHAVIORAL HEALTH MEDICAID	MEDICAID	$79.42
MAGELLAN BEHAVIORAL HEALTH MEDICAID	MEDICAID	$79.42
MEDICAID - RI	MEDICAID	$79.42
MEDICAID - RI	MEDICAID	$79.42
AETNA MEDICAID	MEDICAID	$79.42
AETNA MEDICAID	MEDICAID	$79.42
MEDICAID - UT	MEDICAID	$79.42
MEDICAID MA QMB	MEDICAID	$79.42
CHILDRENS MEDICAL CENTER HEALTH PLAN MANAGED MEDICAID	MEDICAID	$79.42
CHILDRENS MEDICAL CENTER HEALTH PLAN MANAGED MEDICAID	MEDICAID	$79.42
FREEDOM FIRST HEALTHCARE	MEDICAID	$79.42
FREEDOM FIRST HEALTHCARE	MEDICAID	$79.42
HIGHMARK WHOLECARE MEDICAID	MEDICAID	$79.42
HIGHMARK WHOLECARE MEDICAID	MEDICAID	$79.42
AFFINITY HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$79.42
PACIFICSOURCE HEALTH PLANS MEDICAID ADVANTAGE	MEDICAID	$79.42
PACIFICSOURCE HEALTH PLANS MEDICAID ADVANTAGE	MEDICAID	$79.42
RX ASSISTANCE/RX MANUFACTURER ASSISTANCE 0 COPAY	MEDICAID	$79.42
RX ASSISTANCE/RX MANUFACTURER ASSISTANCE 0 COPAY	MEDICAID	$79.42
MEDICAID - SC	MEDICAID	$79.42
MEDICAID - SC	MEDICAID	$79.42
PACE OF SOUTHWEST MICHIGAN	MEDICAID	$79.42
MEDICAID MA QMB	MEDICAID	$79.42
KEYSTONE FIRST CHIP	MEDICAID	$79.42
KEYSTONE FIRST CHIP	MEDICAID	$79.42
ALLWELL MEDICAID ADVANTAGE	MEDICAID	$79.42
SUPERIOR HEALTH	MEDICAID	$79.42
SUPERIOR HEALTH	MEDICAID	$79.42
PARKLAND COMMUNITY HEALTH PLAN	MEDICAID	$79.42
PARKLAND COMMUNITY HEALTH PLAN	MEDICAID	$79.42
AFFINITY HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$79.42
DSCC	MEDICAID	$79.42
DSCC	MEDICAID	$79.42
BLUE CROSS - DC (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$79.42
BLUE CROSS - DC (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$79.42
MEDICAID - AZ	MEDICAID	$79.42
MEDICAID - AZ	MEDICAID	$79.42
MEDICAID - WI	MEDICAID	$79.42
MEDICAID - WI	MEDICAID	$79.42
DPH TB PROGRAM	MEDICAID	$79.42
DPH TB PROGRAM	MEDICAID	$79.42
ALLWELL MEDICAID ADVANTAGE	MEDICAID	$79.42
MEDICAID - AL	MEDICAID	$79.42
MEDICAID - AL	MEDICAID	$79.42
MEDICAID - AK	MEDICAID	$79.42
MEDICAID - AK	MEDICAID	$79.42
MEDICAID - PA	MEDICAID	$79.42
BLUE CROSS - DE (HIGHMARK) MEDICAID ADVANTAGE	MEDICAID	$79.42
COMMUNITY BENEFIT HEALTH	MEDICAID	$79.42
COMMUNITY BENEFIT HEALTH	MEDICAID	$79.42
MEDICAID - PA	MEDICAID	$79.42
MEDICAID - WY	MEDICAID	$79.42
DEAN HEALTH MEDICAID	MEDICAID	$79.42
BLUE CROSS - DE (HIGHMARK) MEDICAID ADVANTAGE	MEDICAID	$79.42
BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE	MEDICAID	$79.42
BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE	MEDICAID	$79.42
CARELON HEALTH MEDICAID	MEDICAID	$79.42
GREEN MOUNTAIN MEDICAID ADVANTAGE	MEDICAID	$79.42
GREEN MOUNTAIN MEDICAID ADVANTAGE	MEDICAID	$79.42
CARE CONNECTIONS OF NORTHERN IOWA	MEDICAID	$79.42
CARE CONNECTIONS OF NORTHERN IOWA	MEDICAID	$79.42
MEDICAID - FL	MEDICAID	$79.42
MEDICAID - FL	MEDICAID	$79.42
MEDICAID - OK	MEDICAID	$79.42
MEDICAID - OK	MEDICAID	$79.42
MEDICAID - WY	MEDICAID	$79.42
MEDICAID OOS NHI	MEDICAID	$79.42
MEDICAID OOS NHI	MEDICAID	$79.42
COMMUNITY CARE MEDICAID	MEDICAID	$79.42
COMMUNITY CARE MEDICAID	MEDICAID	$79.42
TRILOGY MEDICAID	MEDICAID	$79.42
TRILOGY MEDICAID	MEDICAID	$79.42
COUNTY CARE MEDICAID	MEDICAID	$79.42
COUNTY CARE MEDICAID	MEDICAID	$79.42
WELLSENSE HEALTH PLAN	MEDICAID	$79.42
WELLSENSE HEALTH PLAN	MEDICAID	$79.42
CARELON HEALTH MEDICAID	MEDICAID	$79.42
CHHUNY	MEDICAID	$79.42
CHHUNY	MEDICAID	$79.42
METROPLUS MEDICAID ADVANTAGE	MEDICAID	$79.42
METROPLUS MEDICAID ADVANTAGE	MEDICAID	$79.42
BLUE CROSS - NJ (HORIZON) MEDICAID ADVANTAGE	MEDICAID	$79.42
BLUE CROSS - MD (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$79.42
BLUE CROSS - MD (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$79.42
MEDICAID - DE	MEDICAID	$79.42
MEDICAID - DE	MEDICAID	$79.42
MEDICAID - DC	MEDICAID	$79.42
MEDICAID - DC	MEDICAID	$79.42
MEDICAID - VT	MEDICAID	$79.42
MEDICAID - VT	MEDICAID	$79.42
MEDICAID - WV	MEDICAID	$79.42
MEDICAID - NY SSL	MEDICAID	$79.42
BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$79.42
BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$79.42
UNITED HEALTHCARE MEDICAID	MEDICAID	$79.42
UNITED HEALTHCARE MEDICAID	MEDICAID	$79.42
BLUE CROSS - NJ (HORIZON) MEDICAID ADVANTAGE	MEDICAID	$79.42
HEALTH PLUS PHSP MEDICAID ADV	MEDICAID	$79.42
HEALTH PLUS PHSP MEDICAID ADV	MEDICAID	$79.42
MEDICAID - CT	MEDICAID	$79.42
MEDICAID - CT	MEDICAID	$79.42
MEDICAID - TX	MEDICAID	$79.42
MEDICAID - NY SSL	MEDICAID	$79.42
CENPATICO	MEDICAID	$79.42
CENPATICO	MEDICAID	$79.42
INDEPENDENT CARE MEDICAID	MEDICAID	$79.42
INDEPENDENT CARE MEDICAID	MEDICAID	$79.42
MEDICAID - IA	MEDICAID	$79.42
MEDICAID - TX	MEDICAID	$79.42
CHILDRENS MEDICAL SERVICES TITLE 19	MEDICAID	$79.42
KEYSTONE FIRST CHC MEDICAID	MEDICAID	$79.42
KEYSTONE FIRST CHC MEDICAID	MEDICAID	$79.42
BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$79.42
MASSACHUSETTS BEHAVIORAL HEALTH PARTNERSHIP	MEDICAID	$79.42
MASSACHUSETTS BEHAVIORAL HEALTH PARTNERSHIP	MEDICAID	$79.42
CENTENE	MEDICAID	$79.42
CENTENE	MEDICAID	$79.42
MEDICAID - TN	MEDICAID	$79.42
MEDICAID - TN	MEDICAID	$79.42
OREGON SCREENWISE	MEDICAID	$79.42
OREGON SCREENWISE	MEDICAID	$79.42
CHILDRENS COMM HEALTH PLAN	MEDICAID	$79.42
CHILDRENS COMM HEALTH PLAN	MEDICAID	$79.42
CHILDRENS MEDICAL SERVICES TITLE 19	MEDICAID	$79.42
BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$79.42
ILLINICARE HEALTH MEDICAID ADVANTAGE	MEDICAID	$79.42
ILLINICARE HEALTH MEDICAID ADVANTAGE	MEDICAID	$79.42
MEDICAID - HI	MEDICAID	$79.42
MEDICAID - HI	MEDICAID	$79.42
MEDICAID - GA	MEDICAID	$79.42
MEDICAID - GA	MEDICAID	$79.42
MEDICAID - NV	MEDICAID	$79.42
MEDICAID - SD	MEDICAID	$79.42
MEDICAID - SD	MEDICAID	$79.42
MEDICAID - WV	MEDICAID	$79.42
SCREENING FOR LIFE	MEDICAID	$79.42
SCREENING FOR LIFE	MEDICAID	$79.42
LAKELAND CARE INC	MEDICAID	$79.42
LAKELAND CARE INC	MEDICAID	$79.42
HENNEPIN HEALTH	MEDICAID	$79.42
CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE	MEDICAID	$79.42
CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE	MEDICAID	$79.42
HEALTH NEW ENGLAND MEDICAID ADVANTAGE	MEDICAID	$79.42
MEDICAID - KY	MEDICAID	$79.42
MEDICAID - KY	MEDICAID	$79.42
MEDICAID - IA	MEDICAID	$79.42
ST JOSEPH COUNTY HLTH DPT	MEDICAID	$79.42
ST JOSEPH COUNTY HLTH DPT	MEDICAID	$79.42
MEDICAID - OH	MEDICAID	$79.42
MEDICAID - OH	MEDICAID	$79.42
HEALTH NEW ENGLAND MEDICAID ADVANTAGE	MEDICAID	$79.42
MEDICAID - KS	MEDICAID	$79.42
MEDICAID - KS	MEDICAID	$79.42
MEDICAID - IN	MEDICAID	$79.42
COUNTY CORONER	MEDICAID	$79.42
COUNTY CORONER	MEDICAID	$79.42
MEDICAID - ND	MEDICAID	$79.42
MEDICAID - ND	MEDICAID	$79.42
BLUE CROSS - ID MEDICAID ADVANTAGE	MEDICAID	$79.42
BLUE CROSS - ID MEDICAID ADVANTAGE	MEDICAID	$79.42
GEISINGER MEDICAID ADVANTAGE	MEDICAID	$79.42
GEISINGER MEDICAID ADVANTAGE	MEDICAID	$79.42
AMISH MENNONITE	MEDICAID	$79.42
AMISH MENNONITE	MEDICAID	$79.42
COUNTY CARE MEDICAID ADVANTAGE	MEDICAID	$79.42
COUNTY CARE MEDICAID ADVANTAGE	MEDICAID	$79.42
INTERCOMMUNITY HEALTH OHP	MEDICAID	$79.42
INTERCOMMUNITY HEALTH OHP	MEDICAID	$79.42
COMMONWEALTH CARE ALLIANCE MEDICAID	MEDICAID	$79.42
KEYSTONE FIRST	MEDICAID	$79.42
KEYSTONE FIRST	MEDICAID	$79.42
COMMONWEALTH CARE ALLIANCE MEDICAID	MEDICAID	$79.42
MERIDIAN MEDICAID	MEDICAID	$79.42
MERIDIAN MEDICAID	MEDICAID	$79.42
PARAMOUNT ADVANTAGE	MEDICAID	$79.42
MODA PLUS MEDICAID ADVANTAGE	MEDICAID	$79.42
BLUE CROSS - OH (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$79.42
BLUE CROSS - OH (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$79.42
COMMUNITY CARE BEHAVORIAL HEALTH	MEDICAID	$79.42
COMMUNITY CARE BEHAVORIAL HEALTH	MEDICAID	$79.42
MODA PLUS MEDICAID ADVANTAGE	MEDICAID	$79.42
MEDSTAR MD HEALTH CHOICE	MEDICAID	$79.42
MEDSTAR MD HEALTH CHOICE	MEDICAID	$79.42
MEDSTAR DC HEALTHY FAMILY	MEDICAID	$79.42
MEDSTAR DC HEALTHY FAMILY	MEDICAID	$79.42
PARAMOUNT ADVANTAGE	MEDICAID	$79.42
DELAWARE FIRST HEALTH	MEDICAID	$79.42
DELAWARE FIRST HEALTH	MEDICAID	$79.42
NEXTLEVEL HEALTH	MEDICAID	$79.42
NEXTLEVEL HEALTH	MEDICAID	$79.42
CIGNA MEDICAID ADVANTAGE	MEDICAID	$79.42
CIGNA MEDICAID ADVANTAGE	MEDICAID	$79.42
CMH WEST MI COUNTY	MEDICAID	$79.42
CMH WEST MI COUNTY	MEDICAID	$79.42
SUNSHINE STATE HEALTH PLAN	SUNSHINE STATE HEALTH MEDICAID	$81.80
SUNSHINE STATE HEALTH PLAN	SUNSHINE STATE HEALTH MEDICAID	$81.80
WELLCARE MEDICAID	SUNSHINE STATE HEALTH MEDICAID	$81.80
WELLCARE MEDICAID	SUNSHINE STATE HEALTH MEDICAID	$81.80
MOLINA MEDICAID	MOLINA MEDICAID	$87.36
MOLINA MEDICAID	MOLINA MEDICAID	$87.36
BLUE CROSS - FL	BCBS TRULI FOR HEALTH	$92.69
BLUE CROSS - FL	BCBS TRULI FOR HEALTH	$92.69
MEDICAID - ID	MEDICAID	$98.73
MEDICAID - ID	MEDICAID	$98.73
MEDICAID - MI	MEDICAID	$99.38
MEDICAID - MI	MEDICAID	$99.38
BLUE SHIELD - PA (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$99.82
CARELON HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
CARELON HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
SUNNYVIEW-PACE FINANCE DEPT	MEDICARE	$99.82
SUNNYVIEW-PACE FINANCE DEPT	MEDICARE	$99.82
OPTUM MEDICARE TRANSPLANT	MEDICARE	$99.82
MEDSTAR MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - WV (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - WV (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$99.82
CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE	MEDICARE	$99.82
HEALTH NEW ENGLAND MEDICARE ADVANTAGE	MEDICARE	$99.82
MARTINS POINT GENERATIONS ADVANTAGE	MEDICARE	$99.82
AMERICAN HEALTH ADVANTAGE OF IDAHO	MEDICARE	$99.82
AMERICAN HEALTH ADVANTAGE OF IDAHO	MEDICARE	$99.82
BLUE SHIELD - ID (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE SHIELD - ID (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$99.82
HEALTH NEW ENGLAND MEDICARE ADVANTAGE	MEDICARE	$99.82
SELECTHEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
OPTIMUM HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$99.82
OPTIMUM HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$99.82
CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE	MEDICARE	$99.82
MODA HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
MODA HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
SELECTHEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
IMPERIAL HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$99.82
IMPERIAL HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$99.82
MCLAREN HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
OSCAR MEDICARE ADVANTAGE	MEDICARE	$99.82
OSCAR MEDICARE ADVANTAGE	MEDICARE	$99.82
WELLSENSE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$99.82
MCLAREN HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
TRISTATE BENEFIT SOLUTIONS MEDICARE ADVANTAGE	MEDICARE	$99.82
TRISTATE BENEFIT SOLUTIONS MEDICARE ADVANTAGE	MEDICARE	$99.82
HUMANA MEDICARE TRANSPLANT	MEDICARE	$99.82
HUMANA MEDICARE TRANSPLANT	MEDICARE	$99.82
BLUE SHIELD - PA (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - MT MEDICARE ADVANTAGE	MEDICARE	$99.82
MICHIGAN COMPLETE HEALTH	MEDICARE	$99.82
MICHIGAN COMPLETE HEALTH	MEDICARE	$99.82
WELLSENSE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE SHIELD - NY HIGHMARK WESTERN MEDICARE ADVANTAGE	MEDICARE	$99.82
EMBLEM HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
ILLINICARE HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
ILLINICARE HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
SUNSHINE HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - MT MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE SHIELD - NY HIGHMARK NORTHEASTERN MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE SHIELD - NY HIGHMARK NORTHEASTERN MEDICARE ADVANTAGE	MEDICARE	$99.82
ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE	MEDICARE	$99.82
ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE SHIELD - NY HIGHMARK WESTERN MEDICARE ADVANTAGE	MEDICARE	$99.82
EMBLEM HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
MEDICA MEDICARE ADVANTAGE	MEDICARE	$99.82
MEDICA MEDICARE ADVANTAGE	MEDICARE	$99.82
SUNSHINE HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
EDDY SENIOR CARE-PACE	MEDICARE	$99.82
EDDY SENIOR CARE-PACE	MEDICARE	$99.82
BLUE CROSS - NM MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - NM MEDICARE ADVANTAGE	MEDICARE	$99.82
MEDICARE ADVANTAGE GENERIC	MEDICARE	$99.82
MEDICARE ADVANTAGE GENERIC	MEDICARE	$99.82
BLUE CROSS - NY (EXCELLUS) MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - NY (EXCELLUS) MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE SHIELD - DE (HIGHMARK) MEDCIARE ADVANTAGE	MEDICARE	$99.82
BLUE SHIELD - DE (HIGHMARK) MEDCIARE ADVANTAGE	MEDICARE	$99.82
EVERCARE	MEDICARE	$99.82
EVERCARE	MEDICARE	$99.82
AETNA MEDICARE TRANSPLANT	MEDICARE	$99.82
AETNA MEDICARE TRANSPLANT	MEDICARE	$99.82
MARTINS POINT GENERATIONS ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE SHIELD - CA MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE SHIELD - CA MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$99.82
CORE CARE SELECT MEDICARE ADVANTAGE	MEDICARE	$99.82
CORE CARE SELECT MEDICARE ADVANTAGE	MEDICARE	$99.82
HEALTHNET MEDICARE ADVANTAGE	MEDICARE	$99.82
HEALTHNET MEDICARE ADVANTAGE	MEDICARE	$99.82
SIMPLY HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$99.82
SIMPLY HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$99.82
CARECENTRIX MEDICARE ADVANTAGE	MEDICARE	$99.82
CARECENTRIX MEDICARE ADVANTAGE	MEDICARE	$99.82
TRIBUTE HEALTH PLANS	MEDICARE	$99.82
TRIBUTE HEALTH PLANS	MEDICARE	$99.82
TOTAL COMM CARE MEDICARE REPL	MEDICARE	$99.82
TOTAL COMM CARE MEDICARE REPL	MEDICARE	$99.82
BLUE CROSS - OK MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - OK MEDICARE ADVANTAGE	MEDICARE	$99.82
EVERENCE	MEDICARE	$99.82
EVERENCE	MEDICARE	$99.82
BRAND NEW DAY MEDICARE ADVANTAGE	MEDICARE	$99.82
HEALTH ALLIANCE MEDICARE ADVANTAGE	MEDICARE	$99.82
THOME PACE	MEDICARE	$99.82
THOME PACE	MEDICARE	$99.82
MEDSTAR MEDICARE ADVANTAGE	MEDICARE	$99.82
OPTUM MEDICARE TRANSPLANT	MEDICARE	$99.82
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$99.82
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$99.82
PREFERRED CARE PARTNERS	PREFERRED CARE PARTNERS MEDICARE ADV	$99.82
PREFERRED CARE PARTNERS	PREFERRED CARE PARTNERS MEDICARE ADV	$99.82
BRAND NEW DAY MEDICARE ADVANTAGE	MEDICARE	$99.82
HEALTH ALLIANCE MEDICARE ADVANTAGE	MEDICARE	$99.82
EON HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
TUFTS MEDICARE ADVANTAGE	MEDICARE	$99.82
TUFTS MEDICARE ADVANTAGE	MEDICARE	$99.82
RX MEDICARE	MEDICARE	$99.82
GEORGIA HEALTH ADVANTAGE	MEDICARE	$99.82
GEORGIA HEALTH ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$99.82
EON HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
RX MEDICARE	MEDICARE	$99.82
CLOVER HEALTH	MEDICARE	$99.82
CLOVER HEALTH	MEDICARE	$99.82
PACE IOWA IMMANUEL PATHWAYS	MEDICARE	$99.82
PACE IOWA IMMANUEL PATHWAYS	MEDICARE	$99.82
HORIZON NJ TOTAL CARE	MEDICARE	$99.82
HORIZON NJ TOTAL CARE	MEDICARE	$99.82
AMERIHEALTH MEDICARE	MEDICARE	$99.82
AMERIHEALTH MEDICARE	MEDICARE	$99.82
PACIFICSOURCE HEALTH PLANS MEDICARE ADVANTAGE	MEDICARE	$99.82
PACIFICSOURCE HEALTH PLANS MEDICARE ADVANTAGE	MEDICARE	$99.82
MEDICARE PUERTO RICO	MEDICARE	$99.82
MEDICARE PUERTO RICO	MEDICARE	$99.82
CAREFIRST MEDICARE ADVANTAGE	MEDICARE	$99.82
PACE-TRINITY HEALTH	MEDICARE	$99.82
POSITIVE HEALTHCARE PARTNERS MEDICARE	POSITIVE HEALTH PARTNERS MEDICARE ADV	$99.82
POSITIVE HEALTHCARE PARTNERS MEDICARE	POSITIVE HEALTH PARTNERS MEDICARE ADV	$99.82
TODAYS OPTIONS	MEDICARE	$99.82
UNION HEALTH SERVICE	MEDICARE	$99.82
UNION HEALTH SERVICE	MEDICARE	$99.82
CAREFIRST MEDICARE ADVANTAGE	MEDICARE	$99.82
LONGEVITY IPA OF MICHIGAN LLC HEALTH PLAN ISNP	MEDICARE	$99.82
PACE OF SOUTHWEST MICHIGAN	MEDICARE	$99.82
PACE OF SOUTHWEST MICHIGAN	MEDICARE	$99.82
PHP MEDICARE	MEDICARE	$99.82
FRESNO PACE MEDICARE	MEDICARE	$99.82
ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$99.82
TODAYS OPTIONS	MEDICARE	$99.82
BLUE CROSS - NY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$99.82
LONGEVITY IPA OF MICHIGAN LLC HEALTH PLAN ISNP	MEDICARE	$99.82
PHP MEDICARE	MEDICARE	$99.82
MERCY LIFE	MEDICARE	$99.82
MERCY LIFE	MEDICARE	$99.82
HUMANA CENTRAL VALLEY MEDPRO	MEDICARE	$99.82
JEFFERSON HEALTH PLANS MEDICARE	MEDICARE	$99.82
JEFFERSON HEALTH PLANS MEDICARE	MEDICARE	$99.82
BLUE CROSS - NY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$99.82
PACE SOUTHEAST	MEDICARE	$99.82
PACE SOUTHEAST	MEDICARE	$99.82
SIOUXLAND PACE	MEDICARE	$99.82
SIOUXLAND PACE	MEDICARE	$99.82
INNOVATIVE INTEGRATED HEALTH COMMUNITY PLANS	MEDICARE	$99.82
INNOVATIVE INTEGRATED HEALTH COMMUNITY PLANS	MEDICARE	$99.82
BLUE CROSS - NE MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - NE MEDICARE ADVANTAGE	MEDICARE	$99.82
TOTAL HEALTHCARE MEDICARE SNP	MEDICARE	$99.82
BLUE CROSS - OR (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$99.82
HURON VALLEY PACE	MEDICARE	$99.82
HURON VALLEY PACE	MEDICARE	$99.82
FRESNO PACE MEDICARE	MEDICARE	$99.82
TOTAL HEALTHCARE MEDICARE SNP	MEDICARE	$99.82
CONNECTICARE VIP MEDICARE	MEDICARE	$99.82
PARAMOUNT MEDICARE ADVANTAGE	MEDICARE	$99.82
PARAMOUNT MEDICARE ADVANTAGE	MEDICARE	$99.82
LIFECIRCLES PACE	MEDICARE	$99.82
CENTRAL VALLEY MEDICAL SERVICES CORP PACE	MEDICARE	$99.82
CENTRAL VALLEY MEDICAL SERVICES CORP PACE	MEDICARE	$99.82
GATEWAY HEALTH PLAN	MEDICARE	$99.82
GATEWAY HEALTH PLAN	MEDICARE	$99.82
LIFECIRCLES PACE	MEDICARE	$99.82
PRUITTHEALTH PREMIER	MEDICARE	$99.82
PRUITTHEALTH PREMIER	MEDICARE	$99.82
CONNECTICARE VIP MEDICARE	MEDICARE	$99.82
BLUE CROSS - PA (INDEPENDENCE) MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - PA (INDEPENDENCE) MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - OR (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$99.82
HEALTH AMERICA ADVANTRA	MEDICARE	$99.82
HEALTH AMERICA ADVANTRA	MEDICARE	$99.82
WELBE HEALTH	MEDICARE	$99.82
WELBE HEALTH	MEDICARE	$99.82
HAP EMPOWERED MI HEALTH LINK MEDICARE DUAL	MEDICARE	$99.82
HAP EMPOWERED MI HEALTH LINK MEDICARE DUAL	MEDICARE	$99.82
LASSO HEALTHCARE MSA	MEDICARE	$99.82
HIGHMARK WHOLECARE MEDICARE ADVANTAGE	MEDICARE	$99.82
HIGHMARK WHOLECARE MEDICARE ADVANTAGE	MEDICARE	$99.82
ALLY ALIGN CARE ADV	MEDICARE	$99.82
SCAN HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$99.82
SCAN HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$99.82
PACE-TRINITY HEALTH	MEDICARE	$99.82
ALLY ALIGN CARE ADV	MEDICARE	$99.82
BCBS MEDICARE ADVANTAGE GENERIC	MEDICARE	$99.82
BCBS MEDICARE ADVANTAGE GENERIC	MEDICARE	$99.82
LASSO HEALTHCARE MSA	MEDICARE	$99.82
KEYSTONE FIRST CHC MEDICARE ADVANTAGE	MEDICARE	$99.82
SERENITY PACE	MEDICARE	$99.82
SERENITY PACE	MEDICARE	$99.82
HUMANA CENTRAL VALLEY MEDPRO	MEDICARE	$99.82
CCA - ZING HEALTH	MEDICARE	$99.82
CCA - ZING HEALTH	MEDICARE	$99.82
MERCYONE CEDAR VALLEY	MEDICARE	$99.82
KEYSTONE FIRST CHC MEDICARE ADVANTAGE	MEDICARE	$99.82
BUCKEYE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$99.82
PACE CNY	MEDICARE	$99.82
PACE CNY	MEDICARE	$99.82
ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$99.82
PROVIDER PARTNERS HEALTH PLAN OF INDIANA	MEDICARE	$99.82
BUCKEYE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$99.82
PROVIDER PARTNERS HEALTH PLAN OF INDIANA	MEDICARE	$99.82
SANFORD HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$99.82
MERCYONE CEDAR VALLEY	MEDICARE	$99.82
SANFORD HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$99.82
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS	MEDICARE	$99.82
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS	MEDICARE	$99.82
LONGEVITY HEALTH PLAN	MEDICARE	$99.82
LONGEVITY HEALTH PLAN	MEDICARE	$99.82
BLUE CARE NETWORK ADVANTAGE	MEDICARE	$99.82
BLUE CARE NETWORK ADVANTAGE	MEDICARE	$99.82
RX ALLWIN	MEDICARE	$99.82
RX ALLWIN	MEDICARE	$99.82
AMERICAN HEALTH PLAN	MEDICARE	$99.82
CENTRAL HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
CENTRAL HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
AMERICAN HEALTH PLAN	MEDICARE	$99.82
IOWA HEALTH ADVANTAGE	MEDICARE	$99.82
IOWA HEALTH ADVANTAGE	MEDICARE	$99.82
UNIVERSAL MEDICARE	MEDICARE	$99.82
CHAMPION HEALTH PLAN MCR ADVANTAGE	MEDICARE	$99.82
CHAMPION HEALTH PLAN MCR ADVANTAGE	MEDICARE	$99.82
VNSNY CHOICE MEDICARE	MEDICARE	$99.82
VNSNY CHOICE MEDICARE	MEDICARE	$99.82
UNIVERSAL MEDICARE	MEDICARE	$99.82
AETNA MEDICARE ASSURE PREMIER HMO D-SNP	MEDICARE	$99.82
AETNA MEDICARE ASSURE PREMIER HMO D-SNP	MEDICARE	$99.82
PROMINENCE MEDICARE	MEDICARE	$99.82
PROMINENCE MEDICARE	MEDICARE	$99.82
HIGHMARK HEALTH OPTIONS DUAL PLAN	MEDICARE	$99.82
BLUE CROSS - ID MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - ID MEDICARE ADVANTAGE	MEDICARE	$99.82
HIGHMARK HEALTH OPTIONS DUAL PLAN	MEDICARE	$99.82
PERENNIAL ADVANTAGE	MEDICARE	$99.82
RX ALLWIN	MEDICARE	$99.82
RX ALLWIN	MEDICARE	$99.82
HUDSON HEADWATERS PACE	MEDICARE	$99.82
HUDSON HEADWATERS PACE	MEDICARE	$99.82
PERENNIAL ADVANTAGE	MEDICARE	$99.82
PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	MEDICARE	$99.82
PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	MEDICARE	$99.82
SOUTH COUNTRY HEALTH ALLIANCE MEDICARE	MEDICARE	$99.82
RX MEDICARE PART B	MEDICARE	$99.82
RX MEDICARE PART B	MEDICARE	$99.82
SCAN HEALTH PLAN MCR IPA MERITAGE OON	MEDICARE	$99.82
SCAN HEALTH PLAN MCR IPA MERITAGE OON	MEDICARE	$99.82
ANTHEM MYCARE OHIO	MEDICARE	$99.82
ANTHEM MYCARE OHIO	MEDICARE	$99.82
SOUTH COUNTRY HEALTH ALLIANCE MEDICARE	MEDICARE	$99.82
COMMONWEALTH CARE ALLIANCE MEDICARE	MEDICARE	$99.82
MASS GENERAL BRIGHAM MCR ADV	MEDICARE	$99.82
MASS GENERAL BRIGHAM MCR ADV	MEDICARE	$99.82
COMMONWEALTH CARE ALLIANCE MEDICARE	MEDICARE	$99.82
NASCENTIA HEALTH PLUS	MEDICARE	$99.82
NASCENTIA HEALTH PLUS	MEDICARE	$99.82
PRIME HEALTH SERVICES MEDICARE ADVANTAGE	MEDICARE	$99.82
PRIME HEALTH SERVICES MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - KY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - KY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$99.82
RX RETIREE RX CARE	MEDICARE	$99.82
RX RETIREE RX CARE	MEDICARE	$99.82
RX CARELONRX MEDICARE	MEDICARE	$99.82
AVMED MEDICARE	AVMED MEDICARE ADVANTAGE	$99.82
UPMC MEDICARE ADVANTAGE	MEDICARE	$99.82
UPMC MEDICARE ADVANTAGE	MEDICARE	$99.82
RX CARELONRX MEDICARE	MEDICARE	$99.82
BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$99.82
COMMUNITY PACE AT HOME	MEDICARE	$99.82
COMMUNITY PACE AT HOME	MEDICARE	$99.82
UNIVERA HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$99.82
UNIVERA HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$99.82
RX GRANE GRNMEDD	MEDICARE	$99.82
RX GRANE GRNMEDD	MEDICARE	$99.82
AVMED MEDICARE	AVMED MEDICARE ADVANTAGE	$99.82
RELIANCE COMMUNITY CARE PARTNERS CARE RESOURCES PACE	MEDICARE	$99.82
RELIANCE COMMUNITY CARE PARTNERS CARE RESOURCES PACE	MEDICARE	$99.82
GENESYS PACE OF GENESEE COUNTY	MEDICARE	$99.82
GPA CROELL REDI MIX	MEDICARE	$99.82
GPA CROELL REDI MIX	MEDICARE	$99.82
GENESYS PACE OF GENESEE COUNTY	MEDICARE	$99.82
CAREPLUS HEALTH PLANS	CAREPLUS MEDICARE ADVANTAGE	$99.82
CAREPLUS HEALTH PLANS	CAREPLUS MEDICARE ADVANTAGE	$99.82
MEDICARE ALTERNATE PAYOR	MEDICARE	$99.82
MEDICARE ALTERNATE PAYOR	MEDICARE	$99.82
COMMONWEALTH CARE ALLIANCE	MEDICARE	$99.82
COMMONWEALTH CARE ALLIANCE	MEDICARE	$99.82
FIDELIS MEDICARE	MEDICARE	$99.82
FIDELIS MEDICARE	MEDICARE	$99.82
HARVARD PILGRIM STRIDE MEDICARE	MEDICARE	$99.82
ESSENCE MEDICARE HMO	MEDICARE	$99.82
ESSENCE MEDICARE HMO	MEDICARE	$99.82
PRESBYTERIAN SENIOR PLAN	MEDICARE	$99.82
PRESBYTERIAN SENIOR PLAN	MEDICARE	$99.82
UNICARE MEDICARE ADVANTAGE	MEDICARE	$99.82
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$99.82
UCARE MEDICARE	MEDICARE	$99.82
UCARE MEDICARE	MEDICARE	$99.82
CARESOURCE MEDICARE	MEDICARE	$99.82
CARESOURCE MEDICARE	MEDICARE	$99.82
MEDIPAK ADVANTAGE	MEDICARE	$99.82
MEDIPAK ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - FL MEDICARE ADVANTAGE	BCBS MEDICARE ADVANTAGE	$99.82
BLUE CROSS - FL MEDICARE ADVANTAGE	BCBS MEDICARE ADVANTAGE	$99.82
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$99.82
MI HEALTHLINK MEDICARE	MEDICARE	$99.82
HOPE SELECT PACE	MEDICARE	$99.82
HOPE SELECT PACE	MEDICARE	$99.82
LIFE ST MARYS PACE	MEDICARE	$99.82
LIFE ST MARYS PACE	MEDICARE	$99.82
BLUE CROSS - MN MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - MN MEDICARE ADVANTAGE	MEDICARE	$99.82
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$99.82
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$99.82
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICARE	MEDICARE	$99.82
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICARE	MEDICARE	$99.82
MOLINA MEDICARE ADVANTAGE	MEDICARE	$99.82
MOLINA MEDICARE ADVANTAGE	MEDICARE	$99.82
CARE DIMENSIONS	MEDICARE	$99.82
CARE DIMENSIONS	MEDICARE	$99.82
MI HEALTHLINK MEDICARE	MEDICARE	$99.82
GLOBAL MEDICARE ADVANTAGE	MEDICARE	$99.82
GLOBAL MEDICARE ADVANTAGE	MEDICARE	$99.82
UM HEALTH ADVANTAGE	MEDICARE	$99.82
UM HEALTH ADVANTAGE	MEDICARE	$99.82
AETNA MEDICARE ADVANTAGE	AETNA MEDICARE ADVANTAGE	$99.82
AETNA MEDICARE ADVANTAGE	AETNA MEDICARE ADVANTAGE	$99.82
ALLWELL MEDICARE ADVANTAGE	MEDICARE	$99.82
MOLINA MEDICARE ADVANTAGE	MEDICARE	$99.82
MOLINA MEDICARE ADVANTAGE	MEDICARE	$99.82
ELEMENTCARE	MEDICARE	$99.82
ELEMENTCARE	MEDICARE	$99.82
PRIORITY HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
AURORA SPECIAL NEEDS	MEDICARE	$99.82
AURORA SPECIAL NEEDS	MEDICARE	$99.82
ALLWELL MEDICARE ADVANTAGE	MEDICARE	$99.82
PEAK PACE SOLUTIONS	MEDICARE	$99.82
PEAK PACE SOLUTIONS	MEDICARE	$99.82
HAP MEDICARE ADVANTAGE	MEDICARE	$99.82
HAP MEDICARE ADVANTAGE	MEDICARE	$99.82
MEDICAL MUTUAL MEDICARE	MEDICARE	$99.82
CLEAR SPRING HEALTH	MEDICARE	$99.82
MEDICAL MUTUAL MEDICARE	MEDICARE	$99.82
PRIORITY HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
WELLPOINT MEDICARE ADVANTAGE	MEDICARE	$99.82
WELLPOINT MEDICARE ADVANTAGE	MEDICARE	$99.82
GOLD ADVANTAGE	MEDICARE	$99.82
GOLD ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - MI MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - MI MEDICARE ADVANTAGE	MEDICARE	$99.82
CLEAR SPRING HEALTH	MEDICARE	$99.82
UNITED HEALTHCARE MEDICARE	UHC MEDICARE ADVANTAGE	$99.82
UNITED HEALTHCARE MEDICARE	UHC MEDICARE ADVANTAGE	$99.82
MERIDIAN COMPLETE	MEDICARE	$99.82
MERIDIAN COMPLETE	MEDICARE	$99.82
CCA SENIOR CARE OPTIONS	MEDICARE	$99.82
CCA SENIOR CARE OPTIONS	MEDICARE	$99.82
BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$99.82
HEALTH PARTNERS MEDICARE ADVANTAGE	MEDICARE	$99.82
HEALTH PARTNERS MEDICARE ADVANTAGE	MEDICARE	$99.82
CARE WISCONSIN MEDICARE	MEDICARE	$99.82
CARE WISCONSIN MEDICARE	MEDICARE	$99.82
BLUE CROSS - TN MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - TN MEDICARE ADVANTAGE	MEDICARE	$99.82
MVP MEDICARE ADVANTAGE	MEDICARE	$99.82
MVP MEDICARE ADVANTAGE	MEDICARE	$99.82
WELLMED	MEDICARE	$99.82
WELLMED	MEDICARE	$99.82
HEALTHFIRST MEDICARE ADVANTAGE	MEDICARE	$99.82
HEALTHFIRST MEDICARE ADVANTAGE	MEDICARE	$99.82
MEDICARE	MEDICARE	$99.82
MEDICARE	MEDICARE	$99.82
ICARE MEDICARE ADVANTAGE	MEDICARE	$99.82
OSU PRIME CARE ADVANTAGE	MEDICARE	$99.82
OSU PRIME CARE ADVANTAGE	MEDICARE	$99.82
ICARE MEDICARE ADVANTAGE	MEDICARE	$99.82
JOHNS HOPKINS ADVANTAGE MD	MEDICARE	$99.82
JOHNS HOPKINS ADVANTAGE MD	MEDICARE	$99.82
CONNECTICARE VIP MEDICARE ADVANTAGE	MEDICARE	$99.82
CONNECTICARE VIP MEDICARE ADVANTAGE	MEDICARE	$99.82
CARE IMPROVEMENT PLUS	MEDICARE	$99.82
CARE IMPROVEMENT PLUS	MEDICARE	$99.82
BLUE CROSS - WI (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - WI (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$99.82
DEAN HEALTH MEDICARE SELECT	MEDICARE	$99.82
MEDIGOLD MEDICARE ADVANTAGE	MEDICARE	$99.82
FALLON HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
FALLON HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
KAISER PERMANENTE MEDICARE ADVANTAGE	MEDICARE	$99.82
KAISER PERMANENTE MEDICARE ADVANTAGE	MEDICARE	$99.82
EDDY SENIORCARE PACE	MEDICARE	$99.82
BLUE CROSS - IL MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - IL MEDICARE ADVANTAGE	MEDICARE	$99.82
COVENTRY MEDICARE ADVANTAGE	MEDICARE	$99.82
DEAN HEALTH MEDICARE SELECT	MEDICARE	$99.82
ADVANTRA FREEDOM MEDICARE ADVANTAGE	MEDICARE	$99.82
MEDIGOLD MEDICARE ADVANTAGE	MEDICARE	$99.82
THE HEALTH PLAN	MEDICARE	$99.82
THE HEALTH PLAN	MEDICARE	$99.82
BLUE CROSS - NC MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - NC MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - TX MEDICARE ADVANTAGE	MEDICARE	$99.82
EDDY SENIORCARE PACE	MEDICARE	$99.82
COVENTRY MEDICARE ADVANTAGE	MEDICARE	$99.82
ADVANTRA FREEDOM MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - RI MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - RI MEDICARE ADVANTAGE	MEDICARE	$99.82
TEXAN PLUS	MEDICARE	$99.82
TEXAN PLUS	MEDICARE	$99.82
BLUE CROSS - TX MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - MS MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - MS MEDICARE ADVANTAGE	MEDICARE	$99.82
SECURE HORIZONS MA PFFS	MEDICARE	$99.82
SECURE HORIZONS MA PFFS	MEDICARE	$99.82
CARE RESOURCES PACE	MEDICARE	$99.82
CARE RESOURCES PACE	MEDICARE	$99.82
CIGNA MEDICARE ADVANTAGE	CIGNA MEDICARE ADVANTAGE	$99.82
NETWORK MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - MA MEDICARE ADVANTAGE	MEDICARE	$99.82
BLUE CROSS - MA MEDICARE ADVANTAGE	MEDICARE	$99.82
FREEDOM HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
FREEDOM HEALTH MEDICARE ADVANTAGE	MEDICARE	$99.82
HARVARD PILGRIM MEDICARE	MEDICARE	$99.82
HARVARD PILGRIM MEDICARE	MEDICARE	$99.82
ALIGN SENIOR CARE	MEDICARE	$99.82
ALIGN SENIOR CARE	MEDICARE	$99.82
UNICARE MEDICARE ADVANTAGE	MEDICARE	$99.82
CIGNA MEDICARE ADVANTAGE	CIGNA MEDICARE ADVANTAGE	$99.82
PHOENIX MEDICARE ADVANTAGE	MEDICARE	$99.82
PHOENIX MEDICARE ADVANTAGE	MEDICARE	$99.82
NETWORK MEDICARE ADVANTAGE	MEDICARE	$99.82
SECURITY HEALTH MEDICARE	MEDICARE	$99.82
SECURITY HEALTH MEDICARE	MEDICARE	$99.82
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE	MEDICARE	$99.82
HARVARD PILGRIM STRIDE MEDICARE	MEDICARE	$99.82
NEW CENTRY HEALTH CAREPLUS	NEW CENTURY HEALTH MEDICARE ADVANTAGE	$101.86
NEW CENTRY HEALTH CAREPLUS	NEW CENTURY HEALTH MEDICARE ADVANTAGE	$101.86
VETERANS ADMINISTRATION	VETERANS AFFAIRS	$101.86
VETERANS ADMINISTRATION	VETERANS AFFAIRS	$101.86
GOLD KIDNEY MEDICARE	GOLD KIDNEY MEDICARE ADVANTAGE	$103.89
GOLD KIDNEY MEDICARE	GOLD KIDNEY MEDICARE ADVANTAGE	$103.89
TRICARE EAST HUMANA	TRICARE	$104.12
TRICARE EAST HUMANA	TRICARE	$104.12
TRICARE WEST HEALTHNET	TRICARE	$104.12
TRICARE WEST HEALTHNET	TRICARE	$104.12
TRIWEST HEALTH ALLIANCE	TRICARE	$104.12
TRIWEST HEALTH ALLIANCE	TRICARE	$104.12
VETERANS EVAL SERVICES	TRICARE	$104.12
VETERANS EVAL SERVICES	TRICARE	$104.12
TRICARE	TRICARE	$104.12
TRICARE	TRICARE	$104.12
CHAMPVA	TRICARE	$104.12
CHAMPVA	TRICARE	$104.12
US FAMILY HEALTH PLAN	TRICARE	$104.12
US FAMILY HEALTH PLAN	TRICARE	$104.12
SOLIS HEALTH PLANS	SOLIS HEALTH PLANS MEDICARE ADVANTAGE	$104.81
SOLIS HEALTH PLANS	SOLIS HEALTH PLANS MEDICARE ADVANTAGE	$104.81
HEALTHSUN MEDICARE ADVANTAGE	HEALTHSUN MEDICARE ADVANTAGE	$104.81
HEALTHSUN MEDICARE ADVANTAGE	HEALTHSUN MEDICARE ADVANTAGE	$104.81
WELLCARE MEDICARE	WELLCARE MEDICARE ADVANTAGE	$104.81
WELLCARE MEDICARE	WELLCARE MEDICARE ADVANTAGE	$104.81
DEVOTED HEALTH MEDICARE ADVANTAGE	DEVOTED HEALTH MEDICARE ADVANTAGE	$106.95
DEVOTED HEALTH MEDICARE ADVANTAGE	DEVOTED HEALTH MEDICARE ADVANTAGE	$106.95
DEVOTED HEALTH MEDICARE ADVANTAGE	DEVOTED HEALTH MEDICARE ADVANTAGE	$106.95
DEVOTED HEALTH MEDICARE ADVANTAGE	DEVOTED HEALTH MEDICARE ADVANTAGE	$106.95
MEDI-CAL HEALTHNET	MEDICAID	$119.12
MARYLAND HEALTHY SMILES - SCION DENTAL	MEDICAID	$119.12
MEDICAID PENDING	MEDICAID	$119.12
MEDICAID PENDING	MEDICAID	$119.12
MARYLAND HEALTHY SMILES - SCION DENTAL	MEDICAID	$119.12
RX MEDICAID	MEDICAID	$119.12
RX MEDICAID	MEDICAID	$119.12
BLUE PLUS MO MEDICAID	MEDICAID	$119.12
PEACH STATE HEALTHPLAN	MEDICAID	$119.12
PEACH STATE HEALTHPLAN	MEDICAID	$119.12
IOWA TOTAL CARE	MEDICAID	$119.12
FAMILY HEALTH NETWORK	MEDICAID	$119.12
BCCP	MEDICAID	$119.12
IOWA TOTAL CARE	MEDICAID	$119.12
SOUTH COUNTRY HEALTH ALLIANCE MEDICAID	MEDICAID	$119.12
MEDI-CAL HEALTHNET	MEDICAID	$119.12
BCCP	MEDICAID	$119.12
JEFFERSON HEALTH PLANS MEDICAID	MEDICAID	$119.12
JEFFERSON HEALTH PLANS MEDICAID	MEDICAID	$119.12
UCARE MEDICAID	MEDICAID	$119.12
UCARE MEDICAID	MEDICAID	$119.12
HEALTHY BLUE NE	MEDICAID	$119.12
MO HOME STATE HEALTH PLAN	MEDICAID	$119.12
FAMILY HEALTH NETWORK	MEDICAID	$119.12
MO HOME STATE HEALTH PLAN	MEDICAID	$119.12
NASCENTIA HEALTH OPTIONS	MEDICAID	$119.12
SOUTH COUNTRY HEALTH ALLIANCE MEDICAID	MEDICAID	$119.12
HEALTHY BLUE NE	MEDICAID	$119.12
HEALTHY BLUE PLUS MO MEDICAID	MEDICAID	$119.12
NASCENTIA HEALTH OPTIONS	MEDICAID	$119.12
CARE OREGON OHP	MEDICAID	$119.12
CARE OREGON OHP	MEDICAID	$119.12
HEALTHY BLUE PLUS MO MEDICAID	MEDICAID	$119.12
BLUE PLUS MO MEDICAID	MEDICAID	$119.12
CMH ALLEGAN COUNTY	MEDICAID	$119.12
CMH AUSABLE VALLEY	MEDICAID	$119.12
CMH MONTCALM COUNTY	MEDICAID	$119.12
CMH MISC	MEDICAID	$119.12
CMH VAN BUREN COUNTY	MEDICAID	$119.12
CMH WASHTENAW COUNTY	MEDICAID	$119.12
BMC HEALTHNET	MEDICAID	$119.12
BCCCP-MICHIGAN	MEDICAID	$119.12
BCCCP-MICHIGAN	MEDICAID	$119.12
CMH AUSABLE VALLEY	MEDICAID	$119.12
CMH GENESEE COUNTY	MEDICAID	$119.12
CMH MONROE COUNTY	MEDICAID	$119.12
BMC HEALTHNET	MEDICAID	$119.12
HARBOR HEALTH	MEDICAID	$119.12
AMERIGROUP MEDICAID	MEDICAID	$119.12
ROBERT F SING PROGRAM	MEDICAID	$119.12
ROBERT F SING PROGRAM	MEDICAID	$119.12
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MEDICAID	$119.12
HARBOR HEALTH	MEDICAID	$119.12
CMH GENESEE COUNTY	MEDICAID	$119.12
CMH MONROE COUNTY	MEDICAID	$119.12
CMH LIVINGSTON COUNTY	MEDICAID	$119.12
AMERIGROUP MEDICAID	MEDICAID	$119.12
CMH CENTRAL MI COUNTY	MEDICAID	$119.12
CMH CENTRAL MI COUNTY	MEDICAID	$119.12
CMH CLINTON-EATON-INGHAM COUNTY	MEDICAID	$119.12
CMH LIVINGSTON COUNTY	MEDICAID	$119.12
CMH OTTAWA COUNTY	MEDICAID	$119.12
RX MEDI-CAL	MEDICAID	$119.12
RX MEDI-CAL	MEDICAID	$119.12
CMH CLINTON-EATON-INGHAM COUNTY	MEDICAID	$119.12
CMH CASS COUNTY	MEDICAID	$119.12
CMH OTTAWA COUNTY	MEDICAID	$119.12
CMH OAKLAND COUNTY	MEDICAID	$119.12
CMH ALLEGAN COUNTY	MEDICAID	$119.12
CMH CASS COUNTY	MEDICAID	$119.12
CMH OAKLAND COUNTY	MEDICAID	$119.12
CMH NEWAYGO COUNTY	MEDICAID	$119.12
HAP MEDICAID	MEDICAID	$119.12
HAP MEDICAID	MEDICAID	$119.12
MCLAREN HEALTH MEDICAID	MEDICAID	$119.12
CMH MISC	MEDICAID	$119.12
CMH KENT COUNTY	MEDICAID	$119.12
CMH KENT COUNTY	MEDICAID	$119.12
CMH NEWAYGO COUNTY	MEDICAID	$119.12
CMH NORTHERN LAKES COUNTY	MEDICAID	$119.12
MDWISE	MEDICAID	$119.12
MCLAREN HEALTH MEDICAID	MEDICAID	$119.12
CMH LENAWEE COUNTY	MEDICAID	$119.12
CMH NORTHERN LAKES COUNTY	MEDICAID	$119.12
MDWISE	MEDICAID	$119.12
WASHTENAW HEALTH PLAN	MEDICAID	$119.12
WASHTENAW HEALTH PLAN	MEDICAID	$119.12
CMH LENAWEE COUNTY	MEDICAID	$119.12
CMH JACKSON COUNTY/LIFEWAYS	MEDICAID	$119.12
CMH WAYNE COUNTY/CARELINK	MEDICAID	$119.12
CMH WAYNE COUNTY/CARELINK	MEDICAID	$119.12
CMH WASHTENAW COUNTY	MEDICAID	$119.12
CMH BAY-ARENAC COUNTY	MEDICAID	$119.12
CMH BAY-ARENAC COUNTY	MEDICAID	$119.12
CMH JACKSON COUNTY/LIFEWAYS	MEDICAID	$119.12
CMH IONIA COUNTY	MEDICAID	$119.12
CMH DETROIT WAYNE INTEGRATED HEALTH NETWORK	MEDICAID	$119.12
CMH DETROIT WAYNE INTEGRATED HEALTH NETWORK	MEDICAID	$119.12
CMH BERRIEN COUNTY	MEDICAID	$119.12
CMH BERRIEN COUNTY	MEDICAID	$119.12
CMH BARRY COUNTY	MEDICAID	$119.12
CMH IONIA COUNTY	MEDICAID	$119.12
CMH MUSKEGON COUNTY	MEDICAID	$119.12
CMH WAYNE CTY/COM LIV SVCS	MEDICAID	$119.12
ALBANY COUNTY CORRECTIONAL FACILITY	MEDICAID	$119.12
ALBANY COUNTY CORRECTIONAL FACILITY	MEDICAID	$119.12
CMH BARRY COUNTY	MEDICAID	$119.12
CMH MUSKEGON COUNTY	MEDICAID	$119.12
CMH MONTCALM COUNTY	MEDICAID	$119.12
CMH WAYNE CTY/COM LIV SVCS	MEDICAID	$119.12
CMH VAN BUREN COUNTY	MEDICAID	$119.12
TOTAL HEALTH CARE MEDICAID	MEDICAID	$119.12
ID COUNTY OTHER	MEDICAID	$119.12
ID COUNTY PAYETTE	MEDICAID	$119.12
ID COUNTY CAT FUND	MEDICAID	$119.12
MEDICAID SPENDDOWN	MEDICAID	$119.12
CMH NORTH COUNTRY	MEDICAID	$119.12
CENCAL HEALTH PLAN	MEDICAID	$119.12
CITY OF PHILADELPHIA	MEDICAID	$119.12
CITY OF PHILADELPHIA	MEDICAID	$119.12
CMH NORTH COUNTRY	MEDICAID	$119.12
COUNTY FUNDING GENERIC	MEDICAID	$119.12
BROWARD COUNTY DEPT OF HEALTH	MEDICAID	$119.12
BROWARD COUNTY DEPT OF HEALTH	MEDICAID	$119.12
CALIFORNIA HEALTH AND WELLNESS	MEDICAID	$119.12
CALIFORNIA HEALTH AND WELLNESS	MEDICAID	$119.12
POSITIVE HEALTHCARE PARTNERS MEDICAID	MEDICAID	$119.12
POSITIVE HEALTHCARE PARTNERS MEDICAID	MEDICAID	$119.12
PARAMOUNT MEDICAID ADVANTAGE	MEDICAID	$119.12
ID COUNTY CAT FUND	MEDICAID	$119.12
ID COUNTY CANYON	MEDICAID	$119.12
ID COUNTY CANYON	MEDICAID	$119.12
LA CARE HEALTH PLAN	MEDICAID	$119.12
LA CARE HEALTH PLAN	MEDICAID	$119.12
CENCAL HEALTH PLAN	MEDICAID	$119.12
INLAND EMPIRE HEALTH PLAN	MEDICAID	$119.12
INLAND EMPIRE HEALTH PLAN	MEDICAID	$119.12
KERN FAMILY HEALTH PLAN	MEDICAID	$119.12
PARAMOUNT MEDICAID ADVANTAGE	MEDICAID	$119.12
ID COUNTY ADA	MEDICAID	$119.12
ID COUNTY ADA	MEDICAID	$119.12
ID COUNTY OTHER	MEDICAID	$119.12
ID COUNTY PAYETTE	MEDICAID	$119.12
KERN FAMILY HEALTH PLAN	MEDICAID	$119.12
COUNTY FUNDING GENERIC	MEDICAID	$119.12
TOTAL HEALTH CARE MEDICAID	MEDICAID	$119.12
MEDICAID SPENDDOWN	MEDICAID	$119.12
PRIORITY HEALTH MEDICAID	MEDICAID	$119.12
PRIORITY HEALTH MEDICAID	MEDICAID	$119.12
MEDICAID - MT	MEDICAID	$119.12
MEDICAID - MT	MEDICAID	$119.12
HUMANA MEDICAID	HUMANA MEDICAID	$119.12
WI WOMENS WELLNESS	MEDICAID	$119.12
WI WOMENS WELLNESS	MEDICAID	$119.12
EASTPOINTE LME	MEDICAID	$119.12
BLUE CROSS - SC MEDICAID ADVANTAGE	MEDICAID	$119.12
FIRSTCARE MEDICAID	MEDICAID	$119.12
COMMUNITY HEALTH CHOICE	MEDICAID	$119.12
PHILADELPHIA COUNTY FUNDING	MEDICAID	$119.12
BLUE CROSS COMPLETE - MI	MEDICAID	$119.12
BLUE CROSS COMPLETE - MI	MEDICAID	$119.12
MEDICAID - MS	MEDICAID	$119.12
MEDICAID - MS	MEDICAID	$119.12
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICAID	MEDICAID	$119.12
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICAID	MEDICAID	$119.12
WELLPOINT MEDICAID	MEDICAID	$119.12
BUCKEYE HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$119.12
BLUE CROSS - SC MEDICAID ADVANTAGE	MEDICAID	$119.12
MOLINA CENTENNIAL CARE	MEDICAID	$119.12
MOLINA CENTENNIAL CARE	MEDICAID	$119.12
COMMUNITY HEALTH CHOICE	MEDICAID	$119.12
FIDELIS CARE MEDICAID ADVANTAGE	MEDICAID	$119.12
MEDI-CAL BLUE CROSS	MEDICAID	$119.12
MEDICAID - NM	MEDICAID	$119.12
MEDICAID - NM	MEDICAID	$119.12
MEDICAID - NH	MEDICAID	$119.12
BUCKEYE HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$119.12
SECURITY HEALTH MEDICAID	MEDICAID	$119.12
RYAN WHITE FLORIDA MSSRP	MEDICAID	$119.12
DELAWARE COUNTY DEPARTMENT OF HEALTH	MEDICAID	$119.12
NEW YORK CANCER SERVICES PROGRAM	MEDICAID	$119.12
MEDICAID - MO	MEDICAID	$119.12
MEDICAID - NJ	MEDICAID	$119.12
MEDICAID - NJ	MEDICAID	$119.12
FIDELIS CARE MEDICAID ADVANTAGE	MEDICAID	$119.12
EMBLEM HEALTH MEDICAID	MEDICAID	$119.12
MEDI-CAL BLUE CROSS	MEDICAID	$119.12
NEW YORK CANCER SERVICES PROGRAM	MEDICAID	$119.12
COMMUNITY CARE PARTNERS	MEDICAID	$119.12
MEDICAID - NV	MEDICAID	$119.12
SECURITY HEALTH MEDICAID	MEDICAID	$119.12
UNITY MEDICAID	MEDICAID	$119.12
PRESTIGE HEALTH CHOICE	MEDICAID	$119.12
EMBLEM HEALTH MEDICAID	MEDICAID	$119.12
HEALTHFIRST MEDICAID ADVANTAGE	MEDICAID	$119.12
DELAWARE COUNTY DEPARTMENT OF HEALTH	MEDICAID	$119.12
IDAHO DEPT HEALTH AND WELLFARE	MEDICAID	$119.12
MEDI-CAL	MEDICAID	$119.12
MEDI-CAL	MEDICAID	$119.12
COMMUNITY CARE PARTNERS	MEDICAID	$119.12
UNITY MEDICAID	MEDICAID	$119.12
AMERIHEALTH CARITAS MEDICAID	MEDICAID	$119.12
SANDHILLS CENTER LME	MEDICAID	$119.12
SANDHILLS CENTER LME	MEDICAID	$119.12
HEALTHFIRST MEDICAID ADVANTAGE	MEDICAID	$119.12
PRIORITY PARTNERS	MEDICAID	$119.12
MEDICAID - LA	MEDICAID	$119.12
MEDICAID - LA	MEDICAID	$119.12
IDAHO DEPT HEALTH AND WELLFARE	MEDICAID	$119.12
RYAN WHITE FLORIDA MSSRP	MEDICAID	$119.12
VNSNY CHOICE MEDICAID	MEDICAID	$119.12
CONNECTIONS CSP	MEDICAID	$119.12
CARE WISCONSIN MEDICAID	MEDICAID	$119.12
AMERIHEALTH CARITAS MEDICAID	MEDICAID	$119.12
ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL	MEDICAID	$119.12
CONNECTIONS CSP	MEDICAID	$119.12
VAYA HEALTH LME	MEDICAID	$119.12
PRESBYTERIAN CENTENNIAL CARE	MEDICAID	$119.12
VNSNY CHOICE MEDICAID	MEDICAID	$119.12
CARE WISCONSIN MEDICAID	MEDICAID	$119.12
WELLPOINT MEDICAID	MEDICAID	$119.12
MERCYCARE MEDICAID	MEDICAID	$119.12
MERCYCARE MEDICAID	MEDICAID	$119.12
VAYA HEALTH LME	MEDICAID	$119.12
CARDINAL INNOVATIONS LME	MEDICAID	$119.12
PRESBYTERIAN CENTENNIAL CARE	MEDICAID	$119.12
INDIANA BREAST CERVICAL CANCER	MEDICAID	$119.12
GHC SCW WI BADGERCARE	MEDICAID	$119.12
GHC SCW WI BADGERCARE	MEDICAID	$119.12
DEAN WI BADGERCARE	MEDICAID	$119.12
PRESTIGE HEALTH CHOICE	MEDICAID	$119.12
TENNCARE	MEDICAID	$119.12
TENNCARE	MEDICAID	$119.12
CARDINAL INNOVATIONS LME	MEDICAID	$119.12
PARTNERS BEHAVIORAL LME	MEDICAID	$119.12
MEDICAID - MD	MEDICAID	$119.12
MEDICAID - MD	MEDICAID	$119.12
INDIANA BREAST CERVICAL CANCER	MEDICAID	$119.12
BLUE CROSS - NM MEDICAID ADVANTAGE	MEDICAID	$119.12
HEALTH SAFETY NET	MEDICAID	$119.12
DEAN WI BADGERCARE	MEDICAID	$119.12
PARTNERS BEHAVIORAL LME	MEDICAID	$119.12
MEDICAID - MN	MEDICAID	$119.12
STEPHENSON CTY HEALTH	MEDICAID	$119.12
HEALTH SAFETY NET	MEDICAID	$119.12
IDAHO WOMENS HEALTH CHECK	MEDICAID	$119.12
HUMANA MEDICAID	HUMANA MEDICAID	$119.12
MANAGED HEALTH SERVICES - INDIANA	MEDICAID	$119.12
BLUE CROSS - NM MEDICAID ADVANTAGE	MEDICAID	$119.12
BLUE CROSS - TN MEDICAID ADVANTAGE	MEDICAID	$119.12
PRIORITY PARTNERS	MEDICAID	$119.12
TUFTS HEALTH PUBLIC PLANS	MEDICAID	$119.12
SIMPLY HEALTHCARE MEDICAID	MEDICAID	$119.12
SIMPLY HEALTHCARE MEDICAID	MEDICAID	$119.12
ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL	MEDICAID	$119.12
STEPHENSON CTY HEALTH	MEDICAID	$119.12
MVP MEDICAID ADVANTAGE	MEDICAID	$119.12
IDAHO WOMENS HEALTH CHECK	MEDICAID	$119.12
MANAGED HEALTH SERVICES - INDIANA	MEDICAID	$119.12
NEBRASKA TOTAL CARE	MEDICAID	$119.12
NEBRASKA TOTAL CARE	MEDICAID	$119.12
BLUE CROSS - TN MEDICAID ADVANTAGE	MEDICAID	$119.12
CARESOURCE MEDICAID	MEDICAID	$119.12
TUFTS HEALTH PUBLIC PLANS	MEDICAID	$119.12
TEXAS CHILDREN'S HEALTH PLAN	MEDICAID	$119.12
CMH MACOMB	MEDICAID	$119.12
CMH KALAMAZOO	MEDICAID	$119.12
CMH KALAMAZOO	MEDICAID	$119.12
MVP MEDICAID ADVANTAGE	MEDICAID	$119.12
FRESNO COUNTY CCS	MEDICAID	$119.12
CARESOURCE MEDICAID	MEDICAID	$119.12
MEDICAID - MN	MEDICAID	$119.12
MEDICAID - MA	MEDICAID	$119.12
MEDICAID - MA	MEDICAID	$119.12
MEDICAID - ME	MEDICAID	$119.12
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MEDICAID	$119.12
CMH MACOMB	MEDICAID	$119.12
FRESNO COUNTY CCS	MEDICAID	$119.12
EASTPOINTE LME	MEDICAID	$119.12
TEXAS CHILDREN'S HEALTH PLAN	MEDICAID	$119.12
FIRSTCARE MEDICAID	MEDICAID	$119.12
PHILADELPHIA COUNTY FUNDING	MEDICAID	$119.12
HURON VALLEY PACE MEDICAID	MEDICAID	$119.12
HURON VALLEY PACE MEDICAID	MEDICAID	$119.12
MEDICAID - ME	MEDICAID	$119.12
MEDICAID - MO	MEDICAID	$119.12
MEDICAID - WA	MEDICAID	$119.12
HENNEPIN HEALTH	MEDICAID	$119.12
ICARE MEDICAID	MEDICAID	$119.12
ICARE MEDICAID	MEDICAID	$119.12
DEAN HEALTH MEDICAID	MEDICAID	$119.12
COUNTY CARE MEDICAID	MEDICAID	$119.12
AETNA MEDICAID	MEDICAID	$119.12
JAI MEDICAL SYSTEM	MEDICAID	$119.12
JAI MEDICAL SYSTEM	MEDICAID	$119.12
ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE	MEDICAID	$119.12
MEDICAID ADVANTAGE GENERIC	MEDICAID	$119.12
UPMC MEDICAID ADVANTAGE	MEDICAID	$119.12
TRILLIUM COMMUNITY OHP	MEDICAID	$119.12
KAISER PERMANENTE MEDICAID ADVANTAGE	MEDICAID	$119.12
MEDICAID - IN	MEDICAID	$119.12
RX MERIDIAN RX	MEDICAID	$119.12
RX 340B PASS ALONG	MEDICAID	$119.12
MEDICAID - NY	MEDICAID	$119.12
MEDICAID - NY	MEDICAID	$119.12
MEDICAID - WA	MEDICAID	$119.12
MEDICAID - VA	MEDICAID	$119.12
MARYLAND BREAST & CERVICAL PROGRAM	MEDICAID	$119.12
BREAST GRANT-CONNECTICUT	MEDICAID	$119.12
GROUP HEALTH COOPERATIVE MEDICAID	MEDICAID	$119.12
GROUP HEALTH COOPERATIVE MEDICAID	MEDICAID	$119.12
MARYLAND PHYSICIANS CARE	MEDICAID	$119.12
MARYLAND PHYSICIANS CARE	MEDICAID	$119.12
MEDICAID ADVANTAGE GENERIC	MEDICAID	$119.12
HIGHMARK WHOLECARE MEDICAID	MEDICAID	$119.12
TRILLIUM COMMUNITY OHP	MEDICAID	$119.12
PACIFICSOURCE HEALTH PLANS MEDICAID ADVANTAGE	MEDICAID	$119.12
KAISER PERMANENTE MEDICAID ADVANTAGE	MEDICAID	$119.12
RX MERIDIAN RX	MEDICAID	$119.12
RX 340B PASS ALONG	MEDICAID	$119.12
COMMUNITY CARE PLAN MEDICAID ADVANTAGE	MEDICAID	$119.12
MEDICAID - NC	MEDICAID	$119.12
MEDICAID - NC	MEDICAID	$119.12
MEDICAID - VA	MEDICAID	$119.12
MEDICAID - UT	MEDICAID	$119.12
PACE OF SOUTHWEST MICHIGAN	MEDICAID	$119.12
BLUE CROSS - IL MEDICAID ADVANTAGE	MEDICAID	$119.12
MEDICAID - AR	MEDICAID	$119.12
MEDICAID - CO	MEDICAID	$119.12
COMMUNITY CARE PLAN MEDICAID ADVANTAGE	MEDICAID	$119.12
FALLON HEALTH MEDICAID ADVANTAGE	MEDICAID	$119.12
MAGELLAN BEHAVIORAL HEALTH MEDICAID	MEDICAID	$119.12
MAGELLAN BEHAVIORAL HEALTH MEDICAID	MEDICAID	$119.12
MEDICAID - RI	MEDICAID	$119.12
BLUE CROSS - IL MEDICAID ADVANTAGE	MEDICAID	$119.12
DELTA DENTAL NJ	MEDICAID	$119.12
MEDICAID - UT	MEDICAID	$119.12
MEDICAID MA QMB	MEDICAID	$119.12
AETNA MEDICAID	MEDICAID	$119.12
CHILDRENS MEDICAL CENTER HEALTH PLAN MANAGED MEDICAID	MEDICAID	$119.12
CHILDRENS MEDICAL CENTER HEALTH PLAN MANAGED MEDICAID	MEDICAID	$119.12
DELTA DENTAL NJ	MEDICAID	$119.12
FREEDOM FIRST HEALTHCARE	MEDICAID	$119.12
FREEDOM FIRST HEALTHCARE	MEDICAID	$119.12
HIGHMARK WHOLECARE MEDICAID	MEDICAID	$119.12
AFFINITY HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$119.12
PACIFICSOURCE HEALTH PLANS MEDICAID ADVANTAGE	MEDICAID	$119.12
BLUE CROSS - NJ (HORIZON) MEDICAID ADVANTAGE	MEDICAID	$119.12
MEDICAID - CO	MEDICAID	$119.12
MEDICAID - AZ	MEDICAID	$119.12
RX ASSISTANCE/RX MANUFACTURER ASSISTANCE 0 COPAY	MEDICAID	$119.12
RX ASSISTANCE/RX MANUFACTURER ASSISTANCE 0 COPAY	MEDICAID	$119.12
MEDICAID - RI	MEDICAID	$119.12
MEDICAID - SC	MEDICAID	$119.12
PACE OF SOUTHWEST MICHIGAN	MEDICAID	$119.12
BREAST GRANT-CONNECTICUT	MEDICAID	$119.12
MEDICAID - WI	MEDICAID	$119.12
MEDICAID MA QMB	MEDICAID	$119.12
KEYSTONE FIRST CHIP	MEDICAID	$119.12
UNITED HEALTHCARE MEDICAID	MEDICAID	$119.12
ALLWELL MEDICAID ADVANTAGE	MEDICAID	$119.12
SUPERIOR HEALTH	MEDICAID	$119.12
SUPERIOR HEALTH	MEDICAID	$119.12
PARKLAND COMMUNITY HEALTH PLAN	MEDICAID	$119.12
BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE	MEDICAID	$119.12
AFFINITY HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$119.12
DSCC	MEDICAID	$119.12
GREEN MOUNTAIN MEDICAID ADVANTAGE	MEDICAID	$119.12
BLUE CROSS - DC (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$119.12
MEDICAID - AZ	MEDICAID	$119.12
MEDICAID - AL	MEDICAID	$119.12
MEDICAID - SC	MEDICAID	$119.12
MEDICAID - WI	MEDICAID	$119.12
MEDICAID - WY	MEDICAID	$119.12
KEYSTONE FIRST CHIP	MEDICAID	$119.12
DPH TB PROGRAM	MEDICAID	$119.12
ALLWELL MEDICAID ADVANTAGE	MEDICAID	$119.12
BLUE CROSS - DE (HIGHMARK) MEDICAID ADVANTAGE	MEDICAID	$119.12
DSCC	MEDICAID	$119.12
COMMUNITY BENEFIT HEALTH	MEDICAID	$119.12
BLUE CROSS - DC (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$119.12
MEDICAID - AK	MEDICAID	$119.12
MEDICAID - PA	MEDICAID	$119.12
MEDICAID - AK	MEDICAID	$119.12
DPH TB PROGRAM	MEDICAID	$119.12
DEAN HEALTH MEDICAID	MEDICAID	$119.12
BLUE CROSS - DE (HIGHMARK) MEDICAID ADVANTAGE	MEDICAID	$119.12
BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE	MEDICAID	$119.12
CARELON HEALTH MEDICAID	MEDICAID	$119.12
COMMUNITY BENEFIT HEALTH	MEDICAID	$119.12
GREEN MOUNTAIN MEDICAID ADVANTAGE	MEDICAID	$119.12
CARE CONNECTIONS OF NORTHERN IOWA	MEDICAID	$119.12
CARE CONNECTIONS OF NORTHERN IOWA	MEDICAID	$119.12
BLUE CROSS - MD (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$119.12
MEDICAID - FL	MEDICAID	$119.12
MEDICAID - FL	MEDICAID	$119.12
MEDICAID - PA	MEDICAID	$119.12
MEDICAID - OK	MEDICAID	$119.12
MEDICAID - OK	MEDICAID	$119.12
MEDICAID - WY	MEDICAID	$119.12
MEDICAID OOS NHI	MEDICAID	$119.12
COMMUNITY CARE MEDICAID	MEDICAID	$119.12
COMMUNITY CARE MEDICAID	MEDICAID	$119.12
TRILOGY MEDICAID	MEDICAID	$119.12
TRILOGY MEDICAID	MEDICAID	$119.12
WELLSENSE HEALTH PLAN	MEDICAID	$119.12
WELLSENSE HEALTH PLAN	MEDICAID	$119.12
CARELON HEALTH MEDICAID	MEDICAID	$119.12
CHHUNY	MEDICAID	$119.12
METROPLUS MEDICAID ADVANTAGE	MEDICAID	$119.12
METROPLUS MEDICAID ADVANTAGE	MEDICAID	$119.12
BLUE CROSS - MD (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$119.12
HEALTH PLUS PHSP MEDICAID ADV	MEDICAID	$119.12
MEDICAID - DE	MEDICAID	$119.12
MEDICAID - DE	MEDICAID	$119.12
MEDICAID - DC	MEDICAID	$119.12
MEDICAID - VT	MEDICAID	$119.12
MEDICAID - VT	MEDICAID	$119.12
MEDICAID - TX	MEDICAID	$119.12
MEDICAID OOS NHI	MEDICAID	$119.12
MEDICAID - WV	MEDICAID	$119.12
BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$119.12
BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$119.12
CENPATICO	MEDICAID	$119.12
COUNTY CARE MEDICAID	MEDICAID	$119.12
UNITED HEALTHCARE MEDICAID	MEDICAID	$119.12
CHHUNY	MEDICAID	$119.12
HEALTH PLUS PHSP MEDICAID ADV	MEDICAID	$119.12
MEDICAID - DC	MEDICAID	$119.12
MEDICAID - CT	MEDICAID	$119.12
MEDICAID - CT	MEDICAID	$119.12
INDEPENDENT CARE MEDICAID	MEDICAID	$119.12
KEYSTONE FIRST CHC MEDICAID	MEDICAID	$119.12
BLUE CROSS - NJ (HORIZON) MEDICAID ADVANTAGE	MEDICAID	$119.12
MEDICAID - AR	MEDICAID	$119.12
MEDICAID - IA	MEDICAID	$119.12
MEDICAID - TX	MEDICAID	$119.12
MEDICAID - NY SSL	MEDICAID	$119.12
CENPATICO	MEDICAID	$119.12
INDEPENDENT CARE MEDICAID	MEDICAID	$119.12
PARKLAND COMMUNITY HEALTH PLAN	MEDICAID	$119.12
CHILDRENS MEDICAL SERVICES TITLE 19	MEDICAID	$119.12
KEYSTONE FIRST CHC MEDICAID	MEDICAID	$119.12
BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$119.12
MASSACHUSETTS BEHAVIORAL HEALTH PARTNERSHIP	MEDICAID	$119.12
MASSACHUSETTS BEHAVIORAL HEALTH PARTNERSHIP	MEDICAID	$119.12
CENTENE	MEDICAID	$119.12
CENTENE	MEDICAID	$119.12
MEDICAID - HI	MEDICAID	$119.12
MEDICAID - TN	MEDICAID	$119.12
MEDICAID - TN	MEDICAID	$119.12
MEDICAID - NY SSL	MEDICAID	$119.12
OREGON SCREENWISE	MEDICAID	$119.12
CHILDRENS COMM HEALTH PLAN	MEDICAID	$119.12
CHILDRENS COMM HEALTH PLAN	MEDICAID	$119.12
LAKELAND CARE INC	MEDICAID	$119.12
CHILDRENS MEDICAL SERVICES TITLE 19	MEDICAID	$119.12
BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$119.12
CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE	MEDICAID	$119.12
ILLINICARE HEALTH MEDICAID ADVANTAGE	MEDICAID	$119.12
ILLINICARE HEALTH MEDICAID ADVANTAGE	MEDICAID	$119.12
MEDICAID - AL	MEDICAID	$119.12
MEDICAID - HI	MEDICAID	$119.12
MEDICAID - GA	MEDICAID	$119.12
FALLON HEALTH MEDICAID ADVANTAGE	MEDICAID	$119.12
MEDICAID - NV	MEDICAID	$119.12
MEDICAID - NH	MEDICAID	$119.12
MEDICAID - OH	MEDICAID	$119.12
MEDICAID - SD	MEDICAID	$119.12
MEDICAID - SD	MEDICAID	$119.12
OREGON SCREENWISE	MEDICAID	$119.12
SCREENING FOR LIFE	MEDICAID	$119.12
SCREENING FOR LIFE	MEDICAID	$119.12
LAKELAND CARE INC	MEDICAID	$119.12
HENNEPIN HEALTH	MEDICAID	$119.12
HEALTH NEW ENGLAND MEDICAID ADVANTAGE	MEDICAID	$119.12
MEDICAID - GA	MEDICAID	$119.12
MEDICAID - KY	MEDICAID	$119.12
MEDICAID - KY	MEDICAID	$119.12
COUNTY CORONER	MEDICAID	$119.12
ST JOSEPH COUNTY HLTH DPT	MEDICAID	$119.12
ST JOSEPH COUNTY HLTH DPT	MEDICAID	$119.12
MEDICAID - OH	MEDICAID	$119.12
MEDICAID - ND	MEDICAID	$119.12
MEDICAID - WV	MEDICAID	$119.12
MARYLAND BREAST & CERVICAL PROGRAM	MEDICAID	$119.12
CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE	MEDICAID	$119.12
ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE	MEDICAID	$119.12
HEALTH NEW ENGLAND MEDICAID ADVANTAGE	MEDICAID	$119.12
UPMC MEDICAID ADVANTAGE	MEDICAID	$119.12
MEDICAID - IA	MEDICAID	$119.12
MEDICAID - KS	MEDICAID	$119.12
MEDICAID - KS	MEDICAID	$119.12
MEDICAID - IN	MEDICAID	$119.12
COUNTY CORONER	MEDICAID	$119.12
MEDICAID - ND	MEDICAID	$119.12
BLUE CROSS - ID MEDICAID ADVANTAGE	MEDICAID	$119.12
BLUE CROSS - ID MEDICAID ADVANTAGE	MEDICAID	$119.12
COMMONWEALTH CARE ALLIANCE MEDICAID	MEDICAID	$119.12
CMH WEST MI COUNTY	MEDICAID	$119.12
GEISINGER MEDICAID ADVANTAGE	MEDICAID	$119.12
MERIDIAN MEDICAID	MEDICAID	$119.12
BLUE CROSS - OH (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$119.12
COUNTY CARE MEDICAID ADVANTAGE	MEDICAID	$119.12
COUNTY CARE MEDICAID ADVANTAGE	MEDICAID	$119.12
KEYSTONE FIRST	MEDICAID	$119.12
INTERCOMMUNITY HEALTH OHP	MEDICAID	$119.12
COMMONWEALTH CARE ALLIANCE MEDICAID	MEDICAID	$119.12
MERIDIAN MEDICAID	MEDICAID	$119.12
INTERCOMMUNITY HEALTH OHP	MEDICAID	$119.12
PARAMOUNT ADVANTAGE	MEDICAID	$119.12
AMISH MENNONITE	MEDICAID	$119.12
MODA PLUS MEDICAID ADVANTAGE	MEDICAID	$119.12
KEYSTONE FIRST	MEDICAID	$119.12
BLUE CROSS - OH (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$119.12
COMMUNITY CARE BEHAVORIAL HEALTH	MEDICAID	$119.12
COMMUNITY CARE BEHAVORIAL HEALTH	MEDICAID	$119.12
MODA PLUS MEDICAID ADVANTAGE	MEDICAID	$119.12
MEDSTAR MD HEALTH CHOICE	MEDICAID	$119.12
MEDSTAR MD HEALTH CHOICE	MEDICAID	$119.12
MEDSTAR DC HEALTHY FAMILY	MEDICAID	$119.12
NEXTLEVEL HEALTH	MEDICAID	$119.12
PARAMOUNT ADVANTAGE	MEDICAID	$119.12
MEDSTAR DC HEALTHY FAMILY	MEDICAID	$119.12
DELAWARE FIRST HEALTH	MEDICAID	$119.12
DELAWARE FIRST HEALTH	MEDICAID	$119.12
NEXTLEVEL HEALTH	MEDICAID	$119.12
AMISH MENNONITE	MEDICAID	$119.12
GEISINGER MEDICAID ADVANTAGE	MEDICAID	$119.12
CIGNA MEDICAID ADVANTAGE	MEDICAID	$119.12
CIGNA MEDICAID ADVANTAGE	MEDICAID	$119.12
CMH WEST MI COUNTY	MEDICAID	$119.12
MOLINA MARKETPLACE	MOLINA MARKETPLACE	$122.23
MOLINA MARKETPLACE	MOLINA MARKETPLACE	$122.23
SUNSHINE STATE HEALTH PLAN	SUNSHINE STATE HEALTH MEDICAID	$122.70
SUNSHINE STATE HEALTH PLAN	SUNSHINE STATE HEALTH MEDICAID	$122.70
WELLCARE MEDICAID	SUNSHINE STATE HEALTH MEDICAID	$122.70
WELLCARE MEDICAID	SUNSHINE STATE HEALTH MEDICAID	$122.70
HUMANA	HUMANA	$128.14
HUMANA	HUMANA	$128.14
HUMANA	HUMANA	$128.14
HUMANA	HUMANA	$128.14
MOLINA MEDICAID	MOLINA MEDICAID	$131.04
MOLINA MEDICAID	MOLINA MEDICAID	$131.04
OSCAR	OSCAR	$132.41
OSCAR	OSCAR	$132.41
BLUE CROSS - FL	BCBS TRULI FOR HEALTH	$139.03
BLUE CROSS - FL	BCBS TRULI FOR HEALTH	$139.03
CENTIVO	CENTIVO	$142.60
CENTIVO	CENTIVO	$142.60
CURATIVE	CURATIVE FL	$142.60
CURATIVE	CURATIVE FL	$142.60
UNITED HEALTHCARE	UNITED HEALTHCARE	$146.72
UNITED HEALTHCARE	UHC OPTIONS PPO	$146.72
UNITED HEALTHCARE	UNITED HEALTHCARE	$146.72
UNITED HEALTHCARE	UHC OPTIONS PPO	$146.72
GEHA	UNITED HEALTHCARE	$146.72
GEHA	UNITED HEALTHCARE	$146.72
MEDICAID - ID	MEDICAID	$148.10
MEDICAID - ID	MEDICAID	$148.10
BLUE CROSS - FL	BCBS HEALTH OPTIONS	$149.65
BLUE CROSS - FL	BCBS HEALTH OPTIONS	$149.65
BLUE SHIELD - PA (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$149.73
CARELON HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - OK MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - OK MEDICARE ADVANTAGE	MEDICARE	$149.73
SUNNYVIEW-PACE FINANCE DEPT	MEDICARE	$149.73
HEALTH NEW ENGLAND MEDICARE ADVANTAGE	MEDICARE	$149.73
MCLAREN HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
ESSENCE MEDICARE HMO	MEDICARE	$149.73
MEDSTAR MEDICARE ADVANTAGE	MEDICARE	$149.73
CARELON HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
SUNNYVIEW-PACE FINANCE DEPT	MEDICARE	$149.73
BLUE CROSS - WV (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - WV (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$149.73
CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE	MEDICARE	$149.73
MEDSTAR MEDICARE ADVANTAGE	MEDICARE	$149.73
MARTINS POINT GENERATIONS ADVANTAGE	MEDICARE	$149.73
AMERICAN HEALTH ADVANTAGE OF IDAHO	MEDICARE	$149.73
BLUE SHIELD - ID (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$149.73
MODA HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
HUMANA MEDICARE TRANSPLANT	MEDICARE	$149.73
AMERICAN HEALTH ADVANTAGE OF IDAHO	MEDICARE	$149.73
OPTIMUM HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$149.73
OPTIMUM HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$149.73
MODA HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
SELECTHEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
IMPERIAL HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$149.73
IMPERIAL HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$149.73
EVERENCE	MEDICARE	$149.73
OSCAR MEDICARE ADVANTAGE	MEDICARE	$149.73
CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE	MEDICARE	$149.73
WELLSENSE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$149.73
MCLAREN HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
TRISTATE BENEFIT SOLUTIONS MEDICARE ADVANTAGE	MEDICARE	$149.73
TRISTATE BENEFIT SOLUTIONS MEDICARE ADVANTAGE	MEDICARE	$149.73
HUMANA MEDICARE TRANSPLANT	MEDICARE	$149.73
BLUE SHIELD - PA (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - MT MEDICARE ADVANTAGE	MEDICARE	$149.73
OSCAR MEDICARE ADVANTAGE	MEDICARE	$149.73
MICHIGAN COMPLETE HEALTH	MEDICARE	$149.73
WELLSENSE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE SHIELD - NY HIGHMARK WESTERN MEDICARE ADVANTAGE	MEDICARE	$149.73
EMBLEM HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
ILLINICARE HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
ILLINICARE HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
SUNSHINE HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - NM MEDICARE ADVANTAGE	MEDICARE	$149.73
EDDY SENIOR CARE-PACE	MEDICARE	$149.73
BLUE CROSS - MT MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE SHIELD - NY HIGHMARK NORTHEASTERN MEDICARE ADVANTAGE	MEDICARE	$149.73
ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE	MEDICARE	$149.73
ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE SHIELD - NY HIGHMARK WESTERN MEDICARE ADVANTAGE	MEDICARE	$149.73
EMBLEM HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
MEDICA MEDICARE ADVANTAGE	MEDICARE	$149.73
SUNSHINE HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
EDDY SENIOR CARE-PACE	MEDICARE	$149.73
BLUE CROSS - NM MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE SHIELD - NY HIGHMARK NORTHEASTERN MEDICARE ADVANTAGE	MEDICARE	$149.73
MEDICA MEDICARE ADVANTAGE	MEDICARE	$149.73
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$149.73
MEDICARE ADVANTAGE GENERIC	MEDICARE	$149.73
EVERCARE	MEDICARE	$149.73
BLUE CROSS - NY (EXCELLUS) MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - NY (EXCELLUS) MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$149.73
MEDICARE ADVANTAGE GENERIC	MEDICARE	$149.73
BLUE SHIELD - DE (HIGHMARK) MEDCIARE ADVANTAGE	MEDICARE	$149.73
EVERCARE	MEDICARE	$149.73
SELECTHEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
AETNA MEDICARE TRANSPLANT	MEDICARE	$149.73
AETNA MEDICARE TRANSPLANT	MEDICARE	$149.73
BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$149.73
TRIBUTE HEALTH PLANS	MEDICARE	$149.73
CARECENTRIX MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE SHIELD - CA MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE SHIELD - DE (HIGHMARK) MEDCIARE ADVANTAGE	MEDICARE	$149.73
MICHIGAN COMPLETE HEALTH	MEDICARE	$149.73
BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$149.73
CORE CARE SELECT MEDICARE ADVANTAGE	MEDICARE	$149.73
CORE CARE SELECT MEDICARE ADVANTAGE	MEDICARE	$149.73
HEALTHNET MEDICARE ADVANTAGE	MEDICARE	$149.73
HEALTHNET MEDICARE ADVANTAGE	MEDICARE	$149.73
SIMPLY HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$149.73
SIMPLY HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$149.73
MARTINS POINT GENERATIONS ADVANTAGE	MEDICARE	$149.73
CARECENTRIX MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE SHIELD - CA MEDICARE ADVANTAGE	MEDICARE	$149.73
HEALTH ALLIANCE MEDICARE ADVANTAGE	MEDICARE	$149.73
TRIBUTE HEALTH PLANS	MEDICARE	$149.73
TOTAL COMM CARE MEDICARE REPL	MEDICARE	$149.73
TOTAL COMM CARE MEDICARE REPL	MEDICARE	$149.73
THOME PACE	MEDICARE	$149.73
EVERENCE	MEDICARE	$149.73
PREFERRED CARE PARTNERS	PREFERRED CARE PARTNERS MEDICARE ADV	$149.73
TUFTS MEDICARE ADVANTAGE	MEDICARE	$149.73
THOME PACE	MEDICARE	$149.73
OPTUM MEDICARE TRANSPLANT	MEDICARE	$149.73
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$149.73
PREFERRED CARE PARTNERS	PREFERRED CARE PARTNERS MEDICARE ADV	$149.73
BRAND NEW DAY MEDICARE ADVANTAGE	MEDICARE	$149.73
HEALTH ALLIANCE MEDICARE ADVANTAGE	MEDICARE	$149.73
EON HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
TUFTS MEDICARE ADVANTAGE	MEDICARE	$149.73
RX MEDICARE	MEDICARE	$149.73
OPTUM MEDICARE TRANSPLANT	MEDICARE	$149.73
BLUE SHIELD - ID (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$149.73
GEORGIA HEALTH ADVANTAGE	MEDICARE	$149.73
GEORGIA HEALTH ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$149.73
BRAND NEW DAY MEDICARE ADVANTAGE	MEDICARE	$149.73
HEALTH NEW ENGLAND MEDICARE ADVANTAGE	MEDICARE	$149.73
EON HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
RX MEDICARE	MEDICARE	$149.73
PACE IOWA IMMANUEL PATHWAYS	MEDICARE	$149.73
CLOVER HEALTH	MEDICARE	$149.73
CLOVER HEALTH	MEDICARE	$149.73
HORIZON NJ TOTAL CARE	MEDICARE	$149.73
HORIZON NJ TOTAL CARE	MEDICARE	$149.73
AMERIHEALTH MEDICARE	MEDICARE	$149.73
AMERIHEALTH MEDICARE	MEDICARE	$149.73
PACIFICSOURCE HEALTH PLANS MEDICARE ADVANTAGE	MEDICARE	$149.73
PACIFICSOURCE HEALTH PLANS MEDICARE ADVANTAGE	MEDICARE	$149.73
MEDICARE PUERTO RICO	MEDICARE	$149.73
UNION HEALTH SERVICE	MEDICARE	$149.73
CAREFIRST MEDICARE ADVANTAGE	MEDICARE	$149.73
PACE-TRINITY HEALTH	MEDICARE	$149.73
HURON VALLEY PACE	MEDICARE	$149.73
POSITIVE HEALTHCARE PARTNERS MEDICARE	POSITIVE HEALTH PARTNERS MEDICARE ADV	$149.73
TODAYS OPTIONS	MEDICARE	$149.73
UNION HEALTH SERVICE	MEDICARE	$149.73
PACE SOUTHEAST	MEDICARE	$149.73
CAREFIRST MEDICARE ADVANTAGE	MEDICARE	$149.73
LONGEVITY IPA OF MICHIGAN LLC HEALTH PLAN ISNP	MEDICARE	$149.73
PACE OF SOUTHWEST MICHIGAN	MEDICARE	$149.73
PHP MEDICARE	MEDICARE	$149.73
FRESNO PACE MEDICARE	MEDICARE	$149.73
HIGHMARK WHOLECARE MEDICARE ADVANTAGE	MEDICARE	$149.73
ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$149.73
TODAYS OPTIONS	MEDICARE	$149.73
BLUE CROSS - NY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$149.73
PHP MEDICARE	MEDICARE	$149.73
MERCY LIFE	MEDICARE	$149.73
MERCY LIFE	MEDICARE	$149.73
HUMANA CENTRAL VALLEY MEDPRO	MEDICARE	$149.73
JEFFERSON HEALTH PLANS MEDICARE	MEDICARE	$149.73
JEFFERSON HEALTH PLANS MEDICARE	MEDICARE	$149.73
BLUE CROSS - NY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$149.73
LONGEVITY IPA OF MICHIGAN LLC HEALTH PLAN ISNP	MEDICARE	$149.73
SIOUXLAND PACE	MEDICARE	$149.73
SIOUXLAND PACE	MEDICARE	$149.73
BLUE CROSS - NE MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - NE MEDICARE ADVANTAGE	MEDICARE	$149.73
PACE SOUTHEAST	MEDICARE	$149.73
PARAMOUNT MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - OR (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$149.73
HURON VALLEY PACE	MEDICARE	$149.73
FRESNO PACE MEDICARE	MEDICARE	$149.73
HIGHMARK WHOLECARE MEDICARE ADVANTAGE	MEDICARE	$149.73
INNOVATIVE INTEGRATED HEALTH COMMUNITY PLANS	MEDICARE	$149.73
TOTAL HEALTHCARE MEDICARE SNP	MEDICARE	$149.73
CONNECTICARE VIP MEDICARE	MEDICARE	$149.73
PARAMOUNT MEDICARE ADVANTAGE	MEDICARE	$149.73
LIFECIRCLES PACE	MEDICARE	$149.73
CENTRAL VALLEY MEDICAL SERVICES CORP PACE	MEDICARE	$149.73
CENTRAL VALLEY MEDICAL SERVICES CORP PACE	MEDICARE	$149.73
INNOVATIVE INTEGRATED HEALTH COMMUNITY PLANS	MEDICARE	$149.73
GATEWAY HEALTH PLAN	MEDICARE	$149.73
BLUE CROSS - PA (INDEPENDENCE) MEDICARE ADVANTAGE	MEDICARE	$149.73
PRUITTHEALTH PREMIER	MEDICARE	$149.73
PRUITTHEALTH PREMIER	MEDICARE	$149.73
CONNECTICARE VIP MEDICARE	MEDICARE	$149.73
LIFECIRCLES PACE	MEDICARE	$149.73
BCBS MEDICARE ADVANTAGE GENERIC	MEDICARE	$149.73
BLUE CROSS - PA (INDEPENDENCE) MEDICARE ADVANTAGE	MEDICARE	$149.73
TOTAL HEALTHCARE MEDICARE SNP	MEDICARE	$149.73
BLUE CROSS - OR (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$149.73
HEALTH AMERICA ADVANTRA	MEDICARE	$149.73
HEALTH AMERICA ADVANTRA	MEDICARE	$149.73
WELBE HEALTH	MEDICARE	$149.73
WELBE HEALTH	MEDICARE	$149.73
HAP EMPOWERED MI HEALTH LINK MEDICARE DUAL	MEDICARE	$149.73
KEYSTONE FIRST CHC MEDICARE ADVANTAGE	MEDICARE	$149.73
GATEWAY HEALTH PLAN	MEDICARE	$149.73
HAP EMPOWERED MI HEALTH LINK MEDICARE DUAL	MEDICARE	$149.73
PACE OF SOUTHWEST MICHIGAN	MEDICARE	$149.73
ALLY ALIGN CARE ADV	MEDICARE	$149.73
SCAN HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$149.73
SCAN HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$149.73
POSITIVE HEALTHCARE PARTNERS MEDICARE	POSITIVE HEALTH PARTNERS MEDICARE ADV	$149.73
PACE-TRINITY HEALTH	MEDICARE	$149.73
ALLY ALIGN CARE ADV	MEDICARE	$149.73
HUMANA CENTRAL VALLEY MEDPRO	MEDICARE	$149.73
BCBS MEDICARE ADVANTAGE GENERIC	MEDICARE	$149.73
CCA - ZING HEALTH	MEDICARE	$149.73
LASSO HEALTHCARE MSA	MEDICARE	$149.73
LASSO HEALTHCARE MSA	MEDICARE	$149.73
SERENITY PACE	MEDICARE	$149.73
SERENITY PACE	MEDICARE	$149.73
CCA - ZING HEALTH	MEDICARE	$149.73
MERCYONE CEDAR VALLEY	MEDICARE	$149.73
KEYSTONE FIRST CHC MEDICARE ADVANTAGE	MEDICARE	$149.73
BUCKEYE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$149.73
PACE CNY	MEDICARE	$149.73
PACE CNY	MEDICARE	$149.73
ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$149.73
PROVIDER PARTNERS HEALTH PLAN OF INDIANA	MEDICARE	$149.73
BUCKEYE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$149.73
PROVIDER PARTNERS HEALTH PLAN OF INDIANA	MEDICARE	$149.73
SANFORD HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$149.73
MERCYONE CEDAR VALLEY	MEDICARE	$149.73
MEDICARE PUERTO RICO	MEDICARE	$149.73
SANFORD HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$149.73
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS	MEDICARE	$149.73
LONGEVITY HEALTH PLAN	MEDICARE	$149.73
RX ALLWIN	MEDICARE	$149.73
RX ALLWIN	MEDICARE	$149.73
BLUE CARE NETWORK ADVANTAGE	MEDICARE	$149.73
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS	MEDICARE	$149.73
AMERICAN HEALTH PLAN	MEDICARE	$149.73
CENTRAL HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
AMERICAN HEALTH PLAN	MEDICARE	$149.73
IOWA HEALTH ADVANTAGE	MEDICARE	$149.73
CENTRAL HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
UNIVERSAL MEDICARE	MEDICARE	$149.73
IOWA HEALTH ADVANTAGE	MEDICARE	$149.73
CHAMPION HEALTH PLAN MCR ADVANTAGE	MEDICARE	$149.73
VNSNY CHOICE MEDICARE	MEDICARE	$149.73
VNSNY CHOICE MEDICARE	MEDICARE	$149.73
UNIVERSAL MEDICARE	MEDICARE	$149.73
AETNA MEDICARE ASSURE PREMIER HMO D-SNP	MEDICARE	$149.73
AETNA MEDICARE ASSURE PREMIER HMO D-SNP	MEDICARE	$149.73
PROMINENCE MEDICARE	MEDICARE	$149.73
HUDSON HEADWATERS PACE	MEDICARE	$149.73
PROMINENCE MEDICARE	MEDICARE	$149.73
HIGHMARK HEALTH OPTIONS DUAL PLAN	MEDICARE	$149.73
PACE IOWA IMMANUEL PATHWAYS	MEDICARE	$149.73
PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	MEDICARE	$149.73
RX ALLWIN	MEDICARE	$149.73
BLUE CROSS - ID MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - ID MEDICARE ADVANTAGE	MEDICARE	$149.73
HIGHMARK HEALTH OPTIONS DUAL PLAN	MEDICARE	$149.73
PERENNIAL ADVANTAGE	MEDICARE	$149.73
RX ALLWIN	MEDICARE	$149.73
RX MEDICARE PART B	MEDICARE	$149.73
HUDSON HEADWATERS PACE	MEDICARE	$149.73
PERENNIAL ADVANTAGE	MEDICARE	$149.73
ANTHEM MYCARE OHIO	MEDICARE	$149.73
PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	MEDICARE	$149.73
SOUTH COUNTRY HEALTH ALLIANCE MEDICARE	MEDICARE	$149.73
SCAN HEALTH PLAN MCR IPA MERITAGE OON	MEDICARE	$149.73
SCAN HEALTH PLAN MCR IPA MERITAGE OON	MEDICARE	$149.73
ANTHEM MYCARE OHIO	MEDICARE	$149.73
CHAMPION HEALTH PLAN MCR ADVANTAGE	MEDICARE	$149.73
SOUTH COUNTRY HEALTH ALLIANCE MEDICARE	MEDICARE	$149.73
COMMONWEALTH CARE ALLIANCE MEDICARE	MEDICARE	$149.73
RX MEDICARE PART B	MEDICARE	$149.73
MASS GENERAL BRIGHAM MCR ADV	MEDICARE	$149.73
MASS GENERAL BRIGHAM MCR ADV	MEDICARE	$149.73
COMMONWEALTH CARE ALLIANCE MEDICARE	MEDICARE	$149.73
BLUE CARE NETWORK ADVANTAGE	MEDICARE	$149.73
NASCENTIA HEALTH PLUS	MEDICARE	$149.73
NASCENTIA HEALTH PLUS	MEDICARE	$149.73
LONGEVITY HEALTH PLAN	MEDICARE	$149.73
PRIME HEALTH SERVICES MEDICARE ADVANTAGE	MEDICARE	$149.73
PRIME HEALTH SERVICES MEDICARE ADVANTAGE	MEDICARE	$149.73
MEDICARE ALTERNATE PAYOR	MEDICARE	$149.73
RX GRANE GRNMEDD	MEDICARE	$149.73
BLUE CROSS - KY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$149.73
RX RETIREE RX CARE	MEDICARE	$149.73
RX RETIREE RX CARE	MEDICARE	$149.73
RX CARELONRX MEDICARE	MEDICARE	$149.73
BLUE CROSS - KY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$149.73
UPMC MEDICARE ADVANTAGE	MEDICARE	$149.73
UPMC MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$149.73
RX CARELONRX MEDICARE	MEDICARE	$149.73
BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$149.73
UNIVERA HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$149.73
COMMUNITY PACE AT HOME	MEDICARE	$149.73
COMMUNITY PACE AT HOME	MEDICARE	$149.73
UNIVERA HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$149.73
GENESYS PACE OF GENESEE COUNTY	MEDICARE	$149.73
RX GRANE GRNMEDD	MEDICARE	$149.73
AVMED MEDICARE	AVMED MEDICARE ADVANTAGE	$149.73
RELIANCE COMMUNITY CARE PARTNERS CARE RESOURCES PACE	MEDICARE	$149.73
RELIANCE COMMUNITY CARE PARTNERS CARE RESOURCES PACE	MEDICARE	$149.73
GENESYS PACE OF GENESEE COUNTY	MEDICARE	$149.73
GPA CROELL REDI MIX	MEDICARE	$149.73
CAREPLUS HEALTH PLANS	CAREPLUS MEDICARE ADVANTAGE	$149.73
GPA CROELL REDI MIX	MEDICARE	$149.73
CAREPLUS HEALTH PLANS	CAREPLUS MEDICARE ADVANTAGE	$149.73
AVMED MEDICARE	AVMED MEDICARE ADVANTAGE	$149.73
MEDICARE ALTERNATE PAYOR	MEDICARE	$149.73
COMMONWEALTH CARE ALLIANCE	MEDICARE	$149.73
FIDELIS MEDICARE	MEDICARE	$149.73
FIDELIS MEDICARE	MEDICARE	$149.73
COMMONWEALTH CARE ALLIANCE	MEDICARE	$149.73
ESSENCE MEDICARE HMO	MEDICARE	$149.73
PRESBYTERIAN SENIOR PLAN	MEDICARE	$149.73
UNICARE MEDICARE ADVANTAGE	MEDICARE	$149.73
PHOENIX MEDICARE ADVANTAGE	MEDICARE	$149.73
SECURITY HEALTH MEDICARE	MEDICARE	$149.73
UCARE MEDICARE	MEDICARE	$149.73
CARESOURCE MEDICARE	MEDICARE	$149.73
BLUE CROSS - MA MEDICARE ADVANTAGE	MEDICARE	$149.73
MEDIPAK ADVANTAGE	MEDICARE	$149.73
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICARE	MEDICARE	$149.73
CARESOURCE MEDICARE	MEDICARE	$149.73
BLUE CROSS - FL MEDICARE ADVANTAGE	BCBS MEDICARE ADVANTAGE	$149.73
BLUE CROSS - FL MEDICARE ADVANTAGE	BCBS MEDICARE ADVANTAGE	$149.73
MI HEALTHLINK MEDICARE	MEDICARE	$149.73
MOLINA MEDICARE ADVANTAGE	MEDICARE	$149.73
CARE DIMENSIONS	MEDICARE	$149.73
HOPE SELECT PACE	MEDICARE	$149.73
HOPE SELECT PACE	MEDICARE	$149.73
PRESBYTERIAN SENIOR PLAN	MEDICARE	$149.73
UM HEALTH ADVANTAGE	MEDICARE	$149.73
LIFE ST MARYS PACE	MEDICARE	$149.73
BLUE CROSS - MN MEDICARE ADVANTAGE	MEDICARE	$149.73
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$149.73
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$149.73
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICARE	MEDICARE	$149.73
MOLINA MEDICARE ADVANTAGE	MEDICARE	$149.73
CARE DIMENSIONS	MEDICARE	$149.73
MI HEALTHLINK MEDICARE	MEDICARE	$149.73
GLOBAL MEDICARE ADVANTAGE	MEDICARE	$149.73
GLOBAL MEDICARE ADVANTAGE	MEDICARE	$149.73
UM HEALTH ADVANTAGE	MEDICARE	$149.73
AURORA SPECIAL NEEDS	MEDICARE	$149.73
LIFE ST MARYS PACE	MEDICARE	$149.73
BLUE CROSS - MN MEDICARE ADVANTAGE	MEDICARE	$149.73
AETNA MEDICARE ADVANTAGE	AETNA MEDICARE ADVANTAGE	$149.73
ALLWELL MEDICARE ADVANTAGE	MEDICARE	$149.73
MOLINA MEDICARE ADVANTAGE	MEDICARE	$149.73
MOLINA MEDICARE ADVANTAGE	MEDICARE	$149.73
HAP MEDICARE ADVANTAGE	MEDICARE	$149.73
ELEMENTCARE	MEDICARE	$149.73
ELEMENTCARE	MEDICARE	$149.73
BLUE CROSS - RI MEDICARE ADVANTAGE	MEDICARE	$149.73
PRIORITY HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
AURORA SPECIAL NEEDS	MEDICARE	$149.73
WELLPOINT MEDICARE ADVANTAGE	MEDICARE	$149.73
ALLWELL MEDICARE ADVANTAGE	MEDICARE	$149.73
PEAK PACE SOLUTIONS	MEDICARE	$149.73
PEAK PACE SOLUTIONS	MEDICARE	$149.73
HAP MEDICARE ADVANTAGE	MEDICARE	$149.73
MEDICAL MUTUAL MEDICARE	MEDICARE	$149.73
CLEAR SPRING HEALTH	MEDICARE	$149.73
MEDICAL MUTUAL MEDICARE	MEDICARE	$149.73
MEDIGOLD MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - TN MEDICARE ADVANTAGE	MEDICARE	$149.73
PRIORITY HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
CCA SENIOR CARE OPTIONS	MEDICARE	$149.73
WELLPOINT MEDICARE ADVANTAGE	MEDICARE	$149.73
GOLD ADVANTAGE	MEDICARE	$149.73
GOLD ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - MI MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - MI MEDICARE ADVANTAGE	MEDICARE	$149.73
CLEAR SPRING HEALTH	MEDICARE	$149.73
UCARE MEDICARE	MEDICARE	$149.73
UNITED HEALTHCARE MEDICARE	UHC MEDICARE ADVANTAGE	$149.73
MERIDIAN COMPLETE	MEDICARE	$149.73
CCA SENIOR CARE OPTIONS	MEDICARE	$149.73
MVP MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$149.73
HEALTH PARTNERS MEDICARE ADVANTAGE	MEDICARE	$149.73
HEALTH PARTNERS MEDICARE ADVANTAGE	MEDICARE	$149.73
AETNA MEDICARE ADVANTAGE	AETNA MEDICARE ADVANTAGE	$149.73
DEAN HEALTH MEDICARE SELECT	MEDICARE	$149.73
ICARE MEDICARE ADVANTAGE	MEDICARE	$149.73
UNITED HEALTHCARE MEDICARE	UHC MEDICARE ADVANTAGE	$149.73
MERIDIAN COMPLETE	MEDICARE	$149.73
CARE WISCONSIN MEDICARE	MEDICARE	$149.73
MVP MEDICARE ADVANTAGE	MEDICARE	$149.73
WELLMED	MEDICARE	$149.73
WELLMED	MEDICARE	$149.73
HEALTHFIRST MEDICARE ADVANTAGE	MEDICARE	$149.73
HEALTHFIRST MEDICARE ADVANTAGE	MEDICARE	$149.73
MEDICARE	MEDICARE	$149.73
BLUE CROSS - WI (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$149.73
CARE WISCONSIN MEDICARE	MEDICARE	$149.73
OSU PRIME CARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - TN MEDICARE ADVANTAGE	MEDICARE	$149.73
MEDIPAK ADVANTAGE	MEDICARE	$149.73
CONNECTICARE VIP MEDICARE ADVANTAGE	MEDICARE	$149.73
MEDICARE	MEDICARE	$149.73
ICARE MEDICARE ADVANTAGE	MEDICARE	$149.73
JOHNS HOPKINS ADVANTAGE MD	MEDICARE	$149.73
JOHNS HOPKINS ADVANTAGE MD	MEDICARE	$149.73
CONNECTICARE VIP MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - TX MEDICARE ADVANTAGE	MEDICARE	$149.73
CARE IMPROVEMENT PLUS	MEDICARE	$149.73
BLUE CROSS - WI (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - IL MEDICARE ADVANTAGE	MEDICARE	$149.73
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$149.73
NETWORK MEDICARE ADVANTAGE	MEDICARE	$149.73
OSU PRIME CARE ADVANTAGE	MEDICARE	$149.73
MEDIGOLD MEDICARE ADVANTAGE	MEDICARE	$149.73
FALLON HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
FALLON HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
KAISER PERMANENTE MEDICARE ADVANTAGE	MEDICARE	$149.73
KAISER PERMANENTE MEDICARE ADVANTAGE	MEDICARE	$149.73
CARE IMPROVEMENT PLUS	MEDICARE	$149.73
EDDY SENIORCARE PACE	MEDICARE	$149.73
BLUE CROSS - IL MEDICARE ADVANTAGE	MEDICARE	$149.73
COVENTRY MEDICARE ADVANTAGE	MEDICARE	$149.73
DEAN HEALTH MEDICARE SELECT	MEDICARE	$149.73
ADVANTRA FREEDOM MEDICARE ADVANTAGE	MEDICARE	$149.73
SECURITY HEALTH MEDICARE	MEDICARE	$149.73
THE HEALTH PLAN	MEDICARE	$149.73
THE HEALTH PLAN	MEDICARE	$149.73
BLUE CROSS - NC MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - NC MEDICARE ADVANTAGE	MEDICARE	$149.73
EDDY SENIORCARE PACE	MEDICARE	$149.73
CARE RESOURCES PACE	MEDICARE	$149.73
COVENTRY MEDICARE ADVANTAGE	MEDICARE	$149.73
CIGNA MEDICARE ADVANTAGE	CIGNA MEDICARE ADVANTAGE	$149.73
ADVANTRA FREEDOM MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - RI MEDICARE ADVANTAGE	MEDICARE	$149.73
TEXAN PLUS	MEDICARE	$149.73
TEXAN PLUS	MEDICARE	$149.73
BLUE CROSS - MS MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - MS MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - TX MEDICARE ADVANTAGE	MEDICARE	$149.73
SECURE HORIZONS MA PFFS	MEDICARE	$149.73
CARE RESOURCES PACE	MEDICARE	$149.73
ALIGN SENIOR CARE	MEDICARE	$149.73
CIGNA MEDICARE ADVANTAGE	CIGNA MEDICARE ADVANTAGE	$149.73
BLUE CROSS - MA MEDICARE ADVANTAGE	MEDICARE	$149.73
FREEDOM HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
SECURE HORIZONS MA PFFS	MEDICARE	$149.73
HARVARD PILGRIM MEDICARE	MEDICARE	$149.73
HARVARD PILGRIM MEDICARE	MEDICARE	$149.73
ALIGN SENIOR CARE	MEDICARE	$149.73
UNICARE MEDICARE ADVANTAGE	MEDICARE	$149.73
PHOENIX MEDICARE ADVANTAGE	MEDICARE	$149.73
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$149.73
NETWORK MEDICARE ADVANTAGE	MEDICARE	$149.73
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE	MEDICARE	$149.73
FREEDOM HEALTH MEDICARE ADVANTAGE	MEDICARE	$149.73
HARVARD PILGRIM STRIDE MEDICARE	MEDICARE	$149.73
HARVARD PILGRIM STRIDE MEDICARE	MEDICARE	$149.73
NEW CENTRY HEALTH CAREPLUS	NEW CENTURY HEALTH MEDICARE ADVANTAGE	$152.78
NEW CENTRY HEALTH CAREPLUS	NEW CENTURY HEALTH MEDICARE ADVANTAGE	$152.78
MULTIPLAN	MULTIPLAN	$152.78
MULTIPLAN	MULTIPLAN	$152.78
PHCS	PHCS	$152.78
PHCS	PHCS	$152.78
VETERANS ADMINISTRATION	VETERANS AFFAIRS	$152.78
VETERANS ADMINISTRATION	VETERANS AFFAIRS	$152.78
GOLD KIDNEY MEDICARE	GOLD KIDNEY MEDICARE ADVANTAGE	$155.84
GOLD KIDNEY MEDICARE	GOLD KIDNEY MEDICARE ADVANTAGE	$155.84
TRICARE EAST HUMANA	TRICARE	$156.18
TRICARE EAST HUMANA	TRICARE	$156.18
TRICARE WEST HEALTHNET	TRICARE	$156.18
TRICARE WEST HEALTHNET	TRICARE	$156.18
TRIWEST HEALTH ALLIANCE	TRICARE	$156.18
TRIWEST HEALTH ALLIANCE	TRICARE	$156.18
VETERANS EVAL SERVICES	TRICARE	$156.18
VETERANS EVAL SERVICES	TRICARE	$156.18
TRICARE	TRICARE	$156.18
TRICARE	TRICARE	$156.18
CHAMPVA	TRICARE	$156.18
CHAMPVA	TRICARE	$156.18
US FAMILY HEALTH PLAN	TRICARE	$156.18
US FAMILY HEALTH PLAN	TRICARE	$156.18
SOLIS HEALTH PLANS	SOLIS HEALTH PLANS MEDICARE ADVANTAGE	$157.21
SOLIS HEALTH PLANS	SOLIS HEALTH PLANS MEDICARE ADVANTAGE	$157.21
HEALTHSUN MEDICARE ADVANTAGE	HEALTHSUN MEDICARE ADVANTAGE	$157.21
HEALTHSUN MEDICARE ADVANTAGE	HEALTHSUN MEDICARE ADVANTAGE	$157.21
WELLCARE MEDICARE	WELLCARE MEDICARE ADVANTAGE	$157.21
WELLCARE MEDICARE	WELLCARE MEDICARE ADVANTAGE	$157.21
COMMUNITY CARE PLAN	MEMORIAL INTEGRATED HEALTH	$158.47
COMMUNITY CARE PLAN	MEMORIAL INTEGRATED HEALTH	$158.47
MEMORIAL INTEGRATED HEALTH	MEMORIAL INTEGRATED HEALTH	$158.47
MEMORIAL INTEGRATED HEALTH	MEMORIAL INTEGRATED HEALTH	$158.47
AVMED HEALTH PLAN	AVMED SELECT	$163.08
AVMED HEALTH PLAN	AVMED MARKETPLACE	$163.08
AVMED HEALTH PLAN	AVMED SELECT	$163.08
AVMED HEALTH PLAN	AVMED MARKETPLACE	$163.08
BLUE CROSS - FL	BCBS NETWORK BLUE	$167.02
BLUE CROSS - FL	BCBS NETWORK BLUE	$167.02
AVMED HEALTH PLAN	AVMED	$168.60
AVMED HEALTH PLAN	AVMED	$168.60
FIRST HEALTH	AETNA	$174.91
FIRST HEALTH	AETNA	$174.91
MERITAIN	AETNA	$174.91
MERITAIN	AETNA	$174.91
AETNA	AETNA	$174.91
AETNA	AETNA GLOBAL	$174.91
AETNA	AETNA	$174.91
AETNA	AETNA GLOBAL	$174.91
AETNA DOMESTIC	AETNA	$174.91
AETNA DOMESTIC	AETNA	$174.91
COVENTRY	AETNA	$174.91
COVENTRY	AETNA	$174.91
BLUE CROSS - MN	BCBS PPO TRAD	$179.05
BLUE CROSS - IL ALTERNATE	BCBS PPO TRAD	$179.05
BLUE CROSS - IL ALTERNATE	BCBS PPO TRAD	$179.05
BLUE CROSS - CA (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - CA (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - NC	BCBS PPO TRAD	$179.05
BLUE CROSS - NC	BCBS PPO TRAD	$179.05
BLUE CROSS - SD (WELLMARK)	BCBS PPO TRAD	$179.05
BLUE CROSS - SD (WELLMARK)	BCBS PPO TRAD	$179.05
BLUE CROSS - ME (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE SHIELD - NY HIGHMARK NORTHEASTERN	BCBS PPO TRAD	$179.05
BLUE SHIELD - NY HIGHMARK NORTHEASTERN	BCBS PPO TRAD	$179.05
BLUE CROSS - NE	BCBS PPO TRAD	$179.05
BLUE SHIELD - CA	BCBS PPO TRAD	$179.05
BLUE SHIELD - CA	BCBS PPO TRAD	$179.05
BLUE CROSS - AR	BCBS PPO TRAD	$179.05
BLUE CROSS - KY (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - KY (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - NY (EXCELLUS)	BCBS PPO TRAD	$179.05
BLUE CROSS - NY (EXCELLUS)	BCBS PPO TRAD	$179.05
BLUE CROSS - VA (CAREFIRST)	BCBS PPO TRAD	$179.05
BLUE CROSS - VA (CAREFIRST)	BCBS PPO TRAD	$179.05
BLUE CROSS - OH (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - OH (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE SHIELD - ID (REGENCE)	BCBS PPO TRAD	$179.05
BLUE SHIELD - ID (REGENCE)	BCBS PPO TRAD	$179.05
BLUE CROSS - SC	BCBS PPO TRAD	$179.05
BLUE CROSS - SC	BCBS PPO TRAD	$179.05
BLUE CROSS - FEDERAL	BCBS PPO TRAD	$179.05
BLUE CROSS - FEDERAL	BCBS PPO TRAD	$179.05
BLUE CROSS - ND	BCBS PPO TRAD	$179.05
BLUE CROSS - ND	BCBS PPO TRAD	$179.05
BLUE SHIELD - NY HIGHMARK WESTERN	BCBS PPO TRAD	$179.05
BLUE SHIELD - NY HIGHMARK WESTERN	BCBS PPO TRAD	$179.05
KAISER DOMESTIC	BCBS PPO TRAD	$179.05
KAISER DOMESTIC	BCBS PPO TRAD	$179.05
BLUE CROSS - NE	BCBS PPO TRAD	$179.05
BLUE CROSS - NH (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - MS	BCBS PPO TRAD	$179.05
BLUE CROSS - MS	BCBS PPO TRAD	$179.05
BLUE CROSS - NY (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - NY (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - WI (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - MO (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - MO (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - FL	BCBS PPO TRAD	$179.05
BLUE CROSS - MA	BCBS PPO TRAD	$179.05
BLUE CROSS - MA	BCBS PPO TRAD	$179.05
BLUE CROSS - PA (CAPITAL)	BCBS PPO TRAD	$179.05
BLUE SHIELD - PA (HIGHMARK)	BCBS PPO TRAD	$179.05
BLUE SHIELD - PA (HIGHMARK)	BCBS PPO TRAD	$179.05
BLUE CROSS - MN	BCBS PPO TRAD	$179.05
BLUE CROSS - IL	BCBS PPO TRAD	$179.05
BLUE CROSS - IL	BCBS PPO TRAD	$179.05
BLUE CROSS - AK (PREMERA)	BCBS PPO TRAD	$179.05
BLUE CROSS - FL	BCBS PPO TRAD	$179.05
BLUE CROSS - ME (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - WI (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - AK (PREMERA)	BCBS PPO TRAD	$179.05
BLUE CROSS - DE (HIGHMARK)	BCBS PPO TRAD	$179.05
BLUE CROSS - MD (CAREFIRST)	BCBS PPO TRAD	$179.05
BLUE CROSS - MD (CAREFIRST)	BCBS PPO TRAD	$179.05
BLUE CROSS - PA (INDEPENDENCE)	BCBS PPO TRAD	$179.05
BLUE CROSS - PA (INDEPENDENCE)	BCBS PPO TRAD	$179.05
BLUE CROSS - TN	BCBS PPO TRAD	$179.05
BLUE CROSS - VT	BCBS PPO TRAD	$179.05
BLUE CROSS - VT	BCBS PPO TRAD	$179.05
BLUE CROSS - AZ	BCBS PPO TRAD	$179.05
BLUE CROSS - AZ	BCBS PPO TRAD	$179.05
BLUE CROSS - AR	BCBS PPO TRAD	$179.05
BLUE CROSS - DE (HIGHMARK)	BCBS PPO TRAD	$179.05
BLUE CROSS - DC (CAREFIRST)	BCBS PPO TRAD	$179.05
BLUE CROSS - DC (CAREFIRST)	BCBS PPO TRAD	$179.05
BLUE CROSS - NM	BCBS PPO TRAD	$179.05
BLUE CROSS - NM	BCBS PPO TRAD	$179.05
BLUE CROSS - PA (CAPITAL)	BCBS PPO TRAD	$179.05
BLUE CROSS - OK	BCBS PPO TRAD	$179.05
BLUE CROSS - TN	BCBS PPO TRAD	$179.05
BLUE CROSS - RI	BCBS PPO TRAD	$179.05
BLUE CROSS - RI	BCBS PPO TRAD	$179.05
BLUE CROSS - UT (REGENCE)	BCBS PPO TRAD	$179.05
BLUE CROSS - UT (REGENCE)	BCBS PPO TRAD	$179.05
BLUE CROSS - IA (WELLMARK)	BCBS PPO TRAD	$179.05
BLUE CROSS - IA (WELLMARK)	BCBS PPO TRAD	$179.05
BLUE CROSS - AL	BCBS PPO TRAD	$179.05
BLUE CROSS - AL	BCBS PPO TRAD	$179.05
BLUE CROSS - ID	BCBS PPO TRAD	$179.05
BLUE CROSS - ID	BCBS PPO TRAD	$179.05
BLUE CROSS - GA (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - OK	BCBS PPO TRAD	$179.05
BLUE CROSS - VA (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - TX	BCBS PPO TRAD	$179.05
BCBS GENERIC	BCBS PPO TRAD	$179.05
BLUE CROSS - IN (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - IN (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - KS	BCBS PPO TRAD	$179.05
BLUE CROSS - NH (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - VA (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - WA (PREMERA)	BCBS PPO TRAD	$179.05
BLUE CROSS - WA (PREMERA)	BCBS PPO TRAD	$179.05
BLUE CROSS - KS	BCBS PPO TRAD	$179.05
BLUE CROSS - NJ (HORIZON)	BCBS PPO TRAD	$179.05
BLUE CROSS - NJ (HORIZON)	BCBS PPO TRAD	$179.05
BLUE CROSS - MT	BCBS PPO TRAD	$179.05
BLUE CROSS - WY	BCBS PPO TRAD	$179.05
BLUE CROSS - WY	BCBS PPO TRAD	$179.05
BCBS GENERIC	BCBS PPO TRAD	$179.05
BLUE CROSS - CT (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - CT (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - GA (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - HI	BCBS PPO TRAD	$179.05
BLUE CROSS - HI	BCBS PPO TRAD	$179.05
BLUE CROSS - MT	BCBS PPO TRAD	$179.05
BLUE CROSS - NV (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - NV (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE SHIELD - WA (REGENCE)	BCBS PPO TRAD	$179.05
BLUE SHIELD - WA (REGENCE)	BCBS PPO TRAD	$179.05
BLUE CROSS - WV (HIGHMARK)	BCBS PPO TRAD	$179.05
BLUE CROSS - WV (HIGHMARK)	BCBS PPO TRAD	$179.05
BLUE CROSS - MI	BCBS PPO TRAD	$179.05
BLUE CROSS - MI	BCBS PPO TRAD	$179.05
BLUE CROSS - CO (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - CO (ANTHEM)	BCBS PPO TRAD	$179.05
BLUE CROSS - LA	BCBS PPO TRAD	$179.05
BLUE CROSS - LA	BCBS PPO TRAD	$179.05
BLUE CROSS - OR (REGENCE)	BCBS PPO TRAD	$179.05
BLUE CROSS - OR (REGENCE)	BCBS PPO TRAD	$179.05
BLUE CROSS - TX	BCBS PPO TRAD	$179.05
BCN DOMESTIC	BCBS PPO TRAD	$179.05
BCN DOMESTIC	BCBS PPO TRAD	$179.05
PRE-EMPLOYMENT	BCBS PPO TRAD	$179.05
PRE-EMPLOYMENT	BCBS PPO TRAD	$179.05
WC DOMESTIC	BCBS PPO TRAD	$179.05
WC DOMESTIC	BCBS PPO TRAD	$179.05
BLUE CARE NETWORK	BCBS PPO TRAD	$179.05
BLUE CARE NETWORK	BCBS PPO TRAD	$179.05
HEALTH CHOICES	BCBS PPO TRAD	$179.05
HEALTH CHOICES	BCBS PPO TRAD	$179.05
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS	BCBS PPO TRAD	$179.05
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS	BCBS PPO TRAD	$179.05
BLUE DISTINCTION TRANSPLANT	BCBS PPO TRAD	$179.05
BLUE DISTINCTION TRANSPLANT	BCBS PPO TRAD	$179.05
BLUE CROSS DOMESTIC	BCBS PPO TRAD	$179.05
BLUE CROSS DOMESTIC	BCBS PPO TRAD	$179.05
MOLINA MARKETPLACE	MOLINA MARKETPLACE	$183.34
MOLINA MARKETPLACE	MOLINA MARKETPLACE	$183.34
OSCAR	OSCAR	$198.62
OSCAR	OSCAR	$198.62
CENTIVO	CENTIVO	$213.90
CURATIVE	CURATIVE FL	$213.90
CURATIVE	CURATIVE FL	$213.90
CENTIVO	CENTIVO	$213.90
UNITED HEALTHCARE	UNITED HEALTHCARE	$220.08
UNITED HEALTHCARE	UHC OPTIONS PPO	$220.08
UNITED HEALTHCARE	UNITED HEALTHCARE	$220.08
GEHA	UNITED HEALTHCARE	$220.08
UNITED HEALTHCARE	UHC OPTIONS PPO	$220.08
GEHA	UNITED HEALTHCARE	$220.08
BLUE CROSS - FL	BCBS HEALTH OPTIONS	$224.47
BLUE CROSS - FL	BCBS HEALTH OPTIONS	$224.47
MEDICAID - NE	MEDICAID	$225.68
MEDICAID - NE	MEDICAID	$225.68
MULTIPLAN	MULTIPLAN	$229.18
MULTIPLAN	MULTIPLAN	$229.18
PHCS	PHCS	$229.18
PHCS	PHCS	$229.18
AMBETTER	AMBETTER	$233.92
AMBETTER	AMBETTER	$233.92
AVMED HEALTH PLAN	AVMED SELECT	$244.61
AVMED HEALTH PLAN	AVMED MARKETPLACE	$244.61
AVMED HEALTH PLAN	AVMED SELECT	$244.61
AVMED HEALTH PLAN	AVMED MARKETPLACE	$244.61
BLUE CROSS - FL	BCBS NETWORK BLUE	$250.53
BLUE CROSS - FL	BCBS NETWORK BLUE	$250.53
AVMED HEALTH PLAN	AVMED	$252.91
AVMED HEALTH PLAN	AVMED	$252.91
WC BROWARD COUNTY	BROWARD COUNTY WORKERS COMP	$259.17
WC CORVEL	WC CORVEL	$259.17
FIRST HEALTH	AETNA	$262.36
FIRST HEALTH	AETNA	$262.36
MERITAIN	AETNA	$262.36
MERITAIN	AETNA	$262.36
AETNA	AETNA GLOBAL	$262.36
AETNA	AETNA	$262.36
AETNA	AETNA GLOBAL	$262.36
AETNA	AETNA	$262.36
COVENTRY	AETNA	$262.36
AETNA DOMESTIC	AETNA	$262.36
COVENTRY	AETNA	$262.36
AETNA DOMESTIC	AETNA	$262.36
WC HERITAGE SUMMIT	HERITAGE SUMMIT WORKERS COMP	$264.63
BLUE CROSS - IL ALTERNATE	BCBS PPO TRAD	$268.57
BLUE CROSS - CA (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - NC	BCBS PPO TRAD	$268.57
BLUE CROSS - ME (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE SHIELD - NY HIGHMARK NORTHEASTERN	BCBS PPO TRAD	$268.57
BLUE SHIELD - NY HIGHMARK NORTHEASTERN	BCBS PPO TRAD	$268.57
BCBS GENERIC	BCBS PPO TRAD	$268.57
BCBS GENERIC	BCBS PPO TRAD	$268.57
BLUE CROSS - SD (WELLMARK)	BCBS PPO TRAD	$268.57
BLUE CROSS - NE	BCBS PPO TRAD	$268.57
BLUE CROSS - OH (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE SHIELD - CA	BCBS PPO TRAD	$268.57
BLUE SHIELD - CA	BCBS PPO TRAD	$268.57
BLUE CROSS - KY (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - KY (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE SHIELD - ID (REGENCE)	BCBS PPO TRAD	$268.57
BLUE CROSS - NY (EXCELLUS)	BCBS PPO TRAD	$268.57
BLUE CROSS - NY (EXCELLUS)	BCBS PPO TRAD	$268.57
BLUE CROSS - VA (CAREFIRST)	BCBS PPO TRAD	$268.57
BLUE CROSS - FEDERAL	BCBS PPO TRAD	$268.57
BLUE CROSS - OH (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - ND	BCBS PPO TRAD	$268.57
BLUE CROSS - AR	BCBS PPO TRAD	$268.57
BLUE CROSS - FL	BCBS PPO TRAD	$268.57
BLUE SHIELD - ID (REGENCE)	BCBS PPO TRAD	$268.57
BLUE CROSS - RI	BCBS PPO TRAD	$268.57
BLUE CROSS - SC	BCBS PPO TRAD	$268.57
BLUE CROSS - SC	BCBS PPO TRAD	$268.57
BLUE CROSS - WY	BCBS PPO TRAD	$268.57
BLUE CROSS - FEDERAL	BCBS PPO TRAD	$268.57
BLUE CROSS - ND	BCBS PPO TRAD	$268.57
BLUE SHIELD - NY HIGHMARK WESTERN	BCBS PPO TRAD	$268.57
BLUE SHIELD - NY HIGHMARK WESTERN	BCBS PPO TRAD	$268.57
BLUE CROSS - TN	BCBS PPO TRAD	$268.57
KAISER DOMESTIC	BCBS PPO TRAD	$268.57
BLUE CROSS - IL ALTERNATE	BCBS PPO TRAD	$268.57
BLUE CROSS - NH (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - MS	BCBS PPO TRAD	$268.57
BLUE CROSS - MS	BCBS PPO TRAD	$268.57
BLUE CROSS - NY (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - NY (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - WI (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - NE	BCBS PPO TRAD	$268.57
BLUE CROSS - MO (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - MO (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - MT	BCBS PPO TRAD	$268.57
BLUE CROSS - MA	BCBS PPO TRAD	$268.57
BLUE CROSS - MA	BCBS PPO TRAD	$268.57
BLUE SHIELD - PA (HIGHMARK)	BCBS PPO TRAD	$268.57
KAISER DOMESTIC	BCBS PPO TRAD	$268.57
BLUE CROSS - MN	BCBS PPO TRAD	$268.57
BLUE CROSS - IL	BCBS PPO TRAD	$268.57
BLUE CROSS - AR	BCBS PPO TRAD	$268.57
BLUE CROSS - AK (PREMERA)	BCBS PPO TRAD	$268.57
BLUE CROSS - FL	BCBS PPO TRAD	$268.57
BLUE CROSS - ME (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - IL	BCBS PPO TRAD	$268.57
BLUE CROSS - WI (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - DE (HIGHMARK)	BCBS PPO TRAD	$268.57
BLUE CROSS - AK (PREMERA)	BCBS PPO TRAD	$268.57
BLUE CROSS - AZ	BCBS PPO TRAD	$268.57
BLUE CROSS - MD (CAREFIRST)	BCBS PPO TRAD	$268.57
BLUE CROSS - MD (CAREFIRST)	BCBS PPO TRAD	$268.57
BLUE CROSS - NJ (HORIZON)	BCBS PPO TRAD	$268.57
BLUE CROSS - PA (INDEPENDENCE)	BCBS PPO TRAD	$268.57
BLUE CROSS - VT	BCBS PPO TRAD	$268.57
BLUE CROSS - VT	BCBS PPO TRAD	$268.57
BLUE CROSS - UT (REGENCE)	BCBS PPO TRAD	$268.57
BLUE CROSS - IA (WELLMARK)	BCBS PPO TRAD	$268.57
BLUE CROSS - AZ	BCBS PPO TRAD	$268.57
BLUE CROSS - DE (HIGHMARK)	BCBS PPO TRAD	$268.57
BLUE CROSS - DC (CAREFIRST)	BCBS PPO TRAD	$268.57
BLUE CROSS - NM	BCBS PPO TRAD	$268.57
BLUE CROSS - NM	BCBS PPO TRAD	$268.57
BLUE CROSS - PA (INDEPENDENCE)	BCBS PPO TRAD	$268.57
BLUE CROSS - PA (CAPITAL)	BCBS PPO TRAD	$268.57
BLUE CROSS - OK	BCBS PPO TRAD	$268.57
BLUE CROSS - TN	BCBS PPO TRAD	$268.57
BLUE SHIELD - PA (HIGHMARK)	BCBS PPO TRAD	$268.57
BLUE CROSS - UT (REGENCE)	BCBS PPO TRAD	$268.57
BLUE CROSS - TX	BCBS PPO TRAD	$268.57
BLUE CROSS - IA (WELLMARK)	BCBS PPO TRAD	$268.57
BLUE CROSS - IN (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - AL	BCBS PPO TRAD	$268.57
BLUE CROSS - AL	BCBS PPO TRAD	$268.57
BLUE CROSS - SD (WELLMARK)	BCBS PPO TRAD	$268.57
BLUE CROSS - DC (CAREFIRST)	BCBS PPO TRAD	$268.57
BLUE CROSS - ID	BCBS PPO TRAD	$268.57
BLUE CROSS - ID	BCBS PPO TRAD	$268.57
BLUE CROSS - NH (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - OK	BCBS PPO TRAD	$268.57
BLUE CROSS - OR (REGENCE)	BCBS PPO TRAD	$268.57
BLUE CROSS - RI	BCBS PPO TRAD	$268.57
BLUE CROSS - PA (CAPITAL)	BCBS PPO TRAD	$268.57
BLUE CROSS - VA (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - IN (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - KS	BCBS PPO TRAD	$268.57
BLUE CROSS - GA (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - VA (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - WV (HIGHMARK)	BCBS PPO TRAD	$268.57
BLUE CROSS - WA (PREMERA)	BCBS PPO TRAD	$268.57
BLUE CROSS - WA (PREMERA)	BCBS PPO TRAD	$268.57
BLUE CROSS - GA (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - NJ (HORIZON)	BCBS PPO TRAD	$268.57
BLUE CROSS - MT	BCBS PPO TRAD	$268.57
BLUE CROSS - WV (HIGHMARK)	BCBS PPO TRAD	$268.57
BLUE CROSS - WY	BCBS PPO TRAD	$268.57
BLUE SHIELD - WA (REGENCE)	BCBS PPO TRAD	$268.57
BLUE CROSS - KS	BCBS PPO TRAD	$268.57
BLUE CROSS - CT (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - CT (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - HI	BCBS PPO TRAD	$268.57
BLUE CROSS - HI	BCBS PPO TRAD	$268.57
BLUE CROSS - NV (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - NV (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE SHIELD - WA (REGENCE)	BCBS PPO TRAD	$268.57
BLUE CROSS - MI	BCBS PPO TRAD	$268.57
BLUE CROSS - MI	BCBS PPO TRAD	$268.57
BLUE CROSS - MN	BCBS PPO TRAD	$268.57
BLUE CROSS - CO (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - CO (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - CA (ANTHEM)	BCBS PPO TRAD	$268.57
BLUE CROSS - LA	BCBS PPO TRAD	$268.57
BLUE CROSS - LA	BCBS PPO TRAD	$268.57
BLUE CROSS - NC	BCBS PPO TRAD	$268.57
BLUE CROSS - OR (REGENCE)	BCBS PPO TRAD	$268.57
BLUE CROSS - TX	BCBS PPO TRAD	$268.57
BLUE CROSS - VA (CAREFIRST)	BCBS PPO TRAD	$268.57
BCN DOMESTIC	BCBS PPO TRAD	$268.57
PRE-EMPLOYMENT	BCBS PPO TRAD	$268.57
PRE-EMPLOYMENT	BCBS PPO TRAD	$268.57
BLUE CARE NETWORK	BCBS PPO TRAD	$268.57
WC DOMESTIC	BCBS PPO TRAD	$268.57
BLUE CARE NETWORK	BCBS PPO TRAD	$268.57
WC DOMESTIC	BCBS PPO TRAD	$268.57
HEALTH CHOICES	BCBS PPO TRAD	$268.57
HEALTH CHOICES	BCBS PPO TRAD	$268.57
BCN DOMESTIC	BCBS PPO TRAD	$268.57
BLUE DISTINCTION TRANSPLANT	BCBS PPO TRAD	$268.57
BLUE DISTINCTION TRANSPLANT	BCBS PPO TRAD	$268.57
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS	BCBS PPO TRAD	$268.57
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS	BCBS PPO TRAD	$268.57
BLUE CROSS DOMESTIC	BCBS PPO TRAD	$268.57
BLUE CROSS DOMESTIC	BCBS PPO TRAD	$268.57
WC ACUITY	WORKERS COMP	$272.81
WC AMERICAN CLAIMS MGMT	WORKERS COMP	$272.81
WC VELOCITY	WORKERS COMP	$272.81
WC GREAT WEST CASUALTY	WORKERS COMP	$272.81
WC PARADIGM	WORKERS COMP	$272.81
WC QUIKTRIP	WORKERS COMP	$272.81
WC DONEGAL INSURANCE GROUP	WORKERS COMP	$272.81
WC MICHIGAN MILLERS MUTUAL	WORKERS COMP	$272.81
WC SECURA	WORKERS COMP	$272.81
WC GENERAL MOTORS	WORKERS COMP	$272.81
GENEX WC	WORKERS COMP	$272.81
WC O'HARA CORP	WORKERS COMP	$272.81
WC CHUBB	WORKERS COMP	$272.81
RX WORKER'S COMP	WORKERS COMP	$272.81
WC RENY COMPANY	WORKERS COMP	$272.81
HEALTHSMART WORKERS COMP	WORKERS COMP	$272.81
WC ENCORE HEALTH NETWORK	WORKERS COMP	$272.81
WC COMP ONE ADMIN C/O MANAGEABILITY	WORKERS COMP	$272.81
WC SENTRY	WORKERS COMP	$272.81
WC ZURICH	WORKERS COMP	$272.81
WC GUARD INSURANCE COMPANY	WORKERS COMP	$272.81
WC AETNA	WORKERS COMP	$272.81
WC ALIGN NETWORK	WORKERS COMP	$272.81
WC GUARANTEE INSURANCE	WORKERS COMP	$272.81
RX HEATLHCOMP	WORKERS COMP	$272.81
WC UNIFIED HEALTH SERVICES	WORKERS COMP	$272.81
WC REV CLAIMS	WORKERS COMP	$272.81
WC AMERISURE	WORKERS COMP	$272.81
WC CHARTIS	WORKERS COMP	$272.81
WC CNA	WORKERS COMP	$272.81
WC SAIF OREGON	WORKERS COMP	$272.81
RX RESTAT	WORKERS COMP	$272.81
WC FCCI	WORKERS COMP	$272.81
WC YORK RISK	WORKERS COMP	$272.81
WC IDAHO STATE INS FUND	WORKERS COMP	$272.81
WC QUALCARE	WORKERS COMP	$272.81
WC JOHNS EASTERN	WORKERS COMP	$272.81
WC BROADSPIRE	WORKERS COMP	$272.81
NJM INSURANCE GROUP	WORKERS COMP	$272.81
WC HORIZON	WORKERS COMP	$272.81
WC RURAL MUTUAL	WORKERS COMP	$272.81
WC AIG	WORKERS COMP	$272.81
WC PMA	WORKERS COMP	$272.81
WC MAC RISK MANAGEMENT	WORKERS COMP	$272.81
WC NORTH AMERICAN RISHCES	WORKERS COMP	$272.81
WC ENABLECOMP	WORKERS COMP	$272.81
WC AMTRUST	WORKERS COMP	$272.81
WC INTERMOUNTAIN	WORKERS COMP	$272.81
WC ZENITH	WORKERS COMP	$272.81
WC NOVANET	WORKERS COMP	$272.81
WC HARTFORD	WORKERS COMP	$272.81
WC EVOLUTIONS	WORKERS COMP	$272.81
WC PROCURA MANAGEMENT	WORKERS COMP	$272.81
WC NATIONWIDE	WORKERS COMP	$272.81
WC RISICO	WORKERS COMP	$272.81
NEW YORK STATE INSURANCE FUND	WORKERS COMP	$272.81
WC MASSACHUSETTS	WORKERS COMP	$272.81
WC FED EX	WORKERS COMP	$272.81
WC TACONIC FARMS	WORKERS COMP	$272.81
WC COMPONE ADMIN	WORKERS COMP	$272.81
WC NEW YORK	WORKERS COMP	$272.81
WC SMILE LODGE	WORKERS COMP	$272.81
WC TACONIC (MRO)	WORKERS COMP	$272.81
ANDRIE INC	WORKERS COMP	$272.81
WC CITY OF ALBANY	WORKERS COMP	$272.81
JAG SOURCE	WORKERS COMP	$272.81
WC HEALTH MANAGEMENT	WORKERS COMP	$272.81
WC MEDICAL ADMINISTRATORS	WORKERS COMP	$272.81
WC BENETECH	WORKERS COMP	$272.81
WC GENEX CARE FOR OHIO	WORKERS COMP	$272.81
WC NCA COMP	WORKERS COMP	$272.81
WC HIRERIGHT	WORKERS COMP	$272.81
WC EMPLOYEE MUTUAL	WORKERS COMP	$272.81
WC BUNCH & ASSOCIATES	WORKERS COMP	$272.81
WC ALLIED	WORKERS COMP	$272.81
WC SHEAKLEY UNICOMP	WORKERS COMP	$272.81
WC AEGIS	WORKERS COMP	$272.81
WC PRICE CHOPPER	WORKERS COMP	$272.81
WC NEW YORK SPECIAL FUNDS	WORKERS COMP	$272.81
WC ACCIDENT FUND	WORKERS COMP	$272.81
WC NORTHEAST HEALTH	WORKERS COMP	$272.81
WC ACE	WORKERS COMP	$272.81
WC ACS FEDERAL EMPLOYEES	WORKERS COMP	$272.81
WC FORD MOTOR	WORKERS COMP	$272.81
RX SAIF OPDP WC	WORKERS COMP	$272.81
WC ASU RISK MGT	WORKERS COMP	$272.81
WC MEADOWBROOK CLAIM	WORKERS COMP	$272.81
WC MITCHELL FRANKENMUTH	WORKERS COMP	$272.81
WC FEDERAL BLACK LUNG	WORKERS COMP	$272.81
WC MDIA	WORKERS COMP	$272.81
WC SRS	WORKERS COMP	$272.81
WC MEIJERS	WORKERS COMP	$272.81
WC GENERIC	WORKERS COMP	$272.81
WC MICHIGAN	WORKERS COMP	$272.81
WC NOTRE DAME	WORKERS COMP	$272.81
WC WEST BEND MUTUAL/ARGENT	WORKERS COMP	$272.81
WC TRAVELERS	WORKERS COMP	$272.81
WC PEERLESS	WORKERS COMP	$272.81
WC SEDGWICK	WORKERS COMP	$272.81
WC BERKLEY ADMIN	WORKERS COMP	$272.81
WC TRIAD GROUP	WORKERS COMP	$272.81
WC YANKEE TRAILS	WORKERS COMP	$272.81
WC CALIFORNIA STATE COMP INS	WORKERS COMP	$272.81
WC INTERCARE INSURANCE	WORKERS COMP	$272.81
WC WINNEBAGO INDUSTRIES	WORKERS COMP	$272.81
WC CLAIMS MGMT INC	WORKERS COMP	$272.81
WC TRISTAR	WORKERS COMP	$272.81
WC FIRST AGENCY/OCCUNET	WORKERS COMP	$272.81
WC GALLAGHER BASSETT	WORKERS COMP	$272.81
WC FEDERATED	WORKERS COMP	$272.81
WC LIBERTY MUTUAL	WORKERS COMP	$272.81
WC ERIE	WORKERS COMP	$272.81
WC MRA	WORKERS COMP	$272.81
WC WALMART	WORKERS COMP	$272.81
WC ESIS	WORKERS COMP	$272.81
WC OCC HEALTH ALLEN	WORKERS COMP	$272.81
WC TROY NY	WORKERS COMP	$272.81
WC AM TRUST N AMERICA	WORKERS COMP	$272.81
WC ICW GROUP	WORKERS COMP	$272.81
WC WEST BEND	WORKERS COMP	$272.81
EAST GREENBUSH CENTRAL SCHOOL DISTRICT	WORKERS COMP	$272.81
WC FINLEY OCCUPATIONAL HEALTH	WORKERS COMP	$272.81
WC CITY OF SIOUX CITY	WORKERS COMP	$272.81
WC HAB	WORKERS COMP	$272.81
WC CCMSI	WORKERS COMP	$272.81
WC FRESNO UNIFIED EMP	WORKERS COMP	$272.81
WC HASTINGS	WORKERS COMP	$272.81
WC MERCY WORKCARE	WORKERS COMP	$272.81
WC TYSON	WORKERS COMP	$272.81
WC OHIO BUREAU	WORKERS COMP	$272.81
WC SOCIETY	WORKERS COMP	$272.81
WC ONE CALL MEDICAL	WORKERS COMP	$272.81
WC CAPITOL AREA HEALTH CONSORTIUM	WORKERS COMP	$272.81
WC KEMBERTON	WORKERS COMP	$272.81
WC ALASKA NATIONAL INS	WORKERS COMP	$272.81
WC AIMS	WORKERS COMP	$272.81
WC CALIFORNIA STATE INS FUND	WORKERS COMP	$272.81
WC CT HEALTHCARE TRUST	WORKERS COMP	$272.81
WC UNITED HEARTLAND	WORKERS COMP	$272.81
WC EMC INSURANCE COMPANY	WORKERS COMP	$272.81
WC ADVANTAGE	WORKERS COMP	$272.81
WC KEY INS & BENEFIT SOLUTIONS	WORKERS COMP	$272.81
WC US DEPT OF LABOR	WORKERS COMP	$272.81
WC MEMIC	WORKERS COMP	$272.81
WC CIRMA	WORKERS COMP	$272.81
MULTIPLAN	BEECH STREET	$315.95
MULTIPLAN	BEECH STREET	$315.95
COMMUNITY CARE PLAN	MEMORIAL INTEGRATED HEALTH	$316.94
COMMUNITY CARE PLAN	MEMORIAL INTEGRATED HEALTH	$316.94
MEMORIAL INTEGRATED HEALTH	MEMORIAL INTEGRATED HEALTH	$316.94
MEMORIAL INTEGRATED HEALTH	MEMORIAL INTEGRATED HEALTH	$316.94
WC BROWARD COUNTY	BROWARD COUNTY WORKERS COMP	$345.56
WC CORVEL	WC CORVEL	$345.56
AMBETTER	AMBETTER	$350.87
AMBETTER	AMBETTER	$350.87
WC HERITAGE SUMMIT	HERITAGE SUMMIT WORKERS COMP	$352.84
SELECTCARE WORLDWIDE	INTERNATIONAL	$361.09
SELECTCARE WORLDWIDE	INTERNATIONAL	$361.09
MORGAN WHITE ADMINISTRATORS	INTERNATIONAL	$361.09
MORGAN WHITE ADMINISTRATORS	INTERNATIONAL	$361.09
NATIONAL HEALTHCARE SOLUTIONS	INTERNATIONAL	$361.09
NATIONAL HEALTHCARE SOLUTIONS	INTERNATIONAL	$361.09
SANUS HEALTHCARE	INTERNATIONAL	$361.09
SANUS HEALTHCARE	INTERNATIONAL	$361.09
SUNMED INTERNATIONAL	INTERNATIONAL	$361.09
SUNMED INTERNATIONAL	INTERNATIONAL	$361.09
STAR HEALTHCARE NETWORK	INTERNATIONAL	$361.09
STAR HEALTHCARE NETWORK	INTERNATIONAL	$361.09
DESJARDINS FINANCIAL SECURITY LIFE ASSURANCE	INTERNATIONAL	$361.09
AXIS SERVICES	INTERNATIONAL	$361.09
AXIS SERVICES	INTERNATIONAL	$361.09
DESJARDINS FINANCIAL SECURITY LIFE ASSURANCE	INTERNATIONAL	$361.09
GLOBAL BENEFITS GROUP	INTERNATIONAL	$361.09
GLOBAL BENEFITS GROUP	INTERNATIONAL	$361.09
PENFIELD CARE	INTERNATIONAL	$361.09
PENFIELD CARE	INTERNATIONAL	$361.09
ALLIANZ GLOBAL ASSISTANCE	INTERNATIONAL	$361.09
ALLIANZ GLOBAL ASSISTANCE	INTERNATIONAL	$361.09
OLYMPUS MANAGED HEALTH CARE	INTERNATIONAL	$361.09
GLOBAL HEALTH CLAIM SERVICES	INTERNATIONAL	$361.09
GLOBAL HEALTH CLAIM SERVICES	INTERNATIONAL	$361.09
AXA ASSISTANCE US	INTERNATIONAL	$361.09
AXA ASSISTANCE US	INTERNATIONAL	$361.09
WW CONCIERGE HEALTHCARE SERVICE	INTERNATIONAL	$361.09
WW CONCIERGE HEALTHCARE SERVICE	INTERNATIONAL	$361.09
OLYMPUS MANAGED HEALTH CARE	INTERNATIONAL	$361.09
WC ACUITY	WORKERS COMP	$363.75
WC PARADIGM	WORKERS COMP	$363.75
WC VELOCITY	WORKERS COMP	$363.75
WC QUIKTRIP	WORKERS COMP	$363.75
WC MICHIGAN MILLERS MUTUAL	WORKERS COMP	$363.75
WC DONEGAL INSURANCE GROUP	WORKERS COMP	$363.75
WC GENERAL MOTORS	WORKERS COMP	$363.75
GENEX WC	WORKERS COMP	$363.75
WC SECURA	WORKERS COMP	$363.75
WC O'HARA CORP	WORKERS COMP	$363.75
WC CHUBB	WORKERS COMP	$363.75
RX WORKER'S COMP	WORKERS COMP	$363.75
WC AMERICAN CLAIMS MGMT	WORKERS COMP	$363.75
WC GREAT WEST CASUALTY	WORKERS COMP	$363.75
WC ENCORE HEALTH NETWORK	WORKERS COMP	$363.75
WC RENY COMPANY	WORKERS COMP	$363.75
WC COMP ONE ADMIN C/O MANAGEABILITY	WORKERS COMP	$363.75
HEALTHSMART WORKERS COMP	WORKERS COMP	$363.75
WC ZURICH	WORKERS COMP	$363.75
WC GUARD INSURANCE COMPANY	WORKERS COMP	$363.75
WC UNIFIED HEALTH SERVICES	WORKERS COMP	$363.75
WC GUARANTEE INSURANCE	WORKERS COMP	$363.75
RX HEATLHCOMP	WORKERS COMP	$363.75
WC REV CLAIMS	WORKERS COMP	$363.75
WC AMERISURE	WORKERS COMP	$363.75
WC CHARTIS	WORKERS COMP	$363.75
WC CNA	WORKERS COMP	$363.75
WC SAIF OREGON	WORKERS COMP	$363.75
RX RESTAT	WORKERS COMP	$363.75
WC FCCI	WORKERS COMP	$363.75
WC YORK RISK	WORKERS COMP	$363.75
WC IDAHO STATE INS FUND	WORKERS COMP	$363.75
WC QUALCARE	WORKERS COMP	$363.75
WC JOHNS EASTERN	WORKERS COMP	$363.75
WC BROADSPIRE	WORKERS COMP	$363.75
NJM INSURANCE GROUP	WORKERS COMP	$363.75
WC HORIZON	WORKERS COMP	$363.75
WC RURAL MUTUAL	WORKERS COMP	$363.75
WC AIG	WORKERS COMP	$363.75
WC PMA	WORKERS COMP	$363.75
WC NORTH AMERICAN RISHCES	WORKERS COMP	$363.75
WC ALIGN NETWORK	WORKERS COMP	$363.75
WC AMTRUST	WORKERS COMP	$363.75
WC INTERMOUNTAIN	WORKERS COMP	$363.75
WC ZENITH	WORKERS COMP	$363.75
WC ENABLECOMP	WORKERS COMP	$363.75
WC SENTRY	WORKERS COMP	$363.75
WC NOVANET	WORKERS COMP	$363.75
WC AETNA	WORKERS COMP	$363.75
WC HARTFORD	WORKERS COMP	$363.75
WC EVOLUTIONS	WORKERS COMP	$363.75
WC PROCURA MANAGEMENT	WORKERS COMP	$363.75
WC NATIONWIDE	WORKERS COMP	$363.75
WC RISICO	WORKERS COMP	$363.75
NEW YORK STATE INSURANCE FUND	WORKERS COMP	$363.75
WC MASSACHUSETTS	WORKERS COMP	$363.75
WC FED EX	WORKERS COMP	$363.75
WC TACONIC FARMS	WORKERS COMP	$363.75
WC COMPONE ADMIN	WORKERS COMP	$363.75
WC NEW YORK	WORKERS COMP	$363.75
WC SMILE LODGE	WORKERS COMP	$363.75
ANDRIE INC	WORKERS COMP	$363.75
WC TACONIC (MRO)	WORKERS COMP	$363.75
WC SHEAKLEY UNICOMP	WORKERS COMP	$363.75
WC CITY OF ALBANY	WORKERS COMP	$363.75
WC NEW YORK SPECIAL FUNDS	WORKERS COMP	$363.75
JAG SOURCE	WORKERS COMP	$363.75
WC HEALTH MANAGEMENT	WORKERS COMP	$363.75
WC MEDICAL ADMINISTRATORS	WORKERS COMP	$363.75
WC BENETECH	WORKERS COMP	$363.75
WC GENEX CARE FOR OHIO	WORKERS COMP	$363.75
WC NCA COMP	WORKERS COMP	$363.75
WC HIRERIGHT	WORKERS COMP	$363.75
WC EMPLOYEE MUTUAL	WORKERS COMP	$363.75
WC BUNCH & ASSOCIATES	WORKERS COMP	$363.75
WC ALLIED	WORKERS COMP	$363.75
WC AEGIS	WORKERS COMP	$363.75
WC PRICE CHOPPER	WORKERS COMP	$363.75
WC ACCIDENT FUND	WORKERS COMP	$363.75
WC NORTHEAST HEALTH	WORKERS COMP	$363.75
WC ACE	WORKERS COMP	$363.75
WC ACS FEDERAL EMPLOYEES	WORKERS COMP	$363.75
RX SAIF OPDP WC	WORKERS COMP	$363.75
WC FORD MOTOR	WORKERS COMP	$363.75
WC ASU RISK MGT	WORKERS COMP	$363.75
WC MEADOWBROOK CLAIM	WORKERS COMP	$363.75
WC MITCHELL FRANKENMUTH	WORKERS COMP	$363.75
WC FEDERAL BLACK LUNG	WORKERS COMP	$363.75
WC MDIA	WORKERS COMP	$363.75
WC SRS	WORKERS COMP	$363.75
WC GENERIC	WORKERS COMP	$363.75
WC MEIJERS	WORKERS COMP	$363.75
WC MICHIGAN	WORKERS COMP	$363.75
WC NOTRE DAME	WORKERS COMP	$363.75
WC WEST BEND MUTUAL/ARGENT	WORKERS COMP	$363.75
WC INTERCARE INSURANCE	WORKERS COMP	$363.75
WC TRAVELERS	WORKERS COMP	$363.75
WC PEERLESS	WORKERS COMP	$363.75
WC TRIAD GROUP	WORKERS COMP	$363.75
WC MAC RISK MANAGEMENT	WORKERS COMP	$363.75
WC SEDGWICK	WORKERS COMP	$363.75
WC BERKLEY ADMIN	WORKERS COMP	$363.75
WC YANKEE TRAILS	WORKERS COMP	$363.75
WC CALIFORNIA STATE COMP INS	WORKERS COMP	$363.75
WC WINNEBAGO INDUSTRIES	WORKERS COMP	$363.75
WC CLAIMS MGMT INC	WORKERS COMP	$363.75
WC TRISTAR	WORKERS COMP	$363.75
WC FIRST AGENCY/OCCUNET	WORKERS COMP	$363.75
WC GALLAGHER BASSETT	WORKERS COMP	$363.75
WC FEDERATED	WORKERS COMP	$363.75
WC ERIE	WORKERS COMP	$363.75
WC MRA	WORKERS COMP	$363.75
WC WALMART	WORKERS COMP	$363.75
WC ESIS	WORKERS COMP	$363.75
WC OCC HEALTH ALLEN	WORKERS COMP	$363.75
WC CAPITOL AREA HEALTH CONSORTIUM	WORKERS COMP	$363.75
WC TROY NY	WORKERS COMP	$363.75
WC AM TRUST N AMERICA	WORKERS COMP	$363.75
WC ICW GROUP	WORKERS COMP	$363.75
WC WEST BEND	WORKERS COMP	$363.75
EAST GREENBUSH CENTRAL SCHOOL DISTRICT	WORKERS COMP	$363.75
WC FINLEY OCCUPATIONAL HEALTH	WORKERS COMP	$363.75
WC CITY OF SIOUX CITY	WORKERS COMP	$363.75
WC HAB	WORKERS COMP	$363.75
WC CCMSI	WORKERS COMP	$363.75
WC HASTINGS	WORKERS COMP	$363.75
WC FRESNO UNIFIED EMP	WORKERS COMP	$363.75
WC LIBERTY MUTUAL	WORKERS COMP	$363.75
WC ALASKA NATIONAL INS	WORKERS COMP	$363.75
WC MERCY WORKCARE	WORKERS COMP	$363.75
WC TYSON	WORKERS COMP	$363.75
WC OHIO BUREAU	WORKERS COMP	$363.75
WC SOCIETY	WORKERS COMP	$363.75
WC KEMBERTON	WORKERS COMP	$363.75
WC AIMS	WORKERS COMP	$363.75
WC CALIFORNIA STATE INS FUND	WORKERS COMP	$363.75
WC CT HEALTHCARE TRUST	WORKERS COMP	$363.75
WC US DEPT OF LABOR	WORKERS COMP	$363.75
WC UNITED HEARTLAND	WORKERS COMP	$363.75
WC EMC INSURANCE COMPANY	WORKERS COMP	$363.75
WC ADVANTAGE	WORKERS COMP	$363.75
WC KEY INS & BENEFIT SOLUTIONS	WORKERS COMP	$363.75
WC MEMIC	WORKERS COMP	$363.75
WC CIRMA	WORKERS COMP	$363.75
WC ONE CALL MEDICAL	WORKERS COMP	$363.75
WC BROWARD COUNTY	BROWARD COUNTY WORKERS COMP	$388.76
WC BROWARD COUNTY	BROWARD COUNTY WORKERS COMP	$388.76
WC CORVEL	WC CORVEL	$388.76
WC CORVEL	WC CORVEL	$388.76
WC HERITAGE SUMMIT	HERITAGE SUMMIT WORKERS COMP	$396.94
WC HERITAGE SUMMIT	HERITAGE SUMMIT WORKERS COMP	$396.94
GENEX WC	WORKERS COMP	$409.22
WC ACUITY	WORKERS COMP	$409.22
WC AMERICAN CLAIMS MGMT	WORKERS COMP	$409.22
WC PARADIGM	WORKERS COMP	$409.22
WC VELOCITY	WORKERS COMP	$409.22
WC VELOCITY	WORKERS COMP	$409.22
WC GREAT WEST CASUALTY	WORKERS COMP	$409.22
WC PARADIGM	WORKERS COMP	$409.22
WC QUIKTRIP	WORKERS COMP	$409.22
WC MICHIGAN MILLERS MUTUAL	WORKERS COMP	$409.22
WC QUIKTRIP	WORKERS COMP	$409.22
WC GENERAL MOTORS	WORKERS COMP	$409.22
WC DONEGAL INSURANCE GROUP	WORKERS COMP	$409.22
WC MICHIGAN MILLERS MUTUAL	WORKERS COMP	$409.22
WC SECURA	WORKERS COMP	$409.22
WC SECURA	WORKERS COMP	$409.22
WC GENERAL MOTORS	WORKERS COMP	$409.22
GENEX WC	WORKERS COMP	$409.22
WC DONEGAL INSURANCE GROUP	WORKERS COMP	$409.22
WC O'HARA CORP	WORKERS COMP	$409.22
WC ACUITY	WORKERS COMP	$409.22
WC O'HARA CORP	WORKERS COMP	$409.22
WC CHUBB	WORKERS COMP	$409.22
WC CHUBB	WORKERS COMP	$409.22
RX WORKER'S COMP	WORKERS COMP	$409.22
RX WORKER'S COMP	WORKERS COMP	$409.22
HEALTHSMART WORKERS COMP	WORKERS COMP	$409.22
WC RENY COMPANY	WORKERS COMP	$409.22
WC AMERICAN CLAIMS MGMT	WORKERS COMP	$409.22
WC COMP ONE ADMIN C/O MANAGEABILITY	WORKERS COMP	$409.22
WC GREAT WEST CASUALTY	WORKERS COMP	$409.22
WC ENCORE HEALTH NETWORK	WORKERS COMP	$409.22
WC RENY COMPANY	WORKERS COMP	$409.22
WC COMP ONE ADMIN C/O MANAGEABILITY	WORKERS COMP	$409.22
WC ENCORE HEALTH NETWORK	WORKERS COMP	$409.22
HEALTHSMART WORKERS COMP	WORKERS COMP	$409.22
WC SENTRY	WORKERS COMP	$409.22
WC ZURICH	WORKERS COMP	$409.22
WC ZURICH	WORKERS COMP	$409.22
WC NOVANET	WORKERS COMP	$409.22
WC GUARD INSURANCE COMPANY	WORKERS COMP	$409.22
WC GUARD INSURANCE COMPANY	WORKERS COMP	$409.22
WC AETNA	WORKERS COMP	$409.22
WC ALIGN NETWORK	WORKERS COMP	$409.22
WC UNIFIED HEALTH SERVICES	WORKERS COMP	$409.22
WC QUALCARE	WORKERS COMP	$409.22
RX HEATLHCOMP	WORKERS COMP	$409.22
WC GUARANTEE INSURANCE	WORKERS COMP	$409.22
WC CHARTIS	WORKERS COMP	$409.22
WC REV CLAIMS	WORKERS COMP	$409.22
WC SAIF OREGON	WORKERS COMP	$409.22
RX HEATLHCOMP	WORKERS COMP	$409.22
WC UNIFIED HEALTH SERVICES	WORKERS COMP	$409.22
WC AMERISURE	WORKERS COMP	$409.22
WC AMERISURE	WORKERS COMP	$409.22
WC CHARTIS	WORKERS COMP	$409.22
WC CNA	WORKERS COMP	$409.22
WC CNA	WORKERS COMP	$409.22
WC REV CLAIMS	WORKERS COMP	$409.22
WC SAIF OREGON	WORKERS COMP	$409.22
RX RESTAT	WORKERS COMP	$409.22
WC FCCI	WORKERS COMP	$409.22
WC FCCI	WORKERS COMP	$409.22
WC YORK RISK	WORKERS COMP	$409.22
WC IDAHO STATE INS FUND	WORKERS COMP	$409.22
WC QUALCARE	WORKERS COMP	$409.22
RX RESTAT	WORKERS COMP	$409.22
WC YORK RISK	WORKERS COMP	$409.22
WC JOHNS EASTERN	WORKERS COMP	$409.22
WC JOHNS EASTERN	WORKERS COMP	$409.22
WC BROADSPIRE	WORKERS COMP	$409.22
WC HORIZON	WORKERS COMP	$409.22
WC HORIZON	WORKERS COMP	$409.22
WC ALIGN NETWORK	WORKERS COMP	$409.22
WC RURAL MUTUAL	WORKERS COMP	$409.22
WC AIG	WORKERS COMP	$409.22
WC BROADSPIRE	WORKERS COMP	$409.22
WC PMA	WORKERS COMP	$409.22
WC PMA	WORKERS COMP	$409.22
WC MAC RISK MANAGEMENT	WORKERS COMP	$409.22
WC NORTH AMERICAN RISHCES	WORKERS COMP	$409.22
WC NORTH AMERICAN RISHCES	WORKERS COMP	$409.22
NJM INSURANCE GROUP	WORKERS COMP	$409.22
WC IDAHO STATE INS FUND	WORKERS COMP	$409.22
WC INTERMOUNTAIN	WORKERS COMP	$409.22
WC ENABLECOMP	WORKERS COMP	$409.22
WC AMTRUST	WORKERS COMP	$409.22
WC AMTRUST	WORKERS COMP	$409.22
WC ZENITH	WORKERS COMP	$409.22
WC INTERMOUNTAIN	WORKERS COMP	$409.22
NJM INSURANCE GROUP	WORKERS COMP	$409.22
WC AETNA	WORKERS COMP	$409.22
WC ZENITH	WORKERS COMP	$409.22
WC ENABLECOMP	WORKERS COMP	$409.22
WC SENTRY	WORKERS COMP	$409.22
WC GUARANTEE INSURANCE	WORKERS COMP	$409.22
WC NOVANET	WORKERS COMP	$409.22
WC HARTFORD	WORKERS COMP	$409.22
WC HARTFORD	WORKERS COMP	$409.22
WC EVOLUTIONS	WORKERS COMP	$409.22
WC EVOLUTIONS	WORKERS COMP	$409.22
WC PROCURA MANAGEMENT	WORKERS COMP	$409.22
WC NATIONWIDE	WORKERS COMP	$409.22
WC NATIONWIDE	WORKERS COMP	$409.22
WC PROCURA MANAGEMENT	WORKERS COMP	$409.22
WC RISICO	WORKERS COMP	$409.22
NEW YORK STATE INSURANCE FUND	WORKERS COMP	$409.22
WC NEW YORK	WORKERS COMP	$409.22
NEW YORK STATE INSURANCE FUND	WORKERS COMP	$409.22
WC MASSACHUSETTS	WORKERS COMP	$409.22
WC GENEX CARE FOR OHIO	WORKERS COMP	$409.22
WC MASSACHUSETTS	WORKERS COMP	$409.22
WC FED EX	WORKERS COMP	$409.22
WC FED EX	WORKERS COMP	$409.22
WC COMPONE ADMIN	WORKERS COMP	$409.22
WC TACONIC FARMS	WORKERS COMP	$409.22
WC TACONIC FARMS	WORKERS COMP	$409.22
WC SMILE LODGE	WORKERS COMP	$409.22
WC COMPONE ADMIN	WORKERS COMP	$409.22
WC NEW YORK	WORKERS COMP	$409.22
WC NEW YORK SPECIAL FUNDS	WORKERS COMP	$409.22
WC SMILE LODGE	WORKERS COMP	$409.22
WC TACONIC (MRO)	WORKERS COMP	$409.22
ANDRIE INC	WORKERS COMP	$409.22
WC TACONIC (MRO)	WORKERS COMP	$409.22
WC SHEAKLEY UNICOMP	WORKERS COMP	$409.22
ANDRIE INC	WORKERS COMP	$409.22
WC EMPLOYEE MUTUAL	WORKERS COMP	$409.22
JAG SOURCE	WORKERS COMP	$409.22
WC CITY OF ALBANY	WORKERS COMP	$409.22
JAG SOURCE	WORKERS COMP	$409.22
WC CITY OF ALBANY	WORKERS COMP	$409.22
WC HEALTH MANAGEMENT	WORKERS COMP	$409.22
WC HEALTH MANAGEMENT	WORKERS COMP	$409.22
WC MEDICAL ADMINISTRATORS	WORKERS COMP	$409.22
WC MEDICAL ADMINISTRATORS	WORKERS COMP	$409.22
WC NCA COMP	WORKERS COMP	$409.22
WC BENETECH	WORKERS COMP	$409.22
WC BENETECH	WORKERS COMP	$409.22
WC GENEX CARE FOR OHIO	WORKERS COMP	$409.22
WC NCA COMP	WORKERS COMP	$409.22
WC HIRERIGHT	WORKERS COMP	$409.22
WC EMPLOYEE MUTUAL	WORKERS COMP	$409.22
WC BUNCH & ASSOCIATES	WORKERS COMP	$409.22
WC BUNCH & ASSOCIATES	WORKERS COMP	$409.22
WC ALLIED	WORKERS COMP	$409.22
WC HIRERIGHT	WORKERS COMP	$409.22
WC SHEAKLEY UNICOMP	WORKERS COMP	$409.22
WC ALLIED	WORKERS COMP	$409.22
WC ACE	WORKERS COMP	$409.22
WC AEGIS	WORKERS COMP	$409.22
WC PRICE CHOPPER	WORKERS COMP	$409.22
WC PRICE CHOPPER	WORKERS COMP	$409.22
WC AEGIS	WORKERS COMP	$409.22
WC ACCIDENT FUND	WORKERS COMP	$409.22
WC ACCIDENT FUND	WORKERS COMP	$409.22
WC NEW YORK SPECIAL FUNDS	WORKERS COMP	$409.22
WC NORTHEAST HEALTH	WORKERS COMP	$409.22
WC NORTHEAST HEALTH	WORKERS COMP	$409.22
WC ACE	WORKERS COMP	$409.22
WC RISICO	WORKERS COMP	$409.22
WC ACS FEDERAL EMPLOYEES	WORKERS COMP	$409.22
WC ACS FEDERAL EMPLOYEES	WORKERS COMP	$409.22
RX SAIF OPDP WC	WORKERS COMP	$409.22
RX SAIF OPDP WC	WORKERS COMP	$409.22
WC FORD MOTOR	WORKERS COMP	$409.22
WC FORD MOTOR	WORKERS COMP	$409.22
WC ASU RISK MGT	WORKERS COMP	$409.22
WC ASU RISK MGT	WORKERS COMP	$409.22
WC MEADOWBROOK CLAIM	WORKERS COMP	$409.22
WC MITCHELL FRANKENMUTH	WORKERS COMP	$409.22
WC MITCHELL FRANKENMUTH	WORKERS COMP	$409.22
WC FEDERAL BLACK LUNG	WORKERS COMP	$409.22
WC FEDERAL BLACK LUNG	WORKERS COMP	$409.22
WC MDIA	WORKERS COMP	$409.22
WC SRS	WORKERS COMP	$409.22
WC SRS	WORKERS COMP	$409.22
WC MEIJERS	WORKERS COMP	$409.22
WC GENERIC	WORKERS COMP	$409.22
WC MEIJERS	WORKERS COMP	$409.22
WC MEADOWBROOK CLAIM	WORKERS COMP	$409.22
WC GENERIC	WORKERS COMP	$409.22
WC MICHIGAN	WORKERS COMP	$409.22
WC MICHIGAN	WORKERS COMP	$409.22
WC NOTRE DAME	WORKERS COMP	$409.22
WC NOTRE DAME	WORKERS COMP	$409.22
WC MDIA	WORKERS COMP	$409.22
WC AIG	WORKERS COMP	$409.22
WC TRAVELERS	WORKERS COMP	$409.22
WC TRAVELERS	WORKERS COMP	$409.22
WC WEST BEND MUTUAL/ARGENT	WORKERS COMP	$409.22
WC PEERLESS	WORKERS COMP	$409.22
WC PEERLESS	WORKERS COMP	$409.22
WC TRIAD GROUP	WORKERS COMP	$409.22
WC MAC RISK MANAGEMENT	WORKERS COMP	$409.22
WC SEDGWICK	WORKERS COMP	$409.22
WC BERKLEY ADMIN	WORKERS COMP	$409.22
WC BERKLEY ADMIN	WORKERS COMP	$409.22
WC TRIAD GROUP	WORKERS COMP	$409.22
WC YANKEE TRAILS	WORKERS COMP	$409.22
WC YANKEE TRAILS	WORKERS COMP	$409.22
WC CLAIMS MGMT INC	WORKERS COMP	$409.22
WC INTERCARE INSURANCE	WORKERS COMP	$409.22
WC WINNEBAGO INDUSTRIES	WORKERS COMP	$409.22
WC WINNEBAGO INDUSTRIES	WORKERS COMP	$409.22
WC SEDGWICK	WORKERS COMP	$409.22
WC WEST BEND MUTUAL/ARGENT	WORKERS COMP	$409.22
WC RURAL MUTUAL	WORKERS COMP	$409.22
WC CALIFORNIA STATE COMP INS	WORKERS COMP	$409.22
WC CLAIMS MGMT INC	WORKERS COMP	$409.22
WC TYSON	WORKERS COMP	$409.22
WC TRISTAR	WORKERS COMP	$409.22
WC GALLAGHER BASSETT	WORKERS COMP	$409.22
WC FIRST AGENCY/OCCUNET	WORKERS COMP	$409.22
WC FIRST AGENCY/OCCUNET	WORKERS COMP	$409.22
WC TRISTAR	WORKERS COMP	$409.22
WC GALLAGHER BASSETT	WORKERS COMP	$409.22
WC FEDERATED	WORKERS COMP	$409.22
WC LIBERTY MUTUAL	WORKERS COMP	$409.22
WC MRA	WORKERS COMP	$409.22
WC INTERCARE INSURANCE	WORKERS COMP	$409.22
WC FEDERATED	WORKERS COMP	$409.22
WC ERIE	WORKERS COMP	$409.22
WC ERIE	WORKERS COMP	$409.22
WC ESIS	WORKERS COMP	$409.22
WC MRA	WORKERS COMP	$409.22
WC CIRMA	WORKERS COMP	$409.22
WC OCC HEALTH ALLEN	WORKERS COMP	$409.22
WC WALMART	WORKERS COMP	$409.22
WC WALMART	WORKERS COMP	$409.22
WC ALASKA NATIONAL INS	WORKERS COMP	$409.22
WC AM TRUST N AMERICA	WORKERS COMP	$409.22
WC ESIS	WORKERS COMP	$409.22
WC WEST BEND	WORKERS COMP	$409.22
WC OCC HEALTH ALLEN	WORKERS COMP	$409.22
WC CAPITOL AREA HEALTH CONSORTIUM	WORKERS COMP	$409.22
WC TROY NY	WORKERS COMP	$409.22
WC TROY NY	WORKERS COMP	$409.22
WC AM TRUST N AMERICA	WORKERS COMP	$409.22
WC ICW GROUP	WORKERS COMP	$409.22
WC ICW GROUP	WORKERS COMP	$409.22
WC WEST BEND	WORKERS COMP	$409.22
WC FINLEY OCCUPATIONAL HEALTH	WORKERS COMP	$409.22
EAST GREENBUSH CENTRAL SCHOOL DISTRICT	WORKERS COMP	$409.22
EAST GREENBUSH CENTRAL SCHOOL DISTRICT	WORKERS COMP	$409.22
WC HAB	WORKERS COMP	$409.22
WC FINLEY OCCUPATIONAL HEALTH	WORKERS COMP	$409.22
WC CCMSI	WORKERS COMP	$409.22
WC CITY OF SIOUX CITY	WORKERS COMP	$409.22
WC HAB	WORKERS COMP	$409.22
WC CCMSI	WORKERS COMP	$409.22
WC HASTINGS	WORKERS COMP	$409.22
WC CITY OF SIOUX CITY	WORKERS COMP	$409.22
WC FRESNO UNIFIED EMP	WORKERS COMP	$409.22
WC FRESNO UNIFIED EMP	WORKERS COMP	$409.22
WC HASTINGS	WORKERS COMP	$409.22
WC LIBERTY MUTUAL	WORKERS COMP	$409.22
WC MERCY WORKCARE	WORKERS COMP	$409.22
WC MERCY WORKCARE	WORKERS COMP	$409.22
WC TYSON	WORKERS COMP	$409.22
WC OHIO BUREAU	WORKERS COMP	$409.22
WC SOCIETY	WORKERS COMP	$409.22
WC KEMBERTON	WORKERS COMP	$409.22
WC CAPITOL AREA HEALTH CONSORTIUM	WORKERS COMP	$409.22
WC CT HEALTHCARE TRUST	WORKERS COMP	$409.22
WC UNITED HEARTLAND	WORKERS COMP	$409.22
WC ONE CALL MEDICAL	WORKERS COMP	$409.22
WC MEMIC	WORKERS COMP	$409.22
WC SOCIETY	WORKERS COMP	$409.22
WC KEMBERTON	WORKERS COMP	$409.22
WC ALASKA NATIONAL INS	WORKERS COMP	$409.22
WC AIMS	WORKERS COMP	$409.22
WC AIMS	WORKERS COMP	$409.22
WC CALIFORNIA STATE INS FUND	WORKERS COMP	$409.22
WC CALIFORNIA STATE INS FUND	WORKERS COMP	$409.22
WC CT HEALTHCARE TRUST	WORKERS COMP	$409.22
WC US DEPT OF LABOR	WORKERS COMP	$409.22
WC UNITED HEARTLAND	WORKERS COMP	$409.22
WC EMC INSURANCE COMPANY	WORKERS COMP	$409.22
WC EMC INSURANCE COMPANY	WORKERS COMP	$409.22
WC ADVANTAGE	WORKERS COMP	$409.22
WC ADVANTAGE	WORKERS COMP	$409.22
WC CALIFORNIA STATE COMP INS	WORKERS COMP	$409.22
WC KEY INS & BENEFIT SOLUTIONS	WORKERS COMP	$409.22
WC KEY INS & BENEFIT SOLUTIONS	WORKERS COMP	$409.22
WC US DEPT OF LABOR	WORKERS COMP	$409.22
WC MEMIC	WORKERS COMP	$409.22
WC CIRMA	WORKERS COMP	$409.22
WC ONE CALL MEDICAL	WORKERS COMP	$409.22
WC OHIO BUREAU	WORKERS COMP	$409.22
MEDICAID - MI	MEDICAID	$414.07
MEDICAID - MI	MEDICAID	$414.07
MEDICAID - MI	MEDICAID	$414.07
WC PRAXIS HEALTH NETWORK	WC PRAXIS HEALTH NETWORK	$437.82
WC PRAXIS HEALTH NETWORK	WC PRAXIS HEALTH NETWORK	$437.82
AUTO LIABILILTY PRAXIS	AUTO PRAXIS HEALTH NETWORK	$437.82
AUTO LIABILILTY PRAXIS	AUTO PRAXIS HEALTH NETWORK	$437.82
UPMC HEALTH PLAN	CIGNA	$451.36
UPMC HEALTH PLAN	CIGNA	$451.36
MEDICAID - NE	MEDICAID	$451.36
MEDICAID - NE	MEDICAID	$451.36
MEDICAID - OR	MEDICAID	$451.36
MEDICAID - OR	MEDICAID	$451.36
CIGNA	CIGNA SUREFIT	$451.36
CIGNA	CIGNA	$451.36
CIGNA	CIGNA SUREFIT	$451.36
CIGNA	CIGNA	$451.36
MEDICAID - ID	MEDICAID	$493.65
MEDICAID - ID	MEDICAID	$493.65
MEDICAID - ID	MEDICAID	$493.65
MEDI-CAL HEALTHNET	MEDICAID	$496.35
MARYLAND HEALTHY SMILES - SCION DENTAL	MEDICAID	$496.35
MEDICAID PENDING	MEDICAID	$496.35
RX MEDICAID	MEDICAID	$496.35
PEACH STATE HEALTHPLAN	MEDICAID	$496.35
FAMILY HEALTH NETWORK	MEDICAID	$496.35
IOWA TOTAL CARE	MEDICAID	$496.35
BCCP	MEDICAID	$496.35
JEFFERSON HEALTH PLANS MEDICAID	MEDICAID	$496.35
SOUTH COUNTRY HEALTH ALLIANCE MEDICAID	MEDICAID	$496.35
UCARE MEDICAID	MEDICAID	$496.35
HEALTHY BLUE NE	MEDICAID	$496.35
MO HOME STATE HEALTH PLAN	MEDICAID	$496.35
HEALTHY BLUE PLUS MO MEDICAID	MEDICAID	$496.35
NASCENTIA HEALTH OPTIONS	MEDICAID	$496.35
CARE OREGON OHP	MEDICAID	$496.35
BLUE PLUS MO MEDICAID	MEDICAID	$496.35
CMH ALLEGAN COUNTY	MEDICAID	$496.35
CMH AUSABLE VALLEY	MEDICAID	$496.35
CMH MISC	MEDICAID	$496.35
CMH WASHTENAW COUNTY	MEDICAID	$496.35
BMC HEALTHNET	MEDICAID	$496.35
BCCCP-MICHIGAN	MEDICAID	$496.35
CMH GENESEE COUNTY	MEDICAID	$496.35
CMH MONROE COUNTY	MEDICAID	$496.35
HARBOR HEALTH	MEDICAID	$496.35
AMERIGROUP MEDICAID	MEDICAID	$496.35
ROBERT F SING PROGRAM	MEDICAID	$496.35
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MEDICAID	$496.35
CMH LIVINGSTON COUNTY	MEDICAID	$496.35
CMH CENTRAL MI COUNTY	MEDICAID	$496.35
CMH OTTAWA COUNTY	MEDICAID	$496.35
RX MEDI-CAL	MEDICAID	$496.35
CMH CLINTON-EATON-INGHAM COUNTY	MEDICAID	$496.35
CMH CASS COUNTY	MEDICAID	$496.35
CMH OAKLAND COUNTY	MEDICAID	$496.35
CMH NEWAYGO COUNTY	MEDICAID	$496.35
HAP MEDICAID	MEDICAID	$496.35
CMH KENT COUNTY	MEDICAID	$496.35
CMH NORTHERN LAKES COUNTY	MEDICAID	$496.35
MDWISE	MEDICAID	$496.35
MCLAREN HEALTH MEDICAID	MEDICAID	$496.35
CMH LENAWEE COUNTY	MEDICAID	$496.35
WASHTENAW HEALTH PLAN	MEDICAID	$496.35
CMH JACKSON COUNTY/LIFEWAYS	MEDICAID	$496.35
CMH WAYNE COUNTY/CARELINK	MEDICAID	$496.35
CMH BAY-ARENAC COUNTY	MEDICAID	$496.35
CMH BERRIEN COUNTY	MEDICAID	$496.35
CMH IONIA COUNTY	MEDICAID	$496.35
CMH DETROIT WAYNE INTEGRATED HEALTH NETWORK	MEDICAID	$496.35
CMH BARRY COUNTY	MEDICAID	$496.35
CMH MUSKEGON COUNTY	MEDICAID	$496.35
CMH WAYNE CTY/COM LIV SVCS	MEDICAID	$496.35
ALBANY COUNTY CORRECTIONAL FACILITY	MEDICAID	$496.35
CMH MONTCALM COUNTY	MEDICAID	$496.35
CMH VAN BUREN COUNTY	MEDICAID	$496.35
CMH NORTH COUNTRY	MEDICAID	$496.35
CENCAL HEALTH PLAN	MEDICAID	$496.35
CITY OF PHILADELPHIA	MEDICAID	$496.35
COUNTY FUNDING GENERIC	MEDICAID	$496.35
BROWARD COUNTY DEPT OF HEALTH	MEDICAID	$496.35
CALIFORNIA HEALTH AND WELLNESS	MEDICAID	$496.35
POSITIVE HEALTHCARE PARTNERS MEDICAID	MEDICAID	$496.35
PARAMOUNT MEDICAID ADVANTAGE	MEDICAID	$496.35
ID COUNTY CAT FUND	MEDICAID	$496.35
ID COUNTY CANYON	MEDICAID	$496.35
LA CARE HEALTH PLAN	MEDICAID	$496.35
INLAND EMPIRE HEALTH PLAN	MEDICAID	$496.35
KERN FAMILY HEALTH PLAN	MEDICAID	$496.35
ID COUNTY ADA	MEDICAID	$496.35
ID COUNTY PAYETTE	MEDICAID	$496.35
ID COUNTY OTHER	MEDICAID	$496.35
TOTAL HEALTH CARE MEDICAID	MEDICAID	$496.35
MEDICAID SPENDDOWN	MEDICAID	$496.35
PRIORITY HEALTH MEDICAID	MEDICAID	$496.35
MEDICAID - MT	MEDICAID	$496.35
WI WOMENS WELLNESS	MEDICAID	$496.35
BLUE CROSS - SC MEDICAID ADVANTAGE	MEDICAID	$496.35
COMMUNITY HEALTH CHOICE	MEDICAID	$496.35
PHILADELPHIA COUNTY FUNDING	MEDICAID	$496.35
BLUE CROSS COMPLETE - MI	MEDICAID	$496.35
MEDICAID - MS	MEDICAID	$496.35
MEDICAID - NM	MEDICAID	$496.35
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICAID	MEDICAID	$496.35
BUCKEYE HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$496.35
MOLINA CENTENNIAL CARE	MEDICAID	$496.35
FIDELIS CARE MEDICAID ADVANTAGE	MEDICAID	$496.35
RYAN WHITE FLORIDA MSSRP	MEDICAID	$496.35
MEDI-CAL BLUE CROSS	MEDICAID	$496.35
SECURITY HEALTH MEDICAID	MEDICAID	$496.35
DELAWARE COUNTY DEPARTMENT OF HEALTH	MEDICAID	$496.35
NEW YORK CANCER SERVICES PROGRAM	MEDICAID	$496.35
MEDICAID - NJ	MEDICAID	$496.35
EMBLEM HEALTH MEDICAID	MEDICAID	$496.35
COMMUNITY CARE PARTNERS	MEDICAID	$496.35
MEDICAID - NV	MEDICAID	$496.35
UNITY MEDICAID	MEDICAID	$496.35
PRESTIGE HEALTH CHOICE	MEDICAID	$496.35
HEALTHFIRST MEDICAID ADVANTAGE	MEDICAID	$496.35
IDAHO DEPT HEALTH AND WELLFARE	MEDICAID	$496.35
MEDI-CAL	MEDICAID	$496.35
AMERIHEALTH CARITAS MEDICAID	MEDICAID	$496.35
SANDHILLS CENTER LME	MEDICAID	$496.35
MEDICAID - LA	MEDICAID	$496.35
CARE WISCONSIN MEDICAID	MEDICAID	$496.35
ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL	MEDICAID	$496.35
CONNECTIONS CSP	MEDICAID	$496.35
VAYA HEALTH LME	MEDICAID	$496.35
PRESBYTERIAN CENTENNIAL CARE	MEDICAID	$496.35
VNSNY CHOICE MEDICAID	MEDICAID	$496.35
WELLPOINT MEDICAID	MEDICAID	$496.35
MERCYCARE MEDICAID	MEDICAID	$496.35
CARDINAL INNOVATIONS LME	MEDICAID	$496.35
INDIANA BREAST CERVICAL CANCER	MEDICAID	$496.35
GHC SCW WI BADGERCARE	MEDICAID	$496.35
TENNCARE	MEDICAID	$496.35
PARTNERS BEHAVIORAL LME	MEDICAID	$496.35
MEDICAID - MD	MEDICAID	$496.35
DEAN WI BADGERCARE	MEDICAID	$496.35
BLUE CROSS - NM MEDICAID ADVANTAGE	MEDICAID	$496.35
MEDICAID - MN	MEDICAID	$496.35
HEALTH SAFETY NET	MEDICAID	$496.35
IDAHO WOMENS HEALTH CHECK	MEDICAID	$496.35
HUMANA MEDICAID	HUMANA MEDICAID	$496.35
MANAGED HEALTH SERVICES - INDIANA	MEDICAID	$496.35
BLUE CROSS - TN MEDICAID ADVANTAGE	MEDICAID	$496.35
PRIORITY PARTNERS	MEDICAID	$496.35
TUFTS HEALTH PUBLIC PLANS	MEDICAID	$496.35
SIMPLY HEALTHCARE MEDICAID	MEDICAID	$496.35
MEDICAID - MO	MEDICAID	$496.35
STEPHENSON CTY HEALTH	MEDICAID	$496.35
MVP MEDICAID ADVANTAGE	MEDICAID	$496.35
FRESNO COUNTY CCS	MEDICAID	$496.35
NEBRASKA TOTAL CARE	MEDICAID	$496.35
CARESOURCE MEDICAID	MEDICAID	$496.35
TEXAS CHILDREN'S HEALTH PLAN	MEDICAID	$496.35
CMH KALAMAZOO	MEDICAID	$496.35
MEDICAID - MA	MEDICAID	$496.35
CMH MACOMB	MEDICAID	$496.35
EASTPOINTE LME	MEDICAID	$496.35
FIRSTCARE MEDICAID	MEDICAID	$496.35
HURON VALLEY PACE MEDICAID	MEDICAID	$496.35
MEDICAID - ME	MEDICAID	$496.35
MEDICAID - WA	MEDICAID	$496.35
MARYLAND BREAST & CERVICAL PROGRAM	MEDICAID	$496.35
ICARE MEDICAID	MEDICAID	$496.35
COUNTY CARE MEDICAID	MEDICAID	$496.35
AETNA MEDICAID	MEDICAID	$496.35
JAI MEDICAL SYSTEM	MEDICAID	$496.35
ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE	MEDICAID	$496.35
MEDICAID ADVANTAGE GENERIC	MEDICAID	$496.35
UPMC MEDICAID ADVANTAGE	MEDICAID	$496.35
TRILLIUM COMMUNITY OHP	MEDICAID	$496.35
KAISER PERMANENTE MEDICAID ADVANTAGE	MEDICAID	$496.35
RX MERIDIAN RX	MEDICAID	$496.35
RX 340B PASS ALONG	MEDICAID	$496.35
MEDICAID - NY	MEDICAID	$496.35
MEDICAID - VA	MEDICAID	$496.35
GROUP HEALTH COOPERATIVE MEDICAID	MEDICAID	$496.35
DEAN HEALTH MEDICAID	MEDICAID	$496.35
MARYLAND PHYSICIANS CARE	MEDICAID	$496.35
DELTA DENTAL NJ	MEDICAID	$496.35
HIGHMARK WHOLECARE MEDICAID	MEDICAID	$496.35
COMMUNITY CARE PLAN MEDICAID ADVANTAGE	MEDICAID	$496.35
MEDICAID - NC	MEDICAID	$496.35
MEDICAID - UT	MEDICAID	$496.35
BLUE CROSS - IL MEDICAID ADVANTAGE	MEDICAID	$496.35
MEDICAID - CO	MEDICAID	$496.35
FALLON HEALTH MEDICAID ADVANTAGE	MEDICAID	$496.35
MAGELLAN BEHAVIORAL HEALTH MEDICAID	MEDICAID	$496.35
MEDICAID - RI	MEDICAID	$496.35
PACIFICSOURCE HEALTH PLANS MEDICAID ADVANTAGE	MEDICAID	$496.35
MEDICAID MA QMB	MEDICAID	$496.35
CHILDRENS MEDICAL CENTER HEALTH PLAN MANAGED MEDICAID	MEDICAID	$496.35
FREEDOM FIRST HEALTHCARE	MEDICAID	$496.35
AFFINITY HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$496.35
BLUE CROSS - NJ (HORIZON) MEDICAID ADVANTAGE	MEDICAID	$496.35
RX ASSISTANCE/RX MANUFACTURER ASSISTANCE 0 COPAY	MEDICAID	$496.35
MEDICAID - SC	MEDICAID	$496.35
PACE OF SOUTHWEST MICHIGAN	MEDICAID	$496.35
BREAST GRANT-CONNECTICUT	MEDICAID	$496.35
KEYSTONE FIRST CHIP	MEDICAID	$496.35
ALLWELL MEDICAID ADVANTAGE	MEDICAID	$496.35
SUPERIOR HEALTH	MEDICAID	$496.35
PARKLAND COMMUNITY HEALTH PLAN	MEDICAID	$496.35
DSCC	MEDICAID	$496.35
BLUE CROSS - DC (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$496.35
MEDICAID - AZ	MEDICAID	$496.35
MEDICAID - AL	MEDICAID	$496.35
MEDICAID - WI	MEDICAID	$496.35
MEDICAID - WY	MEDICAID	$496.35
DPH TB PROGRAM	MEDICAID	$496.35
BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE	MEDICAID	$496.35
MEDICAID - AK	MEDICAID	$496.35
MEDICAID - PA	MEDICAID	$496.35
BLUE CROSS - DE (HIGHMARK) MEDICAID ADVANTAGE	MEDICAID	$496.35
COMMUNITY BENEFIT HEALTH	MEDICAID	$496.35
CARELON HEALTH MEDICAID	MEDICAID	$496.35
GREEN MOUNTAIN MEDICAID ADVANTAGE	MEDICAID	$496.35
CARE CONNECTIONS OF NORTHERN IOWA	MEDICAID	$496.35
MEDICAID - FL	MEDICAID	$496.35
MEDICAID - OK	MEDICAID	$496.35
MEDICAID OOS NHI	MEDICAID	$496.35
COMMUNITY CARE MEDICAID	MEDICAID	$496.35
TRILOGY MEDICAID	MEDICAID	$496.35
WELLSENSE HEALTH PLAN	MEDICAID	$496.35
CHHUNY	MEDICAID	$496.35
METROPLUS MEDICAID ADVANTAGE	MEDICAID	$496.35
BLUE CROSS - MD (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$496.35
HEALTH PLUS PHSP MEDICAID ADV	MEDICAID	$496.35
MEDICAID - DE	MEDICAID	$496.35
MEDICAID - VT	MEDICAID	$496.35
MEDICAID - WV	MEDICAID	$496.35
MEDICAID - NY SSL	MEDICAID	$496.35
BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$496.35
CENPATICO	MEDICAID	$496.35
UNITED HEALTHCARE MEDICAID	MEDICAID	$496.35
MEDICAID - DC	MEDICAID	$496.35
MEDICAID - CT	MEDICAID	$496.35
MEDICAID - TX	MEDICAID	$496.35
INDEPENDENT CARE MEDICAID	MEDICAID	$496.35
MEDICAID - AR	MEDICAID	$496.35
MEDICAID - IA	MEDICAID	$496.35
CHILDRENS MEDICAL SERVICES TITLE 19	MEDICAID	$496.35
KEYSTONE FIRST CHC MEDICAID	MEDICAID	$496.35
MASSACHUSETTS BEHAVIORAL HEALTH PARTNERSHIP	MEDICAID	$496.35
CENTENE	MEDICAID	$496.35
MEDICAID - HI	MEDICAID	$496.35
MEDICAID - TN	MEDICAID	$496.35
OREGON SCREENWISE	MEDICAID	$496.35
CHILDRENS COMM HEALTH PLAN	MEDICAID	$496.35
BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$496.35
CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE	MEDICAID	$496.35
ILLINICARE HEALTH MEDICAID ADVANTAGE	MEDICAID	$496.35
MEDICAID - GA	MEDICAID	$496.35
MEDICAID - NH	MEDICAID	$496.35
MEDICAID - SD	MEDICAID	$496.35
SCREENING FOR LIFE	MEDICAID	$496.35
LAKELAND CARE INC	MEDICAID	$496.35
HENNEPIN HEALTH	MEDICAID	$496.35
HEALTH NEW ENGLAND MEDICAID ADVANTAGE	MEDICAID	$496.35
MEDICAID - KY	MEDICAID	$496.35
ST JOSEPH COUNTY HLTH DPT	MEDICAID	$496.35
MEDICAID - OH	MEDICAID	$496.35
MEDICAID - ND	MEDICAID	$496.35
MEDICAID - KS	MEDICAID	$496.35
MEDICAID - IN	MEDICAID	$496.35
COUNTY CORONER	MEDICAID	$496.35
BLUE CROSS - ID MEDICAID ADVANTAGE	MEDICAID	$496.35
GEISINGER MEDICAID ADVANTAGE	MEDICAID	$496.35
AMISH MENNONITE	MEDICAID	$496.35
BLUE CROSS - OH (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$496.35
COUNTY CARE MEDICAID ADVANTAGE	MEDICAID	$496.35
INTERCOMMUNITY HEALTH OHP	MEDICAID	$496.35
COMMONWEALTH CARE ALLIANCE MEDICAID	MEDICAID	$496.35
KEYSTONE FIRST	MEDICAID	$496.35
MERIDIAN MEDICAID	MEDICAID	$496.35
PARAMOUNT ADVANTAGE	MEDICAID	$496.35
MODA PLUS MEDICAID ADVANTAGE	MEDICAID	$496.35
COMMUNITY CARE BEHAVORIAL HEALTH	MEDICAID	$496.35
MEDSTAR MD HEALTH CHOICE	MEDICAID	$496.35
MEDSTAR DC HEALTHY FAMILY	MEDICAID	$496.35
NEXTLEVEL HEALTH	MEDICAID	$496.35
DELAWARE FIRST HEALTH	MEDICAID	$496.35
CIGNA MEDICAID ADVANTAGE	MEDICAID	$496.35
CMH WEST MI COUNTY	MEDICAID	$496.35
ID COUNTY PAYETTE	MEDICAID	$496.35
PARAMOUNT MEDICAID ADVANTAGE	MEDICAID	$496.35
MEDICAID - NY	MEDICAID	$496.35
MEDICAID - NH	MEDICAID	$496.35
MEDICAID - NV	MEDICAID	$496.35
MEDICAID - UT	MEDICAID	$496.35
MEDICAID - TN	MEDICAID	$496.35
MEDICAID - SD	MEDICAID	$496.35
MEDICAID - RI	MEDICAID	$496.35
ROBERT F SING PROGRAM	MEDICAID	$496.35
ALBANY COUNTY CORRECTIONAL FACILITY	MEDICAID	$496.35
HURON VALLEY PACE MEDICAID	MEDICAID	$496.35
PHILADELPHIA COUNTY FUNDING	MEDICAID	$496.35
MANAGED HEALTH SERVICES - INDIANA	MEDICAID	$496.35
RYAN WHITE FLORIDA MSSRP	MEDICAID	$496.35
ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL	MEDICAID	$496.35
IDAHO DEPT HEALTH AND WELLFARE	MEDICAID	$496.35
CMH KALAMAZOO	MEDICAID	$496.35
CMH MACOMB	MEDICAID	$496.35
ID COUNTY CAT FUND	MEDICAID	$496.35
ID COUNTY CANYON	MEDICAID	$496.35
MEDICAID - SC	MEDICAID	$496.35
MEDICAID - PA	MEDICAID	$496.35
MEDICAID - OH	MEDICAID	$496.35
MEDICAID OOS NHI	MEDICAID	$496.35
BREAST GRANT-CONNECTICUT	MEDICAID	$496.35
ID COUNTY ADA	MEDICAID	$496.35
MEDICAID SPENDDOWN	MEDICAID	$496.35
CMH NORTH COUNTRY	MEDICAID	$496.35
CARELON HEALTH MEDICAID	MEDICAID	$496.35
CHHUNY	MEDICAID	$496.35
BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE	MEDICAID	$496.35
KEYSTONE FIRST CHC MEDICAID	MEDICAID	$496.35
JAI MEDICAL SYSTEM	MEDICAID	$496.35
MARYLAND PHYSICIANS CARE	MEDICAID	$496.35
BLUE CROSS - NJ (HORIZON) MEDICAID ADVANTAGE	MEDICAID	$496.35
MEDICAID - WI	MEDICAID	$496.35
MEDICAID - WY	MEDICAID	$496.35
MEDICAID - WA	MEDICAID	$496.35
MEDICAID - WV	MEDICAID	$496.35
MEDICAID - VA	MEDICAID	$496.35
MEDICAID - VT	MEDICAID	$496.35
MEDICAID - TX	MEDICAID	$496.35
CHILDRENS COMM HEALTH PLAN	MEDICAID	$496.35
BLUE CROSS COMPLETE - MI	MEDICAID	$496.35
STEPHENSON CTY HEALTH	MEDICAID	$496.35
ID COUNTY OTHER	MEDICAID	$496.35
LA CARE HEALTH PLAN	MEDICAID	$496.35
CALIFORNIA HEALTH AND WELLNESS	MEDICAID	$496.35
KERN FAMILY HEALTH PLAN	MEDICAID	$496.35
ILLINICARE HEALTH MEDICAID ADVANTAGE	MEDICAID	$496.35
MASSACHUSETTS BEHAVIORAL HEALTH PARTNERSHIP	MEDICAID	$496.35
DSCC	MEDICAID	$496.35
HIGHMARK WHOLECARE MEDICAID	MEDICAID	$496.35
HEALTH NEW ENGLAND MEDICAID ADVANTAGE	MEDICAID	$496.35
COMMUNITY BENEFIT HEALTH	MEDICAID	$496.35
AFFINITY HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$496.35
BLUE CROSS - IL MEDICAID ADVANTAGE	MEDICAID	$496.35
KEYSTONE FIRST CHIP	MEDICAID	$496.35
DPH TB PROGRAM	MEDICAID	$496.35
MEDICAID MA QMB	MEDICAID	$496.35
MEDICAID - NY SSL	MEDICAID	$496.35
SCREENING FOR LIFE	MEDICAID	$496.35
OREGON SCREENWISE	MEDICAID	$496.35
COMMUNITY CARE PARTNERS	MEDICAID	$496.35
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MEDICAID	$496.35
INLAND EMPIRE HEALTH PLAN	MEDICAID	$496.35
COUNTY FUNDING GENERIC	MEDICAID	$496.35
CENCAL HEALTH PLAN	MEDICAID	$496.35
CITY OF PHILADELPHIA	MEDICAID	$496.35
BROWARD COUNTY DEPT OF HEALTH	MEDICAID	$496.35
ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE	MEDICAID	$496.35
CARE CONNECTIONS OF NORTHERN IOWA	MEDICAID	$496.35
BLUE CROSS - MD (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$496.35
HEALTH PLUS PHSP MEDICAID ADV	MEDICAID	$496.35
CENTENE	MEDICAID	$496.35
UPMC MEDICAID ADVANTAGE	MEDICAID	$496.35
TRILLIUM COMMUNITY OHP	MEDICAID	$496.35
PACE OF SOUTHWEST MICHIGAN	MEDICAID	$496.35
MARYLAND BREAST & CERVICAL PROGRAM	MEDICAID	$496.35
COUNTY CORONER	MEDICAID	$496.35
ST JOSEPH COUNTY HLTH DPT	MEDICAID	$496.35
PACIFICSOURCE HEALTH PLANS MEDICAID ADVANTAGE	MEDICAID	$496.35
GREEN MOUNTAIN MEDICAID ADVANTAGE	MEDICAID	$496.35
METROPLUS MEDICAID ADVANTAGE	MEDICAID	$496.35
MEDICAID - CT	MEDICAID	$496.35
MEDICAID - AZ	MEDICAID	$496.35
MEDICAID - AR	MEDICAID	$496.35
MEDICAID - AK	MEDICAID	$496.35
MEDICAID - AL	MEDICAID	$496.35
UNITED HEALTHCARE MEDICAID	MEDICAID	$496.35
HENNEPIN HEALTH	MEDICAID	$496.35
ICARE MEDICAID	MEDICAID	$496.35
LAKELAND CARE INC	MEDICAID	$496.35
GROUP HEALTH COOPERATIVE MEDICAID	MEDICAID	$496.35
DEAN HEALTH MEDICAID	MEDICAID	$496.35
BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$496.35
COMMUNITY CARE MEDICAID	MEDICAID	$496.35
KAISER PERMANENTE MEDICAID ADVANTAGE	MEDICAID	$496.35
BLUE CROSS - DC (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$496.35
MEDICAID - IA	MEDICAID	$496.35
CENPATICO	MEDICAID	$496.35
BLUE CROSS - DE (HIGHMARK) MEDICAID ADVANTAGE	MEDICAID	$496.35
AETNA MEDICAID	MEDICAID	$496.35
COUNTY CARE MEDICAID	MEDICAID	$496.35
ALLWELL MEDICAID ADVANTAGE	MEDICAID	$496.35
TRILOGY MEDICAID	MEDICAID	$496.35
MEDICAID - HI	MEDICAID	$496.35
MEDICAID - FL	MEDICAID	$496.35
MEDICAID - GA	MEDICAID	$496.35
MEDICAID - DC	MEDICAID	$496.35
MEDICAID - DE	MEDICAID	$496.35
MEDICAID - CO	MEDICAID	$496.35
POSITIVE HEALTHCARE PARTNERS MEDICAID	MEDICAID	$496.35
RX ASSISTANCE/RX MANUFACTURER ASSISTANCE 0 COPAY	MEDICAID	$496.35
RX MERIDIAN RX	MEDICAID	$496.35
RX 340B PASS ALONG	MEDICAID	$496.35
MAGELLAN BEHAVIORAL HEALTH MEDICAID	MEDICAID	$496.35
COMMUNITY CARE PLAN MEDICAID ADVANTAGE	MEDICAID	$496.35
FALLON HEALTH MEDICAID ADVANTAGE	MEDICAID	$496.35
FREEDOM FIRST HEALTHCARE	MEDICAID	$496.35
DELTA DENTAL NJ	MEDICAID	$496.35
WELLSENSE HEALTH PLAN	MEDICAID	$496.35
PARKLAND COMMUNITY HEALTH PLAN	MEDICAID	$496.35
INDEPENDENT CARE MEDICAID	MEDICAID	$496.35
SUPERIOR HEALTH	MEDICAID	$496.35
CONNECTIONS CSP	MEDICAID	$496.35
NEW YORK CANCER SERVICES PROGRAM	MEDICAID	$496.35
NEBRASKA TOTAL CARE	MEDICAID	$496.35
CARDINAL INNOVATIONS LME	MEDICAID	$496.35
PARTNERS BEHAVIORAL LME	MEDICAID	$496.35
VAYA HEALTH LME	MEDICAID	$496.35
EASTPOINTE LME	MEDICAID	$496.35
BLUE CROSS - SC MEDICAID ADVANTAGE	MEDICAID	$496.35
PRESTIGE HEALTH CHOICE	MEDICAID	$496.35
MEDICAID - KS	MEDICAID	$496.35
MEDICAID - KY	MEDICAID	$496.35
MEDICAID - IN	MEDICAID	$496.35
CHILDRENS MEDICAL CENTER HEALTH PLAN MANAGED MEDICAID	MEDICAID	$496.35
CHILDRENS MEDICAL SERVICES TITLE 19	MEDICAID	$496.35
BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$496.35
CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE	MEDICAID	$496.35
MEDICAID ADVANTAGE GENERIC	MEDICAID	$496.35
TUFTS HEALTH PUBLIC PLANS	MEDICAID	$496.35
TEXAS CHILDREN'S HEALTH PLAN	MEDICAID	$496.35
COMMUNITY HEALTH CHOICE	MEDICAID	$496.35
WI WOMENS WELLNESS	MEDICAID	$496.35
BUCKEYE HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$496.35
WELLPOINT MEDICAID	MEDICAID	$496.35
MOLINA CENTENNIAL CARE	MEDICAID	$496.35
BLUE CROSS - NM MEDICAID ADVANTAGE	MEDICAID	$496.35
FIDELIS CARE MEDICAID ADVANTAGE	MEDICAID	$496.35
PRESBYTERIAN CENTENNIAL CARE	MEDICAID	$496.35
HEALTHFIRST MEDICAID ADVANTAGE	MEDICAID	$496.35
PRIORITY PARTNERS	MEDICAID	$496.35
FIRSTCARE MEDICAID	MEDICAID	$496.35
SANDHILLS CENTER LME	MEDICAID	$496.35
MEDICAID - MO	MEDICAID	$496.35
GHC SCW WI BADGERCARE	MEDICAID	$496.35
CARE WISCONSIN MEDICAID	MEDICAID	$496.35
DEAN WI BADGERCARE	MEDICAID	$496.35
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICAID	MEDICAID	$496.35
HUMANA MEDICAID	HUMANA MEDICAID	$496.35
TENNCARE	MEDICAID	$496.35
CARESOURCE MEDICAID	MEDICAID	$496.35
MEDICAID - MT	MEDICAID	$496.35
MEDICAID - MN	MEDICAID	$496.35
MEDICAID - MS	MEDICAID	$496.35
MEDICAID - MA	MEDICAID	$496.35
MEDICAID - ME	MEDICAID	$496.35
MEDICAID - MD	MEDICAID	$496.35
MEDICAID - LA	MEDICAID	$496.35
BLUE CROSS - TN MEDICAID ADVANTAGE	MEDICAID	$496.35
SECURITY HEALTH MEDICAID	MEDICAID	$496.35
AMERIHEALTH CARITAS MEDICAID	MEDICAID	$496.35
MERCYCARE MEDICAID	MEDICAID	$496.35
UNITY MEDICAID	MEDICAID	$496.35
TOTAL HEALTH CARE MEDICAID	MEDICAID	$496.35
MEDICAID - NC	MEDICAID	$496.35
MEDICAID - NJ	MEDICAID	$496.35
MEDICAID - NM	MEDICAID	$496.35
SIMPLY HEALTHCARE MEDICAID	MEDICAID	$496.35
EMBLEM HEALTH MEDICAID	MEDICAID	$496.35
MEDICAID - OK	MEDICAID	$496.35
MEDICAID - ND	MEDICAID	$496.35
MEDI-CAL BLUE CROSS	MEDICAID	$496.35
MVP MEDICAID ADVANTAGE	MEDICAID	$496.35
VNSNY CHOICE MEDICAID	MEDICAID	$496.35
PRIORITY HEALTH MEDICAID	MEDICAID	$496.35
BCCCP-MICHIGAN	MEDICAID	$496.35
PARAMOUNT ADVANTAGE	MEDICAID	$496.35
CMH WEST MI COUNTY	MEDICAID	$496.35
MEDI-CAL HEALTHNET	MEDICAID	$496.35
PEACH STATE HEALTHPLAN	MEDICAID	$496.35
COUNTY CARE MEDICAID ADVANTAGE	MEDICAID	$496.35
KEYSTONE FIRST	MEDICAID	$496.35
BLUE CROSS - OH (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$496.35
MODA PLUS MEDICAID ADVANTAGE	MEDICAID	$496.35
MEDSTAR MD HEALTH CHOICE	MEDICAID	$496.35
BLUE CROSS - ID MEDICAID ADVANTAGE	MEDICAID	$496.35
AMISH MENNONITE	MEDICAID	$496.35
MEDSTAR DC HEALTHY FAMILY	MEDICAID	$496.35
DELAWARE FIRST HEALTH	MEDICAID	$496.35
INTERCOMMUNITY HEALTH OHP	MEDICAID	$496.35
NASCENTIA HEALTH OPTIONS	MEDICAID	$496.35
CIGNA MEDICAID ADVANTAGE	MEDICAID	$496.35
BCCP	MEDICAID	$496.35
JEFFERSON HEALTH PLANS MEDICAID	MEDICAID	$496.35
MEDICAID PENDING	MEDICAID	$496.35
DELAWARE COUNTY DEPARTMENT OF HEALTH	MEDICAID	$496.35
IDAHO WOMENS HEALTH CHECK	MEDICAID	$496.35
INDIANA BREAST CERVICAL CANCER	MEDICAID	$496.35
FRESNO COUNTY CCS	MEDICAID	$496.35
HEALTH SAFETY NET	MEDICAID	$496.35
MEDI-CAL	MEDICAID	$496.35
CMH IONIA COUNTY	MEDICAID	$496.35
CMH CLINTON-EATON-INGHAM COUNTY	MEDICAID	$496.35
CMH CENTRAL MI COUNTY	MEDICAID	$496.35
SOUTH COUNTRY HEALTH ALLIANCE MEDICAID	MEDICAID	$496.35
CARE OREGON OHP	MEDICAID	$496.35
MARYLAND HEALTHY SMILES - SCION DENTAL	MEDICAID	$496.35
COMMONWEALTH CARE ALLIANCE MEDICAID	MEDICAID	$496.35
COMMUNITY CARE BEHAVORIAL HEALTH	MEDICAID	$496.35
CMH CASS COUNTY	MEDICAID	$496.35
CMH BAY-ARENAC COUNTY	MEDICAID	$496.35
CMH BERRIEN COUNTY	MEDICAID	$496.35
CMH BARRY COUNTY	MEDICAID	$496.35
CMH AUSABLE VALLEY	MEDICAID	$496.35
CMH NORTHERN LAKES COUNTY	MEDICAID	$496.35
CMH MUSKEGON COUNTY	MEDICAID	$496.35
CMH MONTCALM COUNTY	MEDICAID	$496.35
UCARE MEDICAID	MEDICAID	$496.35
CMH MISC	MEDICAID	$496.35
CMH MONROE COUNTY	MEDICAID	$496.35
CMH LIVINGSTON COUNTY	MEDICAID	$496.35
CMH LENAWEE COUNTY	MEDICAID	$496.35
CMH JACKSON COUNTY/LIFEWAYS	MEDICAID	$496.35
CMH KENT COUNTY	MEDICAID	$496.35
CMH GENESEE COUNTY	MEDICAID	$496.35
RX MEDI-CAL	MEDICAID	$496.35
CMH WAYNE COUNTY/CARELINK	MEDICAID	$496.35
CMH WASHTENAW COUNTY	MEDICAID	$496.35
CMH DETROIT WAYNE INTEGRATED HEALTH NETWORK	MEDICAID	$496.35
HARBOR HEALTH	MEDICAID	$496.35
BMC HEALTHNET	MEDICAID	$496.35
AMERIGROUP MEDICAID	MEDICAID	$496.35
CMH WAYNE CTY/COM LIV SVCS	MEDICAID	$496.35
CMH VAN BUREN COUNTY	MEDICAID	$496.35
CMH OTTAWA COUNTY	MEDICAID	$496.35
CMH OAKLAND COUNTY	MEDICAID	$496.35
CMH NEWAYGO COUNTY	MEDICAID	$496.35
HAP MEDICAID	MEDICAID	$496.35
MCLAREN HEALTH MEDICAID	MEDICAID	$496.35
MDWISE	MEDICAID	$496.35
RX MEDICAID	MEDICAID	$496.35
HEALTHY BLUE NE	MEDICAID	$496.35
MO HOME STATE HEALTH PLAN	MEDICAID	$496.35
WASHTENAW HEALTH PLAN	MEDICAID	$496.35
CMH ALLEGAN COUNTY	MEDICAID	$496.35
IOWA TOTAL CARE	MEDICAID	$496.35
HEALTHY BLUE PLUS MO MEDICAID	MEDICAID	$496.35
BLUE PLUS MO MEDICAID	MEDICAID	$496.35
NEXTLEVEL HEALTH	MEDICAID	$496.35
GEISINGER MEDICAID ADVANTAGE	MEDICAID	$496.35
MERIDIAN MEDICAID	MEDICAID	$496.35
FAMILY HEALTH NETWORK	MEDICAID	$496.35
CHILDRENS MEDICAL SERVICES TITLE 19	MEDICAID	$496.35
SUPERIOR HEALTH	MEDICAID	$496.35
BLUE CROSS - DE (HIGHMARK) MEDICAID ADVANTAGE	MEDICAID	$496.35
MARYLAND PHYSICIANS CARE	MEDICAID	$496.35
FREEDOM FIRST HEALTHCARE	MEDICAID	$496.35
DELTA DENTAL NJ	MEDICAID	$496.35
WELLSENSE HEALTH PLAN	MEDICAID	$496.35
PARKLAND COMMUNITY HEALTH PLAN	MEDICAID	$496.35
INDEPENDENT CARE MEDICAID	MEDICAID	$496.35
BLUE CROSS - NJ (HORIZON) MEDICAID ADVANTAGE	MEDICAID	$496.35
MASSACHUSETTS BEHAVIORAL HEALTH PARTNERSHIP	MEDICAID	$496.35
ILLINICARE HEALTH MEDICAID ADVANTAGE	MEDICAID	$496.35
KAISER PERMANENTE MEDICAID ADVANTAGE	MEDICAID	$496.35
BLUE CROSS - MD (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$496.35
BLUE CROSS - DC (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$496.35
CARE CONNECTIONS OF NORTHERN IOWA	MEDICAID	$496.35
MEDICAID - HI	MEDICAID	$496.35
MEDICAID - FL	MEDICAID	$496.35
MEDICAID - GA	MEDICAID	$496.35
MEDICAID - DC	MEDICAID	$496.35
MEDICAID - CT	MEDICAID	$496.35
BMC HEALTHNET	MEDICAID	$496.35
MVP MEDICAID ADVANTAGE	MEDICAID	$496.35
PRIORITY HEALTH MEDICAID	MEDICAID	$496.35
BLUE CROSS COMPLETE - MI	MEDICAID	$496.35
IDAHO WOMENS HEALTH CHECK	MEDICAID	$496.35
FRESNO COUNTY CCS	MEDICAID	$496.35
MEDICAID ADVANTAGE GENERIC	MEDICAID	$496.35
CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE	MEDICAID	$496.35
CARELON HEALTH MEDICAID	MEDICAID	$496.35
BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE	MEDICAID	$496.35
CHHUNY	MEDICAID	$496.35
KEYSTONE FIRST CHC MEDICAID	MEDICAID	$496.35
JAI MEDICAL SYSTEM	MEDICAID	$496.35
HEALTH PLUS PHSP MEDICAID ADV	MEDICAID	$496.35
COMMUNITY CARE PLAN MEDICAID ADVANTAGE	MEDICAID	$496.35
MAGELLAN BEHAVIORAL HEALTH MEDICAID	MEDICAID	$496.35
MEDICAID - KS	MEDICAID	$496.35
MEDICAID - KY	MEDICAID	$496.35
AMERIGROUP MEDICAID	MEDICAID	$496.35
HEALTH SAFETY NET	MEDICAID	$496.35
MEDI-CAL	MEDICAID	$496.35
MEDI-CAL BLUE CROSS	MEDICAID	$496.35
MDWISE	MEDICAID	$496.35
WASHTENAW HEALTH PLAN	MEDICAID	$496.35
MCLAREN HEALTH MEDICAID	MEDICAID	$496.35
HARBOR HEALTH	MEDICAID	$496.35
INDIANA BREAST CERVICAL CANCER	MEDICAID	$496.35
NEW YORK CANCER SERVICES PROGRAM	MEDICAID	$496.35
EMBLEM HEALTH MEDICAID	MEDICAID	$496.35
PHILADELPHIA COUNTY FUNDING	MEDICAID	$496.35
HEALTH NEW ENGLAND MEDICAID ADVANTAGE	MEDICAID	$496.35
DSCC	MEDICAID	$496.35
HIGHMARK WHOLECARE MEDICAID	MEDICAID	$496.35
HAP MEDICAID	MEDICAID	$496.35
COMMUNITY CARE PARTNERS	MEDICAID	$496.35
CONNECTIONS CSP	MEDICAID	$496.35
AFFINITY HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$496.35
COMMUNITY BENEFIT HEALTH	MEDICAID	$496.35
BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$496.35
ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE	MEDICAID	$496.35
TRILLIUM COMMUNITY OHP	MEDICAID	$496.35
PACIFICSOURCE HEALTH PLANS MEDICAID ADVANTAGE	MEDICAID	$496.35
GREEN MOUNTAIN MEDICAID ADVANTAGE	MEDICAID	$496.35
METROPLUS MEDICAID ADVANTAGE	MEDICAID	$496.35
CMH ALLEGAN COUNTY	MEDICAID	$496.35
HURON VALLEY PACE MEDICAID	MEDICAID	$496.35
BCCCP-MICHIGAN	MEDICAID	$496.35
CMH CENTRAL MI COUNTY	MEDICAID	$496.35
CMH BERRIEN COUNTY	MEDICAID	$496.35
CARE WISCONSIN MEDICAID	MEDICAID	$496.35
MEDICAID - MO	MEDICAID	$496.35
MEDICAID - MT	MEDICAID	$496.35
MEDICAID - MS	MEDICAID	$496.35
CENTENE	MEDICAID	$496.35
UPMC MEDICAID ADVANTAGE	MEDICAID	$496.35
MEDICAID - DE	MEDICAID	$496.35
MEDICAID - CO	MEDICAID	$496.35
MEDICAID - AZ	MEDICAID	$496.35
MEDICAID - AR	MEDICAID	$496.35
MEDICAID - AL	MEDICAID	$496.35
MEDICAID - AK	MEDICAID	$496.35
CMH CASS COUNTY	MEDICAID	$496.35
CMH BARRY COUNTY	MEDICAID	$496.35
CMH BAY-ARENAC COUNTY	MEDICAID	$496.35
CMH AUSABLE VALLEY	MEDICAID	$496.35
CMH MISC	MEDICAID	$496.35
CMH LENAWEE COUNTY	MEDICAID	$496.35
CMH JACKSON COUNTY/LIFEWAYS	MEDICAID	$496.35
MEDICAID - MN	MEDICAID	$496.35
MEDICAID - MA	MEDICAID	$496.35
MEDICAID - MD	MEDICAID	$496.35
MEDICAID - NC	MEDICAID	$496.35
MEDICAID - NY	MEDICAID	$496.35
MEDICAID - NJ	MEDICAID	$496.35
MEDICAID - NM	MEDICAID	$496.35
MEDICAID - PA	MEDICAID	$496.35
MEDICAID - OK	MEDICAID	$496.35
MEDICAID - OH	MEDICAID	$496.35
MEDICAID - ND	MEDICAID	$496.35
MEDICAID - WA	MEDICAID	$496.35
MEDICAID - VA	MEDICAID	$496.35
MEDICAID - VT	MEDICAID	$496.35
CMH KENT COUNTY	MEDICAID	$496.35
CMH IONIA COUNTY	MEDICAID	$496.35
CMH CLINTON-EATON-INGHAM COUNTY	MEDICAID	$496.35
CMH GENESEE COUNTY	MEDICAID	$496.35
WELLPOINT MEDICAID	MEDICAID	$496.35
DEAN WI BADGERCARE	MEDICAID	$496.35
GHC SCW WI BADGERCARE	MEDICAID	$496.35
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICAID	MEDICAID	$496.35
MEDICAID - NH	MEDICAID	$496.35
MEDICAID - NV	MEDICAID	$496.35
MEDICAID - SC	MEDICAID	$496.35
MEDICAID - SD	MEDICAID	$496.35
MEDICAID - RI	MEDICAID	$496.35
MEDICAID - TX	MEDICAID	$496.35
MEDICAID - UT	MEDICAID	$496.35
MEDICAID - TN	MEDICAID	$496.35
MARYLAND BREAST & CERVICAL PROGRAM	MEDICAID	$496.35
PACE OF SOUTHWEST MICHIGAN	MEDICAID	$496.35
BREAST GRANT-CONNECTICUT	MEDICAID	$496.35
MEDICAID OOS NHI	MEDICAID	$496.35
MEDICAID - WI	MEDICAID	$496.35
ALBANY COUNTY CORRECTIONAL FACILITY	MEDICAID	$496.35
ROBERT F SING PROGRAM	MEDICAID	$496.35
HUMANA MEDICAID	HUMANA MEDICAID	$496.35
AMERIHEALTH CARITAS MEDICAID	MEDICAID	$496.35
MERCYCARE MEDICAID	MEDICAID	$496.35
UNITY MEDICAID	MEDICAID	$496.35
NEBRASKA TOTAL CARE	MEDICAID	$496.35
WI WOMENS WELLNESS	MEDICAID	$496.35
MANAGED HEALTH SERVICES - INDIANA	MEDICAID	$496.35
MEDICAID - WY	MEDICAID	$496.35
MEDICAID - WV	MEDICAID	$496.35
BLUE CROSS - IL MEDICAID ADVANTAGE	MEDICAID	$496.35
CENPATICO	MEDICAID	$496.35
CMH NORTHERN LAKES COUNTY	MEDICAID	$496.35
CMH OAKLAND COUNTY	MEDICAID	$496.35
CMH MUSKEGON COUNTY	MEDICAID	$496.35
CMH NEWAYGO COUNTY	MEDICAID	$496.35
CMH MONTCALM COUNTY	MEDICAID	$496.35
CMH MONROE COUNTY	MEDICAID	$496.35
CMH LIVINGSTON COUNTY	MEDICAID	$496.35
BUCKEYE HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$496.35
MOLINA CENTENNIAL CARE	MEDICAID	$496.35
PRESTIGE HEALTH CHOICE	MEDICAID	$496.35
BLUE CROSS - NM MEDICAID ADVANTAGE	MEDICAID	$496.35
BLUE CROSS - TN MEDICAID ADVANTAGE	MEDICAID	$496.35
TENNCARE	MEDICAID	$496.35
CARESOURCE MEDICAID	MEDICAID	$496.35
SECURITY HEALTH MEDICAID	MEDICAID	$496.35
RX MEDI-CAL	MEDICAID	$496.35
CMH WAYNE CTY/COM LIV SVCS	MEDICAID	$496.35
CMH WAYNE COUNTY/CARELINK	MEDICAID	$496.35
CMH DETROIT WAYNE INTEGRATED HEALTH NETWORK	MEDICAID	$496.35
CMH WASHTENAW COUNTY	MEDICAID	$496.35
CMH VAN BUREN COUNTY	MEDICAID	$496.35
CMH OTTAWA COUNTY	MEDICAID	$496.35
TRILOGY MEDICAID	MEDICAID	$496.35
UNITED HEALTHCARE MEDICAID	MEDICAID	$496.35
LAKELAND CARE INC	MEDICAID	$496.35
HENNEPIN HEALTH	MEDICAID	$496.35
CHILDRENS MEDICAL CENTER HEALTH PLAN MANAGED MEDICAID	MEDICAID	$496.35
CMH MACOMB	MEDICAID	$496.35
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MEDICAID	$496.35
SANDHILLS CENTER LME	MEDICAID	$496.35
VAYA HEALTH LME	MEDICAID	$496.35
PARTNERS BEHAVIORAL LME	MEDICAID	$496.35
CARDINAL INNOVATIONS LME	MEDICAID	$496.35
STEPHENSON CTY HEALTH	MEDICAID	$496.35
DELAWARE COUNTY DEPARTMENT OF HEALTH	MEDICAID	$496.35
RYAN WHITE FLORIDA MSSRP	MEDICAID	$496.35
ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL	MEDICAID	$496.35
IDAHO DEPT HEALTH AND WELLFARE	MEDICAID	$496.35
CMH KALAMAZOO	MEDICAID	$496.35
BLUE CROSS - SC MEDICAID ADVANTAGE	MEDICAID	$496.35
EASTPOINTE LME	MEDICAID	$496.35
HEALTHFIRST MEDICAID ADVANTAGE	MEDICAID	$496.35
FIDELIS CARE MEDICAID ADVANTAGE	MEDICAID	$496.35
PRESBYTERIAN CENTENNIAL CARE	MEDICAID	$496.35
PRIORITY PARTNERS	MEDICAID	$496.35
FIRSTCARE MEDICAID	MEDICAID	$496.35
MEDICAID - ME	MEDICAID	$496.35
MEDICAID - LA	MEDICAID	$496.35
VNSNY CHOICE MEDICAID	MEDICAID	$496.35
TEXAS CHILDREN'S HEALTH PLAN	MEDICAID	$496.35
COMMUNITY HEALTH CHOICE	MEDICAID	$496.35
TUFTS HEALTH PUBLIC PLANS	MEDICAID	$496.35
SIMPLY HEALTHCARE MEDICAID	MEDICAID	$496.35
KEYSTONE FIRST CHIP	MEDICAID	$496.35
DPH TB PROGRAM	MEDICAID	$496.35
MEDICAID MA QMB	MEDICAID	$496.35
MEDICAID - NY SSL	MEDICAID	$496.35
OREGON SCREENWISE	MEDICAID	$496.35
SCREENING FOR LIFE	MEDICAID	$496.35
GROUP HEALTH COOPERATIVE MEDICAID	MEDICAID	$496.35
ICARE MEDICAID	MEDICAID	$496.35
DEAN HEALTH MEDICAID	MEDICAID	$496.35
COMMUNITY CARE MEDICAID	MEDICAID	$496.35
BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$496.35
CHILDRENS COMM HEALTH PLAN	MEDICAID	$496.35
AETNA MEDICAID	MEDICAID	$496.35
COUNTY CARE MEDICAID	MEDICAID	$496.35
ALLWELL MEDICAID ADVANTAGE	MEDICAID	$496.35
ID COUNTY ADA	MEDICAID	$496.35
COMMONWEALTH CARE ALLIANCE MEDICAID	MEDICAID	$496.35
RX ASSISTANCE/RX MANUFACTURER ASSISTANCE 0 COPAY	MEDICAID	$496.35
RX MERIDIAN RX	MEDICAID	$496.35
RX 340B PASS ALONG	MEDICAID	$496.35
ID COUNTY OTHER	MEDICAID	$496.35
ID COUNTY PAYETTE	MEDICAID	$496.35
ID COUNTY CAT FUND	MEDICAID	$496.35
BROWARD COUNTY DEPT OF HEALTH	MEDICAID	$496.35
PEACH STATE HEALTHPLAN	MEDICAID	$496.35
CMH WEST MI COUNTY	MEDICAID	$496.35
PARAMOUNT ADVANTAGE	MEDICAID	$496.35
MODA PLUS MEDICAID ADVANTAGE	MEDICAID	$496.35
BLUE CROSS - ID MEDICAID ADVANTAGE	MEDICAID	$496.35
KEYSTONE FIRST	MEDICAID	$496.35
BLUE CROSS - OH (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$496.35
AMISH MENNONITE	MEDICAID	$496.35
MEDSTAR DC HEALTHY FAMILY	MEDICAID	$496.35
MEDICAID SPENDDOWN	MEDICAID	$496.35
CMH NORTH COUNTRY	MEDICAID	$496.35
CALIFORNIA HEALTH AND WELLNESS	MEDICAID	$496.35
MEDSTAR MD HEALTH CHOICE	MEDICAID	$496.35
DELAWARE FIRST HEALTH	MEDICAID	$496.35
LA CARE HEALTH PLAN	MEDICAID	$496.35
KERN FAMILY HEALTH PLAN	MEDICAID	$496.35
INLAND EMPIRE HEALTH PLAN	MEDICAID	$496.35
COUNTY FUNDING GENERIC	MEDICAID	$496.35
CENCAL HEALTH PLAN	MEDICAID	$496.35
CITY OF PHILADELPHIA	MEDICAID	$496.35
ST JOSEPH COUNTY HLTH DPT	MEDICAID	$496.35
COUNTY CORONER	MEDICAID	$496.35
NASCENTIA HEALTH OPTIONS	MEDICAID	$496.35
GEISINGER MEDICAID ADVANTAGE	MEDICAID	$496.35
UCARE MEDICAID	MEDICAID	$496.35
MARYLAND HEALTHY SMILES - SCION DENTAL	MEDICAID	$496.35
CARE OREGON OHP	MEDICAID	$496.35
NEXTLEVEL HEALTH	MEDICAID	$496.35
CIGNA MEDICAID ADVANTAGE	MEDICAID	$496.35
POSITIVE HEALTHCARE PARTNERS MEDICAID	MEDICAID	$496.35
HEALTHY BLUE PLUS MO MEDICAID	MEDICAID	$496.35
HEALTHY BLUE NE	MEDICAID	$496.35
MO HOME STATE HEALTH PLAN	MEDICAID	$496.35
FAMILY HEALTH NETWORK	MEDICAID	$496.35
MERIDIAN MEDICAID	MEDICAID	$496.35
RX MEDICAID	MEDICAID	$496.35
SOUTH COUNTRY HEALTH ALLIANCE MEDICAID	MEDICAID	$496.35
MEDICAID PENDING	MEDICAID	$496.35
JEFFERSON HEALTH PLANS MEDICAID	MEDICAID	$496.35
IOWA TOTAL CARE	MEDICAID	$496.35
BLUE PLUS MO MEDICAID	MEDICAID	$496.35
BCCP	MEDICAID	$496.35
INTERCOMMUNITY HEALTH OHP	MEDICAID	$496.35
COUNTY CARE MEDICAID ADVANTAGE	MEDICAID	$496.35
TOTAL HEALTH CARE MEDICAID	MEDICAID	$496.35
MEDI-CAL HEALTHNET	MEDICAID	$496.35
PARAMOUNT MEDICAID ADVANTAGE	MEDICAID	$496.35
COMMUNITY CARE BEHAVORIAL HEALTH	MEDICAID	$496.35
ID COUNTY CANYON	MEDICAID	$496.35
FALLON HEALTH MEDICAID ADVANTAGE	MEDICAID	$496.35
MEDICAID - IA	MEDICAID	$496.35
MEDICAID - IN	MEDICAID	$496.35
MEDICAID - OR	MEDICAID	$502.10
MEDICAID - OR	MEDICAID	$502.10
MEDICAID - OR	MEDICAID	$502.10
SUNSHINE STATE HEALTH PLAN	SUNSHINE STATE HEALTH MEDICAID	$511.24
WELLCARE MEDICAID	SUNSHINE STATE HEALTH MEDICAID	$511.24
SUNSHINE STATE HEALTH PLAN	SUNSHINE STATE HEALTH MEDICAID	$511.24
WELLCARE MEDICAID	SUNSHINE STATE HEALTH MEDICAID	$511.24
SUNSHINE STATE HEALTH PLAN	SUNSHINE STATE HEALTH MEDICAID	$521.17
WELLCARE MEDICAID	SUNSHINE STATE HEALTH MEDICAID	$521.17
CAREPLUS HEALTH PLANS	CAREPLUS MEDICARE ADVANTAGE	$530.29
MOLINA MEDICAID	MOLINA MEDICAID	$545.99
MOLINA MEDICAID	MOLINA MEDICAID	$545.99
MOLINA MEDICAID	MOLINA MEDICAID	$545.99
PREFERRED CARE PARTNERS	PREFERRED CARE PARTNERS MEDICARE ADV	$561.48
BLUE CROSS - FL	BCBS TRULI FOR HEALTH	$579.31
BLUE CROSS - FL	BCBS TRULI FOR HEALTH	$579.31
MEDICAID - MI	MEDICAID	$621.11
CARELON HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - OK MEDICARE ADVANTAGE	MEDICARE	$623.87
SUNNYVIEW-PACE FINANCE DEPT	MEDICARE	$623.87
HEALTH NEW ENGLAND MEDICARE ADVANTAGE	MEDICARE	$623.87
MCLAREN HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
OPTUM MEDICARE TRANSPLANT	MEDICARE	$623.87
ESSENCE MEDICARE HMO	MEDICARE	$623.87
BLUE CROSS - WV (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE SHIELD - ID (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$623.87
CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE	MEDICARE	$623.87
MEDSTAR MEDICARE ADVANTAGE	MEDICARE	$623.87
MARTINS POINT GENERATIONS ADVANTAGE	MEDICARE	$623.87
AMERICAN HEALTH ADVANTAGE OF IDAHO	MEDICARE	$623.87
MODA HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
OPTIMUM HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$623.87
IMPERIAL HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$623.87
HUMANA MEDICARE TRANSPLANT	MEDICARE	$623.87
EVERENCE	MEDICARE	$623.87
OSCAR MEDICARE ADVANTAGE	MEDICARE	$623.87
WELLSENSE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$623.87
TRISTATE BENEFIT SOLUTIONS MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE SHIELD - PA (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - MT MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE SHIELD - NY HIGHMARK WESTERN MEDICARE ADVANTAGE	MEDICARE	$623.87
EMBLEM HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
ILLINICARE HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
SUNSHINE HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
EDDY SENIOR CARE-PACE	MEDICARE	$623.87
BLUE SHIELD - NY HIGHMARK NORTHEASTERN MEDICARE ADVANTAGE	MEDICARE	$623.87
ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE	MEDICARE	$623.87
MEDICA MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - NM MEDICARE ADVANTAGE	MEDICARE	$623.87
MEDICARE ADVANTAGE GENERIC	MEDICARE	$623.87
BLUE CROSS - NY (EXCELLUS) MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE SHIELD - DE (HIGHMARK) MEDCIARE ADVANTAGE	MEDICARE	$623.87
EVERCARE	MEDICARE	$623.87
AETNA MEDICARE TRANSPLANT	MEDICARE	$623.87
BLUE SHIELD - CA MEDICARE ADVANTAGE	MEDICARE	$623.87
MICHIGAN COMPLETE HEALTH	MEDICARE	$623.87
BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
CORE CARE SELECT MEDICARE ADVANTAGE	MEDICARE	$623.87
HEALTHNET MEDICARE ADVANTAGE	MEDICARE	$623.87
SELECTHEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
SIMPLY HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$623.87
CARECENTRIX MEDICARE ADVANTAGE	MEDICARE	$623.87
TRIBUTE HEALTH PLANS	MEDICARE	$623.87
BRAND NEW DAY MEDICARE ADVANTAGE	MEDICARE	$623.87
TOTAL COMM CARE MEDICARE REPL	MEDICARE	$623.87
THOME PACE	MEDICARE	$623.87
HEALTH ALLIANCE MEDICARE ADVANTAGE	MEDICARE	$623.87
TUFTS MEDICARE ADVANTAGE	MEDICARE	$623.87
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$623.87
PREFERRED CARE PARTNERS	PREFERRED CARE PARTNERS MEDICARE ADV	$623.87
EON HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
RX MEDICARE	MEDICARE	$623.87
GEORGIA HEALTH ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
PACE IOWA IMMANUEL PATHWAYS	MEDICARE	$623.87
CLOVER HEALTH	MEDICARE	$623.87
HORIZON NJ TOTAL CARE	MEDICARE	$623.87
AMERIHEALTH MEDICARE	MEDICARE	$623.87
PACIFICSOURCE HEALTH PLANS MEDICARE ADVANTAGE	MEDICARE	$623.87
MEDICARE PUERTO RICO	MEDICARE	$623.87
UNION HEALTH SERVICE	MEDICARE	$623.87
CAREFIRST MEDICARE ADVANTAGE	MEDICARE	$623.87
PACE-TRINITY HEALTH	MEDICARE	$623.87
HURON VALLEY PACE	MEDICARE	$623.87
PACE OF SOUTHWEST MICHIGAN	MEDICARE	$623.87
TODAYS OPTIONS	MEDICARE	$623.87
PACE SOUTHEAST	MEDICARE	$623.87
LONGEVITY IPA OF MICHIGAN LLC HEALTH PLAN ISNP	MEDICARE	$623.87
PHP MEDICARE	MEDICARE	$623.87
ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - NY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
MERCY LIFE	MEDICARE	$623.87
JEFFERSON HEALTH PLANS MEDICARE	MEDICARE	$623.87
SIOUXLAND PACE	MEDICARE	$623.87
BLUE CROSS - NE MEDICARE ADVANTAGE	MEDICARE	$623.87
TOTAL HEALTHCARE MEDICARE SNP	MEDICARE	$623.87
BLUE CROSS - OR (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$623.87
FRESNO PACE MEDICARE	MEDICARE	$623.87
CONNECTICARE VIP MEDICARE	MEDICARE	$623.87
PARAMOUNT MEDICARE ADVANTAGE	MEDICARE	$623.87
LIFECIRCLES PACE	MEDICARE	$623.87
CENTRAL VALLEY MEDICAL SERVICES CORP PACE	MEDICARE	$623.87
GATEWAY HEALTH PLAN	MEDICARE	$623.87
BLUE CROSS - PA (INDEPENDENCE) MEDICARE ADVANTAGE	MEDICARE	$623.87
PRUITTHEALTH PREMIER	MEDICARE	$623.87
INNOVATIVE INTEGRATED HEALTH COMMUNITY PLANS	MEDICARE	$623.87
HEALTH AMERICA ADVANTRA	MEDICARE	$623.87
WELBE HEALTH	MEDICARE	$623.87
HAP EMPOWERED MI HEALTH LINK MEDICARE DUAL	MEDICARE	$623.87
KEYSTONE FIRST CHC MEDICARE ADVANTAGE	MEDICARE	$623.87
HIGHMARK WHOLECARE MEDICARE ADVANTAGE	MEDICARE	$623.87
ALLY ALIGN CARE ADV	MEDICARE	$623.87
SCAN HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$623.87
POSITIVE HEALTHCARE PARTNERS MEDICARE	POSITIVE HEALTH PARTNERS MEDICARE ADV	$623.87
BCBS MEDICARE ADVANTAGE GENERIC	MEDICARE	$623.87
CCA - ZING HEALTH	MEDICARE	$623.87
LASSO HEALTHCARE MSA	MEDICARE	$623.87
SERENITY PACE	MEDICARE	$623.87
HUMANA CENTRAL VALLEY MEDPRO	MEDICARE	$623.87
MERCYONE CEDAR VALLEY	MEDICARE	$623.87
BUCKEYE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$623.87
PACE CNY	MEDICARE	$623.87
PROVIDER PARTNERS HEALTH PLAN OF INDIANA	MEDICARE	$623.87
SANFORD HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$623.87
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS	MEDICARE	$623.87
LONGEVITY HEALTH PLAN	MEDICARE	$623.87
RX ALLWIN	MEDICARE	$623.87
AMERICAN HEALTH PLAN	MEDICARE	$623.87
CENTRAL HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
IOWA HEALTH ADVANTAGE	MEDICARE	$623.87
UNIVERSAL MEDICARE	MEDICARE	$623.87
VNSNY CHOICE MEDICARE	MEDICARE	$623.87
AETNA MEDICARE ASSURE PREMIER HMO D-SNP	MEDICARE	$623.87
PROMINENCE MEDICARE	MEDICARE	$623.87
HIGHMARK HEALTH OPTIONS DUAL PLAN	MEDICARE	$623.87
PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	MEDICARE	$623.87
BLUE CROSS - ID MEDICARE ADVANTAGE	MEDICARE	$623.87
PERENNIAL ADVANTAGE	MEDICARE	$623.87
RX ALLWIN	MEDICARE	$623.87
RX MEDICARE PART B	MEDICARE	$623.87
HUDSON HEADWATERS PACE	MEDICARE	$623.87
SOUTH COUNTRY HEALTH ALLIANCE MEDICARE	MEDICARE	$623.87
SCAN HEALTH PLAN MCR IPA MERITAGE OON	MEDICARE	$623.87
ANTHEM MYCARE OHIO	MEDICARE	$623.87
CHAMPION HEALTH PLAN MCR ADVANTAGE	MEDICARE	$623.87
COMMONWEALTH CARE ALLIANCE MEDICARE	MEDICARE	$623.87
MASS GENERAL BRIGHAM MCR ADV	MEDICARE	$623.87
BLUE CARE NETWORK ADVANTAGE	MEDICARE	$623.87
NASCENTIA HEALTH PLUS	MEDICARE	$623.87
PRIME HEALTH SERVICES MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - KY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
RX RETIREE RX CARE	MEDICARE	$623.87
UPMC MEDICARE ADVANTAGE	MEDICARE	$623.87
RX CARELONRX MEDICARE	MEDICARE	$623.87
BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
UNIVERA HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$623.87
COMMUNITY PACE AT HOME	MEDICARE	$623.87
RELIANCE COMMUNITY CARE PARTNERS CARE RESOURCES PACE	MEDICARE	$623.87
RX GRANE GRNMEDD	MEDICARE	$623.87
GENESYS PACE OF GENESEE COUNTY	MEDICARE	$623.87
GPA CROELL REDI MIX	MEDICARE	$623.87
CAREPLUS HEALTH PLANS	CAREPLUS MEDICARE ADVANTAGE	$623.87
AVMED MEDICARE	AVMED MEDICARE ADVANTAGE	$623.87
MEDICARE ALTERNATE PAYOR	MEDICARE	$623.87
COMMONWEALTH CARE ALLIANCE	MEDICARE	$623.87
FIDELIS MEDICARE	MEDICARE	$623.87
HARVARD PILGRIM STRIDE MEDICARE	MEDICARE	$623.87
PRESBYTERIAN SENIOR PLAN	MEDICARE	$623.87
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$623.87
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$623.87
UCARE MEDICARE	MEDICARE	$623.87
CARESOURCE MEDICARE	MEDICARE	$623.87
CARE DIMENSIONS	MEDICARE	$623.87
HOPE SELECT PACE	MEDICARE	$623.87
LIFE ST MARYS PACE	MEDICARE	$623.87
BLUE CROSS - MN MEDICARE ADVANTAGE	MEDICARE	$623.87
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICARE	MEDICARE	$623.87
MOLINA MEDICARE ADVANTAGE	MEDICARE	$623.87
MI HEALTHLINK MEDICARE	MEDICARE	$623.87
GLOBAL MEDICARE ADVANTAGE	MEDICARE	$623.87
UM HEALTH ADVANTAGE	MEDICARE	$623.87
AURORA SPECIAL NEEDS	MEDICARE	$623.87
ALLWELL MEDICARE ADVANTAGE	MEDICARE	$623.87
MOLINA MEDICARE ADVANTAGE	MEDICARE	$623.87
HAP MEDICARE ADVANTAGE	MEDICARE	$623.87
ELEMENTCARE	MEDICARE	$623.87
BLUE CROSS - RI MEDICARE ADVANTAGE	MEDICARE	$623.87
PRIORITY HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
PEAK PACE SOLUTIONS	MEDICARE	$623.87
MEDICAL MUTUAL MEDICARE	MEDICARE	$623.87
CLEAR SPRING HEALTH	MEDICARE	$623.87
BLUE CROSS - FL MEDICARE ADVANTAGE	BCBS MEDICARE ADVANTAGE	$623.87
WELLPOINT MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
GOLD ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - MI MEDICARE ADVANTAGE	MEDICARE	$623.87
UNITED HEALTHCARE MEDICARE	UHC MEDICARE ADVANTAGE	$623.87
MERIDIAN COMPLETE	MEDICARE	$623.87
BLUE CROSS - TN MEDICARE ADVANTAGE	MEDICARE	$623.87
CCA SENIOR CARE OPTIONS	MEDICARE	$623.87
MVP MEDICARE ADVANTAGE	MEDICARE	$623.87
HEALTH PARTNERS MEDICARE ADVANTAGE	MEDICARE	$623.87
AETNA MEDICARE ADVANTAGE	AETNA MEDICARE ADVANTAGE	$623.87
DEAN HEALTH MEDICARE SELECT	MEDICARE	$623.87
ICARE MEDICARE ADVANTAGE	MEDICARE	$623.87
CARE WISCONSIN MEDICARE	MEDICARE	$623.87
WELLMED	MEDICARE	$623.87
HEALTHFIRST MEDICARE ADVANTAGE	MEDICARE	$623.87
MEDICARE	MEDICARE	$623.87
OSU PRIME CARE ADVANTAGE	MEDICARE	$623.87
MEDIPAK ADVANTAGE	MEDICARE	$623.87
JOHNS HOPKINS ADVANTAGE MD	MEDICARE	$623.87
CONNECTICARE VIP MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - TX MEDICARE ADVANTAGE	MEDICARE	$623.87
CARE IMPROVEMENT PLUS	MEDICARE	$623.87
BLUE CROSS - WI (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
MEDIGOLD MEDICARE ADVANTAGE	MEDICARE	$623.87
FALLON HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
KAISER PERMANENTE MEDICARE ADVANTAGE	MEDICARE	$623.87
EDDY SENIORCARE PACE	MEDICARE	$623.87
BLUE CROSS - IL MEDICARE ADVANTAGE	MEDICARE	$623.87
COVENTRY MEDICARE ADVANTAGE	MEDICARE	$623.87
ADVANTRA FREEDOM MEDICARE ADVANTAGE	MEDICARE	$623.87
THE HEALTH PLAN	MEDICARE	$623.87
BLUE CROSS - NC MEDICARE ADVANTAGE	MEDICARE	$623.87
CARE RESOURCES PACE	MEDICARE	$623.87
TEXAN PLUS	MEDICARE	$623.87
BLUE CROSS - MS MEDICARE ADVANTAGE	MEDICARE	$623.87
SECURE HORIZONS MA PFFS	MEDICARE	$623.87
ALIGN SENIOR CARE	MEDICARE	$623.87
CIGNA MEDICARE ADVANTAGE	CIGNA MEDICARE ADVANTAGE	$623.87
NETWORK MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - MA MEDICARE ADVANTAGE	MEDICARE	$623.87
FREEDOM HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
HARVARD PILGRIM MEDICARE	MEDICARE	$623.87
UNICARE MEDICARE ADVANTAGE	MEDICARE	$623.87
PHOENIX MEDICARE ADVANTAGE	MEDICARE	$623.87
SECURITY HEALTH MEDICARE	MEDICARE	$623.87
FRESNO PACE MEDICARE	MEDICARE	$623.87
HIGHMARK WHOLECARE MEDICARE ADVANTAGE	MEDICARE	$623.87
PHP MEDICARE	MEDICARE	$623.87
MERCY LIFE	MEDICARE	$623.87
ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - OR (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$623.87
LASSO HEALTHCARE MSA	MEDICARE	$623.87
PACE OF SOUTHWEST MICHIGAN	MEDICARE	$623.87
SIOUXLAND PACE	MEDICARE	$623.87
PACE-TRINITY HEALTH	MEDICARE	$623.87
SERENITY PACE	MEDICARE	$623.87
SOUTH COUNTRY HEALTH ALLIANCE MEDICARE	MEDICARE	$623.87
JEFFERSON HEALTH PLANS MEDICARE	MEDICARE	$623.87
WELBE HEALTH	MEDICARE	$623.87
PACE CNY	MEDICARE	$623.87
HURON VALLEY PACE	MEDICARE	$623.87
CENTRAL VALLEY MEDICAL SERVICES CORP PACE	MEDICARE	$623.87
BLUE CROSS - PA (INDEPENDENCE) MEDICARE ADVANTAGE	MEDICARE	$623.87
HEALTH AMERICA ADVANTRA	MEDICARE	$623.87
IOWA HEALTH ADVANTAGE	MEDICARE	$623.87
SCAN HEALTH PLAN MCR IPA MERITAGE OON	MEDICARE	$623.87
HUDSON HEADWATERS PACE	MEDICARE	$623.87
MASS GENERAL BRIGHAM MCR ADV	MEDICARE	$623.87
CENTRAL HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
HUMANA CENTRAL VALLEY MEDPRO	MEDICARE	$623.87
ALLY ALIGN CARE ADV	MEDICARE	$623.87
PRUITTHEALTH PREMIER	MEDICARE	$623.87
INNOVATIVE INTEGRATED HEALTH COMMUNITY PLANS	MEDICARE	$623.87
BLUE CROSS - ID MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CARE NETWORK ADVANTAGE	MEDICARE	$623.87
RX ALLWIN	MEDICARE	$623.87
RX ALLWIN	MEDICARE	$623.87
RX MEDICARE PART B	MEDICARE	$623.87
SANFORD HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$623.87
GATEWAY HEALTH PLAN	MEDICARE	$623.87
SCAN HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$623.87
LONGEVITY HEALTH PLAN	MEDICARE	$623.87
PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	MEDICARE	$623.87
PACE IOWA IMMANUEL PATHWAYS	MEDICARE	$623.87
COMMONWEALTH CARE ALLIANCE MEDICARE	MEDICARE	$623.87
PROVIDER PARTNERS HEALTH PLAN OF INDIANA	MEDICARE	$623.87
AVMED MEDICARE	AVMED MEDICARE ADVANTAGE	$623.87
UNIVERSAL MEDICARE	MEDICARE	$623.87
NASCENTIA HEALTH PLUS	MEDICARE	$623.87
ANTHEM MYCARE OHIO	MEDICARE	$623.87
PROMINENCE MEDICARE	MEDICARE	$623.87
CHAMPION HEALTH PLAN MCR ADVANTAGE	MEDICARE	$623.87
AETNA MEDICARE ASSURE PREMIER HMO D-SNP	MEDICARE	$623.87
PERENNIAL ADVANTAGE	MEDICARE	$623.87
HIGHMARK HEALTH OPTIONS DUAL PLAN	MEDICARE	$623.87
PRIME HEALTH SERVICES MEDICARE ADVANTAGE	MEDICARE	$623.87
GPA CROELL REDI MIX	MEDICARE	$623.87
FIDELIS MEDICARE	MEDICARE	$623.87
GENESYS PACE OF GENESEE COUNTY	MEDICARE	$623.87
MEDICARE ALTERNATE PAYOR	MEDICARE	$623.87
RELIANCE COMMUNITY CARE PARTNERS CARE RESOURCES PACE	MEDICARE	$623.87
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS	MEDICARE	$623.87
AMERICAN HEALTH PLAN	MEDICARE	$623.87
BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
UPMC MEDICARE ADVANTAGE	MEDICARE	$623.87
UNIVERA HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$623.87
TOTAL HEALTHCARE MEDICARE SNP	MEDICARE	$623.87
CONNECTICARE VIP MEDICARE	MEDICARE	$623.87
RX CARELONRX MEDICARE	MEDICARE	$623.87
COMMONWEALTH CARE ALLIANCE	MEDICARE	$623.87
HAP EMPOWERED MI HEALTH LINK MEDICARE DUAL	MEDICARE	$623.87
BLUE CROSS - NY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
POSITIVE HEALTHCARE PARTNERS MEDICARE	POSITIVE HEALTH PARTNERS MEDICARE ADV	$623.87
TODAYS OPTIONS	MEDICARE	$623.87
BLUE CROSS - KY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - NE MEDICARE ADVANTAGE	MEDICARE	$623.87
PARAMOUNT MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - FL	BCBS TRULI FOR HEALTH	$623.87
PACE SOUTHEAST	MEDICARE	$623.87
LIFECIRCLES PACE	MEDICARE	$623.87
BCBS MEDICARE ADVANTAGE GENERIC	MEDICARE	$623.87
CCA - ZING HEALTH	MEDICARE	$623.87
COMMUNITY PACE AT HOME	MEDICARE	$623.87
UNION HEALTH SERVICE	MEDICARE	$623.87
MERCYONE CEDAR VALLEY	MEDICARE	$623.87
MEDICARE PUERTO RICO	MEDICARE	$623.87
KEYSTONE FIRST CHC MEDICARE ADVANTAGE	MEDICARE	$623.87
BUCKEYE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$623.87
CAREFIRST MEDICARE ADVANTAGE	MEDICARE	$623.87
LONGEVITY IPA OF MICHIGAN LLC HEALTH PLAN ISNP	MEDICARE	$623.87
RX RETIREE RX CARE	MEDICARE	$623.87
RX GRANE GRNMEDD	MEDICARE	$623.87
VNSNY CHOICE MEDICARE	MEDICARE	$623.87
EDDY SENIOR CARE-PACE	MEDICARE	$623.87
BLUE CROSS - NM MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - OK MEDICARE ADVANTAGE	MEDICARE	$623.87
SUNNYVIEW-PACE FINANCE DEPT	MEDICARE	$623.87
MVP MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - NC MEDICARE ADVANTAGE	MEDICARE	$623.87
UM HEALTH ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
WELLMED	MEDICARE	$623.87
CARE IMPROVEMENT PLUS	MEDICARE	$623.87
CONNECTICARE VIP MEDICARE ADVANTAGE	MEDICARE	$623.87
KAISER PERMANENTE MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - TX MEDICARE ADVANTAGE	MEDICARE	$623.87
EDDY SENIORCARE PACE	MEDICARE	$623.87
MEDIPAK ADVANTAGE	MEDICARE	$623.87
JOHNS HOPKINS ADVANTAGE MD	MEDICARE	$623.87
BLUE CROSS - TN MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE	MEDICARE	$623.87
CARESOURCE MEDICARE	MEDICARE	$623.87
MEDICAL MUTUAL MEDICARE	MEDICARE	$623.87
MOLINA MEDICARE ADVANTAGE	MEDICARE	$623.87
CLEAR SPRING HEALTH	MEDICARE	$623.87
ICARE MEDICARE ADVANTAGE	MEDICARE	$623.87
EVERENCE	MEDICARE	$623.87
BLUE CROSS - MT MEDICARE ADVANTAGE	MEDICARE	$623.87
SECURE HORIZONS MA PFFS	MEDICARE	$623.87
HARVARD PILGRIM MEDICARE	MEDICARE	$623.87
HOPE SELECT PACE	MEDICARE	$623.87
HEALTHFIRST MEDICARE ADVANTAGE	MEDICARE	$623.87
GOLD ADVANTAGE	MEDICARE	$623.87
HEALTH PARTNERS MEDICARE ADVANTAGE	MEDICARE	$623.87
CARE RESOURCES PACE	MEDICARE	$623.87
ALIGN SENIOR CARE	MEDICARE	$623.87
UNICARE MEDICARE ADVANTAGE	MEDICARE	$623.87
AURORA SPECIAL NEEDS	MEDICARE	$623.87
LIFE ST MARYS PACE	MEDICARE	$623.87
WELLPOINT MEDICARE ADVANTAGE	MEDICARE	$623.87
THOME PACE	MEDICARE	$623.87
HARVARD PILGRIM STRIDE MEDICARE	MEDICARE	$623.87
ESSENCE MEDICARE HMO	MEDICARE	$623.87
OPTUM MEDICARE TRANSPLANT	MEDICARE	$623.87
HUMANA MEDICARE TRANSPLANT	MEDICARE	$623.87
MEDSTAR MEDICARE ADVANTAGE	MEDICARE	$623.87
MARTINS POINT GENERATIONS ADVANTAGE	MEDICARE	$623.87
BLUE SHIELD - PA (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$623.87
CARE WISCONSIN MEDICARE	MEDICARE	$623.87
HAP MEDICARE ADVANTAGE	MEDICARE	$623.87
MEDIGOLD MEDICARE ADVANTAGE	MEDICARE	$623.87
OSU PRIME CARE ADVANTAGE	MEDICARE	$623.87
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$623.87
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$623.87
DEAN HEALTH MEDICARE SELECT	MEDICARE	$623.87
ADVANTRA FREEDOM MEDICARE ADVANTAGE	MEDICARE	$623.87
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - WV (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$623.87
AMERICAN HEALTH ADVANTAGE OF IDAHO	MEDICARE	$623.87
PRIORITY HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
AETNA MEDICARE TRANSPLANT	MEDICARE	$623.87
BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
TRIBUTE HEALTH PLANS	MEDICARE	$623.87
CARECENTRIX MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - NY (EXCELLUS) MEDICARE ADVANTAGE	MEDICARE	$623.87
MOLINA MEDICARE ADVANTAGE	MEDICARE	$623.87
TOTAL COMM CARE MEDICARE REPL	MEDICARE	$623.87
ALLWELL MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - MI MEDICARE ADVANTAGE	MEDICARE	$623.87
COVENTRY MEDICARE ADVANTAGE	MEDICARE	$623.87
CIGNA MEDICARE ADVANTAGE	CIGNA MEDICARE ADVANTAGE	$623.87
BLUE SHIELD - CA MEDICARE ADVANTAGE	MEDICARE	$623.87
MEDICARE ADVANTAGE GENERIC	MEDICARE	$623.87
BLUE SHIELD - DE (HIGHMARK) MEDCIARE ADVANTAGE	MEDICARE	$623.87
OSCAR MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE SHIELD - NY HIGHMARK NORTHEASTERN MEDICARE ADVANTAGE	MEDICARE	$623.87
EVERCARE	MEDICARE	$623.87
BLUE SHIELD - ID (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$623.87
PHOENIX MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - WI (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - IL MEDICARE ADVANTAGE	MEDICARE	$623.87
MICHIGAN COMPLETE HEALTH	MEDICARE	$623.87
BLUE CROSS - MN MEDICARE ADVANTAGE	MEDICARE	$623.87
THE HEALTH PLAN	MEDICARE	$623.87
PEAK PACE SOLUTIONS	MEDICARE	$623.87
MERIDIAN COMPLETE	MEDICARE	$623.87
GEORGIA HEALTH ADVANTAGE	MEDICARE	$623.87
ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
OPTIMUM HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$623.87
UCARE MEDICARE	MEDICARE	$623.87
UNITED HEALTHCARE MEDICARE	UHC MEDICARE ADVANTAGE	$623.87
SECURITY HEALTH MEDICARE	MEDICARE	$623.87
CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE SHIELD - NY HIGHMARK WESTERN MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICARE	MEDICARE	$623.87
NETWORK MEDICARE ADVANTAGE	MEDICARE	$623.87
MODA HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
CORE CARE SELECT MEDICARE ADVANTAGE	MEDICARE	$623.87
MI HEALTHLINK MEDICARE	MEDICARE	$623.87
BLUE CROSS - RI MEDICARE ADVANTAGE	MEDICARE	$623.87
CARE DIMENSIONS	MEDICARE	$623.87
ELEMENTCARE	MEDICARE	$623.87
BLUE CROSS - MA MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - MS MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - FL MEDICARE ADVANTAGE	BCBS MEDICARE ADVANTAGE	$623.87
CLOVER HEALTH	MEDICARE	$623.87
BRAND NEW DAY MEDICARE ADVANTAGE	MEDICARE	$623.87
WELLSENSE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$623.87
MEDICA MEDICARE ADVANTAGE	MEDICARE	$623.87
EMBLEM HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
HEALTH NEW ENGLAND MEDICARE ADVANTAGE	MEDICARE	$623.87
PACIFICSOURCE HEALTH PLANS MEDICARE ADVANTAGE	MEDICARE	$623.87
MCLAREN HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
IMPERIAL HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$623.87
HEALTHNET MEDICARE ADVANTAGE	MEDICARE	$623.87
ILLINICARE HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
HEALTH ALLIANCE MEDICARE ADVANTAGE	MEDICARE	$623.87
EON HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
SIMPLY HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$623.87
SELECTHEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
HORIZON NJ TOTAL CARE	MEDICARE	$623.87
AMERIHEALTH MEDICARE	MEDICARE	$623.87
SUNSHINE HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
TUFTS MEDICARE ADVANTAGE	MEDICARE	$623.87
RX MEDICARE	MEDICARE	$623.87
TRISTATE BENEFIT SOLUTIONS MEDICARE ADVANTAGE	MEDICARE	$623.87
AETNA MEDICARE ADVANTAGE	AETNA MEDICARE ADVANTAGE	$623.87
MEDICARE	MEDICARE	$623.87
PRESBYTERIAN SENIOR PLAN	MEDICARE	$623.87
GLOBAL MEDICARE ADVANTAGE	MEDICARE	$623.87
CCA SENIOR CARE OPTIONS	MEDICARE	$623.87
CARELON HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
FALLON HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
TEXAN PLUS	MEDICARE	$623.87
FREEDOM HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
GENESYS PACE OF GENESEE COUNTY	MEDICARE	$623.87
MEDICARE ALTERNATE PAYOR	MEDICARE	$623.87
RELIANCE COMMUNITY CARE PARTNERS CARE RESOURCES PACE	MEDICARE	$623.87
BLUE CARE NETWORK ADVANTAGE	MEDICARE	$623.87
RX MEDICARE PART B	MEDICARE	$623.87
COMMONWEALTH CARE ALLIANCE	MEDICARE	$623.87
VNSNY CHOICE MEDICARE	MEDICARE	$623.87
CLOVER HEALTH	MEDICARE	$623.87
PACIFICSOURCE HEALTH PLANS MEDICARE ADVANTAGE	MEDICARE	$623.87
AMERICAN HEALTH PLAN	MEDICARE	$623.87
HUDSON HEADWATERS PACE	MEDICARE	$623.87
SCAN HEALTH PLAN MCR IPA MERITAGE OON	MEDICARE	$623.87
AMERIHEALTH MEDICARE	MEDICARE	$623.87
CENTRAL HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
MASS GENERAL BRIGHAM MCR ADV	MEDICARE	$623.87
HORIZON NJ TOTAL CARE	MEDICARE	$623.87
NASCENTIA HEALTH PLUS	MEDICARE	$623.87
UNIVERSAL MEDICARE	MEDICARE	$623.87
CHAMPION HEALTH PLAN MCR ADVANTAGE	MEDICARE	$623.87
PROMINENCE MEDICARE	MEDICARE	$623.87
PERENNIAL ADVANTAGE	MEDICARE	$623.87
HIGHMARK HEALTH OPTIONS DUAL PLAN	MEDICARE	$623.87
PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	MEDICARE	$623.87
LONGEVITY HEALTH PLAN	MEDICARE	$623.87
SOUTH COUNTRY HEALTH ALLIANCE MEDICARE	MEDICARE	$623.87
PACE IOWA IMMANUEL PATHWAYS	MEDICARE	$623.87
COMMONWEALTH CARE ALLIANCE MEDICARE	MEDICARE	$623.87
PRIME HEALTH SERVICES MEDICARE ADVANTAGE	MEDICARE	$623.87
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS	MEDICARE	$623.87
IOWA HEALTH ADVANTAGE	MEDICARE	$623.87
RX ALLWIN	MEDICARE	$623.87
RX ALLWIN	MEDICARE	$623.87
ANTHEM MYCARE OHIO	MEDICARE	$623.87
AETNA MEDICARE ASSURE PREMIER HMO D-SNP	MEDICARE	$623.87
BLUE CROSS - ID MEDICARE ADVANTAGE	MEDICARE	$623.87
WELBE HEALTH	MEDICARE	$623.87
HUMANA CENTRAL VALLEY MEDPRO	MEDICARE	$623.87
ALLY ALIGN CARE ADV	MEDICARE	$623.87
INNOVATIVE INTEGRATED HEALTH COMMUNITY PLANS	MEDICARE	$623.87
SCAN HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$623.87
PREFERRED CARE PARTNERS	PREFERRED CARE PARTNERS MEDICARE ADV	$623.87
MEDICARE ADVANTAGE GENERIC	MEDICARE	$623.87
BLUE SHIELD - DE (HIGHMARK) MEDCIARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - WV (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$623.87
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICARE	MEDICARE	$623.87
SECURITY HEALTH MEDICARE	MEDICARE	$623.87
RX GRANE GRNMEDD	MEDICARE	$623.87
RX CARELONRX MEDICARE	MEDICARE	$623.87
RX RETIREE RX CARE	MEDICARE	$623.87
ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$623.87
JEFFERSON HEALTH PLANS MEDICARE	MEDICARE	$623.87
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$623.87
OSCAR MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - MT MEDICARE ADVANTAGE	MEDICARE	$623.87
EVERENCE	MEDICARE	$623.87
UNITED HEALTHCARE MEDICARE	UHC MEDICARE ADVANTAGE	$623.87
UCARE MEDICARE	MEDICARE	$623.87
MERIDIAN COMPLETE	MEDICARE	$623.87
CARECENTRIX MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
AETNA MEDICARE TRANSPLANT	MEDICARE	$623.87
BLUE SHIELD - PA (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$623.87
MARTINS POINT GENERATIONS ADVANTAGE	MEDICARE	$623.87
HUMANA MEDICARE TRANSPLANT	MEDICARE	$623.87
COMMUNITY PACE AT HOME	MEDICARE	$623.87
CAREPLUS HEALTH PLANS	CAREPLUS MEDICARE ADVANTAGE	$623.87
PEAK PACE SOLUTIONS	MEDICARE	$623.87
THE HEALTH PLAN	MEDICARE	$623.87
MEDIGOLD MEDICARE ADVANTAGE	MEDICARE	$623.87
OSU PRIME CARE ADVANTAGE	MEDICARE	$623.87
CARE WISCONSIN MEDICARE	MEDICARE	$623.87
HAP MEDICARE ADVANTAGE	MEDICARE	$623.87
MEDICAL MUTUAL MEDICARE	MEDICARE	$623.87
CARESOURCE MEDICARE	MEDICARE	$623.87
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE	MEDICARE	$623.87
JOHNS HOPKINS ADVANTAGE MD	MEDICARE	$623.87
MEDSTAR MEDICARE ADVANTAGE	MEDICARE	$623.87
OPTUM MEDICARE TRANSPLANT	MEDICARE	$623.87
THOME PACE	MEDICARE	$623.87
ESSENCE MEDICARE HMO	MEDICARE	$623.87
HARVARD PILGRIM STRIDE MEDICARE	MEDICARE	$623.87
BLUE CROSS - NC MEDICARE ADVANTAGE	MEDICARE	$623.87
FREEDOM HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
CARELON HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
AVMED MEDICARE	AVMED MEDICARE ADVANTAGE	$623.87
PROVIDER PARTNERS HEALTH PLAN OF INDIANA	MEDICARE	$623.87
PRUITTHEALTH PREMIER	MEDICARE	$623.87
SANFORD HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$623.87
GATEWAY HEALTH PLAN	MEDICARE	$623.87
BLUE SHIELD - CA MEDICARE ADVANTAGE	MEDICARE	$623.87
AMERICAN HEALTH ADVANTAGE OF IDAHO	MEDICARE	$623.87
SUNNYVIEW-PACE FINANCE DEPT	MEDICARE	$623.87
BLUE CROSS - TN MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - FL MEDICARE ADVANTAGE	BCBS MEDICARE ADVANTAGE	$623.87
MEDIPAK ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - MS MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - MA MEDICARE ADVANTAGE	MEDICARE	$623.87
ELEMENTCARE	MEDICARE	$623.87
BLUE CROSS - RI MEDICARE ADVANTAGE	MEDICARE	$623.87
CARE DIMENSIONS	MEDICARE	$623.87
TEXAN PLUS	MEDICARE	$623.87
FALLON HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
HEALTHFIRST MEDICARE ADVANTAGE	MEDICARE	$623.87
EDDY SENIORCARE PACE	MEDICARE	$623.87
HEALTH PARTNERS MEDICARE ADVANTAGE	MEDICARE	$623.87
GPA CROELL REDI MIX	MEDICARE	$623.87
FIDELIS MEDICARE	MEDICARE	$623.87
BLUE SHIELD - NY HIGHMARK NORTHEASTERN MEDICARE ADVANTAGE	MEDICARE	$623.87
MEDICA MEDICARE ADVANTAGE	MEDICARE	$623.87
EMBLEM HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
BRAND NEW DAY MEDICARE ADVANTAGE	MEDICARE	$623.87
CORE CARE SELECT MEDICARE ADVANTAGE	MEDICARE	$623.87
MOLINA MEDICARE ADVANTAGE	MEDICARE	$623.87
MI HEALTHLINK MEDICARE	MEDICARE	$623.87
BLUE CROSS - NY (EXCELLUS) MEDICARE ADVANTAGE	MEDICARE	$623.87
TOTAL COMM CARE MEDICARE REPL	MEDICARE	$623.87
TRIBUTE HEALTH PLANS	MEDICARE	$623.87
GOLD ADVANTAGE	MEDICARE	$623.87
ALIGN SENIOR CARE	MEDICARE	$623.87
CARE RESOURCES PACE	MEDICARE	$623.87
UNICARE MEDICARE ADVANTAGE	MEDICARE	$623.87
UM HEALTH ADVANTAGE	MEDICARE	$623.87
AURORA SPECIAL NEEDS	MEDICARE	$623.87
LIFE ST MARYS PACE	MEDICARE	$623.87
BLUE CROSS - KY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - NE MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
MICHIGAN COMPLETE HEALTH	MEDICARE	$623.87
BLUE CROSS - MN MEDICARE ADVANTAGE	MEDICARE	$623.87
HEALTH NEW ENGLAND MEDICARE ADVANTAGE	MEDICARE	$623.87
MODA HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
UPMC MEDICARE ADVANTAGE	MEDICARE	$623.87
UNIVERA HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$623.87
MEDICARE	MEDICARE	$623.87
AETNA MEDICARE ADVANTAGE	AETNA MEDICARE ADVANTAGE	$623.87
RX MEDICARE	MEDICARE	$623.87
CONNECTICARE VIP MEDICARE ADVANTAGE	MEDICARE	$623.87
WELLMED	MEDICARE	$623.87
BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
CARE IMPROVEMENT PLUS	MEDICARE	$623.87
WELLPOINT MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - TX MEDICARE ADVANTAGE	MEDICARE	$623.87
MEDICARE PUERTO RICO	MEDICARE	$623.87
TOTAL HEALTHCARE MEDICARE SNP	MEDICARE	$623.87
HAP EMPOWERED MI HEALTH LINK MEDICARE DUAL	MEDICARE	$623.87
POSITIVE HEALTHCARE PARTNERS MEDICARE	POSITIVE HEALTH PARTNERS MEDICARE ADV	$623.87
BLUE CROSS - NY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
TODAYS OPTIONS	MEDICARE	$623.87
PARAMOUNT MEDICARE ADVANTAGE	MEDICARE	$623.87
TUFTS MEDICARE ADVANTAGE	MEDICARE	$623.87
SIMPLY HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE SHIELD - NY HIGHMARK WESTERN MEDICARE ADVANTAGE	MEDICARE	$623.87
WELLSENSE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$623.87
OPTIMUM HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
KAISER PERMANENTE MEDICARE ADVANTAGE	MEDICARE	$623.87
HOPE SELECT PACE	MEDICARE	$623.87
PRESBYTERIAN SENIOR PLAN	MEDICARE	$623.87
SECURE HORIZONS MA PFFS	MEDICARE	$623.87
LIFECIRCLES PACE	MEDICARE	$623.87
BCBS MEDICARE ADVANTAGE GENERIC	MEDICARE	$623.87
CCA - ZING HEALTH	MEDICARE	$623.87
MERCYONE CEDAR VALLEY	MEDICARE	$623.87
UNION HEALTH SERVICE	MEDICARE	$623.87
CONNECTICARE VIP MEDICARE	MEDICARE	$623.87
LONGEVITY IPA OF MICHIGAN LLC HEALTH PLAN ISNP	MEDICARE	$623.87
BLUE CROSS - OR (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$623.87
SUNSHINE HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
TRISTATE BENEFIT SOLUTIONS MEDICARE ADVANTAGE	MEDICARE	$623.87
ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - IL MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - WI (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$623.87
PHOENIX MEDICARE ADVANTAGE	MEDICARE	$623.87
CIGNA MEDICARE ADVANTAGE	CIGNA MEDICARE ADVANTAGE	$623.87
COVENTRY MEDICARE ADVANTAGE	MEDICARE	$623.87
HARVARD PILGRIM MEDICARE	MEDICARE	$623.87
LASSO HEALTHCARE MSA	MEDICARE	$623.87
PACE SOUTHEAST	MEDICARE	$623.87
BLUE CROSS - PA (INDEPENDENCE) MEDICARE ADVANTAGE	MEDICARE	$623.87
EON HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
HEALTH ALLIANCE MEDICARE ADVANTAGE	MEDICARE	$623.87
ILLINICARE HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
HEALTHNET MEDICARE ADVANTAGE	MEDICARE	$623.87
MCLAREN HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
IMPERIAL HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$623.87
SELECTHEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
CCA SENIOR CARE OPTIONS	MEDICARE	$623.87
MVP MEDICARE ADVANTAGE	MEDICARE	$623.87
PRIORITY HEALTH MEDICARE ADVANTAGE	MEDICARE	$623.87
GLOBAL MEDICARE ADVANTAGE	MEDICARE	$623.87
CENTRAL VALLEY MEDICAL SERVICES CORP PACE	MEDICARE	$623.87
KEYSTONE FIRST CHC MEDICARE ADVANTAGE	MEDICARE	$623.87
HEALTH AMERICA ADVANTRA	MEDICARE	$623.87
BUCKEYE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$623.87
CAREFIRST MEDICARE ADVANTAGE	MEDICARE	$623.87
MERCY LIFE	MEDICARE	$623.87
SIOUXLAND PACE	MEDICARE	$623.87
BLUE CROSS - OK MEDICARE ADVANTAGE	MEDICARE	$623.87
EDDY SENIOR CARE-PACE	MEDICARE	$623.87
BLUE CROSS - NM MEDICARE ADVANTAGE	MEDICARE	$623.87
CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE	MEDICARE	$623.87
BLUE CROSS - MI MEDICARE ADVANTAGE	MEDICARE	$623.87
ALLWELL MEDICARE ADVANTAGE	MEDICARE	$623.87
ADVANTRA FREEDOM MEDICARE ADVANTAGE	MEDICARE	$623.87
DEAN HEALTH MEDICARE SELECT	MEDICARE	$623.87
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$623.87
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$623.87
PACE-TRINITY HEALTH	MEDICARE	$623.87
SERENITY PACE	MEDICARE	$623.87
PACE CNY	MEDICARE	$623.87
HURON VALLEY PACE	MEDICARE	$623.87
FRESNO PACE MEDICARE	MEDICARE	$623.87
BLUE SHIELD - ID (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$623.87
ICARE MEDICARE ADVANTAGE	MEDICARE	$623.87
CLEAR SPRING HEALTH	MEDICARE	$623.87
MOLINA MEDICARE ADVANTAGE	MEDICARE	$623.87
NETWORK MEDICARE ADVANTAGE	MEDICARE	$623.87
HIGHMARK WHOLECARE MEDICARE ADVANTAGE	MEDICARE	$623.87
PHP MEDICARE	MEDICARE	$623.87
PACE OF SOUTHWEST MICHIGAN	MEDICARE	$623.87
EVERCARE	MEDICARE	$623.87
GEORGIA HEALTH ADVANTAGE	MEDICARE	$623.87
MULTIPLAN	BEECH STREET	$631.90
MULTIPLAN	BEECH STREET	$631.90
MEDICAID - IL	MEDICAID	$634.93
MEDICAID - IL	MEDICAID	$634.93
MEDICAID - IL	MEDICAID	$634.93
MEDICAID - IL	MEDICAID	$634.93
NEW CENTRY HEALTH CAREPLUS	NEW CENTURY HEALTH MEDICARE ADVANTAGE	$636.60
VETERANS ADMINISTRATION	VETERANS AFFAIRS	$636.60
VETERANS ADMINISTRATION	VETERANS AFFAIRS	$636.60
NEW CENTRY HEALTH CAREPLUS	NEW CENTURY HEALTH MEDICARE ADVANTAGE	$636.60
VETERANS ADMINISTRATION	VETERANS AFFAIRS	$636.60
NEW CENTRY HEALTH CAREPLUS	NEW CENTURY HEALTH MEDICARE ADVANTAGE	$636.60
GOLD KIDNEY MEDICARE	GOLD KIDNEY MEDICARE ADVANTAGE	$649.33
GOLD KIDNEY MEDICARE	GOLD KIDNEY MEDICARE ADVANTAGE	$649.33
GOLD KIDNEY MEDICARE	GOLD KIDNEY MEDICARE ADVANTAGE	$649.33
TRICARE EAST HUMANA	TRICARE	$650.77
TRICARE WEST HEALTHNET	TRICARE	$650.77
TRIWEST HEALTH ALLIANCE	TRICARE	$650.77
VETERANS EVAL SERVICES	TRICARE	$650.77
TRICARE	TRICARE	$650.77
CHAMPVA	TRICARE	$650.77
US FAMILY HEALTH PLAN	TRICARE	$650.77
US FAMILY HEALTH PLAN	TRICARE	$650.77
VETERANS EVAL SERVICES	TRICARE	$650.77
TRICARE	TRICARE	$650.77
CHAMPVA	TRICARE	$650.77
TRICARE WEST HEALTHNET	TRICARE	$650.77
TRICARE EAST HUMANA	TRICARE	$650.77
TRIWEST HEALTH ALLIANCE	TRICARE	$650.77
US FAMILY HEALTH PLAN	TRICARE	$650.77
TRICARE	TRICARE	$650.77
CHAMPVA	TRICARE	$650.77
VETERANS EVAL SERVICES	TRICARE	$650.77
TRIWEST HEALTH ALLIANCE	TRICARE	$650.77
TRICARE EAST HUMANA	TRICARE	$650.77
TRICARE WEST HEALTHNET	TRICARE	$650.77
SOLIS HEALTH PLANS	SOLIS HEALTH PLANS MEDICARE ADVANTAGE	$655.06
HEALTHSUN MEDICARE ADVANTAGE	HEALTHSUN MEDICARE ADVANTAGE	$655.06
WELLCARE MEDICARE	WELLCARE MEDICARE ADVANTAGE	$655.06
SOLIS HEALTH PLANS	SOLIS HEALTH PLANS MEDICARE ADVANTAGE	$655.06
HEALTHSUN MEDICARE ADVANTAGE	HEALTHSUN MEDICARE ADVANTAGE	$655.06
WELLCARE MEDICARE	WELLCARE MEDICARE ADVANTAGE	$655.06
WELLCARE MEDICARE	WELLCARE MEDICARE ADVANTAGE	$655.06
HEALTHSUN MEDICARE ADVANTAGE	HEALTHSUN MEDICARE ADVANTAGE	$655.06
SOLIS HEALTH PLANS	SOLIS HEALTH PLANS MEDICARE ADVANTAGE	$655.06
DEVOTED HEALTH MEDICARE ADVANTAGE	DEVOTED HEALTH MEDICARE ADVANTAGE	$668.43
DEVOTED HEALTH MEDICARE ADVANTAGE	DEVOTED HEALTH MEDICARE ADVANTAGE	$668.43
DEVOTED HEALTH MEDICARE ADVANTAGE	DEVOTED HEALTH MEDICARE ADVANTAGE	$668.43
DEVOTED HEALTH MEDICARE ADVANTAGE	DEVOTED HEALTH MEDICARE ADVANTAGE	$668.43
SELECTCARE WORLDWIDE	INTERNATIONAL	$722.18
SELECTCARE WORLDWIDE	INTERNATIONAL	$722.18
MORGAN WHITE ADMINISTRATORS	INTERNATIONAL	$722.18
MORGAN WHITE ADMINISTRATORS	INTERNATIONAL	$722.18
NATIONAL HEALTHCARE SOLUTIONS	INTERNATIONAL	$722.18
NATIONAL HEALTHCARE SOLUTIONS	INTERNATIONAL	$722.18
SANUS HEALTHCARE	INTERNATIONAL	$722.18
SUNMED INTERNATIONAL	INTERNATIONAL	$722.18
SUNMED INTERNATIONAL	INTERNATIONAL	$722.18
STAR HEALTHCARE NETWORK	INTERNATIONAL	$722.18
STAR HEALTHCARE NETWORK	INTERNATIONAL	$722.18
AXIS SERVICES	INTERNATIONAL	$722.18
AXIS SERVICES	INTERNATIONAL	$722.18
DESJARDINS FINANCIAL SECURITY LIFE ASSURANCE	INTERNATIONAL	$722.18
SANUS HEALTHCARE	INTERNATIONAL	$722.18
DESJARDINS FINANCIAL SECURITY LIFE ASSURANCE	INTERNATIONAL	$722.18
GLOBAL BENEFITS GROUP	INTERNATIONAL	$722.18
GLOBAL BENEFITS GROUP	INTERNATIONAL	$722.18
PENFIELD CARE	INTERNATIONAL	$722.18
PENFIELD CARE	INTERNATIONAL	$722.18
ALLIANZ GLOBAL ASSISTANCE	INTERNATIONAL	$722.18
ALLIANZ GLOBAL ASSISTANCE	INTERNATIONAL	$722.18
OLYMPUS MANAGED HEALTH CARE	INTERNATIONAL	$722.18
GLOBAL HEALTH CLAIM SERVICES	INTERNATIONAL	$722.18
GLOBAL HEALTH CLAIM SERVICES	INTERNATIONAL	$722.18
AXA ASSISTANCE US	INTERNATIONAL	$722.18
AXA ASSISTANCE US	INTERNATIONAL	$722.18
WW CONCIERGE HEALTHCARE SERVICE	INTERNATIONAL	$722.18
WW CONCIERGE HEALTHCARE SERVICE	INTERNATIONAL	$722.18
OLYMPUS MANAGED HEALTH CARE	INTERNATIONAL	$722.18
AMBETTER	AMBETTER	$730.99
MEDICAID - ID	MEDICAID	$740.48
MEDICAID PENDING	MEDICAID	$744.53
RX MEDICAID	MEDICAID	$744.53
PEACH STATE HEALTHPLAN	MEDICAID	$744.53
BCCP	MEDICAID	$744.53
IOWA TOTAL CARE	MEDICAID	$744.53
SOUTH COUNTRY HEALTH ALLIANCE MEDICAID	MEDICAID	$744.53
MEDI-CAL HEALTHNET	MEDICAID	$744.53
JEFFERSON HEALTH PLANS MEDICAID	MEDICAID	$744.53
UCARE MEDICAID	MEDICAID	$744.53
HEALTHY BLUE NE	MEDICAID	$744.53
MO HOME STATE HEALTH PLAN	MEDICAID	$744.53
FAMILY HEALTH NETWORK	MEDICAID	$744.53
NASCENTIA HEALTH OPTIONS	MEDICAID	$744.53
HEALTHY BLUE PLUS MO MEDICAID	MEDICAID	$744.53
CARE OREGON OHP	MEDICAID	$744.53
MARYLAND HEALTHY SMILES - SCION DENTAL	MEDICAID	$744.53
BLUE PLUS MO MEDICAID	MEDICAID	$744.53
BCCCP-MICHIGAN	MEDICAID	$744.53
CMH AUSABLE VALLEY	MEDICAID	$744.53
CMH MISC	MEDICAID	$744.53
CMH WASHTENAW COUNTY	MEDICAID	$744.53
AMERIGROUP MEDICAID	MEDICAID	$744.53
BMC HEALTHNET	MEDICAID	$744.53
CMH GENESEE COUNTY	MEDICAID	$744.53
CMH MONROE COUNTY	MEDICAID	$744.53
HARBOR HEALTH	MEDICAID	$744.53
ROBERT F SING PROGRAM	MEDICAID	$744.53
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MEDICAID	$744.53
CMH CENTRAL MI COUNTY	MEDICAID	$744.53
CMH LIVINGSTON COUNTY	MEDICAID	$744.53
CMH CLINTON-EATON-INGHAM COUNTY	MEDICAID	$744.53
CMH OTTAWA COUNTY	MEDICAID	$744.53
RX MEDI-CAL	MEDICAID	$744.53
CMH CASS COUNTY	MEDICAID	$744.53
CMH OAKLAND COUNTY	MEDICAID	$744.53
MDWISE	MEDICAID	$744.53
HAP MEDICAID	MEDICAID	$744.53
CMH NEWAYGO COUNTY	MEDICAID	$744.53
MCLAREN HEALTH MEDICAID	MEDICAID	$744.53
CMH LENAWEE COUNTY	MEDICAID	$744.53
CMH NORTHERN LAKES COUNTY	MEDICAID	$744.53
WASHTENAW HEALTH PLAN	MEDICAID	$744.53
CMH WAYNE COUNTY/CARELINK	MEDICAID	$744.53
CMH BAY-ARENAC COUNTY	MEDICAID	$744.53
CMH JACKSON COUNTY/LIFEWAYS	MEDICAID	$744.53
CMH DETROIT WAYNE INTEGRATED HEALTH NETWORK	MEDICAID	$744.53
CMH KENT COUNTY	MEDICAID	$744.53
CMH IONIA COUNTY	MEDICAID	$744.53
CMH WAYNE CTY/COM LIV SVCS	MEDICAID	$744.53
ALBANY COUNTY CORRECTIONAL FACILITY	MEDICAID	$744.53
CMH BERRIEN COUNTY	MEDICAID	$744.53
CMH BARRY COUNTY	MEDICAID	$744.53
CMH MUSKEGON COUNTY	MEDICAID	$744.53
CMH ALLEGAN COUNTY	MEDICAID	$744.53
CMH MONTCALM COUNTY	MEDICAID	$744.53
CMH VAN BUREN COUNTY	MEDICAID	$744.53
CMH NORTH COUNTRY	MEDICAID	$744.53
COUNTY FUNDING GENERIC	MEDICAID	$744.53
CENCAL HEALTH PLAN	MEDICAID	$744.53
CITY OF PHILADELPHIA	MEDICAID	$744.53
BROWARD COUNTY DEPT OF HEALTH	MEDICAID	$744.53
CALIFORNIA HEALTH AND WELLNESS	MEDICAID	$744.53
LA CARE HEALTH PLAN	MEDICAID	$744.53
POSITIVE HEALTHCARE PARTNERS MEDICAID	MEDICAID	$744.53
ID COUNTY CAT FUND	MEDICAID	$744.53
PARAMOUNT MEDICAID ADVANTAGE	MEDICAID	$744.53
ID COUNTY CANYON	MEDICAID	$744.53
INLAND EMPIRE HEALTH PLAN	MEDICAID	$744.53
KERN FAMILY HEALTH PLAN	MEDICAID	$744.53
ID COUNTY ADA	MEDICAID	$744.53
ID COUNTY OTHER	MEDICAID	$744.53
ID COUNTY PAYETTE	MEDICAID	$744.53
TOTAL HEALTH CARE MEDICAID	MEDICAID	$744.53
MEDICAID SPENDDOWN	MEDICAID	$744.53
PRIORITY HEALTH MEDICAID	MEDICAID	$744.53
MEDICAID - MT	MEDICAID	$744.53
MEDICAID - MS	MEDICAID	$744.53
WI WOMENS WELLNESS	MEDICAID	$744.53
BLUE CROSS - SC MEDICAID ADVANTAGE	MEDICAID	$744.53
COMMUNITY HEALTH CHOICE	MEDICAID	$744.53
PHILADELPHIA COUNTY FUNDING	MEDICAID	$744.53
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICAID	MEDICAID	$744.53
WELLPOINT MEDICAID	MEDICAID	$744.53
BUCKEYE HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$744.53
MOLINA CENTENNIAL CARE	MEDICAID	$744.53
FIDELIS CARE MEDICAID ADVANTAGE	MEDICAID	$744.53
MEDI-CAL BLUE CROSS	MEDICAID	$744.53
MEDICAID - NM	MEDICAID	$744.53
SECURITY HEALTH MEDICAID	MEDICAID	$744.53
DELAWARE COUNTY DEPARTMENT OF HEALTH	MEDICAID	$744.53
NEW YORK CANCER SERVICES PROGRAM	MEDICAID	$744.53
MEDICAID - NJ	MEDICAID	$744.53
MEDICAID - NV	MEDICAID	$744.53
EMBLEM HEALTH MEDICAID	MEDICAID	$744.53
MEDI-CAL	MEDICAID	$744.53
INDIANA BREAST CERVICAL CANCER	MEDICAID	$744.53
COMMUNITY CARE PARTNERS	MEDICAID	$744.53
UNITY MEDICAID	MEDICAID	$744.53
PRESTIGE HEALTH CHOICE	MEDICAID	$744.53
HEALTHFIRST MEDICAID ADVANTAGE	MEDICAID	$744.53
IDAHO DEPT HEALTH AND WELLFARE	MEDICAID	$744.53
AMERIHEALTH CARITAS MEDICAID	MEDICAID	$744.53
TUFTS HEALTH PUBLIC PLANS	MEDICAID	$744.53
SANDHILLS CENTER LME	MEDICAID	$744.53
PRESBYTERIAN CENTENNIAL CARE	MEDICAID	$744.53
MEDICAID - LA	MEDICAID	$744.53
RYAN WHITE FLORIDA MSSRP	MEDICAID	$744.53
ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL	MEDICAID	$744.53
VNSNY CHOICE MEDICAID	MEDICAID	$744.53
CONNECTIONS CSP	MEDICAID	$744.53
CARE WISCONSIN MEDICAID	MEDICAID	$744.53
MERCYCARE MEDICAID	MEDICAID	$744.53
VAYA HEALTH LME	MEDICAID	$744.53
GHC SCW WI BADGERCARE	MEDICAID	$744.53
CARDINAL INNOVATIONS LME	MEDICAID	$744.53
BLUE CROSS COMPLETE - MI	MEDICAID	$744.53
DEAN WI BADGERCARE	MEDICAID	$744.53
TENNCARE	MEDICAID	$744.53
PARTNERS BEHAVIORAL LME	MEDICAID	$744.53
MEDICAID - MD	MEDICAID	$744.53
HEALTH SAFETY NET	MEDICAID	$744.53
BLUE CROSS - NM MEDICAID ADVANTAGE	MEDICAID	$744.53
MEDICAID - MN	MEDICAID	$744.53
PRIORITY PARTNERS	MEDICAID	$744.53
STEPHENSON CTY HEALTH	MEDICAID	$744.53
IDAHO WOMENS HEALTH CHECK	MEDICAID	$744.53
HUMANA MEDICAID	HUMANA MEDICAID	$744.53
MANAGED HEALTH SERVICES - INDIANA	MEDICAID	$744.53
BLUE CROSS - TN MEDICAID ADVANTAGE	MEDICAID	$744.53
SIMPLY HEALTHCARE MEDICAID	MEDICAID	$744.53
MVP MEDICAID ADVANTAGE	MEDICAID	$744.53
NEBRASKA TOTAL CARE	MEDICAID	$744.53
CARESOURCE MEDICAID	MEDICAID	$744.53
TEXAS CHILDREN'S HEALTH PLAN	MEDICAID	$744.53
CMH KALAMAZOO	MEDICAID	$744.53
FRESNO COUNTY CCS	MEDICAID	$744.53
EASTPOINTE LME	MEDICAID	$744.53
MEDICAID - MA	MEDICAID	$744.53
CMH MACOMB	MEDICAID	$744.53
FIRSTCARE MEDICAID	MEDICAID	$744.53
HURON VALLEY PACE MEDICAID	MEDICAID	$744.53
MEDICAID - ME	MEDICAID	$744.53
MEDICAID - MO	MEDICAID	$744.53
MEDICAID - WI	MEDICAID	$744.53
MEDICAID - WA	MEDICAID	$744.53
DEAN HEALTH MEDICAID	MEDICAID	$744.53
COUNTY CARE MEDICAID	MEDICAID	$744.53
AETNA MEDICAID	MEDICAID	$744.53
CHILDRENS MEDICAL CENTER HEALTH PLAN MANAGED MEDICAID	MEDICAID	$744.53
JAI MEDICAL SYSTEM	MEDICAID	$744.53
MEDICAID ADVANTAGE GENERIC	MEDICAID	$744.53
TRILLIUM COMMUNITY OHP	MEDICAID	$744.53
KAISER PERMANENTE MEDICAID ADVANTAGE	MEDICAID	$744.53
MEDICAID - IA	MEDICAID	$744.53
RX MERIDIAN RX	MEDICAID	$744.53
MEDICAID - NY	MEDICAID	$744.53
MEDICAID - VA	MEDICAID	$744.53
GROUP HEALTH COOPERATIVE MEDICAID	MEDICAID	$744.53
DSCC	MEDICAID	$744.53
HIGHMARK WHOLECARE MEDICAID	MEDICAID	$744.53
PACIFICSOURCE HEALTH PLANS MEDICAID ADVANTAGE	MEDICAID	$744.53
BLUE CROSS - MD (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$744.53
RX 340B PASS ALONG	MEDICAID	$744.53
COMMUNITY CARE PLAN MEDICAID ADVANTAGE	MEDICAID	$744.53
MEDICAID - NC	MEDICAID	$744.53
MEDICAID - RI	MEDICAID	$744.53
MEDICAID - UT	MEDICAID	$744.53
BLUE CROSS - IL MEDICAID ADVANTAGE	MEDICAID	$744.53
MEDICAID - CO	MEDICAID	$744.53
MAGELLAN BEHAVIORAL HEALTH MEDICAID	MEDICAID	$744.53
CENPATICO	MEDICAID	$744.53
DELTA DENTAL NJ	MEDICAID	$744.53
RX ASSISTANCE/RX MANUFACTURER ASSISTANCE 0 COPAY	MEDICAID	$744.53
PACE OF SOUTHWEST MICHIGAN	MEDICAID	$744.53
MEDICAID MA QMB	MEDICAID	$744.53
FREEDOM FIRST HEALTHCARE	MEDICAID	$744.53
AFFINITY HEALTH PLAN MEDICAID ADVANTAGE	MEDICAID	$744.53
BLUE CROSS - NJ (HORIZON) MEDICAID ADVANTAGE	MEDICAID	$744.53
GREEN MOUNTAIN MEDICAID ADVANTAGE	MEDICAID	$744.53
MEDICAID - AZ	MEDICAID	$744.53
MEDICAID - SC	MEDICAID	$744.53
BREAST GRANT-CONNECTICUT	MEDICAID	$744.53
KEYSTONE FIRST CHIP	MEDICAID	$744.53
ALLWELL MEDICAID ADVANTAGE	MEDICAID	$744.53
SUPERIOR HEALTH	MEDICAID	$744.53
BLUE CROSS - DE (HIGHMARK) MEDICAID ADVANTAGE	MEDICAID	$744.53
PARKLAND COMMUNITY HEALTH PLAN	MEDICAID	$744.53
BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE	MEDICAID	$744.53
BLUE CROSS - DC (CAREFIRST) MEDICAID ADVANTAGE	MEDICAID	$744.53
MEDICAID - AL	MEDICAID	$744.53
MEDICAID - PA	MEDICAID	$744.53
MEDICAID - WY	MEDICAID	$744.53
DPH TB PROGRAM	MEDICAID	$744.53
HENNEPIN HEALTH	MEDICAID	$744.53
ICARE MEDICAID	MEDICAID	$744.53
COMMUNITY BENEFIT HEALTH	MEDICAID	$744.53
CARE CONNECTIONS OF NORTHERN IOWA	MEDICAID	$744.53
MEDICAID - AK	MEDICAID	$744.53
TRILOGY MEDICAID	MEDICAID	$744.53
CARELON HEALTH MEDICAID	MEDICAID	$744.53
METROPLUS MEDICAID ADVANTAGE	MEDICAID	$744.53
MEDICAID - GA	MEDICAID	$744.53
MEDICAID - FL	MEDICAID	$744.53
MEDICAID - OK	MEDICAID	$744.53
MEDICAID OOS NHI	MEDICAID	$744.53
COMMUNITY CARE MEDICAID	MEDICAID	$744.53
BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$744.53
WELLSENSE HEALTH PLAN	MEDICAID	$744.53
HEALTH PLUS PHSP MEDICAID ADV	MEDICAID	$744.53
MEDICAID - DE	MEDICAID	$744.53
MEDICAID - DC	MEDICAID	$744.53
MEDICAID - VT	MEDICAID	$744.53
MEDICAID - WV	MEDICAID	$744.53
UNITED HEALTHCARE MEDICAID	MEDICAID	$744.53
INDEPENDENT CARE MEDICAID	MEDICAID	$744.53
MARYLAND PHYSICIANS CARE	MEDICAID	$744.53
KEYSTONE FIRST CHC MEDICAID	MEDICAID	$744.53
CENTENE	MEDICAID	$744.53
MEDICAID - CT	MEDICAID	$744.53
MEDICAID - AR	MEDICAID	$744.53
CHILDRENS COMM HEALTH PLAN	MEDICAID	$744.53
CHILDRENS MEDICAL SERVICES TITLE 19	MEDICAID	$744.53
CHHUNY	MEDICAID	$744.53
MASSACHUSETTS BEHAVIORAL HEALTH PARTNERSHIP	MEDICAID	$744.53
ILLINICARE HEALTH MEDICAID ADVANTAGE	MEDICAID	$744.53
MEDICAID - HI	MEDICAID	$744.53
MEDICAID - TN	MEDICAID	$744.53
MEDICAID - TX	MEDICAID	$744.53
MEDICAID - NY SSL	MEDICAID	$744.53
OREGON SCREENWISE	MEDICAID	$744.53
LAKELAND CARE INC	MEDICAID	$744.53
BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$744.53
CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE	MEDICAID	$744.53
HEALTH NEW ENGLAND MEDICAID ADVANTAGE	MEDICAID	$744.53
FALLON HEALTH MEDICAID ADVANTAGE	MEDICAID	$744.53
MEDICAID - NH	MEDICAID	$744.53
MEDICAID - OH	MEDICAID	$744.53
MEDICAID - SD	MEDICAID	$744.53
SCREENING FOR LIFE	MEDICAID	$744.53
MEDICAID - KY	MEDICAID	$744.53
COUNTY CORONER	MEDICAID	$744.53
MEDICAID - ND	MEDICAID	$744.53
MARYLAND BREAST & CERVICAL PROGRAM	MEDICAID	$744.53
ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE	MEDICAID	$744.53
UPMC MEDICAID ADVANTAGE	MEDICAID	$744.53
MEDICAID - KS	MEDICAID	$744.53
MEDICAID - IN	MEDICAID	$744.53
ST JOSEPH COUNTY HLTH DPT	MEDICAID	$744.53
MERIDIAN MEDICAID	MEDICAID	$744.53
BLUE CROSS - OH (ANTHEM) MEDICAID ADVANTAGE	MEDICAID	$744.53
COUNTY CARE MEDICAID ADVANTAGE	MEDICAID	$744.53
KEYSTONE FIRST	MEDICAID	$744.53
COMMONWEALTH CARE ALLIANCE MEDICAID	MEDICAID	$744.53
INTERCOMMUNITY HEALTH OHP	MEDICAID	$744.53
PARAMOUNT ADVANTAGE	MEDICAID	$744.53
MODA PLUS MEDICAID ADVANTAGE	MEDICAID	$744.53
BLUE CROSS - ID MEDICAID ADVANTAGE	MEDICAID	$744.53
COMMUNITY CARE BEHAVORIAL HEALTH	MEDICAID	$744.53
MEDSTAR MD HEALTH CHOICE	MEDICAID	$744.53
MEDSTAR DC HEALTHY FAMILY	MEDICAID	$744.53
NEXTLEVEL HEALTH	MEDICAID	$744.53
DELAWARE FIRST HEALTH	MEDICAID	$744.53
GEISINGER MEDICAID ADVANTAGE	MEDICAID	$744.53
AMISH MENNONITE	MEDICAID	$744.53
CIGNA MEDICAID ADVANTAGE	MEDICAID	$744.53
CMH WEST MI COUNTY	MEDICAID	$744.53
MEDICAID - OR	MEDICAID	$753.14
MEDICAID - OR	MEDICAID	$753.14
MEDICAID - OR	MEDICAID	$753.14
MOLINA MARKETPLACE	MOLINA MARKETPLACE	$763.92
MOLINA MARKETPLACE	MOLINA MARKETPLACE	$763.92
MOLINA MARKETPLACE	MOLINA MARKETPLACE	$763.92
SUNSHINE STATE HEALTH PLAN	SUNSHINE STATE HEALTH MEDICAID	$766.86
WELLCARE MEDICAID	SUNSHINE STATE HEALTH MEDICAID	$766.86
CIGNA	CIGNA SUREFIT	$794.41
CIGNA	CIGNA SUREFIT	$794.41
HUMANA	HUMANA	$800.85
HUMANA	HUMANA	$800.85
HUMANA	HUMANA	$800.85
HUMANA	HUMANA	$807.85
MOLINA MEDICAID	MOLINA MEDICAID	$818.98
OSCAR	OSCAR	$827.58
OSCAR	OSCAR	$827.58
OSCAR	OSCAR	$827.58
BLUE CROSS - FL	BCBS TRULI FOR HEALTH	$868.96
WC PRAXIS HEALTH NETWORK	WC PRAXIS HEALTH NETWORK	$875.64
WC PRAXIS HEALTH NETWORK	WC PRAXIS HEALTH NETWORK	$875.64
AUTO LIABILILTY PRAXIS	AUTO PRAXIS HEALTH NETWORK	$875.64
AUTO LIABILILTY PRAXIS	AUTO PRAXIS HEALTH NETWORK	$875.64
UPMC HEALTH PLAN	CIGNA	$882.69
UPMC HEALTH PLAN	CIGNA	$882.69
CIGNA	CIGNA	$882.69
CIGNA	CIGNA	$882.69
CENTIVO	CENTIVO	$891.24
CURATIVE	CURATIVE FL	$891.24
CENTIVO	CENTIVO	$891.24
CURATIVE	CURATIVE FL	$891.24
CENTIVO	CENTIVO	$891.24
CURATIVE	CURATIVE FL	$891.24
UNITED HEALTHCARE	UNITED HEALTHCARE	$917
UNITED HEALTHCARE	UHC OPTIONS PPO	$917
GEHA	UNITED HEALTHCARE	$917
GEHA	UNITED HEALTHCARE	$917
UNITED HEALTHCARE	UNITED HEALTHCARE	$917
UNITED HEALTHCARE	UHC OPTIONS PPO	$917
UNITED HEALTHCARE	UNITED HEALTHCARE	$917
UNITED HEALTHCARE	UHC OPTIONS PPO	$917
GEHA	UNITED HEALTHCARE	$917
BLUE CROSS - FL	BCBS HEALTH OPTIONS	$918.61
BLUE CROSS - FL	BCBS HEALTH OPTIONS	$935.31
BLUE CROSS - FL	BCBS HEALTH OPTIONS	$935.31
BLUE CROSS - OK MEDICARE ADVANTAGE	MEDICARE	$935.81
SUNNYVIEW-PACE FINANCE DEPT	MEDICARE	$935.81
CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE	MEDICARE	$935.81
ESSENCE MEDICARE HMO	MEDICARE	$935.81
FALLON HEALTH MEDICARE ADVANTAGE	MEDICARE	$935.81
MEDSTAR MEDICARE ADVANTAGE	MEDICARE	$935.81
MARTINS POINT GENERATIONS ADVANTAGE	MEDICARE	$935.81
EVERENCE	MEDICARE	$935.81
AMERICAN HEALTH ADVANTAGE OF IDAHO	MEDICARE	$935.81
OPTIMUM HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$935.81
MODA HEALTH MEDICARE ADVANTAGE	MEDICARE	$935.81
HUMANA MEDICARE TRANSPLANT	MEDICARE	$935.81
CORE CARE SELECT MEDICARE ADVANTAGE	MEDICARE	$935.81
IMPERIAL HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$935.81
WELLSENSE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$935.81
MEDICA MEDICARE ADVANTAGE	MEDICARE	$935.81
TRISTATE BENEFIT SOLUTIONS MEDICARE ADVANTAGE	MEDICARE	$935.81
BLUE SHIELD - PA (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$935.81
BLUE CROSS - MT MEDICARE ADVANTAGE	MEDICARE	$935.81
OSCAR MEDICARE ADVANTAGE	MEDICARE	$935.81
ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE	MEDICARE	$935.81
BLUE SHIELD - NY HIGHMARK WESTERN MEDICARE ADVANTAGE	MEDICARE	$935.81
EMBLEM HEALTH MEDICARE ADVANTAGE	MEDICARE	$935.81
ILLINICARE HEALTH MEDICARE ADVANTAGE	MEDICARE	$935.81
SUNSHINE HEALTH MEDICARE ADVANTAGE	MEDICARE	$935.81
EDDY SENIOR CARE-PACE	MEDICARE	$935.81
BLUE SHIELD - NY HIGHMARK NORTHEASTERN MEDICARE ADVANTAGE	MEDICARE	$935.81
BLUE CROSS - NM MEDICARE ADVANTAGE	MEDICARE	$935.81
BLUE CROSS - NY (EXCELLUS) MEDICARE ADVANTAGE	MEDICARE	$935.81
BLUE CROSS - WV (HIGHMARK) MEDICARE ADVANTAGE	MEDICARE	$935.81
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$935.81
EVERCARE	MEDICARE	$935.81
AETNA MEDICARE TRANSPLANT	MEDICARE	$935.81
BLUE SHIELD - CA MEDICARE ADVANTAGE	MEDICARE	$935.81
BLUE SHIELD - DE (HIGHMARK) MEDCIARE ADVANTAGE	MEDICARE	$935.81
HEALTHNET MEDICARE ADVANTAGE	MEDICARE	$935.81
SELECTHEALTH MEDICARE ADVANTAGE	MEDICARE	$935.81
TRIBUTE HEALTH PLANS	MEDICARE	$935.81
MEDICARE ADVANTAGE GENERIC	MEDICARE	$935.81
MICHIGAN COMPLETE HEALTH	MEDICARE	$935.81
BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$935.81
SIMPLY HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$935.81
BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$935.81
CARECENTRIX MEDICARE ADVANTAGE	MEDICARE	$935.81
TOTAL COMM CARE MEDICARE REPL	MEDICARE	$935.81
HEALTH ALLIANCE MEDICARE ADVANTAGE	MEDICARE	$935.81
PREFERRED CARE PARTNERS	PREFERRED CARE PARTNERS MEDICARE ADV	$935.81
TUFTS MEDICARE ADVANTAGE	MEDICARE	$935.81
BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$935.81
BRAND NEW DAY MEDICARE ADVANTAGE	MEDICARE	$935.81
EON HEALTH MEDICARE ADVANTAGE	MEDICARE	$935.81
RX MEDICARE	MEDICARE	$935.81
OPTUM MEDICARE TRANSPLANT	MEDICARE	$935.81
BLUE SHIELD - ID (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$935.81
GEORGIA HEALTH ADVANTAGE	MEDICARE	$935.81
HEALTH NEW ENGLAND MEDICARE ADVANTAGE	MEDICARE	$935.81
MCLAREN HEALTH MEDICARE ADVANTAGE	MEDICARE	$935.81
PACE IOWA IMMANUEL PATHWAYS	MEDICARE	$935.81
CLOVER HEALTH	MEDICARE	$935.81
HORIZON NJ TOTAL CARE	MEDICARE	$935.81
AMERIHEALTH MEDICARE	MEDICARE	$935.81
PACIFICSOURCE HEALTH PLANS MEDICARE ADVANTAGE	MEDICARE	$935.81
UNION HEALTH SERVICE	MEDICARE	$935.81
CAREFIRST MEDICARE ADVANTAGE	MEDICARE	$935.81
HURON VALLEY PACE	MEDICARE	$935.81
ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$935.81
TODAYS OPTIONS	MEDICARE	$935.81
LONGEVITY IPA OF MICHIGAN LLC HEALTH PLAN ISNP	MEDICARE	$935.81
PHP MEDICARE	MEDICARE	$935.81
JEFFERSON HEALTH PLANS MEDICARE	MEDICARE	$935.81
BLUE CROSS - NY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$935.81
MERCY LIFE	MEDICARE	$935.81
SIOUXLAND PACE	MEDICARE	$935.81
BLUE CROSS - NE MEDICARE ADVANTAGE	MEDICARE	$935.81
FRESNO PACE MEDICARE	MEDICARE	$935.81
HIGHMARK WHOLECARE MEDICARE ADVANTAGE	MEDICARE	$935.81
PARAMOUNT MEDICARE ADVANTAGE	MEDICARE	$935.81
BLUE CROSS - OR (REGENCE) MEDICARE ADVANTAGE	MEDICARE	$935.81
INNOVATIVE INTEGRATED HEALTH COMMUNITY PLANS	MEDICARE	$935.81
CONNECTICARE VIP MEDICARE	MEDICARE	$935.81
CENTRAL VALLEY MEDICAL SERVICES CORP PACE	MEDICARE	$935.81
PRUITTHEALTH PREMIER	MEDICARE	$935.81
BLUE CROSS - PA (INDEPENDENCE) MEDICARE ADVANTAGE	MEDICARE	$935.81
TOTAL HEALTHCARE MEDICARE SNP	MEDICARE	$935.81
LIFECIRCLES PACE	MEDICARE	$935.81
HEALTH AMERICA ADVANTRA	MEDICARE	$935.81
BCBS MEDICARE ADVANTAGE GENERIC	MEDICARE	$935.81
KEYSTONE FIRST CHC MEDICARE ADVANTAGE	MEDICARE	$935.81
WELBE HEALTH	MEDICARE	$935.81
HAP EMPOWERED MI HEALTH LINK MEDICARE DUAL	MEDICARE	$935.81
GATEWAY HEALTH PLAN	MEDICARE	$935.81
SCAN HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$935.81
PACE OF SOUTHWEST MICHIGAN	MEDICARE	$935.81
POSITIVE HEALTHCARE PARTNERS MEDICARE	POSITIVE HEALTH PARTNERS MEDICARE ADV	$935.81
HUMANA CENTRAL VALLEY MEDPRO	MEDICARE	$935.81
PROVIDER PARTNERS HEALTH PLAN OF INDIANA	MEDICARE	$935.81
CCA - ZING HEALTH	MEDICARE	$935.81
LASSO HEALTHCARE MSA	MEDICARE	$935.81
PACE SOUTHEAST	MEDICARE	$935.81
SERENITY PACE	MEDICARE	$935.81
PACE CNY	MEDICARE	$935.81
ALLY ALIGN CARE ADV	MEDICARE	$935.81
MERCYONE CEDAR VALLEY	MEDICARE	$935.81
BUCKEYE HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$935.81
SANFORD HEALTH PLAN MEDICARE ADVANTAGE	MEDICARE	$935.81
MEDICARE PUERTO RICO	MEDICARE	$935.81
PACE-TRINITY HEALTH	MEDICARE	$935.81
RX ALLWIN	MEDICARE	$935.81
AMERICAN HEALTH PLAN	MEDICARE	$935.81
CENTRAL HEALTH MEDICARE ADVANTAGE	MEDICARE	$935.81
IOWA HEALTH ADVANTAGE	MEDICARE	$935.81
UNIVERSAL MEDICARE	MEDICARE	$935.81
VNSNY CHOICE MEDICARE	MEDICARE	$935.81
AETNA MEDICARE ASSURE PREMIER HMO D-SNP	MEDICARE	$935.81
PROMINENCE MEDICARE	MEDICARE	$935.81
BLUE CROSS - ID MEDICARE ADVANTAGE	MEDICARE	$935.81
HUDSON HEADWATERS PACE	MEDICARE	$935.81
HIGHMARK HEALTH OPTIONS DUAL PLAN	MEDICARE	$935.81
PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS	MEDICARE	$935.81
RX ALLWIN	MEDICARE	$935.81
PERENNIAL ADVANTAGE	MEDICARE	$935.81
RX MEDICARE PART B	MEDICARE	$935.81
SCAN HEALTH PLAN MCR IPA MERITAGE OON	MEDICARE	$935.81
ANTHEM MYCARE OHIO	MEDICARE	$935.81
SOUTH COUNTRY HEALTH ALLIANCE MEDICARE	MEDICARE	$935.81
MASS GENERAL BRIGHAM MCR ADV	MEDICARE	$935.81
COMMONWEALTH CARE ALLIANCE MEDICARE	MEDICARE	$935.81
NASCENTIA HEALTH PLUS	MEDICARE	$935.81
CHAMPION HEALTH PLAN MCR ADVANTAGE	MEDICARE	$935.81
BLUE CARE NETWORK ADVANTAGE	MEDICARE	$935.81
PRIME HEALTH SERVICES MEDICARE ADVANTAGE	MEDICARE	$935.81
LONGEVITY HEALTH PLAN	MEDICARE	$935.81
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS	MEDICARE	$935.81
BLUE CROSS - KY (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$935.81
RX RETIREE RX CARE	MEDICARE	$935.81
UPMC MEDICARE ADVANTAGE	MEDICARE	$935.81
BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$935.81
RX CARELONRX MEDICARE	MEDICARE	$935.81
UNIVERA HEALTHCARE MEDICARE ADVANTAGE	MEDICARE	$935.81
COMMUNITY PACE AT HOME	MEDICARE	$935.81
RELIANCE COMMUNITY CARE PARTNERS CARE RESOURCES PACE	MEDICARE	$935.81
RX GRANE GRNMEDD	MEDICARE	$935.81
GENESYS PACE OF GENESEE COUNTY	MEDICARE	$935.81
GPA CROELL REDI MIX	MEDICARE	$935.81
CAREPLUS HEALTH PLANS	CAREPLUS MEDICARE ADVANTAGE	$935.81
AVMED MEDICARE	AVMED MEDICARE ADVANTAGE	$935.81
MEDICARE ALTERNATE PAYOR	MEDICARE	$935.81
COMMONWEALTH CARE ALLIANCE	MEDICARE	$935.81
FIDELIS MEDICARE	MEDICARE	$935.81
LIFE ST MARYS PACE	MEDICARE	$935.81
SECURITY HEALTH MEDICARE	MEDICARE	$935.81
UCARE MEDICARE	MEDICARE	$935.81
CARESOURCE MEDICARE	MEDICARE	$935.81
UPPER PENINSULA HEALTH PLAN (UPHP) MEDICARE	MEDICARE	$935.81
BLUE CROSS - FL MEDICARE ADVANTAGE	BCBS MEDICARE ADVANTAGE	$935.81
MOLINA MEDICARE ADVANTAGE	MEDICARE	$935.81
CARE DIMENSIONS	MEDICARE	$935.81
GLOBAL MEDICARE ADVANTAGE	MEDICARE	$935.81
HOPE SELECT PACE	MEDICARE	$935.81
UM HEALTH ADVANTAGE	MEDICARE	$935.81
BLUE CROSS - MN MEDICARE ADVANTAGE	MEDICARE	$935.81
MI HEALTHLINK MEDICARE	MEDICARE	$935.81
PRESBYTERIAN SENIOR PLAN	MEDICARE	$935.81
AURORA SPECIAL NEEDS	MEDICARE	$935.81
MOLINA MEDICARE ADVANTAGE	MEDICARE	$935.81
HAP MEDICARE ADVANTAGE	MEDICARE	$935.81
ELEMENTCARE	MEDICARE	$935.81
BLUE CROSS - RI MEDICARE ADVANTAGE	MEDICARE	$935.81
PRIORITY HEALTH MEDICARE ADVANTAGE	MEDICARE	$935.81
WELLPOINT MEDICARE ADVANTAGE	MEDICARE	$935.81
GOLD ADVANTAGE	MEDICARE	$935.81
ALLWELL MEDICARE ADVANTAGE	MEDICARE	$935.81
BLUE CROSS - MI MEDICARE ADVANTAGE	MEDICARE	$935.81
CLEAR SPRING HEALTH	MEDICARE	$935.81
PEAK PACE SOLUTIONS	MEDICARE	$935.81
MEDICAL MUTUAL MEDICARE	MEDICARE	$935.81
MERIDIAN COMPLETE	MEDICARE	$935.81
BLUE CROSS - TN MEDICARE ADVANTAGE	MEDICARE	$935.81
CCA SENIOR CARE OPTIONS	MEDICARE	$935.81
UNITED HEALTHCARE MEDICARE	UHC MEDICARE ADVANTAGE	$935.81
MVP MEDICARE ADVANTAGE	MEDICARE	$935.81
BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$935.81
WELLMED	MEDICARE	$935.81
HEALTHFIRST MEDICARE ADVANTAGE	MEDICARE	$935.81
AETNA MEDICARE ADVANTAGE	AETNA MEDICARE ADVANTAGE	$935.81
BLUE CROSS - WI (ANTHEM) MEDICARE ADVANTAGE	MEDICARE	$935.81
COVENTRY MEDICARE ADVANTAGE	MEDICARE	$935.81
DEAN HEALTH MEDICARE SELECT	MEDICARE	$935.81
ICARE MEDICARE ADVANTAGE	MEDICARE	$935.81
CARE WISCONSIN MEDICARE	MEDICARE	$935.81
CARELON HEALTH MEDICARE ADVANTAGE	MEDICARE	$935.81
CONNECTICARE VIP MEDICARE ADVANTAGE	MEDICARE	$935.81
MEDICARE	MEDICARE	$935.81
OSU PRIME CARE ADVANTAGE	MEDICARE	$935.81
MEDIPAK ADVANTAGE	MEDICARE	$935.81
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$935.81
JOHNS HOPKINS ADVANTAGE MD	MEDICARE	$935.81
BLUE CROSS - TX MEDICARE ADVANTAGE	MEDICARE	$935.81
CARE IMPROVEMENT PLUS	MEDICARE	$935.81
BLUE CROSS - IL MEDICARE ADVANTAGE	MEDICARE	$935.81
HUMANA MEDICARE ADVANTAGE	HUMANA MEDICARE ADVANTAGE	$935.81
NETWORK MEDICARE ADVANTAGE	MEDICARE	$935.81
MEDIGOLD MEDICARE ADVANTAGE	MEDICARE	$935.81
BLUE CROSS - NC MEDICARE ADVANTAGE	MEDICARE	$935.81
KAISER PERMANENTE MEDICARE ADVANTAGE	MEDICARE	$935.81
HEALTH PARTNERS MEDICARE ADVANTAGE	MEDICARE	$935.81
EDDY SENIORCARE PACE	MEDICARE	$935.81
ADVANTRA FREEDOM MEDICARE ADVANTAGE	MEDICARE	$935.81
THE HEALTH PLAN	MEDICARE	$935.81
TEXAN PLUS	MEDICARE	$935.81
HARVARD PILGRIM MEDICARE	MEDICARE	$935.81
CARE RESOURCES PACE	MEDICARE	$935.81
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE	MEDICARE	$935.81
BLUE CROSS - MS MEDICARE ADVANTAGE	MEDICARE	$935.81
BLUE CROSS - MA MEDICARE ADVANTAGE	MEDICARE	$935.81
SECURE HORIZONS MA PFFS	MEDICARE	$935.81
ALIGN SENIOR CARE	MEDICARE	$935.81
CIGNA MEDICARE ADVANTAGE	CIGNA MEDICARE ADVANTAGE	$935.81
FREEDOM HEALTH MEDICARE ADVANTAGE	MEDICARE	$935.81
UNICARE MEDICARE ADVANTAGE	MEDICARE	$935.81
PHOENIX MEDICARE ADVANTAGE	MEDICARE	$935.81
THOME PACE	MEDICARE	$935.81
HARVARD PILGRIM STRIDE MEDICARE	MEDICARE	$935.81
NEW CENTRY HEALTH CAREPLUS	NEW CENTURY HEALTH MEDICARE ADVANTAGE	$954.90
MULTIPLAN	MULTIPLAN	$954.90
PHCS	PHCS	$954.90
VETERANS ADMINISTRATION	VETERANS AFFAIRS	$954.90
PHCS	PHCS	$954.90
MULTIPLAN	MULTIPLAN	$954.90
MULTIPLAN	MULTIPLAN	$954.90
PHCS	PHCS	$954.90
GOLD KIDNEY MEDICARE	GOLD KIDNEY MEDICARE ADVANTAGE	$974
TRICARE EAST HUMANA	TRICARE	$976.16
TRICARE WEST HEALTHNET	TRICARE	$976.16
TRIWEST HEALTH ALLIANCE	TRICARE	$976.16
VETERANS EVAL SERVICES	TRICARE	$976.16
TRICARE	TRICARE	$976.16
CHAMPVA	TRICARE	$976.16
US FAMILY HEALTH PLAN	TRICARE	$976.16
SOLIS HEALTH PLANS	SOLIS HEALTH PLANS MEDICARE ADVANTAGE	$982.59
HEALTHSUN MEDICARE ADVANTAGE	HEALTHSUN MEDICARE ADVANTAGE	$982.59
WELLCARE MEDICARE	WELLCARE MEDICARE ADVANTAGE	$982.59
COMMUNITY CARE PLAN	MEMORIAL INTEGRATED HEALTH	$990.45
MEMORIAL INTEGRATED HEALTH	MEMORIAL INTEGRATED HEALTH	$990.45
COMMUNITY CARE PLAN	MEMORIAL INTEGRATED HEALTH	$990.45
MEMORIAL INTEGRATED HEALTH	MEMORIAL INTEGRATED HEALTH	$990.45
AVMED HEALTH PLAN	AVMED SELECT	$1,019.23
AVMED HEALTH PLAN	AVMED MARKETPLACE	$1,019.23
AVMED HEALTH PLAN	AVMED SELECT	$1,019.23
AVMED HEALTH PLAN	AVMED MARKETPLACE	$1,019.23
AVMED HEALTH PLAN	AVMED SELECT	$1,036.50
AVMED HEALTH PLAN	AVMED MARKETPLACE	$1,036.50
BLUE CROSS - FL	BCBS NETWORK BLUE	$1,043.88
BLUE CROSS - FL	BCBS NETWORK BLUE	$1,043.88
AVMED HEALTH PLAN	AVMED	$1,053.78
AVMED HEALTH PLAN	AVMED	$1,053.78
BLUE CROSS - FL	BCBS NETWORK BLUE	$1,068.93
AVMED HEALTH PLAN	AVMED	$1,071.05
FIRST HEALTH	AETNA	$1,093.17
MERITAIN	AETNA	$1,093.17
AETNA	AETNA	$1,093.17
AETNA	AETNA GLOBAL	$1,093.17
COVENTRY	AETNA	$1,093.17
AETNA DOMESTIC	AETNA	$1,093.17
FIRST HEALTH	AETNA	$1,093.17
MERITAIN	AETNA	$1,093.17
AETNA	AETNA	$1,093.17
AETNA	AETNA GLOBAL	$1,093.17
COVENTRY	AETNA	$1,093.17
AETNA DOMESTIC	AETNA	$1,093.17
BLUE CROSS - MN	BCBS PPO TRAD	$1,119.04
BLUE CROSS - IL ALTERNATE	BCBS PPO TRAD	$1,119.04
BLUE CROSS - CA (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - NC	BCBS PPO TRAD	$1,119.04
BLUE CROSS - ME (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE SHIELD - NY HIGHMARK NORTHEASTERN	BCBS PPO TRAD	$1,119.04
BLUE CROSS - NE	BCBS PPO TRAD	$1,119.04
BLUE SHIELD - CA	BCBS PPO TRAD	$1,119.04
BLUE CROSS - KY (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - NY (EXCELLUS)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - VA (CAREFIRST)	BCBS PPO TRAD	$1,119.04
BCBS GENERIC	BCBS PPO TRAD	$1,119.04
BLUE CROSS - OH (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - ND	BCBS PPO TRAD	$1,119.04
BLUE SHIELD - ID (REGENCE)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - RI	BCBS PPO TRAD	$1,119.04
BLUE CROSS - WY	BCBS PPO TRAD	$1,119.04
BLUE CROSS - FEDERAL	BCBS PPO TRAD	$1,119.04
BLUE SHIELD - NY HIGHMARK WESTERN	BCBS PPO TRAD	$1,119.04
BLUE CROSS - SC	BCBS PPO TRAD	$1,119.04
KAISER DOMESTIC	BCBS PPO TRAD	$1,119.04
BLUE CROSS - FL	BCBS PPO TRAD	$1,119.04
BLUE CROSS - MS	BCBS PPO TRAD	$1,119.04
BLUE CROSS - NY (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - PA (CAPITAL)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - WI (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - MO (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - MA	BCBS PPO TRAD	$1,119.04
BLUE SHIELD - PA (HIGHMARK)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - IL	BCBS PPO TRAD	$1,119.04
BLUE CROSS - AR	BCBS PPO TRAD	$1,119.04
BLUE CROSS - AK (PREMERA)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - DE (HIGHMARK)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - MD (CAREFIRST)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - PA (INDEPENDENCE)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - TN	BCBS PPO TRAD	$1,119.04
BLUE CROSS - VT	BCBS PPO TRAD	$1,119.04
BLUE CROSS - AZ	BCBS PPO TRAD	$1,119.04
BLUE CROSS - DC (CAREFIRST)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - NJ (HORIZON)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - NM	BCBS PPO TRAD	$1,119.04
BLUE CROSS - OK	BCBS PPO TRAD	$1,119.04
BLUE CROSS - UT (REGENCE)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - TX	BCBS PPO TRAD	$1,119.04
BLUE CROSS - IA (WELLMARK)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - IN (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - AL	BCBS PPO TRAD	$1,119.04
BLUE CROSS - ID	BCBS PPO TRAD	$1,119.04
BLUE CROSS - OR (REGENCE)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - VA (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - KS	BCBS PPO TRAD	$1,119.04
BLUE CROSS - SD (WELLMARK)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - NH (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - WA (PREMERA)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - GA (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - MT	BCBS PPO TRAD	$1,119.04
BLUE CROSS - WV (HIGHMARK)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - CT (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - HI	BCBS PPO TRAD	$1,119.04
BLUE CROSS - NV (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE SHIELD - WA (REGENCE)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - MI	BCBS PPO TRAD	$1,119.04
BLUE CROSS - CO (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - LA	BCBS PPO TRAD	$1,119.04
PRE-EMPLOYMENT	BCBS PPO TRAD	$1,119.04
WC DOMESTIC	BCBS PPO TRAD	$1,119.04
BLUE CARE NETWORK	BCBS PPO TRAD	$1,119.04
HEALTH CHOICES	BCBS PPO TRAD	$1,119.04
BCN DOMESTIC	BCBS PPO TRAD	$1,119.04
BLUE DISTINCTION TRANSPLANT	BCBS PPO TRAD	$1,119.04
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS	BCBS PPO TRAD	$1,119.04
BLUE CROSS DOMESTIC	BCBS PPO TRAD	$1,119.04
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS	BCBS PPO TRAD	$1,119.04
BLUE DISTINCTION TRANSPLANT	BCBS PPO TRAD	$1,119.04
BLUE CROSS - FL	BCBS PPO TRAD	$1,119.04
BLUE CROSS - DC (CAREFIRST)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - CT (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CARE NETWORK	BCBS PPO TRAD	$1,119.04
BLUE CROSS - DE (HIGHMARK)	BCBS PPO TRAD	$1,119.04
BLUE SHIELD - CA	BCBS PPO TRAD	$1,119.04
BLUE CROSS - CO (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - KY (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - LA	BCBS PPO TRAD	$1,119.04
BLUE SHIELD - ID (REGENCE)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - ID	BCBS PPO TRAD	$1,119.04
BLUE CROSS - HI	BCBS PPO TRAD	$1,119.04
BLUE CROSS - GA (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - MT	BCBS PPO TRAD	$1,119.04
BLUE CROSS - NV (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - MS	BCBS PPO TRAD	$1,119.04
BLUE CROSS - MA	BCBS PPO TRAD	$1,119.04
BLUE CROSS - ME (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - MD (CAREFIRST)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - OK	BCBS PPO TRAD	$1,119.04
BLUE SHIELD - NY HIGHMARK WESTERN	BCBS PPO TRAD	$1,119.04
BLUE SHIELD - NY HIGHMARK NORTHEASTERN	BCBS PPO TRAD	$1,119.04
WC DOMESTIC	BCBS PPO TRAD	$1,119.04
PRE-EMPLOYMENT	BCBS PPO TRAD	$1,119.04
BLUE CROSS - NY (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - NY (EXCELLUS)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - NM	BCBS PPO TRAD	$1,119.04
BLUE CROSS - NH (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - NJ (HORIZON)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - RI	BCBS PPO TRAD	$1,119.04
BLUE CROSS - SC	BCBS PPO TRAD	$1,119.04
BLUE CROSS - PA (CAPITAL)	BCBS PPO TRAD	$1,119.04
BLUE SHIELD - PA (HIGHMARK)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - PA (INDEPENDENCE)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - OR (REGENCE)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - NC	BCBS PPO TRAD	$1,119.04
BLUE CROSS - VA (CAREFIRST)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - WA (PREMERA)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - VT	BCBS PPO TRAD	$1,119.04
BLUE CROSS - VA (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - TX	BCBS PPO TRAD	$1,119.04
BLUE CROSS - UT (REGENCE)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - TN	BCBS PPO TRAD	$1,119.04
BCBS GENERIC	BCBS PPO TRAD	$1,119.04
BLUE CROSS - MN	BCBS PPO TRAD	$1,119.04
BLUE CROSS - WY	BCBS PPO TRAD	$1,119.04
BLUE CROSS - FEDERAL	BCBS PPO TRAD	$1,119.04
BLUE CROSS - WV (HIGHMARK)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - IL	BCBS PPO TRAD	$1,119.04
BLUE CROSS - WI (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - IA (WELLMARK)	BCBS PPO TRAD	$1,119.04
BLUE SHIELD - WA (REGENCE)	BCBS PPO TRAD	$1,119.04
HEALTH CHOICES	BCBS PPO TRAD	$1,119.04
KAISER DOMESTIC	BCBS PPO TRAD	$1,119.04
BLUE CROSS - NE	BCBS PPO TRAD	$1,119.04
BLUE CROSS - ND	BCBS PPO TRAD	$1,119.04
BLUE CROSS - MO (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - IN (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - KS	BCBS PPO TRAD	$1,119.04
BLUE CROSS - MI	BCBS PPO TRAD	$1,119.04
BLUE CROSS - IL ALTERNATE	BCBS PPO TRAD	$1,119.04
BLUE CROSS - CA (ANTHEM)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - AR	BCBS PPO TRAD	$1,119.04
BLUE CROSS - AZ	BCBS PPO TRAD	$1,119.04
BLUE CROSS - AK (PREMERA)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - SD (WELLMARK)	BCBS PPO TRAD	$1,119.04
BLUE CROSS - AL	BCBS PPO TRAD	$1,119.04
BLUE CROSS - OH (ANTHEM)	BCBS PPO TRAD	$1,119.04
BCN DOMESTIC	BCBS PPO TRAD	$1,119.04
BLUE CROSS DOMESTIC	BCBS PPO TRAD	$1,119.04
MERITAIN	AETNA	$1,133.94
COVENTRY	AETNA	$1,133.94
AETNA DOMESTIC	AETNA	$1,133.94
AETNA	AETNA	$1,133.94
AETNA	AETNA GLOBAL	$1,133.94
FIRST HEALTH	AETNA	$1,133.94
MOLINA MARKETPLACE	MOLINA MARKETPLACE	$1,145.88
BLUE CROSS - NV (ANTHEM)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - MS	BCBS PPO TRAD	$1,152.44
BLUE CROSS - MD (CAREFIRST)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - MA	BCBS PPO TRAD	$1,152.44
BLUE CROSS - ME (ANTHEM)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - PA (CAPITAL)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - PA (INDEPENDENCE)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - OK	BCBS PPO TRAD	$1,152.44
BLUE CROSS - VT	BCBS PPO TRAD	$1,152.44
BLUE CROSS - VA (ANTHEM)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - TN	BCBS PPO TRAD	$1,152.44
BLUE CROSS - TX	BCBS PPO TRAD	$1,152.44
BLUE CROSS - SC	BCBS PPO TRAD	$1,152.44
BLUE SHIELD - PA (HIGHMARK)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - OR (REGENCE)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - NC	BCBS PPO TRAD	$1,152.44
BLUE SHIELD - NY HIGHMARK WESTERN	BCBS PPO TRAD	$1,152.44
BLUE SHIELD - NY HIGHMARK NORTHEASTERN	BCBS PPO TRAD	$1,152.44
BLUE CROSS - NY (EXCELLUS)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - VA (CAREFIRST)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - WA (PREMERA)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - UT (REGENCE)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - RI	BCBS PPO TRAD	$1,152.44
BLUE CROSS - FEDERAL	BCBS PPO TRAD	$1,152.44
BCBS GENERIC	BCBS PPO TRAD	$1,152.44
BLUE CROSS - WY	BCBS PPO TRAD	$1,152.44
BLUE SHIELD - WA (REGENCE)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - WV (HIGHMARK)	BCBS PPO TRAD	$1,152.44
BLUE CARE NETWORK	BCBS PPO TRAD	$1,152.44
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS	BCBS PPO TRAD	$1,152.44
BLUE DISTINCTION TRANSPLANT	BCBS PPO TRAD	$1,152.44
HEALTH CHOICES	BCBS PPO TRAD	$1,152.44
BCN DOMESTIC	BCBS PPO TRAD	$1,152.44
BLUE CROSS DOMESTIC	BCBS PPO TRAD	$1,152.44
WC DOMESTIC	BCBS PPO TRAD	$1,152.44
PRE-EMPLOYMENT	BCBS PPO TRAD	$1,152.44
BLUE CROSS - FL	BCBS PPO TRAD	$1,152.44
BLUE CROSS - NY (ANTHEM)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - NJ (HORIZON)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - NM	BCBS PPO TRAD	$1,152.44
BLUE CROSS - NH (ANTHEM)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - MT	BCBS PPO TRAD	$1,152.44
BLUE CROSS - AL	BCBS PPO TRAD	$1,152.44
BLUE CROSS - OH (ANTHEM)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - ND	BCBS PPO TRAD	$1,152.44
BLUE CROSS - NE	BCBS PPO TRAD	$1,152.44
BLUE CROSS - MO (ANTHEM)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - KS	BCBS PPO TRAD	$1,152.44
BLUE CROSS - IN (ANTHEM)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - DC (CAREFIRST)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - DE (HIGHMARK)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - CO (ANTHEM)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - CT (ANTHEM)	BCBS PPO TRAD	$1,152.44
BLUE SHIELD - CA	BCBS PPO TRAD	$1,152.44
BLUE CROSS - CA (ANTHEM)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - AZ	BCBS PPO TRAD	$1,152.44
BLUE CROSS - AR	BCBS PPO TRAD	$1,152.44
BLUE CROSS - AK (PREMERA)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - KY (ANTHEM)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - LA	BCBS PPO TRAD	$1,152.44
BLUE CROSS - ID	BCBS PPO TRAD	$1,152.44
BLUE SHIELD - ID (REGENCE)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - HI	BCBS PPO TRAD	$1,152.44
BLUE CROSS - GA (ANTHEM)	BCBS PPO TRAD	$1,152.44
KAISER DOMESTIC	BCBS PPO TRAD	$1,152.44
BLUE CROSS - IL ALTERNATE	BCBS PPO TRAD	$1,152.44
BLUE CROSS - MI	BCBS PPO TRAD	$1,152.44
BLUE CROSS - MN	BCBS PPO TRAD	$1,152.44
BLUE CROSS - WI (ANTHEM)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - IA (WELLMARK)	BCBS PPO TRAD	$1,152.44
BLUE CROSS - IL	BCBS PPO TRAD	$1,152.44
BLUE CROSS - SD (WELLMARK)	BCBS PPO TRAD	$1,152.44
OSCAR	OSCAR	$1,241.37
CENTIVO	CENTIVO	$1,336.86
CURATIVE	CURATIVE FL	$1,336.86
UNITED HEALTHCARE	UNITED HEALTHCARE	$1,375.50
UNITED HEALTHCARE	UHC OPTIONS PPO	$1,375.50
GEHA	UNITED HEALTHCARE	$1,375.50
WC BROWARD COUNTY	BROWARD COUNTY WORKERS COMP	$1,382.25
WC CORVEL	WC CORVEL	$1,382.25
WC CORVEL	WC CORVEL	$1,382.25
WC BROWARD COUNTY	BROWARD COUNTY WORKERS COMP	$1,382.25
WC BROWARD COUNTY	BROWARD COUNTY WORKERS COMP	$1,382.25
WC CORVEL	WC CORVEL	$1,382.25
BLUE CROSS - FL	BCBS HEALTH OPTIONS	$1,402.97
MEDICAID - NE	MEDICAID	$1,410.50
MEDICAID - NE	MEDICAID	$1,410.50
WC HERITAGE SUMMIT	HERITAGE SUMMIT WORKERS COMP	$1,411.35
WC HERITAGE SUMMIT	HERITAGE SUMMIT WORKERS COMP	$1,411.35
WC HERITAGE SUMMIT	HERITAGE SUMMIT WORKERS COMP	$1,411.35
MULTIPLAN	MULTIPLAN	$1,432.35
PHCS	PHCS	$1,432.35
WC ACUITY	WORKERS COMP	$1,455
WC PARADIGM	WORKERS COMP	$1,455
WC VELOCITY	WORKERS COMP	$1,455
WC QUIKTRIP	WORKERS COMP	$1,455
WC MICHIGAN MILLERS MUTUAL	WORKERS COMP	$1,455
WC GENERAL MOTORS	WORKERS COMP	$1,455
GENEX WC	WORKERS COMP	$1,455
WC DONEGAL INSURANCE GROUP	WORKERS COMP	$1,455
WC SECURA	WORKERS COMP	$1,455
WC O'HARA CORP	WORKERS COMP	$1,455
WC CHUBB	WORKERS COMP	$1,455
RX WORKER'S COMP	WORKERS COMP	$1,455
WC AMERICAN CLAIMS MGMT	WORKERS COMP	$1,455
WC COMP ONE ADMIN C/O MANAGEABILITY	WORKERS COMP	$1,455
WC GREAT WEST CASUALTY	WORKERS COMP	$1,455
WC ENCORE HEALTH NETWORK	WORKERS COMP	$1,455
WC RENY COMPANY	WORKERS COMP	$1,455
HEALTHSMART WORKERS COMP	WORKERS COMP	$1,455
WC ZURICH	WORKERS COMP	$1,455
WC GUARD INSURANCE COMPANY	WORKERS COMP	$1,455
WC UNIFIED HEALTH SERVICES	WORKERS COMP	$1,455
WC GUARANTEE INSURANCE	WORKERS COMP	$1,455
RX HEATLHCOMP	WORKERS COMP	$1,455
WC REV CLAIMS	WORKERS COMP	$1,455
WC AMERISURE	WORKERS COMP	$1,455
WC CHARTIS	WORKERS COMP	$1,455
WC CNA	WORKERS COMP	$1,455
WC SAIF OREGON	WORKERS COMP	$1,455
RX RESTAT	WORKERS COMP	$1,455
WC FCCI	WORKERS COMP	$1,455
WC YORK RISK	WORKERS COMP	$1,455
WC IDAHO STATE INS FUND	WORKERS COMP	$1,455
WC QUALCARE	WORKERS COMP	$1,455
WC JOHNS EASTERN	WORKERS COMP	$1,455
WC BROADSPIRE	WORKERS COMP	$1,455
NJM INSURANCE GROUP	WORKERS COMP	$1,455
WC HORIZON	WORKERS COMP	$1,455
WC AIG	WORKERS COMP	$1,455
WC PMA	WORKERS COMP	$1,455
WC NORTH AMERICAN RISHCES	WORKERS COMP	$1,455
WC INTERMOUNTAIN	WORKERS COMP	$1,455
WC ALIGN NETWORK	WORKERS COMP	$1,455
WC AMTRUST	WORKERS COMP	$1,455
WC ZENITH	WORKERS COMP	$1,455
WC ENABLECOMP	WORKERS COMP	$1,455
WC SENTRY	WORKERS COMP	$1,455
WC NOVANET	WORKERS COMP	$1,455
WC AETNA	WORKERS COMP	$1,455
WC HARTFORD	WORKERS COMP	$1,455
WC EVOLUTIONS	WORKERS COMP	$1,455
WC PROCURA MANAGEMENT	WORKERS COMP	$1,455
WC NATIONWIDE	WORKERS COMP	$1,455
WC RISICO	WORKERS COMP	$1,455
NEW YORK STATE INSURANCE FUND	WORKERS COMP	$1,455
WC NEW YORK	WORKERS COMP	$1,455
WC MASSACHUSETTS	WORKERS COMP	$1,455
WC FED EX	WORKERS COMP	$1,455
WC COMPONE ADMIN	WORKERS COMP	$1,455
WC TACONIC FARMS	WORKERS COMP	$1,455
WC SMILE LODGE	WORKERS COMP	$1,455
ANDRIE INC	WORKERS COMP	$1,455
WC TACONIC (MRO)	WORKERS COMP	$1,455
WC SHEAKLEY UNICOMP	WORKERS COMP	$1,455
WC EMPLOYEE MUTUAL	WORKERS COMP	$1,455
JAG SOURCE	WORKERS COMP	$1,455
WC CITY OF ALBANY	WORKERS COMP	$1,455
WC NEW YORK SPECIAL FUNDS	WORKERS COMP	$1,455
WC HEALTH MANAGEMENT	WORKERS COMP	$1,455
WC MEDICAL ADMINISTRATORS	WORKERS COMP	$1,455
WC NCA COMP	WORKERS COMP	$1,455
WC BENETECH	WORKERS COMP	$1,455
WC GENEX CARE FOR OHIO	WORKERS COMP	$1,455
WC HIRERIGHT	WORKERS COMP	$1,455
WC BUNCH & ASSOCIATES	WORKERS COMP	$1,455
WC ALLIED	WORKERS COMP	$1,455
WC AEGIS	WORKERS COMP	$1,455
WC PRICE CHOPPER	WORKERS COMP	$1,455
WC ACCIDENT FUND	WORKERS COMP	$1,455
WC NORTHEAST HEALTH	WORKERS COMP	$1,455
WC ACE	WORKERS COMP	$1,455
WC ACS FEDERAL EMPLOYEES	WORKERS COMP	$1,455
RX SAIF OPDP WC	WORKERS COMP	$1,455
WC FORD MOTOR	WORKERS COMP	$1,455
WC ASU RISK MGT	WORKERS COMP	$1,455
WC MEADOWBROOK CLAIM	WORKERS COMP	$1,455
WC MITCHELL FRANKENMUTH	WORKERS COMP	$1,455
WC FEDERAL BLACK LUNG	WORKERS COMP	$1,455
WC SRS	WORKERS COMP	$1,455
WC GENERIC	WORKERS COMP	$1,455
WC MEIJERS	WORKERS COMP	$1,455
WC MICHIGAN	WORKERS COMP	$1,455
WC NOTRE DAME	WORKERS COMP	$1,455
WC MDIA	WORKERS COMP	$1,455
WC WEST BEND MUTUAL/ARGENT	WORKERS COMP	$1,455
WC TRAVELERS	WORKERS COMP	$1,455
WC PEERLESS	WORKERS COMP	$1,455
WC TRIAD GROUP	WORKERS COMP	$1,455
WC MAC RISK MANAGEMENT	WORKERS COMP	$1,455
WC SEDGWICK	WORKERS COMP	$1,455
WC BERKLEY ADMIN	WORKERS COMP	$1,455
WC YANKEE TRAILS	WORKERS COMP	$1,455
WC CALIFORNIA STATE COMP INS	WORKERS COMP	$1,455
WC CLAIMS MGMT INC	WORKERS COMP	$1,455
WC WINNEBAGO INDUSTRIES	WORKERS COMP	$1,455
WC RURAL MUTUAL	WORKERS COMP	$1,455
WC TYSON	WORKERS COMP	$1,455
WC TRISTAR	WORKERS COMP	$1,455
WC GALLAGHER BASSETT	WORKERS COMP	$1,455
WC FIRST AGENCY/OCCUNET	WORKERS COMP	$1,455
WC FEDERATED	WORKERS COMP	$1,455
WC MRA	WORKERS COMP	$1,455
WC ERIE	WORKERS COMP	$1,455
WC OCC HEALTH ALLEN	WORKERS COMP	$1,455
WC WALMART	WORKERS COMP	$1,455
WC ALASKA NATIONAL INS	WORKERS COMP	$1,455
WC INTERCARE INSURANCE	WORKERS COMP	$1,455
WC ESIS	WORKERS COMP	$1,455
WC WEST BEND	WORKERS COMP	$1,455
WC CAPITOL AREA HEALTH CONSORTIUM	WORKERS COMP	$1,455
WC TROY NY	WORKERS COMP	$1,455
WC AM TRUST N AMERICA	WORKERS COMP	$1,455
WC ICW GROUP	WORKERS COMP	$1,455
WC FINLEY OCCUPATIONAL HEALTH	WORKERS COMP	$1,455
EAST GREENBUSH CENTRAL SCHOOL DISTRICT	WORKERS COMP	$1,455
WC CITY OF SIOUX CITY	WORKERS COMP	$1,455
WC HAB	WORKERS COMP	$1,455
WC CCMSI	WORKERS COMP	$1,455
WC HASTINGS	WORKERS COMP	$1,455
WC FRESNO UNIFIED EMP	WORKERS COMP	$1,455
WC LIBERTY MUTUAL	WORKERS COMP	$1,455
WC MERCY WORKCARE	WORKERS COMP	$1,455
WC SOCIETY	WORKERS COMP	$1,455
WC KEMBERTON	WORKERS COMP	$1,455
WC UNITED HEARTLAND	WORKERS COMP	$1,455
WC MEMIC	WORKERS COMP	$1,455
WC AIMS	WORKERS COMP	$1,455
WC CALIFORNIA STATE INS FUND	WORKERS COMP	$1,455
WC CT HEALTHCARE TRUST	WORKERS COMP	$1,455
WC US DEPT OF LABOR	WORKERS COMP	$1,455
WC EMC INSURANCE COMPANY	WORKERS COMP	$1,455
WC ADVANTAGE	WORKERS COMP	$1,455
WC KEY INS & BENEFIT SOLUTIONS	WORKERS COMP	$1,455
WC CIRMA	WORKERS COMP	$1,455
WC ONE CALL MEDICAL	WORKERS COMP	$1,455
WC OHIO BUREAU	WORKERS COMP	$1,455
WC HARTFORD	WORKERS COMP	$1,455
WC NATIONWIDE	WORKERS COMP	$1,455
WC PROCURA MANAGEMENT	WORKERS COMP	$1,455
ANDRIE INC	WORKERS COMP	$1,455
WC SRS	WORKERS COMP	$1,455
WC MEIJERS	WORKERS COMP	$1,455
WC MEADOWBROOK CLAIM	WORKERS COMP	$1,455
WC MITCHELL FRANKENMUTH	WORKERS COMP	$1,455
WC MDIA	WORKERS COMP	$1,455
WC NOTRE DAME	WORKERS COMP	$1,455
WC GENERIC	WORKERS COMP	$1,455
WC BUNCH & ASSOCIATES	WORKERS COMP	$1,455
WC ALLIED	WORKERS COMP	$1,455
WC AEGIS	WORKERS COMP	$1,455
WC ACCIDENT FUND	WORKERS COMP	$1,455
WC ACE	WORKERS COMP	$1,455
WC MICHIGAN	WORKERS COMP	$1,455
WC ACS FEDERAL EMPLOYEES	WORKERS COMP	$1,455
RX SAIF OPDP WC	WORKERS COMP	$1,455
WC RISICO	WORKERS COMP	$1,455
JAG SOURCE	WORKERS COMP	$1,455
WC MASSACHUSETTS	WORKERS COMP	$1,455
NEW YORK STATE INSURANCE FUND	WORKERS COMP	$1,455
WC HEALTH MANAGEMENT	WORKERS COMP	$1,455
WC FED EX	WORKERS COMP	$1,455
WC GENEX CARE FOR OHIO	WORKERS COMP	$1,455
WC COMPONE ADMIN	WORKERS COMP	$1,455
WC BENETECH	WORKERS COMP	$1,455
WC CITY OF ALBANY	WORKERS COMP	$1,455
WC SMILE LODGE	WORKERS COMP	$1,455
WC NEW YORK	WORKERS COMP	$1,455
WC NEW YORK SPECIAL FUNDS	WORKERS COMP	$1,455
WC MEDICAL ADMINISTRATORS	WORKERS COMP	$1,455
WC HIRERIGHT	WORKERS COMP	$1,455
WC TACONIC (MRO)	WORKERS COMP	$1,455
WC SHEAKLEY UNICOMP	WORKERS COMP	$1,455
WC PRICE CHOPPER	WORKERS COMP	$1,455
WC NORTHEAST HEALTH	WORKERS COMP	$1,455
WC NCA COMP	WORKERS COMP	$1,455
WC TACONIC FARMS	WORKERS COMP	$1,455
WC FEDERAL BLACK LUNG	WORKERS COMP	$1,455
WC FORD MOTOR	WORKERS COMP	$1,455
WC ASU RISK MGT	WORKERS COMP	$1,455
WC EVOLUTIONS	WORKERS COMP	$1,455
WC EMPLOYEE MUTUAL	WORKERS COMP	$1,455
WC HORIZON	WORKERS COMP	$1,455
WC ACUITY	WORKERS COMP	$1,455
WC ERIE	WORKERS COMP	$1,455
WC HASTINGS	WORKERS COMP	$1,455
WC LIBERTY MUTUAL	WORKERS COMP	$1,455
WC ESIS	WORKERS COMP	$1,455
WC GALLAGHER BASSETT	WORKERS COMP	$1,455
WC WEST BEND	WORKERS COMP	$1,455
WC CALIFORNIA STATE COMP INS	WORKERS COMP	$1,455
WC AM TRUST N AMERICA	WORKERS COMP	$1,455
GENEX WC	WORKERS COMP	$1,455
WC CHUBB	WORKERS COMP	$1,455
WC AMERICAN CLAIMS MGMT	WORKERS COMP	$1,455
WC WINNEBAGO INDUSTRIES	WORKERS COMP	$1,455
WC TYSON	WORKERS COMP	$1,455
WC ALASKA NATIONAL INS	WORKERS COMP	$1,455
WC ADVANTAGE	WORKERS COMP	$1,455
WC AIMS	WORKERS COMP	$1,455
EAST GREENBUSH CENTRAL SCHOOL DISTRICT	WORKERS COMP	$1,455
WC COMP ONE ADMIN C/O MANAGEABILITY	WORKERS COMP	$1,455
WC KEMBERTON	WORKERS COMP	$1,455
WC FEDERATED	WORKERS COMP	$1,455
WC CCMSI	WORKERS COMP	$1,455
WC CAPITOL AREA HEALTH CONSORTIUM	WORKERS COMP	$1,455
WC OCC HEALTH ALLEN	WORKERS COMP	$1,455
WC FINLEY OCCUPATIONAL HEALTH	WORKERS COMP	$1,455
WC CT HEALTHCARE TRUST	WORKERS COMP	$1,455
WC ONE CALL MEDICAL	WORKERS COMP	$1,455
WC GREAT WEST CASUALTY	WORKERS COMP	$1,455
WC DONEGAL INSURANCE GROUP	WORKERS COMP	$1,455
WC SECURA	WORKERS COMP	$1,455
WC OHIO BUREAU	WORKERS COMP	$1,455
WC SOCIETY	WORKERS COMP	$1,455
WC MEMIC	WORKERS COMP	$1,455
WC EMC INSURANCE COMPANY	WORKERS COMP	$1,455
WC US DEPT OF LABOR	WORKERS COMP	$1,455
WC CIRMA	WORKERS COMP	$1,455
WC UNITED HEARTLAND	WORKERS COMP	$1,455
WC MRA	WORKERS COMP	$1,455
WC BERKLEY ADMIN	WORKERS COMP	$1,455
WC PARADIGM	WORKERS COMP	$1,455
WC MICHIGAN MILLERS MUTUAL	WORKERS COMP	$1,455
WC YANKEE TRAILS	WORKERS COMP	$1,455
WC WALMART	WORKERS COMP	$1,455
WC TROY NY	WORKERS COMP	$1,455
WC ZURICH	WORKERS COMP	$1,455
WC PMA	WORKERS COMP	$1,455
WC RURAL MUTUAL	WORKERS COMP	$1,455
WC MAC RISK MANAGEMENT	WORKERS COMP	$1,455
WC AIG	WORKERS COMP	$1,455
WC WEST BEND MUTUAL/ARGENT	WORKERS COMP	$1,455
WC ENCORE HEALTH NETWORK	WORKERS COMP	$1,455
WC TRIAD GROUP	WORKERS COMP	$1,455
WC TRAVELERS	WORKERS COMP	$1,455
WC SEDGWICK	WORKERS COMP	$1,455
WC TRISTAR	WORKERS COMP	$1,455
WC KEY INS & BENEFIT SOLUTIONS	WORKERS COMP	$1,455
WC PEERLESS	WORKERS COMP	$1,455
WC ZENITH	WORKERS COMP	$1,455
WC AMERISURE	WORKERS COMP	$1,455
WC FCCI	WORKERS COMP	$1,455
WC JOHNS EASTERN	WORKERS COMP	$1,455
WC ENABLECOMP	WORKERS COMP	$1,455
WC MERCY WORKCARE	WORKERS COMP	$1,455
WC INTERCARE INSURANCE	WORKERS COMP	$1,455
WC ICW GROUP	WORKERS COMP	$1,455
WC HAB	WORKERS COMP	$1,455
WC FRESNO UNIFIED EMP	WORKERS COMP	$1,455
WC ALIGN NETWORK	WORKERS COMP	$1,455
WC QUALCARE	WORKERS COMP	$1,455
WC SAIF OREGON	WORKERS COMP	$1,455
WC IDAHO STATE INS FUND	WORKERS COMP	$1,455
NJM INSURANCE GROUP	WORKERS COMP	$1,455
WC SENTRY	WORKERS COMP	$1,455
WC UNIFIED HEALTH SERVICES	WORKERS COMP	$1,455
WC YORK RISK	WORKERS COMP	$1,455
WC GUARANTEE INSURANCE	WORKERS COMP	$1,455
WC NOVANET	WORKERS COMP	$1,455
WC CNA	WORKERS COMP	$1,455
WC GUARD INSURANCE COMPANY	WORKERS COMP	$1,455
WC CHARTIS	WORKERS COMP	$1,455
WC QUIKTRIP	WORKERS COMP	$1,455
WC O'HARA CORP	WORKERS COMP	$1,455
WC CLAIMS MGMT INC	WORKERS COMP	$1,455
WC CITY OF SIOUX CITY	WORKERS COMP	$1,455
WC CALIFORNIA STATE INS FUND	WORKERS COMP	$1,455
WC NORTH AMERICAN RISHCES	WORKERS COMP	$1,455
WC AMTRUST	WORKERS COMP	$1,455
WC BROADSPIRE	WORKERS COMP	$1,455
WC VELOCITY	WORKERS COMP	$1,455
WC REV CLAIMS	WORKERS COMP	$1,455
WC RENY COMPANY	WORKERS COMP	$1,455
WC AETNA	WORKERS COMP	$1,455
WC INTERMOUNTAIN	WORKERS COMP	$1,455
HEALTHSMART WORKERS COMP	WORKERS COMP	$1,455
RX RESTAT	WORKERS COMP	$1,455
RX HEATLHCOMP	WORKERS COMP	$1,455
WC GENERAL MOTORS	WORKERS COMP	$1,455
RX WORKER'S COMP	WORKERS COMP	$1,455
WC FIRST AGENCY/OCCUNET	WORKERS COMP	$1,455
WC AMTRUST	WORKERS COMP	$1,455
WC REV CLAIMS	WORKERS COMP	$1,455
ANDRIE INC	WORKERS COMP	$1,455
JAG SOURCE	WORKERS COMP	$1,455
WC RISICO	WORKERS COMP	$1,455
NEW YORK STATE INSURANCE FUND	WORKERS COMP	$1,455
WC CNA	WORKERS COMP	$1,455
WC YORK RISK	WORKERS COMP	$1,455
WC MASSACHUSETTS	WORKERS COMP	$1,455
WC BENETECH	WORKERS COMP	$1,455
WC QUALCARE	WORKERS COMP	$1,455
NJM INSURANCE GROUP	WORKERS COMP	$1,455
WC INTERMOUNTAIN	WORKERS COMP	$1,455
WC AETNA	WORKERS COMP	$1,455
WC COMPONE ADMIN	WORKERS COMP	$1,455
WC CITY OF ALBANY	WORKERS COMP	$1,455
WC MEDICAL ADMINISTRATORS	WORKERS COMP	$1,455
WC NCA COMP	WORKERS COMP	$1,455
WC HIRERIGHT	WORKERS COMP	$1,455
WC HEALTH MANAGEMENT	WORKERS COMP	$1,455
WC GENEX CARE FOR OHIO	WORKERS COMP	$1,455
WC FED EX	WORKERS COMP	$1,455
WC TACONIC (MRO)	WORKERS COMP	$1,455
WC HORIZON	WORKERS COMP	$1,455
WC ALIGN NETWORK	WORKERS COMP	$1,455
WC SAIF OREGON	WORKERS COMP	$1,455
WC IDAHO STATE INS FUND	WORKERS COMP	$1,455
WC SHEAKLEY UNICOMP	WORKERS COMP	$1,455
WC SMILE LODGE	WORKERS COMP	$1,455
WC PRICE CHOPPER	WORKERS COMP	$1,455
WC NORTHEAST HEALTH	WORKERS COMP	$1,455
WC NEW YORK SPECIAL FUNDS	WORKERS COMP	$1,455
WC NEW YORK	WORKERS COMP	$1,455
WC BUNCH & ASSOCIATES	WORKERS COMP	$1,455
WC ALLIED	WORKERS COMP	$1,455
WC EMPLOYEE MUTUAL	WORKERS COMP	$1,455
WC AEGIS	WORKERS COMP	$1,455
WC TACONIC FARMS	WORKERS COMP	$1,455
WC MAC RISK MANAGEMENT	WORKERS COMP	$1,455
WC WEST BEND MUTUAL/ARGENT	WORKERS COMP	$1,455
WC TRAVELERS	WORKERS COMP	$1,455
WC SEDGWICK	WORKERS COMP	$1,455
WC PEERLESS	WORKERS COMP	$1,455
WC OHIO BUREAU	WORKERS COMP	$1,455
WC ONE CALL MEDICAL	WORKERS COMP	$1,455
WC ENABLECOMP	WORKERS COMP	$1,455
RX HEATLHCOMP	WORKERS COMP	$1,455
WC ACCIDENT FUND	WORKERS COMP	$1,455
WC ACE	WORKERS COMP	$1,455
WC UNIFIED HEALTH SERVICES	WORKERS COMP	$1,455
WC BERKLEY ADMIN	WORKERS COMP	$1,455
WC ZURICH	WORKERS COMP	$1,455
WC RURAL MUTUAL	WORKERS COMP	$1,455
WC PMA	WORKERS COMP	$1,455
WC AIG	WORKERS COMP	$1,455
WC ZENITH	WORKERS COMP	$1,455
WC AMERISURE	WORKERS COMP	$1,455
WC FCCI	WORKERS COMP	$1,455
WC JOHNS EASTERN	WORKERS COMP	$1,455
RX RESTAT	WORKERS COMP	$1,455
WC SENTRY	WORKERS COMP	$1,455
WC NOVANET	WORKERS COMP	$1,455
WC GUARD INSURANCE COMPANY	WORKERS COMP	$1,455
WC GUARANTEE INSURANCE	WORKERS COMP	$1,455
WC CHARTIS	WORKERS COMP	$1,455
WC NORTH AMERICAN RISHCES	WORKERS COMP	$1,455
WC BROADSPIRE	WORKERS COMP	$1,455
WC GENERIC	WORKERS COMP	$1,455
WC PROCURA MANAGEMENT	WORKERS COMP	$1,455
WC DONEGAL INSURANCE GROUP	WORKERS COMP	$1,455
WC GREAT WEST CASUALTY	WORKERS COMP	$1,455
WC CHUBB	WORKERS COMP	$1,455
WC COMP ONE ADMIN C/O MANAGEABILITY	WORKERS COMP	$1,455
WC CLAIMS MGMT INC	WORKERS COMP	$1,455
WC FRESNO UNIFIED EMP	WORKERS COMP	$1,455
WC HAB	WORKERS COMP	$1,455
WC ICW GROUP	WORKERS COMP	$1,455
RX SAIF OPDP WC	WORKERS COMP	$1,455
WC AMERICAN CLAIMS MGMT	WORKERS COMP	$1,455
WC INTERCARE INSURANCE	WORKERS COMP	$1,455
WC KEY INS & BENEFIT SOLUTIONS	WORKERS COMP	$1,455
WC MERCY WORKCARE	WORKERS COMP	$1,455
WC TRISTAR	WORKERS COMP	$1,455
WC MITCHELL FRANKENMUTH	WORKERS COMP	$1,455
WC FEDERAL BLACK LUNG	WORKERS COMP	$1,455
WC FORD MOTOR	WORKERS COMP	$1,455
WC ASU RISK MGT	WORKERS COMP	$1,455
WC TYSON	WORKERS COMP	$1,455
WC SRS	WORKERS COMP	$1,455
WC MEIJERS	WORKERS COMP	$1,455
GENEX WC	WORKERS COMP	$1,455
WC MRA	WORKERS COMP	$1,455
WC UNITED HEARTLAND	WORKERS COMP	$1,455
WC EMC INSURANCE COMPANY	WORKERS COMP	$1,455
WC MEMIC	WORKERS COMP	$1,455
WC US DEPT OF LABOR	WORKERS COMP	$1,455
WC WINNEBAGO INDUSTRIES	WORKERS COMP	$1,455
WC FIRST AGENCY/OCCUNET	WORKERS COMP	$1,455
WC MEADOWBROOK CLAIM	WORKERS COMP	$1,455
WC MICHIGAN	WORKERS COMP	$1,455
WC ENCORE HEALTH NETWORK	WORKERS COMP	$1,455
WC GENERAL MOTORS	WORKERS COMP	$1,455
HEALTHSMART WORKERS COMP	WORKERS COMP	$1,455
WC QUIKTRIP	WORKERS COMP	$1,455
WC RENY COMPANY	WORKERS COMP	$1,455
WC ACS FEDERAL EMPLOYEES	WORKERS COMP	$1,455
WC NOTRE DAME	WORKERS COMP	$1,455
WC MDIA	WORKERS COMP	$1,455
WC VELOCITY	WORKERS COMP	$1,455
WC O'HARA CORP	WORKERS COMP	$1,455
RX WORKER'S COMP	WORKERS COMP	$1,455
WC TRIAD GROUP	WORKERS COMP	$1,455
WC TROY NY	WORKERS COMP	$1,455
WC WALMART	WORKERS COMP	$1,455
WC SOCIETY	WORKERS COMP	$1,455
WC CCMSI	WORKERS COMP	$1,455
WC FINLEY OCCUPATIONAL HEALTH	WORKERS COMP	$1,455
WC CT HEALTHCARE TRUST	WORKERS COMP	$1,455
WC OCC HEALTH ALLEN	WORKERS COMP	$1,455
WC CAPITOL AREA HEALTH CONSORTIUM	WORKERS COMP	$1,455
WC ERIE	WORKERS COMP	$1,455
WC YANKEE TRAILS	WORKERS COMP	$1,455
WC KEMBERTON	WORKERS COMP	$1,455
WC FEDERATED	WORKERS COMP	$1,455
WC GALLAGHER BASSETT	WORKERS COMP	$1,455
WC HASTINGS	WORKERS COMP	$1,455
WC LIBERTY MUTUAL	WORKERS COMP	$1,455
WC WEST BEND	WORKERS COMP	$1,455
WC CIRMA	WORKERS COMP	$1,455
WC ESIS	WORKERS COMP	$1,455
WC NATIONWIDE	WORKERS COMP	$1,455
WC ACUITY	WORKERS COMP	$1,455
EAST GREENBUSH CENTRAL SCHOOL DISTRICT	WORKERS COMP	$1,455
WC EVOLUTIONS	WORKERS COMP	$1,455
WC MICHIGAN MILLERS MUTUAL	WORKERS COMP	$1,455
WC PARADIGM	WORKERS COMP	$1,455
WC AIMS	WORKERS COMP	$1,455
WC ADVANTAGE	WORKERS COMP	$1,455
WC ALASKA NATIONAL INS	WORKERS COMP	$1,455
WC AM TRUST N AMERICA	WORKERS COMP	$1,455
WC CALIFORNIA STATE COMP INS	WORKERS COMP	$1,455
WC CALIFORNIA STATE INS FUND	WORKERS COMP	$1,455
WC CITY OF SIOUX CITY	WORKERS COMP	$1,455
WC HARTFORD	WORKERS COMP	$1,455
WC SECURA	WORKERS COMP	$1,455
AMBETTER	AMBETTER	$1,461.97
AMBETTER	AMBETTER	$1,461.97
AVMED HEALTH PLAN	AVMED SELECT	$1,528.84
AVMED HEALTH PLAN	AVMED MARKETPLACE	$1,528.84
BLUE CROSS - FL	BCBS NETWORK BLUE	$1,565.81
AVMED HEALTH PLAN	AVMED	$1,580.66
FIRST HEALTH	AETNA	$1,639.76
MERITAIN	AETNA	$1,639.76
AETNA	AETNA	$1,639.76
AETNA	AETNA GLOBAL	$1,639.76
COVENTRY	AETNA	$1,639.76
AETNA DOMESTIC	AETNA	$1,639.76
CIGNA	CIGNA SUREFIT	$1,655.03
BLUE CROSS - IL ALTERNATE	BCBS PPO TRAD	$1,678.55
BLUE CROSS - ME (ANTHEM)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - KY (ANTHEM)	BCBS PPO TRAD	$1,678.55
BLUE SHIELD - NY HIGHMARK NORTHEASTERN	BCBS PPO TRAD	$1,678.55
BLUE CROSS - NY (EXCELLUS)	BCBS PPO TRAD	$1,678.55
BCBS GENERIC	BCBS PPO TRAD	$1,678.55
BLUE CROSS - NE	BCBS PPO TRAD	$1,678.55
BLUE CROSS - OH (ANTHEM)	BCBS PPO TRAD	$1,678.55
BLUE SHIELD - CA	BCBS PPO TRAD	$1,678.55
BLUE CROSS - ID	BCBS PPO TRAD	$1,678.55
BLUE SHIELD - NY HIGHMARK WESTERN	BCBS PPO TRAD	$1,678.55
BLUE CROSS - WY	BCBS PPO TRAD	$1,678.55
BLUE CROSS - ND	BCBS PPO TRAD	$1,678.55
BLUE CROSS - FL	BCBS PPO TRAD	$1,678.55
BLUE SHIELD - ID (REGENCE)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - HI	BCBS PPO TRAD	$1,678.55
BLUE CROSS - SC	BCBS PPO TRAD	$1,678.55
KAISER DOMESTIC	BCBS PPO TRAD	$1,678.55
BLUE CROSS - FEDERAL	BCBS PPO TRAD	$1,678.55
BLUE CROSS - TN	BCBS PPO TRAD	$1,678.55
BLUE CROSS - WI (ANTHEM)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - NY (ANTHEM)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - MO (ANTHEM)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - MA	BCBS PPO TRAD	$1,678.55
BLUE CROSS - IL	BCBS PPO TRAD	$1,678.55
BLUE CROSS - AR	BCBS PPO TRAD	$1,678.55
BLUE CROSS - AK (PREMERA)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - MS	BCBS PPO TRAD	$1,678.55
BLUE CROSS - DE (HIGHMARK)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - MD (CAREFIRST)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - VT	BCBS PPO TRAD	$1,678.55
BLUE CROSS - NJ (HORIZON)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - PA (INDEPENDENCE)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - UT (REGENCE)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - IA (WELLMARK)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - AZ	BCBS PPO TRAD	$1,678.55
BLUE CROSS - AL	BCBS PPO TRAD	$1,678.55
BLUE CROSS - DC (CAREFIRST)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - NM	BCBS PPO TRAD	$1,678.55
BLUE CROSS - OK	BCBS PPO TRAD	$1,678.55
BLUE SHIELD - PA (HIGHMARK)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - TX	BCBS PPO TRAD	$1,678.55
BLUE CROSS - IN (ANTHEM)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - SD (WELLMARK)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - NH (ANTHEM)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - OR (REGENCE)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - PA (CAPITAL)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - VA (ANTHEM)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - KS	BCBS PPO TRAD	$1,678.55
BLUE CROSS - CT (ANTHEM)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - GA (ANTHEM)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - WV (HIGHMARK)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - WA (PREMERA)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - MT	BCBS PPO TRAD	$1,678.55
BLUE SHIELD - WA (REGENCE)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - MI	BCBS PPO TRAD	$1,678.55
BLUE CROSS - CO (ANTHEM)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - NV (ANTHEM)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - VA (CAREFIRST)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - MN	BCBS PPO TRAD	$1,678.55
BLUE CROSS - CA (ANTHEM)	BCBS PPO TRAD	$1,678.55
BLUE CROSS - LA	BCBS PPO TRAD	$1,678.55
BLUE CROSS - NC	BCBS PPO TRAD	$1,678.55
BLUE CROSS - RI	BCBS PPO TRAD	$1,678.55
PRE-EMPLOYMENT	BCBS PPO TRAD	$1,678.55
BLUE CARE NETWORK	BCBS PPO TRAD	$1,678.55
WC DOMESTIC	BCBS PPO TRAD	$1,678.55
HEALTH CHOICES	BCBS PPO TRAD	$1,678.55
BCN DOMESTIC	BCBS PPO TRAD	$1,678.55
BLUE DISTINCTION TRANSPLANT	BCBS PPO TRAD	$1,678.55
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS	BCBS PPO TRAD	$1,678.55
BLUE CROSS DOMESTIC	BCBS PPO TRAD	$1,678.55
AMBETTER	AMBETTER	$1,748.63
MEMORIAL INTEGRATED HEALTH	MEMORIAL INTEGRATED HEALTH	$1,829.23
COMMUNITY CARE PLAN	MEMORIAL INTEGRATED HEALTH	$1,829.23
UPMC HEALTH PLAN	CIGNA	$1,838.93
CIGNA	CIGNA	$1,838.93
MULTIPLAN	BEECH STREET	$1,974.70
MULTIPLAN	BEECH STREET	$1,974.70
COMMUNITY CARE PLAN	MEMORIAL INTEGRATED HEALTH	$1,980.91
MEMORIAL INTEGRATED HEALTH	MEMORIAL INTEGRATED HEALTH	$1,980.91
WC BROWARD COUNTY	BROWARD COUNTY WORKERS COMP	$2,073.38
WC CORVEL	WC CORVEL	$2,073.38
WC HERITAGE SUMMIT	HERITAGE SUMMIT WORKERS COMP	$2,117.03
GENEX WC	WORKERS COMP	$2,182.50
WC ACUITY	WORKERS COMP	$2,182.50
WC PARADIGM	WORKERS COMP	$2,182.50
WC VELOCITY	WORKERS COMP	$2,182.50
WC GENERAL MOTORS	WORKERS COMP	$2,182.50
WC DONEGAL INSURANCE GROUP	WORKERS COMP	$2,182.50
WC MICHIGAN MILLERS MUTUAL	WORKERS COMP	$2,182.50
WC SECURA	WORKERS COMP	$2,182.50
WC O'HARA CORP	WORKERS COMP	$2,182.50
WC CHUBB	WORKERS COMP	$2,182.50
RX WORKER'S COMP	WORKERS COMP	$2,182.50
WC AMERICAN CLAIMS MGMT	WORKERS COMP	$2,182.50
WC GREAT WEST CASUALTY	WORKERS COMP	$2,182.50
WC COMP ONE ADMIN C/O MANAGEABILITY	WORKERS COMP	$2,182.50
WC ENCORE HEALTH NETWORK	WORKERS COMP	$2,182.50
WC RENY COMPANY	WORKERS COMP	$2,182.50
WC QUIKTRIP	WORKERS COMP	$2,182.50
HEALTHSMART WORKERS COMP	WORKERS COMP	$2,182.50
WC ZURICH	WORKERS COMP	$2,182.50
WC GUARD INSURANCE COMPANY	WORKERS COMP	$2,182.50
RX HEATLHCOMP	WORKERS COMP	$2,182.50
WC UNIFIED HEALTH SERVICES	WORKERS COMP	$2,182.50
WC SAIF OREGON	WORKERS COMP	$2,182.50
WC CHARTIS	WORKERS COMP	$2,182.50
WC AMERISURE	WORKERS COMP	$2,182.50
WC CNA	WORKERS COMP	$2,182.50
RX RESTAT	WORKERS COMP	$2,182.50
WC FCCI	WORKERS COMP	$2,182.50
WC REV CLAIMS	WORKERS COMP	$2,182.50
WC IDAHO STATE INS FUND	WORKERS COMP	$2,182.50
WC QUALCARE	WORKERS COMP	$2,182.50
WC JOHNS EASTERN	WORKERS COMP	$2,182.50
WC BROADSPIRE	WORKERS COMP	$2,182.50
WC HORIZON	WORKERS COMP	$2,182.50
WC ALIGN NETWORK	WORKERS COMP	$2,182.50
WC PMA	WORKERS COMP	$2,182.50
WC NORTH AMERICAN RISHCES	WORKERS COMP	$2,182.50
WC AMTRUST	WORKERS COMP	$2,182.50
WC INTERMOUNTAIN	WORKERS COMP	$2,182.50
WC ENABLECOMP	WORKERS COMP	$2,182.50
WC ZENITH	WORKERS COMP	$2,182.50
NJM INSURANCE GROUP	WORKERS COMP	$2,182.50
WC AETNA	WORKERS COMP	$2,182.50
WC SENTRY	WORKERS COMP	$2,182.50
WC YORK RISK	WORKERS COMP	$2,182.50
WC GUARANTEE INSURANCE	WORKERS COMP	$2,182.50
WC NOVANET	WORKERS COMP	$2,182.50
WC HARTFORD	WORKERS COMP	$2,182.50
WC EVOLUTIONS	WORKERS COMP	$2,182.50
WC PROCURA MANAGEMENT	WORKERS COMP	$2,182.50
WC NATIONWIDE	WORKERS COMP	$2,182.50
NEW YORK STATE INSURANCE FUND	WORKERS COMP	$2,182.50
WC NEW YORK	WORKERS COMP	$2,182.50
WC MASSACHUSETTS	WORKERS COMP	$2,182.50
WC FED EX	WORKERS COMP	$2,182.50
WC TACONIC FARMS	WORKERS COMP	$2,182.50
WC COMPONE ADMIN	WORKERS COMP	$2,182.50
WC NEW YORK SPECIAL FUNDS	WORKERS COMP	$2,182.50
WC TACONIC (MRO)	WORKERS COMP	$2,182.50
ANDRIE INC	WORKERS COMP	$2,182.50
WC SHEAKLEY UNICOMP	WORKERS COMP	$2,182.50
WC EMPLOYEE MUTUAL	WORKERS COMP	$2,182.50
JAG SOURCE	WORKERS COMP	$2,182.50
WC CITY OF ALBANY	WORKERS COMP	$2,182.50
WC MEDICAL ADMINISTRATORS	WORKERS COMP	$2,182.50
WC HEALTH MANAGEMENT	WORKERS COMP	$2,182.50
WC NCA COMP	WORKERS COMP	$2,182.50
WC BENETECH	WORKERS COMP	$2,182.50
WC GENEX CARE FOR OHIO	WORKERS COMP	$2,182.50
WC HIRERIGHT	WORKERS COMP	$2,182.50
WC BUNCH & ASSOCIATES	WORKERS COMP	$2,182.50
WC ALLIED	WORKERS COMP	$2,182.50
WC SMILE LODGE	WORKERS COMP	$2,182.50
WC AEGIS	WORKERS COMP	$2,182.50
WC PRICE CHOPPER	WORKERS COMP	$2,182.50
WC ACCIDENT FUND	WORKERS COMP	$2,182.50
WC NORTHEAST HEALTH	WORKERS COMP	$2,182.50
WC ACE	WORKERS COMP	$2,182.50
WC RISICO	WORKERS COMP	$2,182.50
WC ACS FEDERAL EMPLOYEES	WORKERS COMP	$2,182.50
RX SAIF OPDP WC	WORKERS COMP	$2,182.50
WC FORD MOTOR	WORKERS COMP	$2,182.50
WC ASU RISK MGT	WORKERS COMP	$2,182.50
WC MITCHELL FRANKENMUTH	WORKERS COMP	$2,182.50
WC FEDERAL BLACK LUNG	WORKERS COMP	$2,182.50
WC NOTRE DAME	WORKERS COMP	$2,182.50
WC SRS	WORKERS COMP	$2,182.50
WC MEIJERS	WORKERS COMP	$2,182.50
WC GENERIC	WORKERS COMP	$2,182.50
WC MEADOWBROOK CLAIM	WORKERS COMP	$2,182.50
WC MICHIGAN	WORKERS COMP	$2,182.50
WC MDIA	WORKERS COMP	$2,182.50
WC TRIAD GROUP	WORKERS COMP	$2,182.50
WC TRAVELERS	WORKERS COMP	$2,182.50
WC MAC RISK MANAGEMENT	WORKERS COMP	$2,182.50
WC PEERLESS	WORKERS COMP	$2,182.50
WC SEDGWICK	WORKERS COMP	$2,182.50
WC BERKLEY ADMIN	WORKERS COMP	$2,182.50
WC RURAL MUTUAL	WORKERS COMP	$2,182.50
WC YANKEE TRAILS	WORKERS COMP	$2,182.50
WC CLAIMS MGMT INC	WORKERS COMP	$2,182.50
WC WINNEBAGO INDUSTRIES	WORKERS COMP	$2,182.50
WC WEST BEND MUTUAL/ARGENT	WORKERS COMP	$2,182.50
WC TYSON	WORKERS COMP	$2,182.50
WC TRISTAR	WORKERS COMP	$2,182.50
WC GALLAGHER BASSETT	WORKERS COMP	$2,182.50
WC FIRST AGENCY/OCCUNET	WORKERS COMP	$2,182.50
WC FEDERATED	WORKERS COMP	$2,182.50
WC MRA	WORKERS COMP	$2,182.50
WC INTERCARE INSURANCE	WORKERS COMP	$2,182.50
WC ERIE	WORKERS COMP	$2,182.50
WC OCC HEALTH ALLEN	WORKERS COMP	$2,182.50
WC WALMART	WORKERS COMP	$2,182.50
WC ALASKA NATIONAL INS	WORKERS COMP	$2,182.50
WC AM TRUST N AMERICA	WORKERS COMP	$2,182.50
WC ESIS	WORKERS COMP	$2,182.50
WC WEST BEND	WORKERS COMP	$2,182.50
WC CAPITOL AREA HEALTH CONSORTIUM	WORKERS COMP	$2,182.50
WC TROY NY	WORKERS COMP	$2,182.50
EAST GREENBUSH CENTRAL SCHOOL DISTRICT	WORKERS COMP	$2,182.50
WC ICW GROUP	WORKERS COMP	$2,182.50
WC FINLEY OCCUPATIONAL HEALTH	WORKERS COMP	$2,182.50
WC HAB	WORKERS COMP	$2,182.50
WC LIBERTY MUTUAL	WORKERS COMP	$2,182.50
WC CCMSI	WORKERS COMP	$2,182.50
WC OHIO BUREAU	WORKERS COMP	$2,182.50
WC CITY OF SIOUX CITY	WORKERS COMP	$2,182.50
WC FRESNO UNIFIED EMP	WORKERS COMP	$2,182.50
WC HASTINGS	WORKERS COMP	$2,182.50
WC MERCY WORKCARE	WORKERS COMP	$2,182.50
WC CALIFORNIA STATE INS FUND	WORKERS COMP	$2,182.50
WC KEMBERTON	WORKERS COMP	$2,182.50
WC CT HEALTHCARE TRUST	WORKERS COMP	$2,182.50
WC ONE CALL MEDICAL	WORKERS COMP	$2,182.50
WC MEMIC	WORKERS COMP	$2,182.50
WC SOCIETY	WORKERS COMP	$2,182.50
WC AIMS	WORKERS COMP	$2,182.50
WC US DEPT OF LABOR	WORKERS COMP	$2,182.50
WC EMC INSURANCE COMPANY	WORKERS COMP	$2,182.50
WC AIG	WORKERS COMP	$2,182.50
WC ADVANTAGE	WORKERS COMP	$2,182.50
WC CALIFORNIA STATE COMP INS	WORKERS COMP	$2,182.50
WC KEY INS & BENEFIT SOLUTIONS	WORKERS COMP	$2,182.50
WC UNITED HEARTLAND	WORKERS COMP	$2,182.50
WC CIRMA	WORKERS COMP	$2,182.50
AMBETTER	AMBETTER	$2,192.96
SELECTCARE WORLDWIDE	INTERNATIONAL	$2,256.80
MORGAN WHITE ADMINISTRATORS	INTERNATIONAL	$2,256.80
NATIONAL HEALTHCARE SOLUTIONS	INTERNATIONAL	$2,256.80
SANUS HEALTHCARE	INTERNATIONAL	$2,256.80
SUNMED INTERNATIONAL	INTERNATIONAL	$2,256.80
STAR HEALTHCARE NETWORK	INTERNATIONAL	$2,256.80
AXIS SERVICES	INTERNATIONAL	$2,256.80
DESJARDINS FINANCIAL SECURITY LIFE ASSURANCE	INTERNATIONAL	$2,256.80
GLOBAL BENEFITS GROUP	INTERNATIONAL	$2,256.80
PENFIELD CARE	INTERNATIONAL	$2,256.80
ALLIANZ GLOBAL ASSISTANCE	INTERNATIONAL	$2,256.80
GLOBAL HEALTH CLAIM SERVICES	INTERNATIONAL	$2,256.80
AXA ASSISTANCE US	INTERNATIONAL	$2,256.80
WW CONCIERGE HEALTHCARE SERVICE	INTERNATIONAL	$2,256.80
OLYMPUS MANAGED HEALTH CARE	INTERNATIONAL	$2,256.80
ALLIANZ GLOBAL ASSISTANCE	INTERNATIONAL	$2,256.80
SANUS HEALTHCARE	INTERNATIONAL	$2,256.80
SELECTCARE WORLDWIDE	INTERNATIONAL	$2,256.80
STAR HEALTHCARE NETWORK	INTERNATIONAL	$2,256.80
AXIS SERVICES	INTERNATIONAL	$2,256.80
GLOBAL HEALTH CLAIM SERVICES	INTERNATIONAL	$2,256.80
AXA ASSISTANCE US	INTERNATIONAL	$2,256.80
WW CONCIERGE HEALTHCARE SERVICE	INTERNATIONAL	$2,256.80
OLYMPUS MANAGED HEALTH CARE	INTERNATIONAL	$2,256.80
NATIONAL HEALTHCARE SOLUTIONS	INTERNATIONAL	$2,256.80
GLOBAL BENEFITS GROUP	INTERNATIONAL	$2,256.80
PENFIELD CARE	INTERNATIONAL	$2,256.80
MORGAN WHITE ADMINISTRATORS	INTERNATIONAL	$2,256.80
DESJARDINS FINANCIAL SECURITY LIFE ASSURANCE	INTERNATIONAL	$2,256.80
SUNMED INTERNATIONAL	INTERNATIONAL	$2,256.80
MEDICAID - NE	MEDICAID	$2,605
WC PRAXIS HEALTH NETWORK	WC PRAXIS HEALTH NETWORK	$2,736.37
AUTO LIABILILTY PRAXIS	AUTO PRAXIS HEALTH NETWORK	$2,736.37
AUTO LIABILILTY PRAXIS	AUTO PRAXIS HEALTH NETWORK	$2,736.37
WC PRAXIS HEALTH NETWORK	WC PRAXIS HEALTH NETWORK	$2,736.37
MEDICAID - NE	MEDICAID	$2,821
UPMC HEALTH PLAN	CIGNA	$2,821
CIGNA	CIGNA	$2,821
CIGNA	CIGNA SUREFIT	$2,821
UPMC HEALTH PLAN	CIGNA	$2,821
CIGNA	CIGNA SUREFIT	$2,821
CIGNA	CIGNA	$2,821
CIGNA	CIGNA SUREFIT	$3,310.06
MULTIPLAN	BEECH STREET	$3,647
HUMANA	HUMANA HMO-PPO	$3,655
HUMANA	HUMANA HMO-PPO	$3,655
UPMC HEALTH PLAN	CIGNA	$3,677.86
CIGNA	CIGNA	$3,677.86
MULTIPLAN	BEECH STREET	$3,949.40
PENFIELD CARE	INTERNATIONAL	$4,168
GLOBAL HEALTH CLAIM SERVICES	INTERNATIONAL	$4,168
AXA ASSISTANCE US	INTERNATIONAL	$4,168
WW CONCIERGE HEALTHCARE SERVICE	INTERNATIONAL	$4,168
OLYMPUS MANAGED HEALTH CARE	INTERNATIONAL	$4,168
GLOBAL BENEFITS GROUP	INTERNATIONAL	$4,168
ALLIANZ GLOBAL ASSISTANCE	INTERNATIONAL	$4,168
AXIS SERVICES	INTERNATIONAL	$4,168
STAR HEALTHCARE NETWORK	INTERNATIONAL	$4,168
SELECTCARE WORLDWIDE	INTERNATIONAL	$4,168
SANUS HEALTHCARE	INTERNATIONAL	$4,168
SUNMED INTERNATIONAL	INTERNATIONAL	$4,168
NATIONAL HEALTHCARE SOLUTIONS	INTERNATIONAL	$4,168
DESJARDINS FINANCIAL SECURITY LIFE ASSURANCE	INTERNATIONAL	$4,168
MORGAN WHITE ADMINISTRATORS	INTERNATIONAL	$4,168
SELECTCARE WORLDWIDE	INTERNATIONAL	$4,513.60
MORGAN WHITE ADMINISTRATORS	INTERNATIONAL	$4,513.60
SANUS HEALTHCARE	INTERNATIONAL	$4,513.60
SUNMED INTERNATIONAL	INTERNATIONAL	$4,513.60
STAR HEALTHCARE NETWORK	INTERNATIONAL	$4,513.60
AXIS SERVICES	INTERNATIONAL	$4,513.60
NATIONAL HEALTHCARE SOLUTIONS	INTERNATIONAL	$4,513.60
DESJARDINS FINANCIAL SECURITY LIFE ASSURANCE	INTERNATIONAL	$4,513.60
GLOBAL BENEFITS GROUP	INTERNATIONAL	$4,513.60
PENFIELD CARE	INTERNATIONAL	$4,513.60
ALLIANZ GLOBAL ASSISTANCE	INTERNATIONAL	$4,513.60
GLOBAL HEALTH CLAIM SERVICES	INTERNATIONAL	$4,513.60
AXA ASSISTANCE US	INTERNATIONAL	$4,513.60
WW CONCIERGE HEALTHCARE SERVICE	INTERNATIONAL	$4,513.60
OLYMPUS MANAGED HEALTH CARE	INTERNATIONAL	$4,513.60
CIGNA	CIGNA SUREFIT	$4,965.09
AUTO LIABILILTY PRAXIS	AUTO PRAXIS HEALTH NETWORK	$5,053.70
WC PRAXIS HEALTH NETWORK	WC PRAXIS HEALTH NETWORK	$5,053.70
WC PRAXIS HEALTH NETWORK	WC PRAXIS HEALTH NETWORK	$5,472.74
AUTO LIABILILTY PRAXIS	AUTO PRAXIS HEALTH NETWORK	$5,472.74
UPMC HEALTH PLAN	CIGNA	$5,516.79
CIGNA	CIGNA	$5,516.79
BLUE CROSS - FL	BCBS MY BLUE	$8,702
BLUE CROSS - FL	BCBS MY BLUE	$8,702
BLUE CROSS - FL	BCBS HEALTH OPTIONS HMO	$10,394
BLUE CROSS - FL	BCBS HEALTH OPTIONS HMO	$10,394
BLUE CROSS - FL	BCBS NETWORK BLUE	$12,635
BLUE CROSS - FL	BCBS NETWORK BLUE	$12,635
TRUSTBRIDGE	TRUSTBRIDGE HOSPICE	$13,139.02
TRUSTBRIDGE	TRUSTBRIDGE HOSPICE	$13,139.02
UNITED HEALTHCARE MEDICARE	UNITED HEALTHCARE MEDICARE ADVANTAGE	$13,139.02
UNITED HEALTHCARE MEDICARE	UNITED HEALTHCARE MEDICARE ADVANTAGE	$13,139.02
AETNA MEDICARE ADVANTAGE	AETNA MEDICARE ADVANTAGE	$13,139.02
AETNA MEDICARE ADVANTAGE	AETNA MEDICARE ADVANTAGE	$13,139.02
PREFERRED CARE PARTNERS	PREFERRED CARE PARTNERS MEDICARE ADV HMO	$13,139.02
PREFERRED CARE PARTNERS	PREFERRED CARE PARTNERS MEDICARE ADV HMO	$13,139.02
SIMPLY HEALTHCARE MEDICARE ADVANTAGE	SIMPLY HEALTHCARE MEDICARE ADVANTAGE	$13,401.80
SIMPLY HEALTHCARE MEDICARE ADVANTAGE	SIMPLY HEALTHCARE MEDICARE ADVANTAGE	$13,401.80
CATHOLIC HOSPICE	CATHOLIC HOSPICE	$13,407.17
RYAN WHITE FLORIDA MSSRP	POSITIVE HEALTH PARTNERS MEDICARE ADV	$13,407.17
RYAN WHITE FLORIDA MSSRP	POSITIVE HEALTH PARTNERS MEDICARE ADV	$13,407.17
VITAS HEALTHCARE CORP	VITAS HEALTHCARE	$13,407.17
CATHOLIC HOSPICE	CATHOLIC HOSPICE	$13,407.17
POSITIVE HEALTHCARE PARTNERS MEDICARE	POSITIVE HEALTH PARTNERS MEDICARE ADV	$13,407.17
POSITIVE HEALTHCARE PARTNERS MEDICARE	POSITIVE HEALTH PARTNERS MEDICARE ADV	$13,407.17
VITAS HEALTHCARE CORP	VITAS HEALTHCARE	$13,407.17
OSCAR MEDICARE ADVANTAGE	OSCAR MEDICARE ADVANTAGE	$13,407.17
OSCAR MEDICARE ADVANTAGE	OSCAR MEDICARE ADVANTAGE	$13,407.17
FREEDOM HEALTH MEDICARE ADVANTAGE	FREEDOM HEALTH MEDICARE ADVANTAGE	$13,407.17
FREEDOM HEALTH MEDICARE ADVANTAGE	FREEDOM HEALTH MEDICARE ADVANTAGE	$13,407.17
BLUE CROSS - FL MEDICARE ADVANTAGE	BCBS MEDICARE ADVANTAGE	$13,407.17
COVENTRY MEDICARE ADVANTAGE	COVENTRY MEDICARE ADVANTAGE	$13,407.17
COVENTRY MEDICARE ADVANTAGE	COVENTRY MEDICARE ADVANTAGE	$13,407.17
BLUE CROSS - FL MEDICARE ADVANTAGE	BCBS MEDICARE ADVANTAGE	$13,407.17
CAREPLUS HEALTH PLANS	CAREPLUS MEDICARE ADVANTAGE	$13,440.68
CAREPLUS HEALTH PLANS	CAREPLUS MEDICARE ADVANTAGE	$13,440.68
CIGNA MEDICARE ADVANTAGE	CIGNA MEDICARE ADVANTAGE	$13,533.19
CIGNA MEDICARE ADVANTAGE	CIGNA MEDICARE ADVANTAGE	$13,533.19
GOLD KIDNEY MEDICARE	MULTIPLAN MEDICARE ADVANTAGE	$13,795.97
GOLD KIDNEY MEDICARE	MULTIPLAN MEDICARE ADVANTAGE	$13,795.97
HEALTHSUN MEDICARE ADVANTAGE	HEALTHSUN MEDICARE ADVANTAGE	$13,795.97
HEALTHSUN MEDICARE ADVANTAGE	HEALTHSUN MEDICARE ADVANTAGE	$13,795.97
WELLCARE MEDICARE	WELLCARE MEDICARE ADVANTAGE	$13,795.97
WELLCARE MEDICARE	WELLCARE MEDICARE ADVANTAGE	$13,795.97
AVMED MEDICARE	AVMED MEDICARE ADVANTAGE	$14,077.52
SOLIS HEALTH PLANS	SOLIS HEALTH PLANS	$14,077.52
SOLIS HEALTH PLANS	SOLIS HEALTH PLANS	$14,077.52
AVMED MEDICARE	AVMED MEDICARE ADVANTAGE	$14,077.52
DEVOTED HEALTH MEDICARE ADVANTAGE	DEVOTED HEALTH MEDICARE ADVANTAGE	$14,077.52
DEVOTED HEALTH MEDICARE ADVANTAGE	DEVOTED HEALTH MEDICARE ADVANTAGE	$14,077.52
BLUE CROSS - NM	BCBS PPC	$15,595
BLUE CROSS - NY (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - NY (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS DOMESTIC	BCBS PPC	$15,595
BLUE CROSS - IL	BCBS PPC	$15,595
BCN DOMESTIC	BCBS PPC	$15,595
BCN DOMESTIC	BCBS PPC	$15,595
KAISER DOMESTIC	BCBS PPC	$15,595
KAISER DOMESTIC	BCBS PPC	$15,595
BLUE CROSS - IL	BCBS PPC	$15,595
BLUE CROSS - OK	BCBS PPC	$15,595
BLUE CROSS - OK	BCBS PPC	$15,595
BLUE CROSS - OR (REGENCE)	BCBS PPC	$15,595
BLUE CROSS - OR (REGENCE)	BCBS PPC	$15,595
BLUE CROSS - WI (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - WI (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - DC (CAREFIRST)	BCBS PPC	$15,595
BLUE CROSS - DC (CAREFIRST)	BCBS PPC	$15,595
BLUE CROSS - ND	BCBS PPC	$15,595
BLUE CROSS - ND	BCBS PPC	$15,595
BLUE CROSS - CT (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - CT (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - DE (HIGHMARK)	BCBS PPC	$15,595
BLUE CROSS - DE (HIGHMARK)	BCBS PPC	$15,595
BLUE CROSS - VA (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - VA (ANTHEM)	BCBS PPC	$15,595
WC DOMESTIC	BCBS PPC	$15,595
BLUE CROSS - CO (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - CO (ANTHEM)	BCBS PPC	$15,595
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS	BCBS PPC	$15,595
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS	BCBS PPC	$15,595
BLUE CROSS - VA (CAREFIRST)	BCBS PPC	$15,595
BLUE CROSS - VA (CAREFIRST)	BCBS PPC	$15,595
BLUE CROSS - WA (PREMERA)	BCBS PPC	$15,595
BLUE CROSS - WA (PREMERA)	BCBS PPC	$15,595
BLUE CROSS - UT (REGENCE)	BCBS PPC	$15,595
BLUE CROSS - UT (REGENCE)	BCBS PPC	$15,595
BLUE CROSS - VT	BCBS PPC	$15,595
BLUE SHIELD - NY HIGHMARK NORTHEASTERN	BCBS PPC	$15,595
BLUE SHIELD - NY HIGHMARK NORTHEASTERN	BCBS PPC	$15,595
BLUE CROSS - LA	BCBS PPC	$15,595
BLUE CROSS - LA	BCBS PPC	$15,595
PRE-EMPLOYMENT	BCBS PPC	$15,595
BLUE CROSS - MN	BCBS PPC	$15,595
BLUE CROSS - MN	BCBS PPC	$15,595
BLUE CROSS - VT	BCBS PPC	$15,595
BLUE CROSS - SC	BCBS PPC	$15,595
BLUE CROSS - SC	BCBS PPC	$15,595
BLUE CROSS - ME (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - ME (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - MD (CAREFIRST)	BCBS PPC	$15,595
BLUE CROSS - MD (CAREFIRST)	BCBS PPC	$15,595
BLUE CROSS - WV (HIGHMARK)	BCBS PPC	$15,595
BLUE CROSS - WV (HIGHMARK)	BCBS PPC	$15,595
BLUE SHIELD - ID (REGENCE)	BCBS PPC	$15,595
PRE-EMPLOYMENT	BCBS PPC	$15,595
BLUE SHIELD - WA (REGENCE)	BCBS PPC	$15,595
BLUE SHIELD - WA (REGENCE)	BCBS PPC	$15,595
BLUE CARE NETWORK	BCBS PPC	$15,595
BLUE CARE NETWORK	BCBS PPC	$15,595
BLUE CROSS - NY (EXCELLUS)	BCBS PPC	$15,595
BLUE CROSS - NY (EXCELLUS)	BCBS PPC	$15,595
BLUE SHIELD - NY HIGHMARK WESTERN	BCBS PPC	$15,595
BLUE CROSS - TN	BCBS PPC	$15,595
BLUE CROSS - TN	BCBS PPC	$15,595
BLUE CROSS - TX	BCBS PPC	$15,595
BLUE CROSS - TX	BCBS PPC	$15,595
BLUE SHIELD - NY HIGHMARK WESTERN	BCBS PPC	$15,595
BLUE CROSS - NM	BCBS PPC	$15,595
BLUE CROSS - ID	BCBS PPC	$15,595
BLUE CROSS - PA (CAPITAL)	BCBS PPC	$15,595
BLUE CROSS - PA (CAPITAL)	BCBS PPC	$15,595
BLUE CROSS - RI	BCBS PPC	$15,595
BLUE CROSS - RI	BCBS PPC	$15,595
BLUE SHIELD - PA (HIGHMARK)	BCBS PPC	$15,595
BLUE SHIELD - PA (HIGHMARK)	BCBS PPC	$15,595
BLUE CROSS - GA (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - GA (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - HI	BCBS PPC	$15,595
BLUE CROSS - HI	BCBS PPC	$15,595
BLUE CROSS - ID	BCBS PPC	$15,595
BLUE CROSS - PA (INDEPENDENCE)	BCBS PPC	$15,595
BLUE CROSS - PA (INDEPENDENCE)	BCBS PPC	$15,595
BLUE CROSS - MA	BCBS PPC	$15,595
BLUE CROSS - MA	BCBS PPC	$15,595
BLUE CROSS - NC	BCBS PPC	$15,595
BLUE CROSS - NC	BCBS PPC	$15,595
BLUE SHIELD - ID (REGENCE)	BCBS PPC	$15,595
BLUE CROSS - KY (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - KY (ANTHEM)	BCBS PPC	$15,595
WC DOMESTIC	BCBS PPC	$15,595
BLUE CROSS - OH (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - OH (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - NV (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - NV (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - SD (WELLMARK)	BCBS PPC	$15,595
BLUE CROSS - SD (WELLMARK)	BCBS PPC	$15,595
BLUE CROSS - MS	BCBS PPC	$15,595
BLUE CROSS - MS	BCBS PPC	$15,595
BLUE CROSS - NE	BCBS PPC	$15,595
BLUE CROSS - NE	BCBS PPC	$15,595
BLUE CROSS - MT	BCBS PPC	$15,595
BLUE CROSS - MT	BCBS PPC	$15,595
HEALTH CHOICES	BCBS PPC	$15,595
HEALTH CHOICES	BCBS PPC	$15,595
BLUE CROSS - AR	BCBS PPC	$15,595
BLUE CROSS - AR	BCBS PPC	$15,595
BLUE CROSS - AZ	BCBS PPC	$15,595
BLUE CROSS - AZ	BCBS PPC	$15,595
BLUE CROSS - IA (WELLMARK)	BCBS PPC	$15,595
BLUE CROSS - IA (WELLMARK)	BCBS PPC	$15,595
BLUE CROSS DOMESTIC	BCBS PPC	$15,595
BLUE CROSS - FEDERAL	BCBS PPC	$15,595
BLUE CROSS - FEDERAL	BCBS PPC	$15,595
BCBS GENERIC	BCBS PPC	$15,595
BCBS GENERIC	BCBS PPC	$15,595
BLUE DISTINCTION TRANSPLANT	BCBS PPC	$15,595
BLUE CROSS - AK (PREMERA)	BCBS PPC	$15,595
BLUE CROSS - AK (PREMERA)	BCBS PPC	$15,595
BLUE CROSS - WY	BCBS PPC	$15,595
BLUE CROSS - CA (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - CA (ANTHEM)	BCBS PPC	$15,595
BLUE SHIELD - CA	BCBS PPC	$15,595
BLUE SHIELD - CA	BCBS PPC	$15,595
BLUE CROSS - WY	BCBS PPC	$15,595
BLUE DISTINCTION TRANSPLANT	BCBS PPC	$15,595
BLUE CROSS - MI	BCBS PPC	$15,595
BLUE CROSS - MI	BCBS PPC	$15,595
BLUE CROSS - NJ (HORIZON)	BCBS PPC	$15,595
BLUE CROSS - KS	BCBS PPC	$15,595
BLUE CROSS - KS	BCBS PPC	$15,595
BLUE CROSS - IN (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - IN (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - IL ALTERNATE	BCBS PPC	$15,595
BLUE CROSS - IL ALTERNATE	BCBS PPC	$15,595
BLUE CROSS - MO (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - MO (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - AL	BCBS PPC	$15,595
BLUE CROSS - NJ (HORIZON)	BCBS PPC	$15,595
BLUE CROSS - NH (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - NH (ANTHEM)	BCBS PPC	$15,595
BLUE CROSS - AL	BCBS PPC	$15,595
BLUE CROSS - FL	BCBS TRADITIONAL PHS	$20,380
BLUE CROSS - FL	BCBS TRADITIONAL PHS	$20,380
BLUE CROSS - FL	TRULI FOR HEALTH	$20,512.96
BLUE CROSS - FL	TRULI FOR HEALTH	$20,512.96
MOLINA MARKETPLACE	MOLINA MARKETPLACE HMO	$20,799.57
MOLINA MARKETPLACE	MOLINA MARKETPLACE HMO	$20,799.57
OSCAR	OSCAR MARKETPLACE HEALTH PLAN	$22,792.18
OSCAR	OSCAR MARKETPLACE HEALTH PLAN	$22,792.18
AMBETTER	AMBETTER MARKETPLACE	$23,436.09
AMBETTER	AMBETTER MARKETPLACE	$23,436.09
AVMED HEALTH PLAN	AVMED ENTRUST MARKETPLACE	$24,669.18
AVMED HEALTH PLAN	AVMED ENTRUST MARKETPLACE	$24,669.18
CURATIVE	CURATIVE	$24,803.26
CURATIVE	CURATIVE	$24,803.26
AVMED HEALTH PLAN	AVMED HMO	$25,809
AVMED HEALTH PLAN	AVMED HMO	$25,809
UNITED HEALTHCARE	UNITED HEALTHCARE HMO CHOICE PLUS	$27,397
UNITED HEALTHCARE	UNITED HEALTHCARE HMO CHOICE PLUS	$27,397
GEHA	UNITED HEALTHCARE HMO CHOICE PLUS	$27,397
GEHA	UNITED HEALTHCARE HMO CHOICE PLUS	$27,397
CENTIVO	CENTIVO	$28,825.40
CENTIVO	CENTIVO	$28,825.40

Key finding: At Holy Cross Hospital, published rates for code 27447 range from $37.48 under a Medicaid plan to $28,825.40 under Centivo, about 769x apart.

What to Do With These Knee Replacement Prices

Name the procedure by its code, then ask for a number. When you call a hospital's billing or estimates office, say "CPT 27447, total knee replacement" and ask for its cash or self-pay price and an itemized estimate. Ask whether the quote is for an inpatient or outpatient stay, since that changes how the facility charge is billed.

Measure any quote against what this page shows. Cash prices are published for only 3 of 14 rows. Cleveland Clinic Weston Hospital lists $5,096 in cash, and Lakeside Medical Center lists $12,915.46. At Holy Cross Hospital, cash equals gross, so no separate self-pay price is shown. Insured rates on this page run from $992.70 to $78,199.82, so a quote can land anywhere in a wide spread. Compare it with the insured range at the same hospital, not just the page-wide figures.

Count the bills, not just the hospital charge. The figures here are facility charges. The surgeon, the anesthesia provider, the implant or supplies (if billed separately), and follow-up care such as physical therapy can each send their own bill. Ask what a quote includes and excludes, and whether any bundled or package price covers several of these:

Surgeon's professional fee
Anesthesia
Implant and supplies
Physical therapy and follow-up visits

Read blanks as gaps. Gross charge is missing for 12 of 14 rows, and 11 hospitals publish no cash price for any code here. A $0 or blank entry means the data is missing, not that the surgery is free. Ask the hospital directly for the real figure.

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 Knee Replacement Costs

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

Published cash prices for a knee replacement in this region range from $2,821 at Holy Cross Hospital to $12,915.46 at Lakeside Medical Center. Cleveland Clinic Weston Hospital lists $5,096. Only 3 of 14 hospital rows have a published cash price. The other 11, including all 10 HCA Healthcare hospitals and Nicklaus Children's Hospital, have no cash price in the data, so it is missing and not zero. These figures are facility charges only. The surgeon, anesthesia, and other professionals usually bill separately, so the total you are quoted may be higher than the facility figure alone.

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

A gross charge is a hospital's undiscounted list price, while a cash price is what a self-pay patient is quoted. Only Cleveland Clinic Weston Hospital published both for this code, with a gross charge of $7,840 and a cash price of $5,096, which is 65% of gross. The other 13 rows have a missing gross charge, so no cash-to-gross comparison can be made for them. Gross charges are rarely what insured patients pay, because negotiated rates between hospitals and plans apply instead.

Does insurance cover a knee replacement?

Whether a knee replacement is covered depends on your specific plan, so the plan itself or your insurer is the place to confirm details. This page shows negotiated facility rates for code 27447 at all 14 hospitals. They range from $992.70 at Cleveland Clinic Weston Hospital to $78,199.82 at Nicklaus Children's Hospital. If you have a high-deductible plan and have not met your deductible, you usually pay the plan's negotiated rate for the facility charge until the deductible is reached. Rates vary by insurer, plan type, and hospital.

Are there additional fees beyond the knee replacement facility charge?

Yes. The facility charge covers the hospital's costs, but a knee replacement typically comes with other bills. These can include a surgeon's professional fee, an anesthesiologist's fee, and a bill from a pathology or radiology group for any lab work or imaging. Other possible charges include the implant or device if billed separately, physical therapy, durable medical equipment such as a walker or brace, and prescriptions after discharge. Each may come from a different provider, so ask for itemized statements from each.

What is the cash price for a knee replacement at Cleveland Clinic Weston Hospital?

Cleveland Clinic Weston Hospital publishes a cash price of $5,096 for CPT 27447 total knee replacement, which is 65% of its $7,840 gross charge. This is a facility charge only and does not include surgeon, anesthesia or other separate bills. Its published insured rates run from $992.70 to $7,840.

What is the highest self-pay price for a knee replacement in Miami-Fort Lauderdale-West Palm Beach?

The highest published cash price on this page is $12,915.46 at Lakeside Medical Center for CPT 27447. This is a facility charge only. Lakeside's gross charge is missing from the data ($0 or blank means missing, not free). Its insured rates run from $1,218.22 to $14,207.

Why do so many Miami hospitals show no cash price for knee replacement?

Only 3 of 14 price rows on this page include a published cash price. Eleven hospitals, including HCA Florida Aventura Hospital and HCA Florida JFK Hospital, list no cash price for CPT 27447, and 12 rows have no gross charge. Blank or $0 entries mean the data is missing, not that the service is free.

What do Florida Blue and Aetna pay for a knee replacement in the Miami area?

For CPT 27447, Florida Blue's highest published rate is $27,625 at Nicklaus Children's Hospital, with a median of $623.87 across 14 hospitals. Aetna's highest is $31,455 at HCA Florida Palms West Hospital, with a median of $3,093 across 16 hospitals. These are facility rates only.

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

Echocardiogram Cost in Miami-Fort Lauderdale-West Palm Beach

Cash prices from $514 to $16,025.

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.

Data Sources

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Baptist Hospital of Miami

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

Attested by: Sarah Vaupen

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

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