Measles, Mumps, Rubella And Varicella (Mmrv) at Haxtun Hospital District

Haxtun, CO

Pricing by billing methodology

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Payers reporting CPT 64171 at Haxtun Hospital District

Negotiated rates from the hospital’s own file: 4 payers, 4 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Cigna commercial fee schedule · outpatient	$265	$265	—	—	—	$265 – $265
2	Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges	$416	$416	—	—	—	$416 – $416
3	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$457	$457	—	—	—	$457 – $457
4	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$461	$461	—	—	—	$461 – $461

Last updated: Jul 16, 2026

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