CMS Price Transparency Data
Ultrasound, leg veins (duplex)
Facility: Mercyone Centerville Medical Center
Billing Code: 93970 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93970
- Insurance Median: $165
- Cash Discount Price: $455
- vs. Medicare Baseline: 0.68x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Mercyone Centerville Medical Center is $165. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $455. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.68x the Medicare baseline. Located in One St Joseph's Drive, Centerville, IA.
Cash / Self-Pay
$455
Average discount available for prompt cash payment at this facility.
Insurance Median
$165
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$243.77
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $455 (187%)
Insurance Median: $165 (68%)
Cash: $455 (187% of Medicare)
Ins. Median: $165 (68% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $243.77 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 |
|---|---|---|
| Medicaid / KanCare | $20 - $470 | 8% |
| Aetna | $22 - $1,423 | 9% |
| Wc Corvel | $29 - $160 | 12% |
| Align Senior Care | $30 - $165 | 12% |
| Ally Align Care Adv | $30 - $165 | 12% |
| American Health Advantage Of Idaho | $30 - $165 | 12% |
| Aurora Special Needs | $30 - $165 | 12% |
| Blue Care Network Advantage | $30 - $165 | 12% |
| Blue Cross Blue Shield | $30 - $436 | 12% |
| Blue Shield - De (Highmark) Medciare Advantage | $30 - $165 | 12% |
| Care Dimensions | $30 - $165 | 12% |
| Care Improvement Plus | $30 - $165 | 12% |
| Care Resources Pace | $30 - $165 | 12% |
| Careplus Health Plans | $30 - $165 | 12% |
| Cca - Zing Health | $30 - $165 | 12% |
| Cca Senior Care Options | $30 - $165 | 12% |
| Central Valley Medical Services Corp Pace | $30 - $165 | 12% |
| Champion Health Plan Mcr Advantage | $30 - $165 | 12% |
| Champva | $30 - $164 | 12% |
| Cigna | $30 - $1,489 | 12% |
| Clear Spring Health | $30 - $165 | 12% |
| Clover Health | $30 - $165 | 12% |
| Commonwealth Care Alliance | $30 - $165 | 12% |
| Community Pace At Home | $30 - $165 | 12% |
| Eddy Senior Care-Pace | $30 - $165 | 12% |
| Eddy Seniorcare Pace | $30 - $165 | 12% |
| Elementcare | $30 - $165 | 12% |
| Evercare | $30 - $165 | 12% |
| Everence | $30 - $165 | 12% |
| Gateway Health Plan | $30 - $165 | 12% |
| Genesys Pace Of Genesee County | $30 - $165 | 12% |
| Georgia Health Advantage | $30 - $165 | 12% |
| Gold Advantage | $30 - $165 | 12% |
| Gpa Croell Redi Mix | $30 - $165 | 12% |
| Health America Advantra | $30 - $165 | 12% |
| Highmark Health Options Dual Plan | $30 - $165 | 12% |
| Hope Select Pace | $30 - $165 | 12% |
| Horizon Nj Total Care | $30 - $165 | 12% |
| Hudson Headwaters Pace | $30 - $165 | 12% |
| Humana | $30 - $270 | 12% |
| Huron Valley Pace | $30 - $165 | 12% |
| Innovative Integrated Health Community Plans | $30 - $165 | 12% |
| Johns Hopkins Advantage Md | $30 - $165 | 12% |
| Lasso Healthcare Msa | $30 - $165 | 12% |
| Life St Marys Pace | $30 - $165 | 12% |
| Lifecircles Pace | $30 - $165 | 12% |
| Longevity Health Plan | $30 - $165 | 12% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $30 - $165 | 12% |
| Martins Point Generations Advantage | $30 - $165 | 12% |
| Mass General Brigham Mcr Adv | $30 - $165 | 12% |
| Medicare (plans) | $30 - $458 | 12% |
| Medipak Advantage | $30 - $165 | 12% |
| Mercy Life | $30 - $165 | 12% |
| Mercyone Cedar Valley | $30 - $165 | 12% |
| Meridian Complete | $30 - $165 | 12% |
| Michigan Complete Health | $30 - $165 | 12% |
| Nascentia Health Plus | $30 - $165 | 12% |
| New Centry Health Careplus | $30 - $165 | 12% |
| Osu Prime Care Advantage | $30 - $165 | 12% |
| Pace Cny | $30 - $165 | 12% |
| Pace Iowa Immanuel Pathways | $30 - $165 | 12% |
| Pace Of Southwest Michigan | $30 - $179 | 12% |
| Pace Southeast | $30 - $165 | 12% |
| Pace-Trinity Health | $30 - $165 | 12% |
| Peak Pace Solutions | $30 - $165 | 12% |
| Perennial Advantage | $30 - $165 | 12% |
| Preferred Care Partners | $30 - $165 | 12% |
| Presbyterian Senior Plan | $30 - $165 | 12% |
| Provider Partners Health Plan Of Illinois | $30 - $165 | 12% |
| Provider Partners Health Plan Of Indiana | $30 - $165 | 12% |
| Pruitthealth Premier | $30 - $165 | 12% |
| Reliance Community Care Partners Care Resources Pace | $30 - $165 | 12% |
| Rx Allwin | $30 - $165 | 12% |
| Rx Grane Grnmedd | $30 - $165 | 12% |
| Rx Retiree Rx Care | $30 - $165 | 12% |
| Scan Health Plan Mcr Ipa Meritage Oon | $30 - $165 | 12% |
| Secure Horizons Ma Pffs | $30 - $165 | 12% |
| Serenity Pace | $30 - $165 | 12% |
| Siouxland Pace | $30 - $165 | 12% |
| Solis Health Plans | $30 - $165 | 12% |
| Sunnyview-Pace Finance Dept | $30 - $165 | 12% |
| Texan Plus | $30 - $165 | 12% |
| The Health Plan | $30 - $165 | 12% |
| Thome Pace | $30 - $165 | 12% |
| Todays Options | $30 - $165 | 12% |
| Tribute Health Plans | $30 - $165 | 12% |
| Tricare | $30 - $164 | 12% |
| Triwest Health Alliance | $30 - $164 | 12% |
| Um Health Advantage | $30 - $165 | 12% |
| Union Health Service | $30 - $165 | 12% |
| UnitedHealthcare | $30 - $1,519 | 12% |
| Us Family Health Plan | $30 - $164 | 12% |
| Veterans Administration | $30 - $169 | 12% |
| Veterans Eval Services | $30 - $164 | 12% |
| Welbe Health | $30 - $165 | 12% |
| Wellmed | $30 - $165 | 12% |
| American Health Plan | $31 - $174 | 13% |
| Iowa Health Advantage | $31 - $174 | 13% |
| Stephenson Cty Health | $35 - $189 | 14% |
| Albany County Correctional Facility | $36 - $179 | 15% |
| Ambetter / Centene | $36 - $740 | 15% |
| Amish Mennonite | $36 - $179 | 15% |
| Ascension St. Vincent Public Safety Medical | $36 - $179 | 15% |
| Bcccp-Michigan | $36 - $179 | 15% |
| Bccp | $36 - $179 | 15% |
| Bmc Healthnet | $36 - $179 | 15% |
| Breast Grant-Connecticut | $36 - $179 | 15% |
| Broward County Dept Of Health | $36 - $179 | 15% |
| California Health And Wellness | $36 - $179 | 15% |
| Can Community Health Inc | $36 - $179 | 15% |
| Cardinal Innovations Lme | $36 - $179 | 15% |
| Care Connections Of Northern Iowa | $36 - $179 | 15% |
| Care Oregon Ohp | $36 - $179 | 15% |
| Cencal Health Plan | $36 - $179 | 15% |
| Cenpatico | $36 - $179 | 15% |
| Chhuny | $36 - $179 | 15% |
| Childrens Comm Health Plan | $36 - $179 | 15% |
| Childrens Medical Services Title 19 | $36 - $179 | 15% |
| City Of Philadelphia | $36 - $179 | 15% |
| Cmh Allegan County | $36 - $179 | 15% |
| Cmh Ausable Valley | $36 - $179 | 15% |
| Cmh Barry County | $36 - $179 | 15% |
| Cmh Bay-Arenac County | $36 - $179 | 15% |
| Cmh Berrien County | $36 - $179 | 15% |
| Cmh Cass County | $36 - $179 | 15% |
| Cmh Central Mi County | $36 - $179 | 15% |
| Cmh Clinton-Eaton-Ingham County | $36 - $179 | 15% |
| Cmh Detroit Wayne Integrated Health Network | $36 - $179 | 15% |
| Cmh Genesee County | $36 - $179 | 15% |
| Cmh Ionia County | $36 - $179 | 15% |
| Cmh Jackson County/Lifeways | $36 - $179 | 15% |
| Cmh Kalamazoo | $36 - $179 | 15% |
| Cmh Kent County | $36 - $179 | 15% |
| Cmh Lenawee County | $36 - $179 | 15% |
| Cmh Livingston County | $36 - $179 | 15% |
| Cmh Macomb | $36 - $179 | 15% |
| Cmh Misc | $36 - $179 | 15% |
| Cmh Monroe County | $36 - $179 | 15% |
| Cmh Montcalm County | $36 - $179 | 15% |
| Cmh Muskegon County | $36 - $179 | 15% |
| Cmh Newaygo County | $36 - $179 | 15% |
| Cmh North Country | $36 - $179 | 15% |
| Cmh Northern Lakes County | $36 - $179 | 15% |
| Cmh Oakland County | $36 - $179 | 15% |
| Cmh Ottawa County | $36 - $179 | 15% |
| Cmh Van Buren County | $36 - $179 | 15% |
| Cmh Washtenaw County | $36 - $179 | 15% |
| Cmh Wayne County/Carelink | $36 - $179 | 15% |
| Cmh Wayne Cty/Com Liv Svcs | $36 - $179 | 15% |
| Cmh West Mi County | $36 - $179 | 15% |
| Community Benefit Health | $36 - $179 | 15% |
| Community Care Behavorial Health | $36 - $179 | 15% |
| Community Care Partners | $36 - $179 | 15% |
| Community Health Choice | $36 - $179 | 15% |
| Connections Csp | $36 - $179 | 15% |
| County Coroner | $36 - $179 | 15% |
| County Funding Generic | $36 - $179 | 15% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $36 - $179 | 15% |
| Dean Wi Badgercare | $36 - $179 | 15% |
| Delaware County Department Of Health | $36 - $179 | 15% |
| Delaware First Health | $36 - $179 | 15% |
| Delta Dental Nj | $36 - $179 | 15% |
| Dph Tb Program | $36 - $179 | 15% |
| Dscc | $36 - $179 | 15% |
| Eastpointe Lme | $36 - $179 | 15% |
| Family Health Network | $36 - $179 | 15% |
| Freedom First Healthcare | $36 - $179 | 15% |
| Fresno County Ccs | $36 - $179 | 15% |
| Ghc Scw Wi Badgercare | $36 - $179 | 15% |
| Harbor Health | $36 - $179 | 15% |
| Health Safety Net | $36 - $179 | 15% |
| Healthy Blue Ne | $36 - $179 | 15% |
| Hennepin Health | $36 - $179 | 15% |
| Id County Ada | $36 - $179 | 15% |
| Id County Canyon | $36 - $179 | 15% |
| Id County Cat Fund | $36 - $179 | 15% |
| Id County Other | $36 - $179 | 15% |
| Id County Payette | $36 - $179 | 15% |
| Idaho Dept Health And Wellfare | $36 - $179 | 15% |
| Idaho Womens Health Check | $36 - $179 | 15% |
| Indiana Breast Cervical Cancer | $36 - $179 | 15% |
| Inland Empire Health Plan | $36 - $179 | 15% |
| Intercommunity Health Ohp | $36 - $179 | 15% |
| Iowa Total Care | $36 - $418 | 15% |
| Jai Medical System | $36 - $179 | 15% |
| Kern Family Health Plan | $36 - $179 | 15% |
| Keystone First | $36 - $179 | 15% |
| Keystone First Chip | $36 - $179 | 15% |
| La Care Health Plan | $36 - $179 | 15% |
| Lakeland Care Inc | $36 - $179 | 15% |
| Managed Health Services - Indiana | $36 - $179 | 15% |
| Maryland Breast & Cervical Program | $36 - $179 | 15% |
| Maryland Healthy Smiles - Scion Dental | $36 - $179 | 15% |
| Maryland Physicians Care | $36 - $179 | 15% |
| Massachusetts Behavioral Health Partnership | $36 - $179 | 15% |
| Mdwise | $36 - $179 | 15% |
| Medi-Cal | $36 - $179 | 15% |
| Medi-Cal Healthnet | $36 - $179 | 15% |
| Medstar Dc Healthy Family | $36 - $179 | 15% |
| Medstar Md Health Choice | $36 - $179 | 15% |
| Mo Home State Health Plan | $36 - $179 | 15% |
| Molina Centennial Care | $36 - $179 | 15% |
| Nascentia Health Options | $36 - $179 | 15% |
| New York Cancer Services Program | $36 - $179 | 15% |
| Nextlevel Health | $36 - $179 | 15% |
| Oregon Screenwise | $36 - $179 | 15% |
| Paramount Advantage | $36 - $179 | 15% |
| Parkland Community Health Plan | $36 - $179 | 15% |
| Partners Behavioral Lme | $36 - $179 | 15% |
| Peach State Healthplan | $36 - $179 | 15% |
| Philadelphia County Funding | $36 - $179 | 15% |
| Presbyterian Centennial Care | $36 - $179 | 15% |
| Prestige Health Choice | $36 - $179 | 15% |
| Priority Partners | $36 - $179 | 15% |
| Robert F Sing Program | $36 - $179 | 15% |
| Rx 340B Pass Along | $36 - $179 | 15% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $36 - $179 | 15% |
| Rx Medi-Cal | $36 - $179 | 15% |
| Rx Meridian Rx | $36 - $179 | 15% |
| Ryan White Florida Mssrp | $36 - $179 | 15% |
| Sandhills Center Lme | $36 - $179 | 15% |
| Screening For Life | $36 - $179 | 15% |
| St Joseph County Hlth Dpt | $36 - $179 | 15% |
| Sunshine State Health Plan | $36 - $179 | 15% |
| Superior Health | $36 - $179 | 15% |
| Tenncare | $36 - $179 | 15% |
| Texas Children'S Health Plan | $36 - $179 | 15% |
| Trillium Community Ohp | $36 - $179 | 15% |
| Tufts Health Public Plans | $36 - $179 | 15% |
| Vaya Health Lme | $36 - $179 | 15% |
| Washtenaw Health Plan | $36 - $179 | 15% |
| Wellsense Health Plan | $36 - $179 | 15% |
| Wi Womens Wellness | $36 - $179 | 15% |
| Wellpoint | $37 - $185 | 15% |
| Amish Hospital Aid | $40 - $586 | 16% |
| Amps | $41 - $228 | 17% |
| Avera | $46 - $273 | 19% |
| Newton Correctional Facility | $46 - $360 | 19% |
| Medical Associates | $50 - $1,161 | 21% |
| Sanford Health Plan | $51 - $294 | 21% |
| Genex Wc | $53 - $416 | 22% |
| Lucent Health | $54 - $1,423 | 22% |
| Ucare | $54 - $326 | 22% |
| Health Smart | $56 - $312 | 23% |
| Wc Align Network | $57 - $443 | 23% |
| Bcn Domestic | $59 - $341 | 24% |
| Blue Benefit Administrators Of Massachusetts | $59 - $341 | 24% |
| Blue Care Network | $59 - $341 | 24% |
| Blue Distinction Transplant | $59 - $341 | 24% |
| Blue Shield - Ca | $59 - $341 | 24% |
| Blue Shield - Id (Regence) | $59 - $341 | 24% |
| Blue Shield - Ny Highmark Northeastern | $59 - $341 | 24% |
| Blue Shield - Ny Highmark Western | $59 - $341 | 24% |
| Blue Shield - Pa (Highmark) | $59 - $341 | 24% |
| Blue Shield - Wa (Regence) | $59 - $341 | 24% |
| Centivo | $59 - $329 | 24% |
| Health Choices | $59 - $1,161 | 24% |
| Kaiser Domestic | $59 - $341 | 24% |
| Oscar | $59 - $329 | 24% |
| Pre-Employment | $59 - $341 | 24% |
| Quiktrip | $59 - $329 | 24% |
| Usa Managed Care | $59 - $327 | 24% |
| Wc Domestic | $59 - $341 | 24% |
| Wc Praxis Health Network | $60 - $471 | 25% |
| Health Partners | $61 - $1,461 | 25% |
| Wc Reny Company | $62 - $482 | 25% |
| Wc Velocity | $62 - $482 | 25% |
| Claimdoc | $63 - $885 | 26% |
| The Alliance | $63 - $354 | 26% |
| Auto Velocity | $64 - $499 | 26% |
| Wc O'Hara Corp | $64 - $499 | 26% |
| Preferred One | $66 - $389 | 27% |
| Global Excel | $68 - $381 | 28% |
| Allied Benefit Systems | $71 - $1,423 | 29% |
| Andrie Inc | $71 - $554 | 29% |
| Auxiant | $71 - $1,489 | 29% |
| East Greenbush Central School District | $71 - $554 | 29% |
| First Choice Health | $71 - $479 | 29% |
| Geha | $71 - $1,329 | 29% |
| Group Administrators | $71 - $479 | 29% |
| Healthsmart Workers Comp | $71 - $554 | 29% |
| Iowa Dept Of Public Health | $71 - $1,519 | 29% |
| Jag Source | $71 - $554 | 29% |
| Meritain | $71 - $1,423 | 29% |
| Midlands | $71 - $1,489 | 29% |
| Midlands Choice | $71 - $1,489 | 29% |
| Multiplan | $71 - $554 | 29% |
| Nebraska Total Care | $71 - $470 | 29% |
| New York State Insurance Fund | $71 - $554 | 29% |
| Njm Insurance Group | $71 - $554 | 29% |
| Rx Heatlhcomp | $71 - $554 | 29% |
| Rx Restat | $71 - $554 | 29% |
| Rx Saif Opdp Wc | $71 - $554 | 29% |
| Rx Worker'S Comp | $71 - $554 | 29% |
| Velocity | $71 - $397 | 29% |
| Wc Accident Fund | $71 - $554 | 29% |
| Wc Ace | $71 - $554 | 29% |
| Wc Acs Federal Employees | $71 - $554 | 29% |
| Wc Acuity | $71 - $554 | 29% |
| Wc Advantage | $71 - $554 | 29% |
| Wc Aegis | $71 - $554 | 29% |
| Wc Aig | $71 - $554 | 29% |
| Wc Aims | $71 - $554 | 29% |
| Wc Alaska National Ins | $71 - $554 | 29% |
| Wc Allied | $71 - $554 | 29% |
| Wc Am Trust N America | $71 - $554 | 29% |
| Wc American Claims Mgmt | $71 - $554 | 29% |
| Wc Amerisure | $71 - $554 | 29% |
| Wc Amtrust | $71 - $554 | 29% |
| Wc Asu Risk Mgt | $71 - $554 | 29% |
| Wc Benetech | $71 - $554 | 29% |
| Wc Berkley Admin | $71 - $554 | 29% |
| Wc Broadspire | $71 - $554 | 29% |
| Wc Broward County | $71 - $554 | 29% |
| Wc Bunch & Associates | $71 - $554 | 29% |
| Wc California State Comp Ins | $71 - $554 | 29% |
| Wc California State Ins Fund | $71 - $554 | 29% |
| Wc Capitol Area Health Consortium | $71 - $554 | 29% |
| Wc Ccmsi | $71 - $554 | 29% |
| Wc Chartis | $71 - $554 | 29% |
| Wc Chubb | $71 - $554 | 29% |
| Wc Cirma | $71 - $554 | 29% |
| Wc City Of Albany | $71 - $554 | 29% |
| Wc City Of Sioux City | $71 - $554 | 29% |
| Wc Claims Mgmt Inc | $71 - $554 | 29% |
| Wc Cna | $71 - $554 | 29% |
| Wc Comp One Admin C/O Manageability | $71 - $554 | 29% |
| Wc Compone Admin | $71 - $554 | 29% |
| Wc Ct Healthcare Trust | $71 - $554 | 29% |
| Wc Donegal Insurance Group | $71 - $554 | 29% |
| Wc Emc Insurance Company | $71 - $554 | 29% |
| Wc Employee Mutual | $71 - $554 | 29% |
| Wc Enablecomp | $71 - $554 | 29% |
| Wc Encore Health Network | $71 - $554 | 29% |
| Wc Erie | $71 - $554 | 29% |
| Wc Esis | $71 - $554 | 29% |
| Wc Evolutions | $71 - $554 | 29% |
| Wc Fcci | $71 - $554 | 29% |
| Wc Fed Ex | $71 - $554 | 29% |
| Wc Federal Black Lung | $71 - $554 | 29% |
| Wc Federated | $71 - $554 | 29% |
| Wc Finley Occupational Health | $71 - $554 | 29% |
| Wc First Agency/Occunet | $71 - $554 | 29% |
| Wc Ford Motor | $71 - $554 | 29% |
| Wc Fresno Unified Emp | $71 - $554 | 29% |
| Wc Gallagher Bassett | $71 - $554 | 29% |
| Wc General Motors | $71 - $554 | 29% |
| Wc Generic | $71 - $554 | 29% |
| Wc Genex Care For Ohio | $71 - $554 | 29% |
| Wc Great West Casualty | $71 - $554 | 29% |
| Wc Guarantee Insurance | $71 - $554 | 29% |
| Wc Guard Insurance Company | $71 - $554 | 29% |
| Wc Hab | $71 - $554 | 29% |
| Wc Hartford | $71 - $554 | 29% |
| Wc Hastings | $71 - $554 | 29% |
| Wc Health Management | $71 - $554 | 29% |
| Wc Heritage Summit | $71 - $554 | 29% |
| Wc Hireright | $71 - $554 | 29% |
| Wc Horizon | $71 - $554 | 29% |
| Wc Icw Group | $71 - $554 | 29% |
| Wc Idaho State Ins Fund | $71 - $554 | 29% |
| Wc Intercare Insurance | $71 - $554 | 29% |
| Wc Intermountain | $71 - $554 | 29% |
| Wc Johns Eastern | $71 - $554 | 29% |
| Wc Kemberton | $71 - $554 | 29% |
| Wc Key Ins & Benefit Solutions | $71 - $554 | 29% |
| Wc Liberty Mutual | $71 - $554 | 29% |
| Wc Mac Risk Management | $71 - $554 | 29% |
| Wc Massachusetts | $71 - $554 | 29% |
| Wc Mdia | $71 - $554 | 29% |
| Wc Meadowbrook Claim | $71 - $554 | 29% |
| Wc Medical Administrators | $71 - $554 | 29% |
| Wc Meijers | $71 - $554 | 29% |
| Wc Memic | $71 - $554 | 29% |
| Wc Mercy Workcare | $71 - $554 | 29% |
| Wc Michigan | $71 - $554 | 29% |
| Wc Michigan Millers Mutual | $71 - $554 | 29% |
| Wc Mitchell Frankenmuth | $71 - $554 | 29% |
| Wc Mra | $71 - $554 | 29% |
| Wc Nationwide | $71 - $554 | 29% |
| Wc Nca Comp | $71 - $554 | 29% |
| Wc New York | $71 - $554 | 29% |
| Wc New York Special Funds | $71 - $554 | 29% |
| Wc North American Rishces | $71 - $554 | 29% |
| Wc Northeast Health | $71 - $554 | 29% |
| Wc Notre Dame | $71 - $554 | 29% |
| Wc Novanet | $71 - $554 | 29% |
| Wc Occ Health Allen | $71 - $554 | 29% |
| Wc Ohio Bureau | $71 - $554 | 29% |
| Wc One Call Medical | $71 - $554 | 29% |
| Wc Paradigm | $71 - $554 | 29% |
| Wc Peerless | $71 - $554 | 29% |
| Wc Pma | $71 - $554 | 29% |
| Wc Price Chopper | $71 - $554 | 29% |
| Wc Procura Management | $71 - $554 | 29% |
| Wc Qualcare | $71 - $554 | 29% |
| Wc Quiktrip | $71 - $554 | 29% |
| Wc Rev Claims | $71 - $554 | 29% |
| Wc Risico | $71 - $554 | 29% |
| Wc Rural Mutual | $71 - $554 | 29% |
| Wc Saif Oregon | $71 - $554 | 29% |
| Wc Secura | $71 - $554 | 29% |
| Wc Sedgwick | $71 - $554 | 29% |
| Wc Sentry | $71 - $554 | 29% |
| Wc Sheakley Unicomp | $71 - $554 | 29% |
| Wc Smile Lodge | $71 - $554 | 29% |
| Wc Society | $71 - $554 | 29% |
| Wc Srs | $71 - $554 | 29% |
| Wc Taconic (Mro) | $71 - $554 | 29% |
| Wc Taconic Farms | $71 - $554 | 29% |
| Wc Travelers | $71 - $554 | 29% |
| Wc Triad Group | $71 - $554 | 29% |
| Wc Tristar | $71 - $554 | 29% |
| Wc Troy Ny | $71 - $554 | 29% |
| Wc Tyson | $71 - $554 | 29% |
| Wc Unified Health Services | $71 - $554 | 29% |
| Wc United Heartland | $71 - $554 | 29% |
| Wc Us Dept Of Labor | $71 - $554 | 29% |
| Wc Walmart | $71 - $554 | 29% |
| Wc West Bend | $71 - $554 | 29% |
| Wc West Bend Mutual/Argent | $71 - $554 | 29% |
| Wc Winnebago Industries | $71 - $554 | 29% |
| Wc Yankee Trails | $71 - $554 | 29% |
| Wc York Risk | $71 - $554 | 29% |
| Wc Zenith | $71 - $554 | 29% |
| Wc Zurich | $71 - $554 | 29% |
| Nova | $885 | 363% |
| 1199 National Benefit Fund | $1,423 | 584% |
| Asr Health Benefits | $1,423 | 584% |
| Christian Brother Services | $1,423 | 584% |
| Coventry | $1,423 | 584% |
| First Health | $1,423 | 584% |
| Luminare Health | $1,423 | 584% |
| Medical Mutual | $1,423 | 584% |
| Trustmark Small Business Benefits | $1,423 | 584% |
| Webtpa | $1,423 | 584% |
| Medica | $1,489 | 611% |
| Crime Victim Assistance | $1,519 | 623% |