CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: Mercyone Dubuque Medical Center
Billing Code: 90791 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90791
- Insurance Median: $133
- Cash Discount Price: $307
- vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Mercyone Dubuque Medical Center is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $307. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.73x the Medicare baseline. Located in 250 Mercy Drive, Dubuque, IA.
Cash / Self-Pay
$307
Average discount available for prompt cash payment at this facility.
Insurance Median
$133
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$181.34
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $307 (169%)
Insurance Median: $133 (73%)
Cash: $307 (169% of Medicare)
Ins. Median: $133 (73% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $181.34 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Mhnet | $75 | 41% |
| Medicaid / KanCare | $79 - $307 | 44% |
| UnitedHealthcare | $89 - $307 | 49% |
| Geha | $93 - $307 | 51% |
| Albany County Correctional Facility | $97 | 53% |
| Ambetter / Centene | $97 - $231 | 53% |
| Amish Mennonite | $97 | 53% |
| Ascension St. Vincent Public Safety Medical | $97 | 53% |
| Bcccp-Michigan | $97 | 53% |
| Bccp | $97 | 53% |
| Blue Cross Blue Shield | $97 - $208 | 53% |
| Bmc Healthnet | $97 | 53% |
| Breast Grant-Connecticut | $97 | 53% |
| Broward County Dept Of Health | $97 | 53% |
| California Health And Wellness | $97 | 53% |
| Can Community Health Inc | $97 | 53% |
| Cardinal Innovations Lme | $97 | 53% |
| Care Connections Of Northern Iowa | $97 | 53% |
| Care Oregon Ohp | $97 | 53% |
| Cencal Health Plan | $97 | 53% |
| Cenpatico | $97 | 53% |
| Chhuny | $97 | 53% |
| Childrens Comm Health Plan | $97 | 53% |
| Childrens Medical Services Title 19 | $97 | 53% |
| Cigna | $97 - $256 | 53% |
| City Of Philadelphia | $97 | 53% |
| Cmh Allegan County | $97 | 53% |
| Cmh Ausable Valley | $97 | 53% |
| Cmh Barry County | $97 | 53% |
| Cmh Bay-Arenac County | $97 | 53% |
| Cmh Berrien County | $97 | 53% |
| Cmh Cass County | $97 | 53% |
| Cmh Central Mi County | $97 | 53% |
| Cmh Clinton-Eaton-Ingham County | $97 | 53% |
| Cmh Detroit Wayne Integrated Health Network | $97 | 53% |
| Cmh Genesee County | $97 | 53% |
| Cmh Ionia County | $97 | 53% |
| Cmh Jackson County/Lifeways | $97 | 53% |
| Cmh Kalamazoo | $97 | 53% |
| Cmh Kent County | $97 | 53% |
| Cmh Lenawee County | $97 | 53% |
| Cmh Livingston County | $97 | 53% |
| Cmh Macomb | $97 | 53% |
| Cmh Misc | $97 | 53% |
| Cmh Monroe County | $97 | 53% |
| Cmh Montcalm County | $97 | 53% |
| Cmh Muskegon County | $97 | 53% |
| Cmh Newaygo County | $97 | 53% |
| Cmh North Country | $97 | 53% |
| Cmh Northern Lakes County | $97 | 53% |
| Cmh Oakland County | $97 | 53% |
| Cmh Ottawa County | $97 | 53% |
| Cmh Van Buren County | $97 | 53% |
| Cmh Washtenaw County | $97 | 53% |
| Cmh Wayne County/Carelink | $97 | 53% |
| Cmh Wayne Cty/Com Liv Svcs | $97 | 53% |
| Cmh West Mi County | $97 | 53% |
| Community Benefit Health | $97 | 53% |
| Community Care Behavorial Health | $97 | 53% |
| Community Care Partners | $97 | 53% |
| Community Health Choice | $97 | 53% |
| Connections Csp | $97 | 53% |
| County Coroner | $97 | 53% |
| County Funding Generic | $97 | 53% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $97 | 53% |
| Dean Wi Badgercare | $97 | 53% |
| Delaware County Department Of Health | $97 | 53% |
| Delaware First Health | $97 | 53% |
| Delta Dental Nj | $97 | 53% |
| Dph Tb Program | $97 | 53% |
| Dscc | $97 | 53% |
| Eastpointe Lme | $97 | 53% |
| Family Health Network | $97 | 53% |
| Freedom First Healthcare | $97 | 53% |
| Fresno County Ccs | $97 | 53% |
| Ghc Scw Wi Badgercare | $97 | 53% |
| Harbor Health | $97 | 53% |
| Health Safety Net | $97 | 53% |
| Healthy Blue Ne | $97 | 53% |
| Hennepin Health | $97 | 53% |
| Humana | $97 - $218 | 53% |
| Id County Ada | $97 | 53% |
| Id County Canyon | $97 | 53% |
| Id County Cat Fund | $97 | 53% |
| Id County Other | $97 | 53% |
| Id County Payette | $97 | 53% |
| Idaho Dept Health And Wellfare | $97 | 53% |
| Idaho Womens Health Check | $97 | 53% |
| Indiana Breast Cervical Cancer | $97 | 53% |
| Inland Empire Health Plan | $97 | 53% |
| Intercommunity Health Ohp | $97 | 53% |
| Jai Medical System | $97 | 53% |
| Kern Family Health Plan | $97 | 53% |
| Keystone First | $97 | 53% |
| Keystone First Chip | $97 | 53% |
| La Care Health Plan | $97 | 53% |
| Lakeland Care Inc | $97 | 53% |
| Managed Health Services - Indiana | $97 | 53% |
| Maryland Breast & Cervical Program | $97 | 53% |
| Maryland Healthy Smiles - Scion Dental | $97 | 53% |
| Maryland Physicians Care | $97 | 53% |
| Massachusetts Behavioral Health Partnership | $97 | 53% |
| Mdwise | $97 | 53% |
| Medi-Cal | $97 | 53% |
| Medi-Cal Healthnet | $97 | 53% |
| Medstar Dc Healthy Family | $97 | 53% |
| Medstar Md Health Choice | $97 | 53% |
| Mo Home State Health Plan | $97 | 53% |
| Molina Centennial Care | $97 | 53% |
| Nascentia Health Options | $97 | 53% |
| New York Cancer Services Program | $97 | 53% |
| Nextlevel Health | $97 | 53% |
| Oregon Screenwise | $97 | 53% |
| Pace Of Southwest Michigan | $97 - $133 | 53% |
| Paramount Advantage | $97 | 53% |
| Parkland Community Health Plan | $97 | 53% |
| Partners Behavioral Lme | $97 | 53% |
| Peach State Healthplan | $97 | 53% |
| Philadelphia County Funding | $97 | 53% |
| Presbyterian Centennial Care | $97 | 53% |
| Prestige Health Choice | $97 | 53% |
| Priority Partners | $97 | 53% |
| Robert F Sing Program | $97 | 53% |
| Rx 340B Pass Along | $97 | 53% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $97 | 53% |
| Rx Medi-Cal | $97 | 53% |
| Rx Meridian Rx | $97 | 53% |
| Ryan White Florida Mssrp | $97 | 53% |
| Sandhills Center Lme | $97 | 53% |
| Screening For Life | $97 | 53% |
| St Joseph County Hlth Dpt | $97 | 53% |
| Sunshine State Health Plan | $97 | 53% |
| Superior Health | $97 | 53% |
| Tenncare | $97 | 53% |
| Texas Children'S Health Plan | $97 | 53% |
| Trillium Community Ohp | $97 | 53% |
| Tufts Health Public Plans | $97 | 53% |
| Vaya Health Lme | $97 | 53% |
| Washtenaw Health Plan | $97 | 53% |
| Wellsense Health Plan | $97 | 53% |
| Wi Womens Wellness | $97 | 53% |
| Iowa Total Care | $99 | 55% |
| Wellpoint | $100 | 55% |
| Preferred Health Choice | $102 | 56% |
| Health Choices | $104 - $216 | 57% |
| Champva | $105 - $140 | 58% |
| Tricare | $105 - $140 | 58% |
| Triwest Health Alliance | $105 - $140 | 58% |
| Us Family Health Plan | $105 - $140 | 58% |
| Veterans Eval Services | $105 - $140 | 58% |
| Aetna | $113 - $377 | 62% |
| Align Senior Care | $113 - $133 | 62% |
| Ally Align Care Adv | $113 - $133 | 62% |
| American Health Advantage Of Idaho | $113 - $133 | 62% |
| Aurora Special Needs | $113 - $133 | 62% |
| Blue Care Network Advantage | $113 - $133 | 62% |
| Blue Shield - De (Highmark) Medciare Advantage | $113 - $133 | 62% |
| Care Dimensions | $113 - $133 | 62% |
| Care Improvement Plus | $113 - $133 | 62% |
| Care Resources Pace | $113 - $133 | 62% |
| Careplus Health Plans | $113 - $133 | 62% |
| Cca - Zing Health | $113 - $133 | 62% |
| Cca Senior Care Options | $113 - $133 | 62% |
| Central Valley Medical Services Corp Pace | $113 - $133 | 62% |
| Champion Health Plan Mcr Advantage | $113 - $133 | 62% |
| Clear Spring Health | $113 - $133 | 62% |
| Clover Health | $113 - $133 | 62% |
| Commonwealth Care Alliance | $113 - $133 | 62% |
| Community Pace At Home | $113 - $133 | 62% |
| Eddy Senior Care-Pace | $113 - $133 | 62% |
| Eddy Seniorcare Pace | $113 - $133 | 62% |
| Elementcare | $113 - $133 | 62% |
| Evercare | $113 - $133 | 62% |
| Everence | $113 - $133 | 62% |
| Gateway Health Plan | $113 - $133 | 62% |
| Genesys Pace Of Genesee County | $113 - $133 | 62% |
| Georgia Health Advantage | $113 - $133 | 62% |
| Gold Advantage | $113 - $133 | 62% |
| Gpa Croell Redi Mix | $113 - $133 | 62% |
| Health America Advantra | $113 - $133 | 62% |
| Highmark Health Options Dual Plan | $113 - $133 | 62% |
| Hope Select Pace | $113 - $133 | 62% |
| Horizon Nj Total Care | $113 - $133 | 62% |
| Hudson Headwaters Pace | $113 - $133 | 62% |
| Huron Valley Pace | $113 - $133 | 62% |
| Innovative Integrated Health Community Plans | $113 - $133 | 62% |
| Johns Hopkins Advantage Md | $113 - $133 | 62% |
| Lasso Healthcare Msa | $113 - $133 | 62% |
| Life St Marys Pace | $113 - $133 | 62% |
| Lifecircles Pace | $113 - $133 | 62% |
| Longevity Health Plan | $113 - $133 | 62% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $113 - $133 | 62% |
| Martins Point Generations Advantage | $113 - $133 | 62% |
| Mass General Brigham Mcr Adv | $113 - $133 | 62% |
| Medicare (plans) | $113 - $142 | 62% |
| Medipak Advantage | $113 - $133 | 62% |
| Mercy Life | $113 - $133 | 62% |
| Mercyone Cedar Valley | $113 - $133 | 62% |
| Meridian Complete | $113 - $133 | 62% |
| Michigan Complete Health | $113 - $133 | 62% |
| Nascentia Health Plus | $113 - $133 | 62% |
| New Centry Health Careplus | $113 - $133 | 62% |
| Osu Prime Care Advantage | $113 - $133 | 62% |
| Pace Cny | $113 - $133 | 62% |
| Pace Iowa Immanuel Pathways | $113 - $133 | 62% |
| Pace Southeast | $113 - $133 | 62% |
| Pace-Trinity Health | $113 - $133 | 62% |
| Peak Pace Solutions | $113 - $133 | 62% |
| Perennial Advantage | $113 - $133 | 62% |
| Preferred Care Partners | $113 - $133 | 62% |
| Presbyterian Senior Plan | $113 - $133 | 62% |
| Provider Partners Health Plan Of Illinois | $113 - $133 | 62% |
| Provider Partners Health Plan Of Indiana | $113 - $133 | 62% |
| Pruitthealth Premier | $113 - $133 | 62% |
| Reliance Community Care Partners Care Resources Pace | $113 - $133 | 62% |
| Rx Allwin | $113 - $133 | 62% |
| Rx Grane Grnmedd | $113 - $133 | 62% |
| Rx Retiree Rx Care | $113 - $133 | 62% |
| Scan Health Plan Mcr Ipa Meritage Oon | $113 - $133 | 62% |
| Secure Horizons Ma Pffs | $113 - $133 | 62% |
| Serenity Pace | $113 - $133 | 62% |
| Siouxland Pace | $113 - $133 | 62% |
| Solis Health Plans | $113 - $133 | 62% |
| Sunnyview-Pace Finance Dept | $113 - $133 | 62% |
| Texan Plus | $113 - $133 | 62% |
| The Health Plan | $113 - $133 | 62% |
| Thome Pace | $113 - $133 | 62% |
| Todays Options | $113 - $133 | 62% |
| Tribute Health Plans | $113 - $133 | 62% |
| Um Health Advantage | $113 - $133 | 62% |
| Union Health Service | $113 - $133 | 62% |
| Welbe Health | $113 - $133 | 62% |
| Wellmed | $113 - $133 | 62% |
| Veterans Administration | $116 - $136 | 64% |
| American Health Plan | $119 - $140 | 66% |
| Iowa Health Advantage | $119 - $140 | 66% |
| Wc Corvel | $129 | 71% |
| Amps | $147 - $184 | 81% |
| Amish Hospital Aid | $154 - $181 | 85% |
| Bcn Domestic | $160 - $208 | 88% |
| Blue Benefit Administrators Of Massachusetts | $160 - $208 | 88% |
| Blue Care Network | $160 - $208 | 88% |
| Blue Distinction Transplant | $160 - $208 | 88% |
| Blue Shield - Ca | $160 - $208 | 88% |
| Blue Shield - Id (Regence) | $160 - $208 | 88% |
| Blue Shield - Ny Highmark Northeastern | $160 - $208 | 88% |
| Blue Shield - Ny Highmark Western | $160 - $208 | 88% |
| Blue Shield - Pa (Highmark) | $160 - $208 | 88% |
| Blue Shield - Wa (Regence) | $160 - $208 | 88% |
| Kaiser Domestic | $160 - $208 | 88% |
| Pre-Employment | $160 - $208 | 88% |
| Wc Domestic | $160 - $208 | 88% |
| Midlands Choice | $165 - $256 | 91% |
| Medical Associates | $168 - $266 | 93% |
| Wps | $171 | 94% |
| The Alliance | $172 - $286 | 95% |
| Avera | $174 - $205 | 96% |
| Stephenson Cty Health | $175 - $285 | 97% |
| Sanford Health Plan | $187 - $220 | 103% |
| Nebraska Total Care | $191 - $307 | 105% |
| Newton Correctional Facility | $200 - $245 | 110% |
| Ucare | $204 - $240 | 112% |
| Lucent Health | $208 - $245 | 115% |
| Health Smart | $214 - $252 | 118% |
| Allied Benefit Systems | $216 - $238 | 119% |
| Auxiant | $216 - $256 | 119% |
| First Choice Health | $216 | 119% |
| Group Administrators | $216 | 119% |
| Midlands | $216 - $256 | 119% |
| Usa Managed Care | $225 - $264 | 124% |
| Genex Wc | $230 - $283 | 127% |
| Health Partners | $235 - $277 | 130% |
| 1199 National Benefit Fund | $238 | 131% |
| Asr Health Benefits | $238 | 131% |
| Christian Brother Services | $238 | 131% |
| Coventry | $238 | 131% |
| First Health | $238 | 131% |
| Luminare Health | $238 | 131% |
| Medical Mutual | $238 | 131% |
| Meritain | $238 - $302 | 131% |
| Trustmark Small Business Benefits | $238 | 131% |
| Webtpa | $238 | 131% |
| Claimdoc | $242 - $285 | 133% |
| Wc Align Network | $246 - $302 | 136% |
| Medica | $256 | 141% |
| Multiplan | $256 - $336 | 141% |
| Unity | $256 | 141% |
| Preferred One | $258 - $304 | 142% |
| Wc Praxis Health Network | $261 - $320 | 144% |
| Global Excel | $262 - $307 | 144% |
| Centivo | $265 | 146% |
| Wc Reny Company | $267 - $328 | 147% |
| Wc Velocity | $267 - $328 | 147% |
| Velocity | $272 - $307 | 150% |
| Auto Velocity | $276 - $339 | 152% |
| Wc O'Hara Corp | $276 - $339 | 152% |
| Quiktrip | $280 - $307 | 154% |
| Crime Victim Assistance | $285 | 157% |
| Iowa Dept Of Public Health | $285 - $377 | 157% |
| Andrie Inc | $307 - $377 | 169% |
| East Greenbush Central School District | $307 - $377 | 169% |
| Healthsmart Workers Comp | $307 - $377 | 169% |
| Jag Source | $307 - $377 | 169% |
| New York State Insurance Fund | $307 - $377 | 169% |
| Njm Insurance Group | $307 - $377 | 169% |
| Oscar | $307 - $377 | 169% |
| Rx Heatlhcomp | $307 - $377 | 169% |
| Rx Restat | $307 - $377 | 169% |
| Rx Saif Opdp Wc | $307 - $377 | 169% |
| Rx Worker'S Comp | $307 - $377 | 169% |
| Wc Accident Fund | $307 - $377 | 169% |
| Wc Ace | $307 - $377 | 169% |
| Wc Acs Federal Employees | $307 - $377 | 169% |
| Wc Acuity | $307 - $377 | 169% |
| Wc Advantage | $307 - $377 | 169% |
| Wc Aegis | $307 - $377 | 169% |
| Wc Aig | $307 - $377 | 169% |
| Wc Aims | $307 - $377 | 169% |
| Wc Alaska National Ins | $307 - $377 | 169% |
| Wc Allied | $307 - $377 | 169% |
| Wc Am Trust N America | $307 - $377 | 169% |
| Wc American Claims Mgmt | $307 - $377 | 169% |
| Wc Amerisure | $307 - $377 | 169% |
| Wc Amtrust | $307 - $377 | 169% |
| Wc Asu Risk Mgt | $307 - $377 | 169% |
| Wc Benetech | $307 - $377 | 169% |
| Wc Berkley Admin | $307 - $377 | 169% |
| Wc Broadspire | $307 - $377 | 169% |
| Wc Broward County | $307 - $377 | 169% |
| Wc Bunch & Associates | $307 - $377 | 169% |
| Wc California State Comp Ins | $307 - $377 | 169% |
| Wc California State Ins Fund | $307 - $377 | 169% |
| Wc Capitol Area Health Consortium | $307 - $377 | 169% |
| Wc Ccmsi | $307 - $377 | 169% |
| Wc Chartis | $307 - $377 | 169% |
| Wc Chubb | $307 - $377 | 169% |
| Wc Cirma | $307 - $377 | 169% |
| Wc City Of Albany | $307 - $377 | 169% |
| Wc City Of Sioux City | $307 - $377 | 169% |
| Wc Claims Mgmt Inc | $307 - $377 | 169% |
| Wc Cna | $307 - $377 | 169% |
| Wc Comp One Admin C/O Manageability | $307 - $377 | 169% |
| Wc Compone Admin | $307 - $377 | 169% |
| Wc Ct Healthcare Trust | $307 - $377 | 169% |
| Wc Donegal Insurance Group | $307 - $377 | 169% |
| Wc Emc Insurance Company | $307 - $377 | 169% |
| Wc Employee Mutual | $307 - $377 | 169% |
| Wc Enablecomp | $307 - $377 | 169% |
| Wc Encore Health Network | $307 - $377 | 169% |
| Wc Erie | $307 - $377 | 169% |
| Wc Esis | $307 - $377 | 169% |
| Wc Evolutions | $307 - $377 | 169% |
| Wc Fcci | $307 - $377 | 169% |
| Wc Fed Ex | $307 - $377 | 169% |
| Wc Federal Black Lung | $307 - $377 | 169% |
| Wc Federated | $307 - $377 | 169% |
| Wc Finley Occupational Health | $307 - $377 | 169% |
| Wc First Agency/Occunet | $307 - $377 | 169% |
| Wc Ford Motor | $307 - $377 | 169% |
| Wc Fresno Unified Emp | $307 - $377 | 169% |
| Wc Gallagher Bassett | $307 - $377 | 169% |
| Wc General Motors | $307 - $377 | 169% |
| Wc Generic | $307 - $377 | 169% |
| Wc Genex Care For Ohio | $307 - $377 | 169% |
| Wc Great West Casualty | $307 - $377 | 169% |
| Wc Guarantee Insurance | $307 - $377 | 169% |
| Wc Guard Insurance Company | $307 - $377 | 169% |
| Wc Hab | $307 - $377 | 169% |
| Wc Hartford | $307 - $377 | 169% |
| Wc Hastings | $307 - $377 | 169% |
| Wc Health Management | $307 - $377 | 169% |
| Wc Heritage Summit | $307 - $377 | 169% |
| Wc Hireright | $307 - $377 | 169% |
| Wc Horizon | $307 - $377 | 169% |
| Wc Icw Group | $307 - $377 | 169% |
| Wc Idaho State Ins Fund | $307 - $377 | 169% |
| Wc Intercare Insurance | $307 - $377 | 169% |
| Wc Intermountain | $307 - $377 | 169% |
| Wc Johns Eastern | $307 - $377 | 169% |
| Wc Kemberton | $307 - $377 | 169% |
| Wc Key Ins & Benefit Solutions | $307 - $377 | 169% |
| Wc Liberty Mutual | $307 - $377 | 169% |
| Wc Mac Risk Management | $307 - $377 | 169% |
| Wc Massachusetts | $307 - $377 | 169% |
| Wc Mdia | $307 - $377 | 169% |
| Wc Meadowbrook Claim | $307 - $377 | 169% |
| Wc Medical Administrators | $307 - $377 | 169% |
| Wc Meijers | $307 - $377 | 169% |
| Wc Memic | $307 - $377 | 169% |
| Wc Mercy Workcare | $307 - $377 | 169% |
| Wc Michigan | $307 - $377 | 169% |
| Wc Michigan Millers Mutual | $307 - $377 | 169% |
| Wc Mitchell Frankenmuth | $307 - $377 | 169% |
| Wc Mra | $307 - $377 | 169% |
| Wc Nationwide | $307 - $377 | 169% |
| Wc Nca Comp | $307 - $377 | 169% |
| Wc New York | $307 - $377 | 169% |
| Wc New York Special Funds | $307 - $377 | 169% |
| Wc North American Rishces | $307 - $377 | 169% |
| Wc Northeast Health | $307 - $377 | 169% |
| Wc Notre Dame | $307 - $377 | 169% |
| Wc Novanet | $307 - $377 | 169% |
| Wc Occ Health Allen | $307 - $377 | 169% |
| Wc Ohio Bureau | $307 - $377 | 169% |
| Wc One Call Medical | $307 - $377 | 169% |
| Wc Paradigm | $307 - $377 | 169% |
| Wc Peerless | $307 - $377 | 169% |
| Wc Pma | $307 - $377 | 169% |
| Wc Price Chopper | $307 - $377 | 169% |
| Wc Procura Management | $307 - $377 | 169% |
| Wc Qualcare | $307 - $377 | 169% |
| Wc Quiktrip | $307 - $377 | 169% |
| Wc Rev Claims | $307 - $377 | 169% |
| Wc Risico | $307 - $377 | 169% |
| Wc Rural Mutual | $307 - $377 | 169% |
| Wc Saif Oregon | $307 - $377 | 169% |
| Wc Secura | $307 - $377 | 169% |
| Wc Sedgwick | $307 - $377 | 169% |
| Wc Sentry | $307 - $377 | 169% |
| Wc Sheakley Unicomp | $307 - $377 | 169% |
| Wc Smile Lodge | $307 - $377 | 169% |
| Wc Society | $307 - $377 | 169% |
| Wc Srs | $307 - $377 | 169% |
| Wc Taconic (Mro) | $307 - $377 | 169% |
| Wc Taconic Farms | $307 - $377 | 169% |
| Wc Travelers | $307 - $377 | 169% |
| Wc Triad Group | $307 - $377 | 169% |
| Wc Tristar | $307 - $377 | 169% |
| Wc Troy Ny | $307 - $377 | 169% |
| Wc Tyson | $307 - $377 | 169% |
| Wc Unified Health Services | $307 - $377 | 169% |
| Wc United Heartland | $307 - $377 | 169% |
| Wc Us Dept Of Labor | $307 - $377 | 169% |
| Wc Walmart | $307 - $377 | 169% |
| Wc West Bend | $307 - $377 | 169% |
| Wc West Bend Mutual/Argent | $307 - $377 | 169% |
| Wc Winnebago Industries | $307 - $377 | 169% |
| Wc Yankee Trails | $307 - $377 | 169% |
| Wc York Risk | $307 - $377 | 169% |
| Wc Zenith | $307 - $377 | 169% |
| Wc Zurich | $307 - $377 | 169% |