X-ray, hand
Facility: Mercyone North Iowa Medical Center
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $26
- Cash Discount Price: $136
- vs. Medicare Baseline: 0.29x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $5 - $131 | 6% |
| Aetna | $8 - $205 | 9% |
| Albany County Correctional Facility | $8 - $26 | 9% |
| Align Senior Care | $8 - $35 | 9% |
| Ally Align Care Adv | $8 - $35 | 9% |
| Ambetter / Centene | $8 - $158 | 9% |
| American Health Advantage Of Idaho | $8 - $35 | 9% |
| American Health Plan | $8 - $36 | 9% |
| Amish Mennonite | $8 - $26 | 9% |
| Ascension St. Vincent Public Safety Medical | $8 - $26 | 9% |
| Aurora Special Needs | $8 - $35 | 9% |
| Bcccp-Michigan | $8 - $26 | 9% |
| Bccp | $8 - $26 | 9% |
| Blue Care Network Advantage | $8 - $35 | 9% |
| Blue Cross Blue Shield | $8 - $142 | 9% |
| Blue Shield - De (Highmark) Medciare Advantage | $8 - $35 | 9% |
| Bmc Healthnet | $8 - $26 | 9% |
| Breast Grant-Connecticut | $8 - $26 | 9% |
| Broward County Dept Of Health | $8 - $26 | 9% |
| California Health And Wellness | $8 - $26 | 9% |
| Cardinal Innovations Lme | $8 - $26 | 9% |
| Care Connections Of Northern Iowa | $8 - $26 | 9% |
| Care Dimensions | $8 - $35 | 9% |
| Care Improvement Plus | $8 - $35 | 9% |
| Care Oregon Ohp | $8 - $26 | 9% |
| Care Resources Pace | $8 - $35 | 9% |
| Careplus Health Plans | $8 - $35 | 9% |
| Cca - Zing Health | $8 - $35 | 9% |
| Cca Senior Care Options | $8 - $35 | 9% |
| Cencal Health Plan | $8 - $26 | 9% |
| Cenpatico | $8 - $26 | 9% |
| Central Valley Medical Services Corp Pace | $8 - $35 | 9% |
| Champion Health Plan Mcr Advantage | $8 - $35 | 9% |
| Champva | $8 - $33 | 9% |
| Chhuny | $8 - $26 | 9% |
| Childrens Comm Health Plan | $8 - $26 | 9% |
| Childrens Medical Services Title 19 | $8 - $26 | 9% |
| Cigna | $8 - $273 | 9% |
| City Of Philadelphia | $8 - $26 | 9% |
| Clear Spring Health | $8 - $35 | 9% |
| Clover Health | $8 - $35 | 9% |
| Cmh Allegan County | $8 - $26 | 9% |
| Cmh Ausable Valley | $8 - $26 | 9% |
| Cmh Barry County | $8 - $26 | 9% |
| Cmh Bay-Arenac County | $8 - $26 | 9% |
| Cmh Berrien County | $8 - $26 | 9% |
| Cmh Cass County | $8 - $26 | 9% |
| Cmh Central Mi County | $8 - $26 | 9% |
| Cmh Clinton-Eaton-Ingham County | $8 - $26 | 9% |
| Cmh Detroit Wayne Integrated Health Network | $8 - $26 | 9% |
| Cmh Genesee County | $8 - $26 | 9% |
| Cmh Ionia County | $8 - $26 | 9% |
| Cmh Jackson County/Lifeways | $8 - $26 | 9% |
| Cmh Kalamazoo | $8 - $26 | 9% |
| Cmh Kent County | $8 - $26 | 9% |
| Cmh Lenawee County | $8 - $26 | 9% |
| Cmh Livingston County | $8 - $26 | 9% |
| Cmh Macomb | $8 - $26 | 9% |
| Cmh Misc | $8 - $26 | 9% |
| Cmh Monroe County | $8 - $26 | 9% |
| Cmh Montcalm County | $8 - $26 | 9% |
| Cmh Muskegon County | $8 - $26 | 9% |
| Cmh Newaygo County | $8 - $26 | 9% |
| Cmh North Country | $8 - $26 | 9% |
| Cmh Northern Lakes County | $8 - $26 | 9% |
| Cmh Oakland County | $8 - $26 | 9% |
| Cmh Ottawa County | $8 - $26 | 9% |
| Cmh Van Buren County | $8 - $26 | 9% |
| Cmh Washtenaw County | $8 - $26 | 9% |
| Cmh Wayne County/Carelink | $8 - $26 | 9% |
| Cmh Wayne Cty/Com Liv Svcs | $8 - $26 | 9% |
| Cmh West Mi County | $8 - $26 | 9% |
| Commonwealth Care Alliance | $8 - $35 | 9% |
| Community Benefit Health | $8 - $26 | 9% |
| Community Care Behavorial Health | $8 - $26 | 9% |
| Community Care Partners | $8 - $26 | 9% |
| Community Health Choice | $8 - $26 | 9% |
| Community Pace At Home | $8 - $35 | 9% |
| Connections Csp | $8 - $26 | 9% |
| County Coroner | $8 - $26 | 9% |
| County Funding Generic | $8 - $26 | 9% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $8 - $26 | 9% |
| Dean Wi Badgercare | $8 - $26 | 9% |
| Delaware County Department Of Health | $8 - $26 | 9% |
| Delaware First Health | $8 - $26 | 9% |
| Delta Dental Nj | $8 - $26 | 9% |
| Dph Tb Program | $8 - $26 | 9% |
| Dscc | $8 - $26 | 9% |
| Eastpointe Lme | $8 - $26 | 9% |
| Eddy Senior Care-Pace | $8 - $35 | 9% |
| Eddy Seniorcare Pace | $8 - $35 | 9% |
| Elementcare | $8 - $35 | 9% |
| Evercare | $8 - $35 | 9% |
| Everence | $8 - $35 | 9% |
| Family Health Network | $8 - $26 | 9% |
| Freedom First Healthcare | $8 - $26 | 9% |
| Fresno County Ccs | $8 - $26 | 9% |
| Gateway Health Plan | $8 - $35 | 9% |
| Genesys Pace Of Genesee County | $8 - $35 | 9% |
| Georgia Health Advantage | $8 - $35 | 9% |
| Ghc Scw Wi Badgercare | $8 - $26 | 9% |
| Gold Advantage | $8 - $35 | 9% |
| Gpa Croell Redi Mix | $8 - $35 | 9% |
| Harbor Health | $8 - $26 | 9% |
| Health America Advantra | $8 - $35 | 9% |
| Health Safety Net | $8 - $26 | 9% |
| Healthy Blue Ne | $8 - $26 | 9% |
| Hennepin Health | $8 - $26 | 9% |
| Highmark Health Options Dual Plan | $8 - $35 | 9% |
| Hope Select Pace | $8 - $35 | 9% |
| Horizon Nj Total Care | $8 - $35 | 9% |
| Hudson Headwaters Pace | $8 - $35 | 9% |
| Humana | $8 - $56 | 9% |
| Huron Valley Pace | $8 - $35 | 9% |
| Id County Ada | $8 - $26 | 9% |
| Id County Canyon | $8 - $26 | 9% |
| Id County Cat Fund | $8 - $26 | 9% |
| Id County Other | $8 - $26 | 9% |
| Id County Payette | $8 - $26 | 9% |
| Idaho Dept Health And Wellfare | $8 - $26 | 9% |
| Idaho Womens Health Check | $8 - $26 | 9% |
| Indiana Breast Cervical Cancer | $8 - $26 | 9% |
| Inland Empire Health Plan | $8 - $26 | 9% |
| Innovative Integrated Health Community Plans | $8 - $35 | 9% |
| Intercommunity Health Ohp | $8 - $26 | 9% |
| Iowa Health Advantage | $8 - $36 | 9% |
| Jai Medical System | $8 - $26 | 9% |
| Johns Hopkins Advantage Md | $8 - $35 | 9% |
| Kern Family Health Plan | $8 - $26 | 9% |
| Keystone First | $8 - $26 | 9% |
| Keystone First Chip | $8 - $26 | 9% |
| La Care Health Plan | $8 - $26 | 9% |
| Lakeland Care Inc | $8 - $26 | 9% |
| Lasso Healthcare Msa | $8 - $35 | 9% |
| Life St Marys Pace | $8 - $35 | 9% |
| Lifecircles Pace | $8 - $35 | 9% |
| Longevity Health Plan | $8 - $35 | 9% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $8 - $35 | 9% |
| Managed Health Services - Indiana | $8 - $26 | 9% |
| Martins Point Generations Advantage | $8 - $35 | 9% |
| Maryland Breast & Cervical Program | $8 - $26 | 9% |
| Maryland Healthy Smiles - Scion Dental | $8 - $26 | 9% |
| Maryland Physicians Care | $8 - $26 | 9% |
| Mass General Brigham Mcr Adv | $8 - $35 | 9% |
| Massachusetts Behavioral Health Partnership | $8 - $26 | 9% |
| Mdwise | $8 - $26 | 9% |
| Medi-Cal | $8 - $26 | 9% |
| Medi-Cal Healthnet | $8 - $26 | 9% |
| Medicare (plans) | $8 - $146 | 9% |
| Medipak Advantage | $8 - $35 | 9% |
| Medstar Dc Healthy Family | $8 - $26 | 9% |
| Medstar Md Health Choice | $8 - $26 | 9% |
| Mercy Life | $8 - $35 | 9% |
| Mercyone Cedar Valley | $8 - $35 | 9% |
| Meridian Complete | $8 - $35 | 9% |
| Michigan Complete Health | $8 - $35 | 9% |
| Mo Home State Health Plan | $8 - $26 | 9% |
| Molina Centennial Care | $8 - $26 | 9% |
| Nascentia Health Options | $8 - $26 | 9% |
| Nascentia Health Plus | $8 - $35 | 9% |
| New Centry Health Careplus | $8 - $35 | 9% |
| New York Cancer Services Program | $8 - $26 | 9% |
| Nextlevel Health | $8 - $26 | 9% |
| Oregon Screenwise | $8 - $26 | 9% |
| Osu Prime Care Advantage | $8 - $35 | 9% |
| Pace Cny | $8 - $35 | 9% |
| Pace Iowa Immanuel Pathways | $8 - $35 | 9% |
| Pace Of Southwest Michigan | $8 - $35 | 9% |
| Pace Southeast | $8 - $35 | 9% |
| Pace-Trinity Health | $8 - $35 | 9% |
| Paramount Advantage | $8 - $26 | 9% |
| Parkland Community Health Plan | $8 - $26 | 9% |
| Partners Behavioral Lme | $8 - $26 | 9% |
| Peach State Healthplan | $8 - $26 | 9% |
| Peak Pace Solutions | $8 - $35 | 9% |
| Perennial Advantage | $8 - $35 | 9% |
| Philadelphia County Funding | $8 - $26 | 9% |
| Preferred Care Partners | $8 - $35 | 9% |
| Presbyterian Centennial Care | $8 - $26 | 9% |
| Presbyterian Senior Plan | $8 - $35 | 9% |
| Prestige Health Choice | $8 - $26 | 9% |
| Priority Partners | $8 - $26 | 9% |
| Provider Partners Health Plan Of Illinois | $8 - $35 | 9% |
| Provider Partners Health Plan Of Indiana | $8 - $35 | 9% |
| Pruitthealth Premier | $8 - $35 | 9% |
| Reliance Community Care Partners Care Resources Pace | $8 - $35 | 9% |
| Robert F Sing Program | $8 - $26 | 9% |
| Rx 340B Pass Along | $8 - $26 | 9% |
| Rx Allwin | $8 - $35 | 9% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $8 - $26 | 9% |
| Rx Grane Grnmedd | $8 - $35 | 9% |
| Rx Medi-Cal | $8 - $26 | 9% |
| Rx Meridian Rx | $8 - $26 | 9% |
| Rx Retiree Rx Care | $8 - $35 | 9% |
| Ryan White Florida Mssrp | $8 - $26 | 9% |
| Sandhills Center Lme | $8 - $26 | 9% |
| Scan Health Plan Mcr Ipa Meritage Oon | $8 - $35 | 9% |
| Screening For Life | $8 - $26 | 9% |
| Secure Horizons Ma Pffs | $8 - $35 | 9% |
| Serenity Pace | $8 - $35 | 9% |
| Siouxland Pace | $8 - $35 | 9% |
| Solis Health Plans | $8 - $35 | 9% |
| St Joseph County Hlth Dpt | $8 - $26 | 9% |
| Sunnyview-Pace Finance Dept | $8 - $35 | 9% |
| Sunshine State Health Plan | $8 - $26 | 9% |
| Superior Health | $8 - $26 | 9% |
| Tenncare | $8 - $26 | 9% |
| Texan Plus | $8 - $35 | 9% |
| Texas Children'S Health Plan | $8 - $26 | 9% |
| The Health Plan | $8 - $35 | 9% |
| Thome Pace | $8 - $35 | 9% |
| Todays Options | $8 - $35 | 9% |
| Tribute Health Plans | $8 - $35 | 9% |
| Tricare | $8 - $33 | 9% |
| Trillium Community Ohp | $8 - $26 | 9% |
| Triwest Health Alliance | $8 - $33 | 9% |
| Tufts Health Public Plans | $8 - $26 | 9% |
| Um Health Advantage | $8 - $35 | 9% |
| Union Health Service | $8 - $35 | 9% |
| UnitedHealthcare | $8 - $391 | 9% |
| Us Family Health Plan | $8 - $33 | 9% |
| Vaya Health Lme | $8 - $26 | 9% |
| Veterans Administration | $8 - $35 | 9% |
| Veterans Eval Services | $8 - $33 | 9% |
| Washtenaw Health Plan | $8 - $26 | 9% |
| Wc Corvel | $8 - $34 | 9% |
| Welbe Health | $8 - $35 | 9% |
| Wellmed | $8 - $35 | 9% |
| Wellsense Health Plan | $8 - $26 | 9% |
| Wi Womens Wellness | $8 - $26 | 9% |
| Iowa Total Care | $9 - $129 | 10% |
| Stephenson Cty Health | $9 - $39 | 10% |
| Wellpoint | $9 - $27 | 10% |
| Amish Hospital Aid | $11 - $125 | 12% |
| Amps | $11 - $48 | 12% |
| Avera | $13 - $57 | 15% |
| Bcn Domestic | $14 - $136 | 16% |
| Blue Benefit Administrators Of Massachusetts | $14 - $136 | 16% |
| Blue Care Network | $14 - $136 | 16% |
| Blue Distinction Transplant | $14 - $136 | 16% |
| Blue Shield - Ca | $14 - $136 | 16% |
| Blue Shield - Id (Regence) | $14 - $136 | 16% |
| Blue Shield - Ny Highmark Northeastern | $14 - $136 | 16% |
| Blue Shield - Ny Highmark Western | $14 - $136 | 16% |
| Blue Shield - Pa (Highmark) | $14 - $136 | 16% |
| Blue Shield - Wa (Regence) | $14 - $136 | 16% |
| Health Choices | $14 - $100 | 16% |
| Health Smart | $14 - $65 | 16% |
| Kaiser Domestic | $14 - $136 | 16% |
| Medical Associates | $14 - $100 | 16% |
| Pre-Employment | $14 - $136 | 16% |
| Preferred Health Choice | $14 - $58 | 16% |
| Sanford Health Plan | $14 - $61 | 16% |
| Wc Domestic | $14 - $136 | 16% |
| Lucent Health | $15 - $205 | 17% |
| Meritain | $15 - $205 | 17% |
| Oscar | $15 - $124 | 17% |
| Ucare | $15 - $68 | 17% |
| Centivo | $16 - $115 | 18% |
| Health Partners | $16 - $261 | 18% |
| Newton Correctional Facility | $16 - $67 | 18% |
| Quiktrip | $16 - $69 | 18% |
| Usa Managed Care | $16 - $68 | 18% |
| Claimdoc | $17 - $189 | 19% |
| Geha | $17 - $391 | 19% |
| Multiplan | $17 - $351 | 19% |
| Preferred One | $17 - $254 | 19% |
| The Alliance | $17 - $74 | 19% |
| Genex Wc | $18 - $77 | 20% |
| Global Excel | $19 - $80 | 21% |
| Velocity | $19 - $83 | 21% |
| Wc Align Network | $19 - $82 | 21% |
| Wc Praxis Health Network | $20 - $88 | 22% |
| Allied Benefit Systems | $21 - $205 | 24% |
| Auxiant | $21 - $273 | 24% |
| First Choice Health | $21 - $92 | 24% |
| Group Administrators | $21 - $92 | 24% |
| Midlands | $21 - $273 | 24% |
| Midlands Choice | $21 - $273 | 24% |
| Wc Reny Company | $21 - $90 | 24% |
| Wc Velocity | $21 - $90 | 24% |
| Auto Velocity | $22 - $93 | 25% |
| Wc O'Hara Corp | $22 - $93 | 25% |
| Nebraska Total Care | $23 - $103 | 26% |
| Andrie Inc | $24 - $103 | 27% |
| East Greenbush Central School District | $24 - $103 | 27% |
| Healthsmart Workers Comp | $24 - $103 | 27% |
| Iowa Dept Of Public Health | $24 - $390 | 27% |
| Jag Source | $24 - $103 | 27% |
| Medica | $24 - $273 | 27% |
| New York State Insurance Fund | $24 - $103 | 27% |
| Njm Insurance Group | $24 - $103 | 27% |
| Rx Heatlhcomp | $24 - $103 | 27% |
| Rx Restat | $24 - $103 | 27% |
| Rx Saif Opdp Wc | $24 - $103 | 27% |
| Rx Worker'S Comp | $24 - $103 | 27% |
| Wc Accident Fund | $24 - $103 | 27% |
| Wc Ace | $24 - $103 | 27% |
| Wc Acs Federal Employees | $24 - $103 | 27% |
| Wc Acuity | $24 - $103 | 27% |
| Wc Advantage | $24 - $103 | 27% |
| Wc Aegis | $24 - $103 | 27% |
| Wc Aig | $24 - $103 | 27% |
| Wc Aims | $24 - $103 | 27% |
| Wc Alaska National Ins | $24 - $103 | 27% |
| Wc Allied | $24 - $103 | 27% |
| Wc Am Trust N America | $24 - $103 | 27% |
| Wc American Claims Mgmt | $24 - $103 | 27% |
| Wc Amerisure | $24 - $103 | 27% |
| Wc Amtrust | $24 - $103 | 27% |
| Wc Asu Risk Mgt | $24 - $103 | 27% |
| Wc Benetech | $24 - $103 | 27% |
| Wc Berkley Admin | $24 - $103 | 27% |
| Wc Broadspire | $24 - $103 | 27% |
| Wc Broward County | $24 - $103 | 27% |
| Wc Bunch & Associates | $24 - $103 | 27% |
| Wc California State Comp Ins | $24 - $103 | 27% |
| Wc California State Ins Fund | $24 - $103 | 27% |
| Wc Capitol Area Health Consortium | $24 - $103 | 27% |
| Wc Ccmsi | $24 - $103 | 27% |
| Wc Chartis | $24 - $103 | 27% |
| Wc Chubb | $24 - $103 | 27% |
| Wc Cirma | $24 - $103 | 27% |
| Wc City Of Albany | $24 - $103 | 27% |
| Wc City Of Sioux City | $24 - $103 | 27% |
| Wc Claims Mgmt Inc | $24 - $103 | 27% |
| Wc Cna | $24 - $103 | 27% |
| Wc Comp One Admin C/O Manageability | $24 - $103 | 27% |
| Wc Compone Admin | $24 - $103 | 27% |
| Wc Ct Healthcare Trust | $24 - $103 | 27% |
| Wc Donegal Insurance Group | $24 - $103 | 27% |
| Wc Emc Insurance Company | $24 - $103 | 27% |
| Wc Employee Mutual | $24 - $103 | 27% |
| Wc Enablecomp | $24 - $103 | 27% |
| Wc Encore Health Network | $24 - $103 | 27% |
| Wc Erie | $24 - $103 | 27% |
| Wc Esis | $24 - $103 | 27% |
| Wc Evolutions | $24 - $103 | 27% |
| Wc Fcci | $24 - $103 | 27% |
| Wc Fed Ex | $24 - $103 | 27% |
| Wc Federal Black Lung | $24 - $103 | 27% |
| Wc Federated | $24 - $103 | 27% |
| Wc Finley Occupational Health | $24 - $103 | 27% |
| Wc First Agency/Occunet | $24 - $103 | 27% |
| Wc Ford Motor | $24 - $103 | 27% |
| Wc Fresno Unified Emp | $24 - $103 | 27% |
| Wc Gallagher Bassett | $24 - $103 | 27% |
| Wc General Motors | $24 - $103 | 27% |
| Wc Generic | $24 - $103 | 27% |
| Wc Genex Care For Ohio | $24 - $103 | 27% |
| Wc Great West Casualty | $24 - $103 | 27% |
| Wc Guarantee Insurance | $24 - $103 | 27% |
| Wc Guard Insurance Company | $24 - $103 | 27% |
| Wc Hab | $24 - $103 | 27% |
| Wc Hartford | $24 - $103 | 27% |
| Wc Hastings | $24 - $103 | 27% |
| Wc Health Management | $24 - $103 | 27% |
| Wc Heritage Summit | $24 - $103 | 27% |
| Wc Hireright | $24 - $103 | 27% |
| Wc Horizon | $24 - $103 | 27% |
| Wc Icw Group | $24 - $103 | 27% |
| Wc Idaho State Ins Fund | $24 - $103 | 27% |
| Wc Intercare Insurance | $24 - $103 | 27% |
| Wc Intermountain | $24 - $103 | 27% |
| Wc Johns Eastern | $24 - $103 | 27% |
| Wc Kemberton | $24 - $103 | 27% |
| Wc Key Ins & Benefit Solutions | $24 - $103 | 27% |
| Wc Liberty Mutual | $24 - $103 | 27% |
| Wc Mac Risk Management | $24 - $103 | 27% |
| Wc Massachusetts | $24 - $103 | 27% |
| Wc Mdia | $24 - $103 | 27% |
| Wc Meadowbrook Claim | $24 - $103 | 27% |
| Wc Medical Administrators | $24 - $103 | 27% |
| Wc Meijers | $24 - $103 | 27% |
| Wc Memic | $24 - $103 | 27% |
| Wc Mercy Workcare | $24 - $103 | 27% |
| Wc Michigan | $24 - $103 | 27% |
| Wc Michigan Millers Mutual | $24 - $103 | 27% |
| Wc Mitchell Frankenmuth | $24 - $103 | 27% |
| Wc Mra | $24 - $103 | 27% |
| Wc Nationwide | $24 - $103 | 27% |
| Wc Nca Comp | $24 - $103 | 27% |
| Wc New York | $24 - $103 | 27% |
| Wc New York Special Funds | $24 - $103 | 27% |
| Wc North American Rishces | $24 - $103 | 27% |
| Wc Northeast Health | $24 - $103 | 27% |
| Wc Notre Dame | $24 - $103 | 27% |
| Wc Novanet | $24 - $103 | 27% |
| Wc Occ Health Allen | $24 - $103 | 27% |
| Wc Ohio Bureau | $24 - $103 | 27% |
| Wc One Call Medical | $24 - $103 | 27% |
| Wc Paradigm | $24 - $103 | 27% |
| Wc Peerless | $24 - $103 | 27% |
| Wc Pma | $24 - $103 | 27% |
| Wc Price Chopper | $24 - $103 | 27% |
| Wc Procura Management | $24 - $103 | 27% |
| Wc Qualcare | $24 - $103 | 27% |
| Wc Quiktrip | $24 - $103 | 27% |
| Wc Rev Claims | $24 - $103 | 27% |
| Wc Risico | $24 - $103 | 27% |
| Wc Rural Mutual | $24 - $103 | 27% |
| Wc Saif Oregon | $24 - $103 | 27% |
| Wc Secura | $24 - $103 | 27% |
| Wc Sedgwick | $24 - $103 | 27% |
| Wc Sentry | $24 - $103 | 27% |
| Wc Sheakley Unicomp | $24 - $103 | 27% |
| Wc Smile Lodge | $24 - $103 | 27% |
| Wc Society | $24 - $103 | 27% |
| Wc Srs | $24 - $103 | 27% |
| Wc Taconic (Mro) | $24 - $103 | 27% |
| Wc Taconic Farms | $24 - $103 | 27% |
| Wc Travelers | $24 - $103 | 27% |
| Wc Triad Group | $24 - $103 | 27% |
| Wc Tristar | $24 - $103 | 27% |
| Wc Troy Ny | $24 - $103 | 27% |
| Wc Tyson | $24 - $103 | 27% |
| Wc Unified Health Services | $24 - $103 | 27% |
| Wc United Heartland | $24 - $103 | 27% |
| Wc Us Dept Of Labor | $24 - $103 | 27% |
| Wc Walmart | $24 - $103 | 27% |
| Wc West Bend | $24 - $103 | 27% |
| Wc West Bend Mutual/Argent | $24 - $103 | 27% |
| Wc Winnebago Industries | $24 - $103 | 27% |
| Wc Yankee Trails | $24 - $103 | 27% |
| Wc York Risk | $24 - $103 | 27% |
| Wc Zenith | $24 - $103 | 27% |
| Wc Zurich | $24 - $103 | 27% |
| 1199 National Benefit Fund | $136 - $205 | 153% |
| Asr Health Benefits | $136 - $205 | 153% |
| Christian Brother Services | $136 - $205 | 153% |
| Coventry | $136 - $205 | 153% |
| First Health | $136 - $205 | 153% |
| Luminare Health | $136 - $205 | 153% |
| Medical Mutual | $136 - $205 | 153% |
| Trustmark Small Business Benefits | $136 - $205 | 153% |
| Webtpa | $136 - $205 | 153% |
| Nova | $189 | 213% |
| Mhnet | $207 - $312 | 233% |
| Crime Victim Assistance | $259 - $390 | 291% |