CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Mercyone Des Moines Medical Center
Billing Code: 97530 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97530
- Insurance Median: $33
- Cash Discount Price: $107
- vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Occupational therapy (therapeutic activities) at Mercyone Des Moines Medical Center is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $35.07, this hospital’s rate is 0.94x the Medicare baseline. Located in 1111 6Th Ave, Des Moines, IA.
Cash / Self-Pay
$107
Average discount available for prompt cash payment at this facility.
Insurance Median
$33
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$35.07
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $35.07 (100%)
Cash / Self-Pay: $107 (305%)
Insurance Median: $33 (94%)
Cash: $107 (305% of Medicare)
Ins. Median: $33 (94% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $35.07 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
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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 |
|---|---|---|
| Albany County Correctional Facility | $21 - $26 | 60% |
| Ambetter / Centene | $21 - $56 | 60% |
| Amish Mennonite | $21 - $26 | 60% |
| Ascension St. Vincent Public Safety Medical | $21 - $26 | 60% |
| Bcccp-Michigan | $21 - $26 | 60% |
| Bccp | $21 - $26 | 60% |
| Blue Cross Blue Shield | $21 - $52 | 60% |
| Bmc Healthnet | $21 - $26 | 60% |
| Breast Grant-Connecticut | $21 - $26 | 60% |
| Broward County Dept Of Health | $21 - $26 | 60% |
| California Health And Wellness | $21 - $26 | 60% |
| Can Community Health Inc | $21 - $26 | 60% |
| Cardinal Innovations Lme | $21 - $26 | 60% |
| Care Connections Of Northern Iowa | $21 - $26 | 60% |
| Care Oregon Ohp | $21 - $26 | 60% |
| Cencal Health Plan | $21 - $26 | 60% |
| Cenpatico | $21 - $26 | 60% |
| Chhuny | $21 - $26 | 60% |
| Childrens Comm Health Plan | $21 - $26 | 60% |
| Childrens Medical Services Title 19 | $21 - $26 | 60% |
| Cigna | $21 - $99 | 60% |
| City Of Philadelphia | $21 - $26 | 60% |
| Cmh Allegan County | $21 - $26 | 60% |
| Cmh Ausable Valley | $21 - $26 | 60% |
| Cmh Barry County | $21 - $26 | 60% |
| Cmh Bay-Arenac County | $21 - $26 | 60% |
| Cmh Berrien County | $21 - $26 | 60% |
| Cmh Cass County | $21 - $26 | 60% |
| Cmh Central Mi County | $21 - $26 | 60% |
| Cmh Clinton-Eaton-Ingham County | $21 - $26 | 60% |
| Cmh Detroit Wayne Integrated Health Network | $21 - $26 | 60% |
| Cmh Genesee County | $21 - $26 | 60% |
| Cmh Ionia County | $21 - $26 | 60% |
| Cmh Jackson County/Lifeways | $21 - $26 | 60% |
| Cmh Kalamazoo | $21 - $26 | 60% |
| Cmh Kent County | $21 - $26 | 60% |
| Cmh Lenawee County | $21 - $26 | 60% |
| Cmh Livingston County | $21 - $26 | 60% |
| Cmh Macomb | $21 - $26 | 60% |
| Cmh Misc | $21 - $26 | 60% |
| Cmh Monroe County | $21 - $26 | 60% |
| Cmh Montcalm County | $21 - $26 | 60% |
| Cmh Muskegon County | $21 - $26 | 60% |
| Cmh Newaygo County | $21 - $26 | 60% |
| Cmh North Country | $21 - $26 | 60% |
| Cmh Northern Lakes County | $21 - $26 | 60% |
| Cmh Oakland County | $21 - $26 | 60% |
| Cmh Ottawa County | $21 - $26 | 60% |
| Cmh Van Buren County | $21 - $26 | 60% |
| Cmh Washtenaw County | $21 - $26 | 60% |
| Cmh Wayne County/Carelink | $21 - $26 | 60% |
| Cmh Wayne Cty/Com Liv Svcs | $21 - $26 | 60% |
| Cmh West Mi County | $21 - $26 | 60% |
| Community Benefit Health | $21 - $26 | 60% |
| Community Care Behavorial Health | $21 - $26 | 60% |
| Community Care Partners | $21 - $26 | 60% |
| Community Health Choice | $21 - $26 | 60% |
| Connections Csp | $21 - $26 | 60% |
| County Coroner | $21 - $26 | 60% |
| County Funding Generic | $21 - $26 | 60% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $21 - $26 | 60% |
| Dean Wi Badgercare | $21 - $26 | 60% |
| Delaware County Department Of Health | $21 - $26 | 60% |
| Delaware First Health | $21 - $26 | 60% |
| Delta Dental Nj | $21 - $26 | 60% |
| Dph Tb Program | $21 - $26 | 60% |
| Dscc | $21 - $26 | 60% |
| Eastpointe Lme | $21 - $26 | 60% |
| Family Health Network | $21 - $26 | 60% |
| Freedom First Healthcare | $21 - $26 | 60% |
| Fresno County Ccs | $21 - $26 | 60% |
| Ghc Scw Wi Badgercare | $21 - $26 | 60% |
| Harbor Health | $21 - $26 | 60% |
| Health Safety Net | $21 - $26 | 60% |
| Healthy Blue Ne | $21 - $26 | 60% |
| Hennepin Health | $21 - $26 | 60% |
| Humana | $21 - $53 | 60% |
| Id County Ada | $21 - $26 | 60% |
| Id County Canyon | $21 - $26 | 60% |
| Id County Cat Fund | $21 - $26 | 60% |
| Id County Other | $21 - $26 | 60% |
| Id County Payette | $21 - $26 | 60% |
| Idaho Dept Health And Wellfare | $21 - $26 | 60% |
| Idaho Womens Health Check | $21 - $26 | 60% |
| Indiana Breast Cervical Cancer | $21 - $26 | 60% |
| Inland Empire Health Plan | $21 - $26 | 60% |
| Intercommunity Health Ohp | $21 - $26 | 60% |
| Jai Medical System | $21 - $26 | 60% |
| Kern Family Health Plan | $21 - $26 | 60% |
| Keystone First | $21 - $26 | 60% |
| Keystone First Chip | $21 - $26 | 60% |
| La Care Health Plan | $21 - $26 | 60% |
| Lakeland Care Inc | $21 - $26 | 60% |
| Managed Health Services - Indiana | $21 - $26 | 60% |
| Maryland Breast & Cervical Program | $21 - $26 | 60% |
| Maryland Healthy Smiles - Scion Dental | $21 - $26 | 60% |
| Maryland Physicians Care | $21 - $26 | 60% |
| Massachusetts Behavioral Health Partnership | $21 - $26 | 60% |
| Mdwise | $21 - $26 | 60% |
| Medi-Cal | $21 - $26 | 60% |
| Medi-Cal Healthnet | $21 - $26 | 60% |
| Medicaid / KanCare | $21 - $74 | 60% |
| Medstar Dc Healthy Family | $21 - $26 | 60% |
| Medstar Md Health Choice | $21 - $26 | 60% |
| Mo Home State Health Plan | $21 - $26 | 60% |
| Molina Centennial Care | $21 - $26 | 60% |
| Nascentia Health Options | $21 - $26 | 60% |
| New York Cancer Services Program | $21 - $26 | 60% |
| Nextlevel Health | $21 - $26 | 60% |
| Oregon Screenwise | $21 - $26 | 60% |
| Pace Of Southwest Michigan | $21 - $33 | 60% |
| Paramount Advantage | $21 - $26 | 60% |
| Parkland Community Health Plan | $21 - $26 | 60% |
| Partners Behavioral Lme | $21 - $26 | 60% |
| Peach State Healthplan | $21 - $26 | 60% |
| Philadelphia County Funding | $21 - $26 | 60% |
| Presbyterian Centennial Care | $21 - $26 | 60% |
| Prestige Health Choice | $21 - $26 | 60% |
| Priority Partners | $21 - $26 | 60% |
| Robert F Sing Program | $21 - $26 | 60% |
| Rx 340B Pass Along | $21 - $26 | 60% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $21 - $26 | 60% |
| Rx Medi-Cal | $21 - $26 | 60% |
| Rx Meridian Rx | $21 - $26 | 60% |
| Ryan White Florida Mssrp | $21 - $26 | 60% |
| Sandhills Center Lme | $21 - $26 | 60% |
| Screening For Life | $21 - $26 | 60% |
| St Joseph County Hlth Dpt | $21 - $26 | 60% |
| Sunshine State Health Plan | $21 - $26 | 60% |
| Superior Health | $21 - $26 | 60% |
| Tenncare | $21 - $26 | 60% |
| Texas Children'S Health Plan | $21 - $26 | 60% |
| Trillium Community Ohp | $21 - $26 | 60% |
| Tufts Health Public Plans | $21 - $26 | 60% |
| UnitedHealthcare | $21 - $211 | 60% |
| Vaya Health Lme | $21 - $26 | 60% |
| Washtenaw Health Plan | $21 - $26 | 60% |
| Wellsense Health Plan | $21 - $26 | 60% |
| Wi Womens Wellness | $21 - $26 | 60% |
| Iowa Total Care | $22 - $31 | 63% |
| Wellpoint | $22 - $27 | 63% |
| Aetna | $24 - $74 | 68% |
| Align Senior Care | $28 - $33 | 80% |
| Ally Align Care Adv | $28 - $33 | 80% |
| American Health Advantage Of Idaho | $28 - $33 | 80% |
| Aurora Special Needs | $28 - $33 | 80% |
| Blue Care Network Advantage | $28 - $33 | 80% |
| Blue Shield - De (Highmark) Medciare Advantage | $28 - $33 | 80% |
| Care Dimensions | $28 - $33 | 80% |
| Care Improvement Plus | $28 - $33 | 80% |
| Care Resources Pace | $28 - $33 | 80% |
| Careplus Health Plans | $28 - $33 | 80% |
| Cca - Zing Health | $28 - $33 | 80% |
| Cca Senior Care Options | $28 - $33 | 80% |
| Central Valley Medical Services Corp Pace | $28 - $33 | 80% |
| Champion Health Plan Mcr Advantage | $28 - $33 | 80% |
| Champva | $28 - $33 | 80% |
| Clear Spring Health | $28 - $33 | 80% |
| Clover Health | $28 - $33 | 80% |
| Commonwealth Care Alliance | $28 - $33 | 80% |
| Community Pace At Home | $28 - $33 | 80% |
| Eddy Senior Care-Pace | $28 - $33 | 80% |
| Eddy Seniorcare Pace | $28 - $33 | 80% |
| Elementcare | $28 - $33 | 80% |
| Evercare | $28 - $33 | 80% |
| Everence | $28 - $33 | 80% |
| Gateway Health Plan | $28 - $33 | 80% |
| Genesys Pace Of Genesee County | $28 - $33 | 80% |
| Georgia Health Advantage | $28 - $33 | 80% |
| Gold Advantage | $28 - $33 | 80% |
| Gpa Croell Redi Mix | $28 - $33 | 80% |
| Health America Advantra | $28 - $33 | 80% |
| Highmark Health Options Dual Plan | $28 - $33 | 80% |
| Hope Select Pace | $28 - $33 | 80% |
| Horizon Nj Total Care | $28 - $33 | 80% |
| Hudson Headwaters Pace | $28 - $33 | 80% |
| Huron Valley Pace | $28 - $33 | 80% |
| Innovative Integrated Health Community Plans | $28 - $33 | 80% |
| Johns Hopkins Advantage Md | $28 - $33 | 80% |
| Lasso Healthcare Msa | $28 - $33 | 80% |
| Life St Marys Pace | $28 - $33 | 80% |
| Lifecircles Pace | $28 - $33 | 80% |
| Longevity Health Plan | $28 - $33 | 80% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $28 - $33 | 80% |
| Martins Point Generations Advantage | $28 - $33 | 80% |
| Mass General Brigham Mcr Adv | $28 - $33 | 80% |
| Medicare (plans) | $28 - $36 | 80% |
| Medipak Advantage | $28 - $33 | 80% |
| Mercy Life | $28 - $33 | 80% |
| Mercyone Cedar Valley | $28 - $33 | 80% |
| Meridian Complete | $28 - $33 | 80% |
| Michigan Complete Health | $28 - $33 | 80% |
| Nascentia Health Plus | $28 - $33 | 80% |
| New Centry Health Careplus | $28 - $33 | 80% |
| Osu Prime Care Advantage | $28 - $33 | 80% |
| Pace Cny | $28 - $33 | 80% |
| Pace Iowa Immanuel Pathways | $28 - $33 | 80% |
| Pace Southeast | $28 - $33 | 80% |
| Pace-Trinity Health | $28 - $33 | 80% |
| Peak Pace Solutions | $28 - $33 | 80% |
| Perennial Advantage | $28 - $33 | 80% |
| Preferred Care Partners | $28 - $33 | 80% |
| Presbyterian Senior Plan | $28 - $33 | 80% |
| Provider Partners Health Plan Of Illinois | $28 - $33 | 80% |
| Provider Partners Health Plan Of Indiana | $28 - $33 | 80% |
| Pruitthealth Premier | $28 - $33 | 80% |
| Reliance Community Care Partners Care Resources Pace | $28 - $33 | 80% |
| Rx Allwin | $28 - $33 | 80% |
| Rx Grane Grnmedd | $28 - $33 | 80% |
| Rx Retiree Rx Care | $28 - $33 | 80% |
| Scan Health Plan Mcr Ipa Meritage Oon | $28 - $33 | 80% |
| Secure Horizons Ma Pffs | $28 - $33 | 80% |
| Serenity Pace | $28 - $33 | 80% |
| Siouxland Pace | $28 - $33 | 80% |
| Solis Health Plans | $28 - $33 | 80% |
| Sunnyview-Pace Finance Dept | $28 - $33 | 80% |
| Texan Plus | $28 - $33 | 80% |
| The Health Plan | $28 - $33 | 80% |
| Thome Pace | $28 - $33 | 80% |
| Todays Options | $28 - $33 | 80% |
| Tribute Health Plans | $28 - $33 | 80% |
| Tricare | $28 - $33 | 80% |
| Triwest Health Alliance | $28 - $33 | 80% |
| Um Health Advantage | $28 - $33 | 80% |
| Union Health Service | $28 - $33 | 80% |
| Us Family Health Plan | $28 - $33 | 80% |
| Veterans Administration | $28 - $33 | 80% |
| Veterans Eval Services | $28 - $33 | 80% |
| Welbe Health | $28 - $33 | 80% |
| Wellmed | $28 - $33 | 80% |
| American Health Plan | $29 - $34 | 83% |
| Iowa Health Advantage | $29 - $34 | 83% |
| Wc Corvel | $32 | 91% |
| Geha | $33 - $189 | 94% |
| Health Choices | $33 - $65 | 94% |
| Medical Associates | $33 - $55 | 94% |
| Amps | $36 - $45 | 103% |
| Stephenson Cty Health | $36 | 103% |
| Amish Hospital Aid | $38 - $44 | 108% |
| Newton Correctional Facility | $38 - $48 | 108% |
| Oscar | $38 - $47 | 108% |
| Avera | $44 - $52 | 125% |
| Bcn Domestic | $45 - $52 | 128% |
| Blue Benefit Administrators Of Massachusetts | $45 - $52 | 128% |
| Blue Care Network | $45 - $52 | 128% |
| Blue Distinction Transplant | $45 - $52 | 128% |
| Blue Shield - Ca | $45 - $52 | 128% |
| Blue Shield - Id (Regence) | $45 - $52 | 128% |
| Blue Shield - Ny Highmark Northeastern | $45 - $52 | 128% |
| Blue Shield - Ny Highmark Western | $45 - $52 | 128% |
| Blue Shield - Pa (Highmark) | $45 - $52 | 128% |
| Blue Shield - Wa (Regence) | $45 - $52 | 128% |
| Kaiser Domestic | $45 - $52 | 128% |
| Pre-Employment | $45 - $52 | 128% |
| Wc Domestic | $45 - $52 | 128% |
| Centivo | $48 - $59 | 137% |
| Sanford Health Plan | $48 - $56 | 137% |
| Wc Praxis Health Network | $50 - $63 | 143% |
| Lucent Health | $51 - $59 | 145% |
| Wc Reny Company | $51 - $64 | 145% |
| Wc Velocity | $51 - $64 | 145% |
| Auto Velocity | $53 - $67 | 151% |
| Health Smart | $53 - $67 | 151% |
| Ucare | $53 - $59 | 151% |
| Wc O'Hara Corp | $53 - $67 | 151% |
| Health Partners | $55 - $105 | 157% |
| Quiktrip | $55 - $59 | 157% |
| Usa Managed Care | $55 - $140 | 157% |
| 1199 National Benefit Fund | $57 | 163% |
| Allied Benefit Systems | $57 - $65 | 163% |
| Asr Health Benefits | $57 | 163% |
| Christian Brother Services | $57 | 163% |
| Coventry | $57 | 163% |
| First Health | $57 | 163% |
| Luminare Health | $57 | 163% |
| Medical Mutual | $57 | 163% |
| Meritain | $57 - $67 | 163% |
| Trustmark Small Business Benefits | $57 | 163% |
| Webtpa | $57 | 163% |
| Andrie Inc | $59 - $74 | 168% |
| Auxiant | $59 - $107 | 168% |
| Claimdoc | $59 - $67 | 168% |
| East Greenbush Central School District | $59 - $74 | 168% |
| First Choice Health | $59 - $65 | 168% |
| Genex Wc | $59 - $74 | 168% |
| Global Excel | $59 - $64 | 168% |
| Group Administrators | $59 - $65 | 168% |
| Healthsmart Workers Comp | $59 - $74 | 168% |
| Iowa Dept Of Public Health | $59 - $165 | 168% |
| Jag Source | $59 - $74 | 168% |
| Midlands | $59 - $107 | 168% |
| Midlands Choice | $59 - $107 | 168% |
| Multiplan | $59 - $74 | 168% |
| Nebraska Total Care | $59 - $74 | 168% |
| New York State Insurance Fund | $59 - $74 | 168% |
| Njm Insurance Group | $59 - $74 | 168% |
| Preferred One | $59 - $65 | 168% |
| Rx Heatlhcomp | $59 - $74 | 168% |
| Rx Restat | $59 - $74 | 168% |
| Rx Saif Opdp Wc | $59 - $74 | 168% |
| Rx Worker'S Comp | $59 - $74 | 168% |
| The Alliance | $59 | 168% |
| Velocity | $59 - $66 | 168% |
| Wc Accident Fund | $59 - $74 | 168% |
| Wc Ace | $59 - $74 | 168% |
| Wc Acs Federal Employees | $59 - $74 | 168% |
| Wc Acuity | $59 - $74 | 168% |
| Wc Advantage | $59 - $74 | 168% |
| Wc Aegis | $59 - $74 | 168% |
| Wc Aig | $59 - $74 | 168% |
| Wc Aims | $59 - $74 | 168% |
| Wc Alaska National Ins | $59 - $74 | 168% |
| Wc Align Network | $59 - $74 | 168% |
| Wc Allied | $59 - $74 | 168% |
| Wc Am Trust N America | $59 - $74 | 168% |
| Wc American Claims Mgmt | $59 - $74 | 168% |
| Wc Amerisure | $59 - $74 | 168% |
| Wc Amtrust | $59 - $74 | 168% |
| Wc Asu Risk Mgt | $59 - $74 | 168% |
| Wc Benetech | $59 - $74 | 168% |
| Wc Berkley Admin | $59 - $74 | 168% |
| Wc Broadspire | $59 - $74 | 168% |
| Wc Broward County | $59 - $74 | 168% |
| Wc Bunch & Associates | $59 - $74 | 168% |
| Wc California State Comp Ins | $59 - $74 | 168% |
| Wc California State Ins Fund | $59 - $74 | 168% |
| Wc Capitol Area Health Consortium | $59 - $74 | 168% |
| Wc Ccmsi | $59 - $74 | 168% |
| Wc Chartis | $59 - $74 | 168% |
| Wc Chubb | $59 - $74 | 168% |
| Wc Cirma | $59 - $74 | 168% |
| Wc City Of Albany | $59 - $74 | 168% |
| Wc City Of Sioux City | $59 - $74 | 168% |
| Wc Claims Mgmt Inc | $59 - $74 | 168% |
| Wc Cna | $59 - $74 | 168% |
| Wc Comp One Admin C/O Manageability | $59 - $74 | 168% |
| Wc Compone Admin | $59 - $74 | 168% |
| Wc Ct Healthcare Trust | $59 - $74 | 168% |
| Wc Donegal Insurance Group | $59 - $74 | 168% |
| Wc Emc Insurance Company | $59 - $74 | 168% |
| Wc Employee Mutual | $59 - $74 | 168% |
| Wc Enablecomp | $59 - $74 | 168% |
| Wc Encore Health Network | $59 - $74 | 168% |
| Wc Erie | $59 - $74 | 168% |
| Wc Esis | $59 - $74 | 168% |
| Wc Evolutions | $59 - $74 | 168% |
| Wc Fcci | $59 - $74 | 168% |
| Wc Fed Ex | $59 - $74 | 168% |
| Wc Federal Black Lung | $59 - $74 | 168% |
| Wc Federated | $59 - $74 | 168% |
| Wc Finley Occupational Health | $59 - $74 | 168% |
| Wc First Agency/Occunet | $59 - $74 | 168% |
| Wc Ford Motor | $59 - $74 | 168% |
| Wc Fresno Unified Emp | $59 - $74 | 168% |
| Wc Gallagher Bassett | $59 - $74 | 168% |
| Wc General Motors | $59 - $74 | 168% |
| Wc Generic | $59 - $74 | 168% |
| Wc Genex Care For Ohio | $59 - $74 | 168% |
| Wc Great West Casualty | $59 - $74 | 168% |
| Wc Guarantee Insurance | $59 - $74 | 168% |
| Wc Guard Insurance Company | $59 - $74 | 168% |
| Wc Hab | $59 - $74 | 168% |
| Wc Hartford | $59 - $74 | 168% |
| Wc Hastings | $59 - $74 | 168% |
| Wc Health Management | $59 - $74 | 168% |
| Wc Heritage Summit | $59 - $74 | 168% |
| Wc Hireright | $59 - $74 | 168% |
| Wc Horizon | $59 - $74 | 168% |
| Wc Icw Group | $59 - $74 | 168% |
| Wc Idaho State Ins Fund | $59 - $74 | 168% |
| Wc Intercare Insurance | $59 - $74 | 168% |
| Wc Intermountain | $59 - $74 | 168% |
| Wc Johns Eastern | $59 - $74 | 168% |
| Wc Kemberton | $59 - $74 | 168% |
| Wc Key Ins & Benefit Solutions | $59 - $74 | 168% |
| Wc Liberty Mutual | $59 - $74 | 168% |
| Wc Mac Risk Management | $59 - $74 | 168% |
| Wc Massachusetts | $59 - $74 | 168% |
| Wc Mdia | $59 - $74 | 168% |
| Wc Meadowbrook Claim | $59 - $74 | 168% |
| Wc Medical Administrators | $59 - $74 | 168% |
| Wc Meijers | $59 - $74 | 168% |
| Wc Memic | $59 - $74 | 168% |
| Wc Mercy Workcare | $59 - $74 | 168% |
| Wc Michigan | $59 - $74 | 168% |
| Wc Michigan Millers Mutual | $59 - $74 | 168% |
| Wc Mitchell Frankenmuth | $59 - $74 | 168% |
| Wc Mra | $59 - $74 | 168% |
| Wc Nationwide | $59 - $74 | 168% |
| Wc Nca Comp | $59 - $74 | 168% |
| Wc New York | $59 - $74 | 168% |
| Wc New York Special Funds | $59 - $74 | 168% |
| Wc North American Rishces | $59 - $74 | 168% |
| Wc Northeast Health | $59 - $74 | 168% |
| Wc Notre Dame | $59 - $74 | 168% |
| Wc Novanet | $59 - $74 | 168% |
| Wc Occ Health Allen | $59 - $74 | 168% |
| Wc Ohio Bureau | $59 - $74 | 168% |
| Wc One Call Medical | $59 - $74 | 168% |
| Wc Paradigm | $59 - $74 | 168% |
| Wc Peerless | $59 - $74 | 168% |
| Wc Pma | $59 - $74 | 168% |
| Wc Price Chopper | $59 - $74 | 168% |
| Wc Procura Management | $59 - $74 | 168% |
| Wc Qualcare | $59 - $74 | 168% |
| Wc Quiktrip | $59 - $74 | 168% |
| Wc Rev Claims | $59 - $74 | 168% |
| Wc Risico | $59 - $74 | 168% |
| Wc Rural Mutual | $59 - $74 | 168% |
| Wc Saif Oregon | $59 - $74 | 168% |
| Wc Secura | $59 - $74 | 168% |
| Wc Sedgwick | $59 - $74 | 168% |
| Wc Sentry | $59 - $74 | 168% |
| Wc Sheakley Unicomp | $59 - $74 | 168% |
| Wc Smile Lodge | $59 - $74 | 168% |
| Wc Society | $59 - $74 | 168% |
| Wc Srs | $59 - $74 | 168% |
| Wc Taconic (Mro) | $59 - $74 | 168% |
| Wc Taconic Farms | $59 - $74 | 168% |
| Wc Travelers | $59 - $74 | 168% |
| Wc Triad Group | $59 - $74 | 168% |
| Wc Tristar | $59 - $74 | 168% |
| Wc Troy Ny | $59 - $74 | 168% |
| Wc Tyson | $59 - $74 | 168% |
| Wc Unified Health Services | $59 - $74 | 168% |
| Wc United Heartland | $59 - $74 | 168% |
| Wc Us Dept Of Labor | $59 - $74 | 168% |
| Wc Walmart | $59 - $74 | 168% |
| Wc West Bend | $59 - $74 | 168% |
| Wc West Bend Mutual/Argent | $59 - $74 | 168% |
| Wc Winnebago Industries | $59 - $74 | 168% |
| Wc Yankee Trails | $59 - $74 | 168% |
| Wc York Risk | $59 - $74 | 168% |
| Wc Zenith | $59 - $74 | 168% |
| Wc Zurich | $59 - $74 | 168% |
| Nova | $67 | 191% |
| Medica | $107 | 305% |
| Crime Victim Assistance | $165 | 470% |