"Contract Number","Market Area","Plan Name","UOS507-0010","UOS507-0020","UOS507-0030","UOS507-0040","UOS507-0050","UOS507-0060","UOS507-0070","UOS507-0080","UOS507-0090","UOS507-0100","UOS507-0110","UOS507-0120","UOS507-0130","UOS507-0140","UOS507-0150","UOS507-0160","UOS507-0170","UOS507-0180","UOS507-0190","UOS507-0200","UOS507-0210","UOS507-0220","UOS507-0230","UOS507-0240","UOS507-0250","UOS507-0260","UOS507-0270","UOS507-0280","UOS507-0290","UOS507-0300","UOS507-0310","UOS507-0320","UOS507-0370","UOS507-0380","UOS507-0390","UOS507-0400"
"H0104",,"Blue Cross and Blue Shield of Alabama","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,419.04","1,952.52","1,255.77","50.39","12,181.07","955.17","1,599.81","55.85","9,639.83","402.31","1,180.56","31.56","11,562.10","558.78","1,194.95","43.63","11,304.42","846.39","740.52","57.94","10,546.91","579.56","1,224.86","39.73"
"H0117",,"WellCare of Ohio, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,650.24","1,734.60","147.87","28.44","10,782.50","1,210.05","357.43","61.43","9,349.20","490.33","345.68","36.63","10,212.99","527.93","370.81","79.61","9,211.49","634.46","180.16","47.00","9,786.44","759.68","329.89","50.79"
"H0150",,"HealthSpring, Inc.","NA","NA","NA","NR","NA","NA","NA","NR","NA","NA","NA","NR","7,249.87","1,437.66","374.35","NR","9,163.70","839.31","580.71","NR","8,402.75","393.97","516.84","NR","9,131.64","467.20","477.31","NR","8,198.10","560.11","300.97","NR","8,683.01","588.02","501.86","NR"
"H0151",,"UnitedHealthcare Insurance Company of Alabama","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,844.72","1,210.20","366.13","15.69","8,563.83","805.25","544.89","31.58","7,625.48","380.46","462.75","20.83","8,320.12","429.40","432.50","31.48","8,059.36","460.12","256.70","30.92","8,017.86","533.44","451.99","26.63"
"H0154",,"VIVA Health, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","14,409.32","2,755.01","751.50","181.86","13,014.54","1,180.98","728.72","134.56","9,756.93","471.02","546.66","89.82","10,680.99","572.60","519.62","129.94","10,366.07","712.18","315.65","165.97","10,746.51","703.38","556.80","117.40"
"H0248",,"Humana Insurance Company (Hawaii)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","12,501.63","547.23","325.73","13.03","10,386.50","252.96","378.94","15.12","13,294.24","277.05","546.01","24.27","12,757.55","433.67","488.56","5.49","11,595.02","307.13","429.99","16.31"
"H0251",,"UnitedHealthcare Plan of the River Valley, Inc., Medicaid Managed Care Operations","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,362.10","1,784.63","386.77","70.43","10,389.85","1,319.18","505.93","90.61","10,060.25","867.87","462.17","98.35","8,898.74","830.61","282.78","122.26","8,262.64","969.20","135.97","132.48","9,717.28","1,213.16","437.38","93.97"
"H0302",,"Banner MediSun, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,281.05","392.16","104.58","52.29","9,672.07","397.80","533.37","17.84","7,928.83","212.58","411.86","12.23","10,342.55","309.19","432.64","18.03","11,013.66","480.86","312.37","30.39","9,387.33","296.68","408.55","17.47"
"H0303",,"Pacificare AZ","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,263.53","955.15","256.11","13.61","10,125.70","529.06","476.90","6.95","9,041.02","237.71","418.03","4.71","11,077.41","324.76","462.04","5.52","10,796.78","426.66","324.69","8.00","10,045.97","321.29","425.73","5.65"
"H0307",,"Humana Health Plan, Inc. - Arizona","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,323.19","764.26","222.43","11.41","8,856.37","611.41","482.65","27.11","7,985.81","250.50","419.38","19.66","9,292.62","314.90","433.63","28.76","9,017.58","452.96","280.55","52.18","8,681.71","356.29","411.02","27.96"
"H0316",,"UnitedHealthcare of Arizona, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,483.41","938.39","312.80","0.00","8,039.13","618.98","381.15","15.25","6,218.89","241.98","315.37","10.26","7,855.57","351.10","372.34","12.30","9,117.35","511.27","294.90","20.94","7,049.39","334.43","334.43","12.03"
"H0317",,"Humana Insurance Company (Arizona)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,628.88","737.18","303.99","30.40","11,891.25","634.39","552.35","34.34","8,192.00","231.28","466.97","20.61","10,454.05","343.79","551.18","34.93","11,586.67","490.12","519.48","40.65","9,337.42","327.04","495.84","26.59"
"H0318",,"Aetna Health Inc. (Pennsylvania) - Arizona","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,757.23","832.37","260.12","0.00","11,070.42","422.54","380.28","38.03","8,466.13","206.23","404.48","15.97","11,203.65","253.84","363.33","29.86","10,279.79","310.88","62.18","20.73","9,447.27","284.92","374.49","21.62"
"H0319",,"UnitedHealthcare of Arizona, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","11,960.70","1,100.33","493.00","32.15","13,467.32","801.65","564.24","52.59","10,565.53","401.00","491.77","25.88","11,798.37","432.70","379.93","17.77","11,067.96","380.53","208.04","29.50","11,520.08","502.52","427.62","29.56"
"H0320",,"Arcadian Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,707.12","1,393.14","158.31","94.99","9,067.33","715.21","356.11","212.47","7,184.17","408.42","360.08","117.81","7,813.38","526.39","360.22","129.37","9,264.57","971.63","216.61","228.98","7,696.56","515.72","350.09","137.05"
"H0321",,"Arizona Physicians IPA, Inc. Medicaid Managed Care Operations","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,307.20","1,511.74","295.24","36.90","11,594.13","1,137.58","519.30","51.32","10,707.84","609.93","536.56","43.94","10,977.03","719.93","475.04","55.28","10,226.46","797.36","367.90","73.29","10,549.30","972.91","468.32","48.03"
"H0332",,"KS Plan Administrators","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,708.60","46.21","192.55","107.83","10,528.35","104.66","391.70","87.22","8,152.92","56.47","351.40","42.23","9,609.41","96.97","334.62","76.58","9,782.64","118.98","217.87","108.16","8,757.10","73.66","338.84","58.93"
"H0351",,"Health Net of Arizona, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,234.39","1,198.60","347.82","38.24","10,854.89","633.67","507.31","43.69","8,589.07","263.02","442.45","24.91","10,564.29","354.31","473.89","34.54","10,802.46","485.19","340.92","52.22","9,675.65","375.46","448.09","32.85"
"H0354",,"CIGNA HealthCare of Arizona, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,260.60","705.73","233.49","15.74","11,773.58","362.55","357.50","17.33","10,058.87","162.57","347.65","10.56","11,662.27","209.33","345.70","14.72","12,016.20","293.77","230.11","13.20","11,049.12","219.49","331.30","13.06"
"H0423",,"MetroPlus Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,701.67","913.24","66.97","0.00","9,570.34","640.10","140.51","1.95","8,915.10","518.73","127.48","0.00","9,836.58","674.45","155.64","0.00","9,131.03","524.14","110.34","0.00","9,092.39","605.32","128.33","0.55"
"H0504",,"Blue Shield of California","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,117.19","1,177.48","191.94","14.76","11,149.63","687.07","417.99","45.69","8,737.35","326.55","301.70","35.62","11,446.34","539.98","320.56","67.60","11,467.46","873.91","203.14","113.54","10,280.36","508.68","301.76","58.73"
"H0523",,"Aetna Health of California, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,558.55","662.84","68.94","10.61","10,373.07","337.02","113.06","9.78","8,899.39","180.90","103.26","6.73","10,865.49","261.40","122.40","12.07","10,685.51","398.55","80.32","18.19","9,988.74","256.92","107.27","10.66"
"H0524","Northern & Central California","Kaiser Foundation Health Plan, Inc. - Northern California","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","11,363.67","1,055.42","137.44","12.02","13,642.77","627.43","181.56","12.59","8,781.54","259.69","132.89","5.02","10,660.10","430.19","153.53","8.93","10,765.44","686.54","101.76","15.28","9,903.76","392.24","138.46","7.97"
"H0524","Southern California","Kaiser Foundation Health Plan Inc. - Southern California","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","11,308.32","894.00","183.27","28.25","14,854.95","569.89","194.31","10.73","10,691.44","282.17","141.51","6.60","13,263.10","444.54","162.87","10.97","13,682.27","656.32","113.74","17.46","12,026.36","391.60","148.59","9.49"
"H0532",,"Western Health Advantage","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,669.25","412.19","472.02","6.65","7,972.79","158.29","664.82","10.00","10,097.60","330.01","695.61","35.59","10,859.69","489.98","908.69","17.82","8,896.22","269.45","675.32","16.84"
"H0540",,"Unicare Life and Health","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,651.60","949.13","485.11","31.64","8,678.87","545.96","574.06","35.78","6,231.50","199.00","430.77","21.07","8,053.39","278.48","529.89","31.89","8,680.20","419.32","457.20","46.49","7,110.48","266.46","472.17","27.02"
"H0543",,"PacifiCare of California","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,806.47","542.01","210.93","4.10","8,400.46","408.59","340.37","8.28","7,442.92","184.56","313.88","5.22","9,112.10","275.38","339.73","9.22","9,300.42","406.47","226.38","12.97","8,470.56","273.26","309.14","8.33"
"H0544",,"CareMore HealthPlan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,347.46","616.53","273.31","3.18","12,330.19","469.83","466.65","0.80","10,808.14","254.15","341.74","0.34","13,448.51","352.98","348.45","0.82","14,546.71","471.58","232.54","0.26","12,237.21","333.95","340.10","0.56"
"H0545",,"Inter Valley Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,093.75","117.19","23.44","0.00","7,967.72","182.70","162.61","3.65","7,413.52","92.58","110.88","5.01","8,685.14","138.95","124.45","6.01","8,421.31","223.87","104.05","12.61","8,118.78","138.84","117.01","6.70"
"H0562",,"Health Net of California, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,918.06","750.58","192.48","1.55","8,877.18","481.38","368.26","3.94","8,035.26","216.52","339.67","3.48","9,875.33","304.30","369.72","5.97","10,115.85","459.39","246.60","7.99","8,974.70","303.67","337.78","4.94"
"H0564",,"Blue Cross of California dba Anthem Blue Cross","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","4,751.63","319.90","156.05","0.00","6,644.75","360.27","260.49","11.42","5,900.19","181.64","244.15","7.90","7,692.37","295.68","282.24","14.52","8,318.02","477.54","233.65","16.40","6,984.46","280.77","259.08","11.89"
"H0571",,"Chinese Community Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,227.70","126.32","279.22","0.00","9,587.85","127.56","194.38","1.92","11,963.73","234.77","201.80","2.31","11,924.18","390.66","126.36","9.48","10,873.77","207.44","190.11","3.03"
"H0602",,"Rocky Mountain Health Plans","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,956.50","835.94","388.97","27.30","10,532.32","509.21","520.62","27.40","7,732.27","228.26","416.68","23.66","9,431.78","347.24","432.63","36.66","10,216.20","531.80","249.18","47.10","8,789.32","331.55","409.40","30.79"
"H0609",,"PacifiCare of Colorado, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,504.21","1,020.75","307.35","4.49","9,310.55","461.30","506.24","8.94","8,075.89","203.05","434.15","6.93","10,891.33","299.32","500.90","10.99","11,378.00","434.21","335.42","15.69","9,577.79","288.45","449.08","9.61"
"H0620",,"UnitedHealthCare Insurance Company","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","13,739.82","268.07","383.71","10.51","13,574.45","233.25","274.90","0.00","12,722.30","172.72","223.32","3.49","11,523.12","145.59","81.39","5.73","12,406.58","178.54","184.33","4.74"
"H0621",,"Colorado Access Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,555.39","1,779.90","382.78","19.14","11,020.12","1,506.08","793.93","36.26","10,718.18","854.16","737.11","27.82","11,741.60","797.92","709.89","28.40","9,463.51","1,342.18","511.85","0.00","10,258.52","1,310.76","677.19","28.67"
"H0623",,"Humana Insurance Company (Colorado)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,908.40","1,053.44","732.82","0.00","10,999.60","714.57","602.62","38.11","7,229.36","246.95","415.38","18.78","9,214.77","365.97","427.61","19.26","11,743.10","534.08","446.20","74.37","8,417.32","368.41","453.29","24.06"
"H0624",,"UnitedHealthcare of Colorado, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,700.72","1,210.68","513.78","15.26","10,619.16","885.84","519.80","20.83","9,137.12","495.38","451.99","18.47","10,557.96","662.36","420.12","27.44","11,052.78","688.89","313.89","13.89","9,930.03","658.38","451.38","20.47"
"H0630",,"Kaiser Foundation Health Plan of Colorado","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,847.96","757.23","223.64","11.77","8,195.10","539.25","285.18","11.43","4,947.00","182.07","167.17","5.93","6,077.43","282.21","184.54","8.36","6,533.91","453.90","135.93","6.06","5,649.00","264.60","176.23","7.07"
"H0710",,"UnitedHealthcare Insurance Company-Connecticut","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,457.49","1,404.86","283.40","4.05","10,406.06","860.27","441.50","20.29","10,236.38","451.46","431.65","8.22","10,658.68","386.16","344.63","8.68","10,300.95","225.46","160.46","4.06","10,312.58","512.37","367.69","9.77"
"H0712",,"WellCare of Connecticut, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,014.87","1,942.95","139.82","9.64","9,861.49","1,073.49","395.94","15.88","9,847.34","510.82","325.68","11.00","11,066.42","511.93","397.90","9.50","9,894.65","591.33","407.82","15.29","9,967.94","731.71","353.05","12.02"
"H0752",,"Oxford Health Plans of Connecticut","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,770.86","556.99","331.37","7.05","7,967.48","230.48","238.89","8.41","10,153.15","277.33","326.80","7.50","11,567.29","334.57","147.21","4.46","9,390.78","295.95","266.36","7.25"
"H0755",,"Health Net of Connecticut, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,768.55","842.76","385.56","3.41","12,811.90","526.15","623.90","13.31","9,676.28","226.55","424.96","5.56","12,583.94","310.85","436.37","9.91","14,137.19","411.36","314.17","11.50","11,420.43","297.42","423.15","8.20"
"H0838",,"HMO California","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,353.39","1,053.73","93.95","1.84","6,948.37","730.20","129.76","1.27","8,259.46","475.68","21.62","0.00","NA","NA","NA","NA","NA","NA","NA","NA","6,382.43","849.84","112.35","1.44"
"H0913",,"WellCare Health Plans of New Jersey, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,245.51","1,601.37","153.98","10.27","10,353.84","555.08","288.03","3.81","9,696.71","357.37","316.61","1.57","10,421.20","413.04","290.76","5.43","9,528.09","449.44","149.81","0.00","9,767.98","465.18","294.54","3.00"
"H1013",,"Coventry Health Plan of Florida, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,691.91","716.30","146.34","23.11","9,014.52","609.87","368.83","17.42","9,141.99","307.24","314.73","13.30","9,833.25","372.61","288.88","23.88","8,648.07","445.15","167.86","31.87","9,268.43","377.45","290.79","19.66"
"H1016",,"AvMed, Inc. dba AvMed Health Plans","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,983.90","1,055.78","379.53","13.80","11,718.63","511.52","603.44","40.70","10,881.76","253.87","450.90","20.71","12,728.23","333.76","472.57","32.77","12,451.47","458.09","358.37","46.35","11,790.50","330.77","457.49","29.55"
"H1019",,"CarePlus Health Plans, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,048.33","1,224.75","183.66","58.97","11,832.15","688.15","374.52","70.22","11,654.16","294.45","359.69","40.11","14,546.68","366.52","346.88","61.91","14,089.69","496.94","227.88","90.50","12,894.35","390.41","338.89","56.18"
"H1026",,"Health Options Inc.","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H1032",,"WellCare of Florida, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,531.83","1,345.80","213.06","30.81","10,500.62","747.01","372.02","42.05","9,676.01","317.62","320.90","23.96","10,329.63","341.65","313.26","27.90","9,673.07","431.68","185.65","29.92","9,897.11","451.73","313.31","28.86"
"H1035",,"Florida Health Care Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,806.61","723.97","555.37","79.34","11,074.28","562.49","629.22","57.20","9,615.47","272.99","489.05","24.02","11,291.98","355.10","517.04","27.25","10,861.23","491.16","320.17","35.86","10,483.21","356.33","486.98","29.62"
"H1036",,"Humana Medical Plan, Inc. - Florida","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,704.91","980.23","236.72","23.13","10,584.63","527.10","383.57","24.70","9,449.12","224.49","328.12","12.17","11,075.83","277.76","327.77","14.91","11,168.97","364.08","215.53","17.98","10,287.28","298.06","317.98","15.12"
"H1045",,"Preferred Care Partners Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","4,736.54","532.58","135.98","90.65","9,550.01","531.74","483.40","43.62","8,758.22","193.05","368.77","18.12","10,007.01","241.98","352.49","24.99","9,181.59","382.67","212.60","42.01","9,273.31","244.23","351.66","24.26"
"H1076",,"Coventry Health Care of Florida, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,422.43","777.57","127.10","29.91","8,634.60","661.14","404.64","22.11","7,849.23","280.86","283.91","11.70","9,064.10","331.55","259.51","10.07","9,466.99","475.36","180.77","40.17","8,422.03","371.99","273.63","15.85"
"H1080",,"UnitedHealthcare of Florida, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,583.46","706.74","351.54","36.62","10,332.94","431.71","508.34","21.97","9,246.08","200.90","460.99","15.16","10,393.27","254.26","456.07","16.30","11,207.18","377.09","293.26","25.19","10,095.56","275.78","438.82","17.93"
"H1099",,"Health First Health Plans, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,267.42","647.83","406.78","60.26","13,415.70","476.98","741.31","82.15","11,128.24","217.68","576.85","47.19","13,830.68","329.29","620.03","83.28","14,983.67","449.47","462.98","121.60","12,613.18","299.75","591.02","69.69"
"H1108",,"UnitedHealthcare Insurance Company (Georgia)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,127.18","1,468.80","338.51","51.64","10,209.59","924.08","493.10","36.51","9,454.55","454.81","437.24","32.47","10,685.39","457.62","371.12","36.87","11,437.42","369.95","181.02","27.97","10,149.33","544.23","385.95","34.01"
"H1109",,"Aetna Health Inc. (Georgia)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,000.00","932.77","151.26","0.00","10,995.99","523.05","426.85","42.08","8,693.96","216.84","358.91","25.64","10,014.68","328.63","413.33","33.88","8,368.83","420.78","140.26","46.75","9,123.54","300.37","362.30","29.30"
"H1111",,"UnitedHealthcare of Georgia, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,846.63","1,546.01","485.89","58.90","9,579.54","964.68","695.74","11.69","8,424.08","379.65","463.65","7.84","8,265.78","437.41","554.88","10.00","8,036.04","567.57","270.27","27.03","8,524.26","557.88","516.54","12.13"
"H1112",,"WellCare of Georgia, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,524.89","1,147.36","236.57","26.61","10,759.91","972.28","307.73","34.10","9,559.24","449.19","363.40","25.48","10,796.64","598.42","348.61","48.47","9,229.81","673.91","192.55","74.53","10,032.68","645.01","331.16","34.61"
"H1170",,"Kaiser Foundation Health Plan of Georgia, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,471.29","546.95","164.08","21.88","7,144.11","545.58","300.45","27.66","7,654.73","300.84","262.08","14.84","9,079.77","484.36","312.26","21.83","9,316.29","841.04","195.59","29.85","8,145.73","410.00","274.50","18.86"
"H1216",,"Harmony Health Plan of Illinos, Inc. d/b/a Harmony Health Plan of Missouri","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","4,288.44","1,317.01","114.29","38.10","6,308.89","969.77","176.00","19.75","6,258.31","519.08","244.85","12.24","7,458.05","630.67","248.79","17.36","7,879.92","382.74","157.60","0.00","6,218.48","819.76","196.89","19.03"
"H1230",,"Kaiser Foundation Health Plan, Inc. - Hawaii","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,982.61","373.91","382.61","17.39","12,901.75","494.44","590.61","5.66","9,288.67","229.11","368.94","4.14","10,909.24","314.56","423.97","6.19","10,477.25","437.74","334.56","11.08","10,145.05","297.46","391.34","5.91"
"H1251",,"Hawaii Medical Service Association (HMSA)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,011.83","497.04","298.22","14.20","13,813.21","444.40","432.92","11.48","10,527.21","219.63","369.44","10.58","12,113.92","314.46","385.71","16.79","11,410.07","440.20","230.03","20.95","11,440.82","317.39","342.33","15.61"
"H1264",,"WellCare of Texas, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,501.14","1,036.10","227.22","45.44","10,831.47","775.89","337.06","41.14","9,743.29","359.89","293.57","27.99","10,174.01","461.92","296.50","42.49","9,070.84","524.57","214.42","61.26","9,910.89","509.88","296.85","35.63"
"H1286",,"UnitedHealthcare Insurance Company (OR/WA)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,463.16","2,105.26","294.74","0.00","7,898.57","513.47","412.04","12.68","6,161.02","181.60","336.97","7.26","8,387.39","276.40","484.16","17.62","8,442.47","498.41","284.81","12.71","7,085.87","287.91","375.38","10.74"
"H1303",,"UnitedHealthcare Insurance Company (Idaho)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,695.50","1,377.44","353.93","4.78","9,666.20","844.25","626.92","6.69","7,153.39","296.93","483.70","8.51","9,412.33","401.97","547.68","7.54","9,250.54","495.56","392.78","18.35","8,212.73","480.83","506.12","8.52"
"H1304",,"Regence BlueShield of Idaho","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,225.91","398.67","976.74","39.87","11,291.98","552.52","635.24","31.43","7,656.11","203.91","506.05","13.31","10,069.12","381.54","547.56","13.78","9,958.28","585.86","342.32","28.41","9,077.19","345.72","514.52","17.67"
"H1350",,"Blue Cross of Idaho Health Services, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,924.67","1,203.69","456.57","0.00","11,369.96","768.87","757.48","19.22","8,083.59","284.57","487.38","9.35","10,202.28","479.85","514.16","19.88","9,735.51","769.25","335.57","32.44","9,150.82","442.49","495.05","15.80"
"H1406",,"Humana Health Plan, Inc. - Chicago Market","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","4,487.19","587.36","170.75","13.66","7,626.89","455.65","324.87","49.80","6,650.91","226.39","252.66","28.72","7,568.69","293.82","265.93","48.63","8,065.34","461.86","172.98","80.11","7,270.90","309.04","251.04","45.52"
"H1415",,"HealthSpring of Illinois","NA","NA","NA","NR","NA","NA","NA","NR","NA","NA","NA","NR","3,701.51","1,114.24","87.51","NR","6,963.10","913.18","312.93","NR","6,495.45","448.74","256.65","NR","7,312.76","593.09","248.33","NR","6,985.27","743.49","140.50","NR","6,736.93","601.75","247.86","NR"
"H1416",,"Harmony Health Plan of Illinois, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","4,412.73","1,503.52","103.18","37.52","6,236.55","891.57","173.07","38.38","6,954.16","392.52","212.57","34.12","7,685.28","437.11","227.60","46.73","7,132.90","548.44","134.42","60.22","6,858.52","581.89","196.39","40.26"
"H1417",,"Health Alliance Medical Plans","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,735.33","484.20","538.36","19.11","7,137.16","255.46","424.68","7.01","9,374.60","416.02","538.24","23.50","9,255.67","495.84","337.45","41.32","8,253.88","341.37","458.97","15.30"
"H1418",,"Humana Insurance Company (Illinois)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,041.10","743.64","454.01","70.45","10,558.60","548.35","684.11","41.36","7,331.74","223.09","403.61","24.18","9,305.48","299.72","538.46","38.67","9,431.71","460.03","381.43","73.97","8,511.43","323.15","480.14","35.10"
"H1419",,"Aetna Health Inc. (Pennsylvania) - Illinois","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,278.69","1,606.56","65.57","0.00","9,689.66","534.48","321.84","57.47","7,489.46","211.72","223.29","14.89","9,447.31","323.19","196.72","32.79","10,553.32","204.02","241.11","18.55","8,324.20","325.13","230.38","25.08"
"H1463",,"Health Alliance Medical Plans","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,546.37","554.19","496.09","35.75","7,388.43","274.12","384.00","15.07","8,868.39","387.48","390.26","23.42","8,463.57","621.72","256.33","31.69","8,222.71","388.49","367.73","21.86"
"H1468",,"Humana Benefit Plan of Illinois","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,985.32","783.03","508.97","39.15","8,339.04","407.52","623.07","43.78","8,234.03","388.44","452.83","58.16","7,798.64","481.45","317.94","63.59","8,184.15","431.89","473.66","54.11"
"H1509",,"UnitedHealthcare Insurance Company (Indiana)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,376.32","1,473.03","505.89","29.76","8,671.68","795.11","496.87","38.85","6,617.16","269.39","381.99","17.64","8,338.76","369.86","423.52","23.69","8,930.07","512.81","343.60","25.90","7,520.57","402.49","405.52","22.67"
"H1510",,"Humana Insurance Company (Indiana)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,872.73","1,318.18","518.18","54.55","9,758.68","781.72","675.55","85.17","7,203.22","272.94","457.04","33.16","9,063.42","343.79","521.21","49.74","9,259.69","469.40","382.47","58.67","8,091.65","378.69","494.93","45.34"
"H1553",,"Clarian Health Plans, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,054.46","589.11","569.31","14.85","8,218.59","305.40","569.96","5.33","9,407.89","409.92","543.40","13.98","10,569.11","603.54","355.44","12.15","9,259.57","420.01","518.26","10.76"
"H1558",,"Welborn Health Plans","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","12,812.31","1,353.85","566.15","36.92","11,519.22","327.01","724.09","17.52","12,254.15","467.69","736.24","11.79","11,033.10","668.00","465.40","16.05","11,751.10","519.80","656.59","15.56"
"H1607",,"Anthem Insurance Companies, Inc. dba Anthem Blue Cross and Blue Shield in Indiana","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,697.96","1,016.33","477.55","12.24","8,601.93","708.35","554.71","43.90","6,237.02","277.88","379.02","11.75","8,322.95","505.96","521.34","19.99","9,133.08","806.08","410.65","15.21","7,128.00","426.52","437.05","18.36"
"H1608",,"Coventry Health Care of Iowa, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,694.94","489.40","593.80","58.73","8,031.30","218.87","501.27","36.59","9,935.76","373.36","593.62","59.09","10,653.39","565.30","381.46","96.51","8,985.10","329.70","524.73","49.15"
"H1609",,"Coventry Health Care of Iowa, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,352.00","1,152.00","480.00","24.00","9,406.19","595.13","603.03","86.90","7,389.92","264.11","485.04","34.49","9,115.06","349.72","544.30","61.75","9,129.07","586.05","348.84","108.14","8,180.16","343.06","497.48","52.09"
"H1643",,"Keystone Health Plan West, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,998.39","435.13","522.16","48.35","8,147.41","279.48","537.74","42.45","10,611.50","378.68","454.42","50.49","8,886.92","691.80","452.33","186.25","9,060.67","359.55","514.16","53.93"
"H1651",,"Medical Associates Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,290.68","353.45","359.25","40.56","8,128.81","166.83","339.20","25.11","10,860.25","288.66","321.25","47.49","11,588.03","407.91","219.39","73.13","9,904.19","267.39","308.32","43.63"
"H1657",,"Harmony Health Plan of Illinois, Inc. d/b/a Harmony Health Plan of Indiana","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,262.63","1,551.52","193.94","72.73","8,581.84","922.02","502.38","33.49","8,218.37","473.14","441.44","38.74","9,610.28","506.21","611.56","43.68","8,657.94","571.96","414.95","33.64","8,485.19","668.39","474.15","40.28"
"H1681",,"Humana Insurance Company (Alabama)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,025.94","1,244.96","345.82","51.87","9,541.40","544.59","503.18","50.96","7,461.87","289.21","461.87","31.65","9,410.55","361.76","480.76","33.32","9,423.31","441.72","202.45","110.43","8,407.89","408.64","458.97","40.56"
"H1689",,"Anthem Insurance Companies, Inc. (AICI)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,062.44","828.58","439.51","21.62","10,069.04","423.38","599.89","30.15","7,942.10","205.96","484.91","21.97","10,153.69","292.72","564.09","30.95","10,645.94","448.99","398.27","53.55","8,918.29","268.57","509.80","27.32"
"H1716",,"Humana Insurance Company (KS, MO)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,346.73","1,050.25","547.74","25.13","9,043.65","547.77","630.70","34.92","6,926.07","232.38","457.72","21.72","8,986.40","341.15","530.73","38.39","9,740.38","543.72","409.56","62.14","7,839.41","328.57","493.43","29.60"
"H1717",,"UnitedHealthcare Insurance Company (Kansas)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,646.66","1,178.72","458.39","0.00","7,909.90","759.88","469.19","25.50","7,284.02","400.26","513.21","21.80","8,198.72","436.36","408.71","27.66","7,747.53","410.65","182.51","9.13","7,645.17","509.68","444.51","21.72"
"H1804",,"Humana Insurance Company","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,565.87","1,275.91","467.13","43.39","9,622.80","667.51","597.54","45.64","7,498.90","280.42","462.71","25.23","9,106.82","366.59","507.91","38.26","9,717.51","521.22","384.24","53.53","8,390.35","392.92","487.27","33.87"
"H1806",,"Humana Insurance Company (Kentucky)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,109.05","1,386.81","526.45","27.07","10,399.11","685.92","669.67","52.89","7,781.23","255.67","451.79","25.30","9,555.39","353.00","536.10","42.38","10,302.21","507.48","400.57","47.04","8,769.27","395.41","507.02","34.84"
"H1807",,"University Health Care (UHC) dba Passport Health Plan (PHP)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,034.91","1,650.88","356.34","60.19","10,808.17","1,254.81","532.66","70.59","10,455.05","734.90","483.27","64.21","10,532.40","689.34","377.73","77.52","8,698.11","617.92","242.92","70.75","9,918.63","1,143.56","446.51","67.55"
"H1837",,"Essence Healthcare Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,091.76","1,866.25","242.61","0.00","9,446.87","373.50","448.20","18.67","7,373.44","170.88","383.14","13.79","10,482.12","244.69","427.86","26.27","10,995.06","390.50","299.81","31.46","8,712.71","243.67","389.92","19.12"
"H1849",,"Anthem Health Plans Kentucky, Inc. dba Anthem Blue Cross and Blue Shield in Kentucky","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,671.30","637.78","313.98","0.00","7,649.92","816.56","479.46","25.52","6,850.05","408.34","368.53","12.13","8,228.98","589.42","401.35","18.57","7,869.12","853.43","300.26","28.87","7,598.90","579.25","384.40","17.92"
"H1903",,"WellCare of Louisiana, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,969.98","1,011.55","173.21","13.86","9,851.87","693.90","395.67","11.81","10,464.03","503.07","491.91","18.96","11,057.82","580.25","448.29","36.87","9,140.96","679.93","252.07","39.80","10,285.17","588.08","434.03","23.82"
"H1906",,"Humana Health Benefit Plan of Louisiana","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,406.70","1,067.94","355.98","11.48","10,038.00","627.02","713.66","27.36","8,507.07","339.35","613.65","35.64","9,272.11","435.12","502.07","43.13","9,051.08","631.10","469.92","47.67","8,951.68","437.92","585.17","36.89"
"H1951",,"Humana Health Benefit Plan of Louisiana","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,937.74","1,004.29","446.69","37.31","11,181.32","651.34","750.46","40.41","9,127.45","296.26","602.97","26.25","10,642.51","426.99","590.13","49.97","10,243.06","602.53","402.49","70.99","9,882.63","408.07","594.51","38.80"
"H1961",,"Peoples Health Network","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,323.32","964.21","435.26","18.74","10,314.38","601.22","592.72","15.91","9,305.20","330.60","521.40","16.57","10,344.75","407.73","482.68","23.07","9,682.50","520.44","274.01","37.07","9,746.94","414.04","498.51","20.01"
"H2001",,"UnitedHealthcare Insurance Company (Maine)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,815.92","649.70","610.72","0.00","6,599.10","206.05","382.98","10.08","8,799.17","310.56","525.88","16.56","9,631.93","505.54","332.59","13.30","7,334.38","297.97","433.94","10.13"
"H2029",,"Humana Insurance Puerto Rico Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,800.00","657.14","314.29","0.00","10,879.22","611.05","251.79","9.21","10,151.28","430.26","302.55","5.89","11,801.42","590.21","336.47","0.00","10,279.79","808.29","227.98","0.00","10,587.40","518.02","296.56","4.90"
"H2108",,"Bravo Health Mid-Atlantic, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,006.66","1,453.92","327.39","23.20","9,163.55","912.89","499.29","1.65","8,360.29","466.90","431.69","0.78","9,085.74","436.36","425.57","2.56","9,847.89","439.76","240.21","1.51","8,808.47","553.07","415.85","2.21"
"H2111",,"UnitedHealthCare Insurance Co. for EverCare - MD/DC/VA/DE","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,828.41","1,283.57","213.93","20.06","12,354.57","810.75","511.41","8.84","9,961.02","469.03","431.57","7.84","10,973.57","369.74","362.45","12.50","11,678.96","241.11","141.71","8.73","10,900.35","454.42","353.98","9.76"
"H2112",,"Aetna Health Inc. (Pennsylvania) - Maryland","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,241.57","859.55","471.91","39.33","12,197.29","647.05","546.33","16.56","9,465.60","222.37","455.49","10.11","11,178.89","260.13","505.09","10.35","12,107.12","393.73","364.78","20.27","10,360.31","315.21","474.46","12.49"
"H2150",,"Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,170.67","532.72","252.55","11.84","9,801.34","571.85","414.88","10.54","7,466.62","243.46","293.76","6.93","8,434.96","382.50","302.68","7.47","7,834.29","609.69","183.25","14.83","7,932.45","338.88","292.05","8.03"
"H2174",,"Trillium Community Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,163.33","1,085.85","238.71","8.97","8,914.46","925.56","401.72","14.13","8,943.01","611.15","473.15","22.18","10,564.97","720.05","565.39","22.82","8,713.92","832.23","361.04","24.48","8,608.64","835.67","410.29","17.14"
"H2182",,"UnitedHealthcare of Georgia, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,865.12","2,400.00","418.60","111.63","9,806.59","952.18","459.09","51.01","7,772.25","228.40","438.48","18.31","9,148.38","334.28","467.31","17.06","8,802.40","311.38","275.45","35.93","8,327.32","398.12","437.87","25.51"
"H2224",,"Senior Whole Health, LLC","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","11,525.89","489.56","533.66","24.09","12,714.64","500.80","476.42","35.05","13,452.66","538.06","327.52","37.88","12,329.42","502.52","474.89","30.79"
"H2225",,"Commonwealth Care Alliance","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","16,788.82","729.09","778.80","45.57","17,504.76","746.94","731.97","38.10","14,681.46","587.14","354.10","45.40","16,705.07","712.46","692.76","42.84"
"H2226",,"UnitedHealthcare Insurance Company Massachusetts","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","14,206.91","705.93","540.29","37.86","13,493.02","492.19","414.95","27.94","10,518.77","255.49","198.93","15.60","12,881.97","500.24","397.11","27.92"
"H2228",,"UnitedHealthcare Insurance Company - Massachusetts\Rhode Island","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,913.22","1,694.21","355.37","28.93","12,664.09","908.91","671.57","26.20","11,381.51","458.39","596.89","23.82","11,773.71","386.22","411.36","20.20","11,104.31","249.54","178.03","18.80","11,563.90","474.52","440.25","22.00"
"H2230",,"Blue Cross and Blue Shield of Massachusetts, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","11,182.26","467.28","649.00","77.88","8,138.33","205.00","424.17","21.67","10,550.29","416.18","520.23","48.55","9,527.64","482.41","482.41","30.15","8,706.05","278.63","459.88","30.31"
"H2237",,"Independent Care Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,551.05","1,672.71","274.95","39.11","12,744.38","1,132.14","516.54","59.44","11,089.19","689.82","519.34","45.78","11,217.51","718.18","493.08","80.39","NA","NA","NA","NA","11,109.56","1,162.13","446.34","53.00"
"H2256",,"Tufts Associated Health Maintenance Organization, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,825.49","578.92","350.21","0.00","9,878.09","359.10","558.32","0.00","8,594.73","214.92","456.03","0.00","10,704.95","313.56","512.37","0.00","11,207.75","460.70","384.19","0.00","9,863.27","293.87","472.53","0.00"
"H2261",,"Blue Cross and Blue Shield of Massachusetts, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,818.75","562.50","637.50","18.75","11,140.41","400.15","524.42","51.30","9,403.25","243.71","449.22","36.03","11,494.75","329.19","483.11","58.26","11,470.72","451.12","311.23","83.77","10,613.49","315.79","443.21","52.91"
"H2312",,"Health Alliance Plan of Michigan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,375.49","708.64","828.97","73.54","13,900.28","511.26","1,145.17","61.08","12,118.13","289.50","1,087.43","40.67","14,536.33","416.25","1,401.92","58.47","15,482.33","566.76","1,493.85","71.83","13,440.51","380.88","1,244.11","51.81"
"H2320",,"Priority Health","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,152.86","655.85","440.65","20.50","8,830.89","429.54","498.31","39.46","7,205.01","192.70","420.37","20.10","9,882.77","331.48","521.71","40.11","12,296.35","610.95","433.79","56.91","8,157.53","261.98","447.20","27.55"
"H2322",,"Health Alliance Plan of Michigan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","13,562.30","557.07","875.39","67.02","9,963.79","204.81","575.55","52.37","12,381.32","302.95","706.50","65.50","13,233.22","411.07","444.29","103.81","11,110.01","274.97","622.02","60.23"
"H2354",,"HealthPlus of Michigan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,159.83","424.33","186.70","0.00","9,334.87","360.76","682.68","34.52","7,918.49","225.24","557.40","23.52","9,839.17","327.48","562.36","32.99","10,362.00","513.06","457.96","39.90","8,701.46","284.75","566.01","28.03"
"H2406",,"UnitedHealthcare of Ohio, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","13,598.20","261.87","300.39","3.85","14,797.75","303.37","496.42","24.51","13,507.52","245.56","242.31","6.50","12,481.43","180.06","130.25","1.28","13,317.85","234.41","248.84","7.96"
"H2410",,"Medica","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,730.41","257.05","250.78","12.54","6,166.20","191.31","318.24","15.98","11,335.72","334.01","358.33","14.03","11,836.66","468.94","308.23","52.69","8,154.26","262.80","325.63","18.85"
"H2416",,"PrimeWest Health","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","11,866.01","434.93","505.22","50.52","11,592.62","435.05","442.74","75.33","10,211.97","366.35","155.07","44.75","11,010.93","403.08","322.75","55.65"
"H2419",,"South Country Health Alliance","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","11,450.65","937.86","785.38","29.24","11,734.38","606.38","737.44","27.96","9,495.26","532.11","522.52","11.98","10,672.09","657.59","655.47","21.21"
"H2422",,"HealthPartners","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,787.66","383.01","354.15","3.50","10,312.78","404.71","273.54","0.00","10,852.19","285.07","159.88","1.51","10,222.83","366.11","279.77","1.85"
"H2425",,"Blue Plus (HMO Minnesota dba Blue Plus)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,795.42","552.59","539.67","14.87","10,691.00","509.96","463.23","13.13","9,771.22","472.51","263.30","15.04","10,351.43","506.44","404.01","14.36"
"H2450",,"Medica","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,859.70","1,086.51","532.50","10.76","10,269.72","498.18","528.58","24.82","7,575.67","228.00","415.16","16.50","9,838.47","379.09","458.39","27.97","9,609.90","525.69","278.46","51.04","8,610.41","325.19","413.66","24.78"
"H2456",,"UCare","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,444.76","499.84","408.54","28.55","9,020.30","482.21","351.11","36.55","7,360.14","423.95","181.15","22.83","8,640.97","469.80","316.97","29.48"
"H2458",,"Medica","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,067.99","528.95","459.99","36.55","9,661.67","465.10","377.70","43.01","8,620.24","376.70","180.30","35.71","9,454.45","457.28","340.27","38.43"
"H2459",,"UCare","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,816.36","1,033.00","585.37","51.65","9,859.10","429.82","602.30","27.92","6,545.12","186.69","441.99","13.64","8,456.51","264.47","469.00","25.89","8,565.20","373.12","279.50","37.98","7,475.64","242.28","435.14","20.86"
"H2462",,"Group Health, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,429.66","467.68","456.27","0.00","10,450.53","420.81","568.51","5.57","7,721.22","165.68","425.63","1.25","9,646.92","257.10","435.52","2.16","9,990.99","361.99","298.51","2.56","8,835.99","238.28","411.28","1.91"
"H2542",,"Humana Insurance Company (Virginia)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,873.19","1,306.69","388.70","33.08","10,058.70","813.26","424.77","17.55","8,358.19","380.67","406.14","11.09","9,736.11","371.21","402.96","7.33","9,635.67","657.53","269.31","27.98","8,950.78","474.93","401.13","12.53"
"H2610",,"Essence Healthcare Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","4,957.59","467.85","131.33","8.21","7,580.21","397.69","349.66","9.61","6,540.47","221.68","328.48","10.70","7,819.67","265.31","342.63","21.57","8,025.48","379.49","264.81","23.95","7,242.01","267.62","326.40","16.26"
"H2611",,"Mercy Health Plan of Missouri, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","12,254.56","596.13","750.81","116.00","8,142.12","246.59","528.90","32.84","10,693.00","396.17","569.72","45.48","10,299.08","492.37","382.50","44.76","9,405.61","346.49","549.69","45.33"
"H2613",,"Healthy Alliance Life Insurance Company","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,312.30","1,253.54","443.96","13.06","8,187.67","477.21","545.13","32.17","5,931.58","213.36","455.37","23.59","7,441.65","318.00","413.22","33.28","8,414.66","389.63","307.42","28.60","6,676.11","291.88","447.79","26.79"
"H2649",,"Humana Health Plan Inc. - Kansas City","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,565.36","1,301.92","453.88","47.78","8,351.20","628.58","515.92","45.18","7,040.36","260.24","462.32","27.82","8,295.92","361.32","495.16","43.51","8,580.39","469.27","340.33","59.24","7,784.76","364.79","464.01","38.96"
"H2654",,"UnitedHealthcare of the Midwest, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","4,383.54","1,033.74","281.48","13.17","5,832.62","612.17","366.54","17.93","5,428.30","251.45","380.05","13.95","6,067.71","304.03","391.35","21.85","6,277.34","406.27","271.50","29.02","5,787.37","330.71","368.99","19.01"
"H2663",,"Group Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,671.53","1,076.20","349.93","46.22","8,013.47","583.52","532.05","44.74","7,718.79","274.78","479.78","31.03","9,285.83","364.51","517.98","43.14","9,530.06","453.21","360.90","54.35","8,496.54","359.68","481.20","39.35"
"H2667",,"Mercy Health Plan of Missouri, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,319.59","494.85","229.75","35.35","8,769.03","385.18","508.27","39.71","7,403.57","224.24","425.00","32.62","8,772.63","313.14","434.47","43.01","8,795.64","446.98","269.30","54.87","8,155.53","294.31","412.55","39.68"
"H2672",,"Coventry Health Care of Kansas, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,431.37","666.67","333.33","0.00","8,211.23","611.31","548.61","24.63","7,433.95","260.07","550.16","18.76","8,568.71","366.13","584.05","32.23","8,856.40","468.14","385.86","25.56","8,204.17","362.39","538.42","26.11"
"H2701",,"New West Health Services","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","12,362.00","458.28","677.79","23.11","8,638.17","207.97","554.57","14.09","11,582.18","268.01","672.09","39.86","13,429.40","517.02","564.81","78.20","10,039.01","278.77","591.97","26.16"
"H2802",,"UnitedHealthcare of the Midlands, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,378.91","612.09","740.68","15.43","6,606.18","204.95","500.99","16.27","7,619.20","239.97","455.15","17.70","7,634.89","325.58","325.58","15.09","7,437.87","266.88","450.15","16.72"
"H2803",,"UnitedHealthcare Insurance Company (Midlands)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,523.45","1,465.38","580.79","17.87","9,034.51","656.11","492.08","60.09","6,474.81","230.05","443.95","14.86","7,766.09","293.62","476.79","12.80","8,290.16","384.04","486.45","23.04","7,232.96","327.48","463.31","19.83"
"H2899",,"Arcadian Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","11,978.10","1,895.72","866.53","150.16","8,906.31","801.67","413.39","107.21","11,905.11","1,023.21","490.97","125.84","12,066.10","1,388.00","433.29","146.88","10,374.11","1,106.01","505.33","120.94"
"H2931",,"Health Plan of Nevada, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,828.37","651.49","728.55","42.03","7,253.00","209.22","395.20","9.30","8,775.44","408.03","362.69","14.17","8,513.59","438.61","179.94","22.49","8,252.70","382.42","420.85","17.30"
"H2949",,"Humana Health Plan, Inc. - Nevada","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,570.20","943.98","194.52","17.16","9,997.35","436.43","276.59","10.88","8,358.01","181.16","294.71","2.77","9,672.80","233.93","298.00","5.94","9,486.37","323.84","204.55","8.61","9,086.25","247.12","284.40","5.39"
"H2960",,"Hometown Health - Nevada","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,259.59","568.85","297.97","162.53","9,486.18","550.24","404.59","64.73","7,700.12","220.65","366.59","45.00","9,582.71","301.78","372.55","59.65","10,437.04","401.30","199.84","51.99","8,842.85","297.48","351.53","53.49"
"H2961",,"Health Plan of Nevada, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,832.70","631.34","208.93","13.63","9,910.19","399.97","342.22","22.67","7,688.64","193.14","276.84","14.37","9,261.68","279.28","290.32","18.68","9,828.89","400.79","177.11","29.69","8,547.14","258.06","276.67","17.72"
"H3044",,"Welborn Health Plans","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,277.99","563.71","779.92","15.44","8,204.75","169.60","500.24","7.13","10,439.28","301.97","472.65","19.69","10,256.88","342.86","445.39","9.61","9,482.74","276.98","502.89","12.49"
"H3059",,"PSO Health Services, LLC","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,520.68","433.09","452.55","9.73","8,116.03","255.65","350.05","1.97","9,741.09","354.64","431.74","0.00","9,445.44","837.21","300.54","0.00","9,073.01","355.43","390.01","2.88"
"H3107",,"Oxford Health Plans of New Jersey","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,076.52","1,054.35","234.30","28.50","10,075.22","454.85","352.11","11.42","8,880.11","202.00","307.36","7.07","10,615.25","265.44","323.92","8.04","11,104.91","353.96","248.94","12.97","9,583.11","264.64","311.11","8.43"
"H3152",,"Aetna Health Inc. (New Jersey)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,956.43","868.89","387.81","19.64","11,407.49","438.40","481.52","14.37","9,840.09","186.39","391.05","10.65","11,744.46","243.09","396.72","15.45","11,988.58","325.18","269.03","20.05","10,801.51","243.48","388.42","13.53"
"H3154",,"Horizon Healthcare of New Jersey, Inc. d/b/a Horizon HMO","NA","NA","NR","NA","NA","NA","NR","NA","NA","NA","NR","NA","7,150.41","652.98","NR","24.64","9,017.63","433.98","NR","17.87","10,349.28","194.02","NR","13.52","12,532.36","270.40","NR","20.32","12,773.67","364.82","NR","19.93","11,433.37","271.38","NR","17.65"
"H3156",,"AmeriHealth HMO, Inc. - New Jersey","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,813.60","486.59","494.44","39.24","8,618.29","229.69","389.98","8.26","10,753.18","335.62","377.57","13.42","11,053.12","358.95","290.87","24.76","9,429.99","294.88","386.38","12.80"
"H3164",,"AmeriChoice of New Jersey,Medicaid Managed Care Operations","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,127.58","1,022.51","151.97","20.64","9,295.51","959.10","352.24","18.47","9,520.20","552.10","433.79","32.48","9,614.98","497.71","361.17","33.03","9,456.07","351.46","192.47","58.58","8,614.26","741.07","333.15","27.85"
"H3204",,"Presbyterian Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,488.39","523.62","446.76","0.00","8,817.34","418.62","464.85","10.27","7,294.31","197.28","384.75","5.34","9,306.14","329.27","437.60","9.89","9,130.02","473.03","271.60","28.89","8,242.38","289.21","394.14","9.78"
"H3206",,"Presbyterian Insurance Company","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,348.21","1,178.57","428.57","0.00","10,501.99","479.89","458.68","21.21","7,965.17","218.83","437.25","5.33","10,137.11","369.85","459.62","18.54","10,541.37","530.12","350.20","22.49","8,928.23","310.92","438.11","11.22"
"H3209",,"UnitedHealthcare of Texas, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,690.84","750.68","359.02","10.88","9,402.60","812.62","493.51","40.82","8,921.93","440.15","389.59","8.92","10,107.97","613.51","536.29","8.58","10,299.67","420.20","195.44","9.77","9,252.88","602.08","427.85","17.42"
"H3240",,"AMERIGROUP  New Jersey, Inc","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,742.08","1,252.95","119.33","22.37","9,604.10","1,171.04","279.31","48.69","9,424.40","504.22","264.76","9.73","9,733.49","672.27","249.70","4.80","9,346.73","723.62","201.01","20.10","9,247.69","817.90","249.23","22.38"
"H3251",,"Lovelace Health System, Inc. d.b.a. Lovelace Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,557.94","806.87","257.51","21.46","10,608.85","491.31","445.08","22.04","7,881.09","212.47","355.46","15.88","9,773.07","317.06","351.94","25.36","10,069.43","462.07","222.95","33.22","8,976.04","302.48","343.24","21.66"
"H3305",,"MVP Health Care, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,041.40","677.88","512.29","25.87","9,664.48","437.04","541.76","41.29","8,499.70","221.20","425.25","21.88","11,171.36","329.50","493.62","41.94","12,470.46","475.74","355.56","69.81","9,987.83","302.84","443.89","36.01"
"H3307",,"Oxford Health Plans of New York","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,874.52","615.29","164.33","1.91","11,362.67","314.95","217.62","1.58","10,945.12","113.37","198.48","0.81","12,245.92","162.69","223.38","1.62","11,875.68","208.38","154.92","1.65","11,521.85","158.25","203.54","1.25"
"H3312",,"Aetna Health Inc. (New York)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,236.05","527.90","212.45","0.00","12,830.48","313.53","325.66","14.00","11,246.98","160.14","254.03","7.63","13,277.91","215.23","271.05","5.74","13,062.80","282.44","189.31","6.09","12,276.38","207.54","257.85","7.15"
"H3314",,"HIP Health Plan of New York","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","23,250.00","456.52","750.00","0.00","10,346.91","335.10","203.00","0.75","10,670.07","338.72","220.35","0.71"
"H3327",,"Touchstone Health HMO Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,821.09","1,001.34","160.21","8.01","8,893.69","587.80","255.80","3.20","9,343.43","247.33","298.14","1.92","11,385.14","304.19","308.93","2.99","11,464.12","362.55","197.97","3.18","9,974.34","341.26","282.62","2.69"
"H3328",,"New York State Catholic Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,737.52","1,029.55","246.99","17.12","10,391.44","577.98","347.86","6.88","9,221.08","269.50","320.96","7.67","9,874.40","317.02","353.40","7.80","9,248.35","338.46","320.88","4.40","9,511.83","425.01","327.02","8.11"
"H3330",,"HIP Health Plan of New York","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,771.38","532.32","183.07","0.65","13,478.71","354.64","318.88","1.00","11,939.81","191.14","260.15","0.61","13,746.30","225.70","277.81","0.67","13,375.14","283.85","194.91","0.77","12,784.02","229.09","262.46","0.68"
"H3335",,"Univera Healthcare","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,717.95","643.36","372.96","13.99","9,686.63","405.98","518.58","14.32","8,143.54","193.66","383.31","9.46","10,251.04","292.87","409.57","18.10","10,423.02","430.62","272.76","23.63","8,952.12","256.94","392.26","13.04"
"H3337",,"Liberty Health Advantage, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","3,590.73","2,084.94","0.00","0.00","5,868.04","473.01","140.53","0.00","6,225.36","240.39","153.46","0.00","8,317.96","234.09","155.33","0.00","7,887.96","286.05","92.97","0.00","6,746.38","321.41","143.80","0.00"
"H3342",,"Empire HealthChoice HMO, Inc. d/b/a Empire BlueCross BlueShield HMO","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","12,849.56","762.67","386.16","9.65","12,522.52","323.93","512.75","0.00","10,276.46","154.84","322.54","0.00","11,995.50","190.08","349.24","0.56","11,505.21","344.86","214.91","0.00","10,949.87","194.45","339.11","0.26"
"H3344",,"Independent Health Association, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","11,839.29","946.43","375.00","53.57","12,199.52","474.22","699.76","11.57","9,941.26","234.05","572.24","5.48","12,607.10","346.74","608.33","7.40","12,426.40","530.82","422.04","17.40","11,049.14","320.53","580.74","8.27"
"H3346",,"MVP Health Care, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","11,361.36","274.61","708.89","31.93","8,905.85","231.04","476.34","22.39","12,378.61","436.42","500.00","37.57","12,558.93","381.09","287.93","50.81","10,151.14","291.57","489.24","28.42"
"H3351",,"Univera Healthcare","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,126.45","640.00","340.65","23.23","9,395.59","401.98","466.16","25.86","8,490.24","203.17","406.65","16.93","10,027.45","293.57","456.84","23.44","9,925.68","414.69","279.00","24.32","9,260.36","279.04","409.01","20.76"
"H3356",,"Excellus BlueCross BlueShield","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,622.46","1,141.97","336.97","93.60","9,235.27","325.16","371.61","18.92","10,852.02","360.50","374.21","45.92","11,856.65","554.45","223.91","93.59","10,787.43","427.07","329.56","55.04"
"H3359",,"Managed Health, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,696.43","1,053.75","183.56","0.31","10,828.36","677.78","361.08","0.62","11,029.50","449.71","371.94","0.26","11,811.65","488.38","360.27","0.38","11,320.26","501.53","277.91","0.23","11,009.55","528.39","355.20","0.36"
"H3361",,"WellCare of New York, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,001.16","1,338.41","174.54","17.13","9,874.13","671.07","234.30","13.53","10,521.58","325.04","212.00","4.54","10,549.68","318.40","211.02","7.46","9,970.28","392.99","155.74","6.55","10,178.37","454.50","211.74","7.91"
"H3362",,"Independent Health Association, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,011.28","780.36","339.75","10.62","9,818.96","402.51","499.51","8.01","8,954.63","220.67","471.60","4.36","10,806.57","317.13","509.92","5.88","10,859.90","412.37","313.53","7.18","9,838.54","290.65","466.45","5.47"
"H3370",,"Empire HealthChoice HMO, Inc. d/b/a Empire BlueCross BlueShield HMO","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,085.37","550.56","317.74","0.00","12,212.35","292.30","368.45","0.95","11,156.32","175.00","310.00","0.67","12,206.43","210.96","314.38","1.15","11,329.65","273.13","197.23","0.51","11,637.30","210.56","298.40","0.85"
"H3379",,"UnitedHealthcare of New York, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,634.12","505.65","160.33","0.00","11,798.53","331.65","235.57","3.10","10,741.16","167.05","193.63","2.66","12,845.32","168.23","164.97","1.78","14,554.30","153.00","100.10","0.85","12,861.81","175.99","152.99","1.72"
"H3384",,"HealthNow New York, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,347.81","667.98","307.94","14.21","9,187.13","363.53","427.95","11.52","8,405.46","197.67","407.90","9.34","9,855.13","274.76","426.10","15.16","9,750.80","378.37","257.44","18.89","9,149.89","262.58","393.34","12.93"
"H3388",,"Capital District Physicians Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,872.82","690.24","411.61","31.66","11,855.95","415.77","635.93","21.28","10,181.98","182.13","443.36","16.86","12,598.76","302.21","519.36","28.40","12,492.06","483.98","375.88","39.92","11,350.56","272.54","472.93","23.60"
"H3404",,"PARTNERS National Health Plan of North Carolina","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","12,390.44","1,075.70","637.45","79.68","13,661.78","432.04","780.37","38.49","9,067.23","181.44","484.31","21.87","11,970.05","312.38","526.34","38.51","12,129.20","444.59","482.58","49.40","10,536.58","276.63","546.00","29.86"
"H3405",,"Humana Insurance Company (North Carolina)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,556.05","941.70","242.15","26.91","10,542.86","484.47","536.65","44.72","8,134.85","251.02","388.71","24.37","9,709.58","334.81","334.81","15.22","10,909.09","479.52","347.65","47.95","9,022.58","338.90","400.02","27.85"
"H3449",,"PARTNERS National Health Plan of North Carolina","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,895.62","947.16","347.94","46.39","12,890.43","475.95","721.48","47.05","10,616.61","221.77","675.17","28.38","12,060.40","313.00","654.33","37.61","12,032.10","509.17","441.35","48.15","11,388.16","302.71","647.10","34.82"
"H3456",,"UnitedHealthcare of North Carolina, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,176.30","1,553.45","332.50","28.61","9,864.00","797.19","469.67","41.47","8,176.18","304.26","380.96","24.66","9,674.94","373.09","385.22","31.84","9,706.34","482.22","253.16","40.59","8,947.61","434.03","382.82","30.43"
"H3528",,"ConnectiCare, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,538.84","1,007.70","461.86","0.00","12,914.67","442.69","588.00","9.01","9,668.35","198.31","426.65","3.64","12,183.34","286.72","480.27","8.47","12,641.61","380.25","291.82","7.86","10,735.40","254.84","441.58","5.50"
"H3597",,"Aetna Health Inc. (Maine)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","12,076.13","361.62","513.88","19.03","10,806.16","261.06","422.39","20.53","13,779.31","477.45","582.49","12.73","15,433.73","343.37","325.30","36.14","11,679.86","316.14","458.20","19.34"
"H3619",,"Humana Insurance Company (Ohio)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,364.66","1,624.06","357.14","48.87","9,658.60","683.51","546.70","32.32","7,490.18","279.52","442.28","22.41","9,238.39","392.61","479.70","31.20","10,507.08","529.43","377.38","49.76","8,368.80","399.96","459.65","27.69"
"H3623",,"Aetna Health Inc. (Pennsylvania) - Ohio","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,054.13","1,250.34","292.29","16.24","11,855.79","597.09","607.21","70.84","9,114.02","283.94","478.21","43.64","11,355.21","328.89","471.69","54.81","10,968.38","456.52","349.80","77.08","10,078.33","365.35","482.67","51.14"
"H3653",,"Paramount Care, Inc. dba Paramount Health Care","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,886.79","1,712.26","424.53","70.75","10,387.11","537.63","718.85","21.14","8,711.05","305.57","511.03","15.31","9,974.42","381.77","537.43","21.81","9,997.42","512.64","400.72","29.48","9,533.03","387.69","516.01","20.79"
"H3655",,"Community Insurance Company dba Anthem Blue Cross and Blue Shield in Ohio","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,794.29","879.33","358.99","14.12","8,247.18","752.71","538.59","30.93","7,143.10","339.45","449.96","16.27","9,271.89","568.67","531.69","25.59","9,383.53","895.12","426.90","38.45","8,397.46","538.35","485.91","24.02"
"H3659",,"UnitedHealthCare of Ohio, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,040.54","1,308.85","373.57","19.71","9,153.89","756.86","519.89","23.04","7,772.99","308.85","444.27","13.81","9,218.07","397.39","457.49","21.18","9,831.94","478.85","362.22","22.70","8,599.11","422.28","446.95","18.26"
"H3660",,"SummaCare, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,466.57","1,248.14","427.93","17.83","11,434.37","560.22","750.56","43.30","9,047.29","254.90","551.67","22.45","11,206.59","321.69","612.83","27.86","12,076.83","471.64","451.28","33.58","10,263.54","324.16","573.62","26.68"
"H3664",,"McKinley Life Insurance Company","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,368.42","342.11","342.11","0.00","11,135.14","531.96","984.98","51.48","9,015.20","278.70","617.83","31.67","10,900.57","414.23","653.59","40.43","11,203.08","668.92","477.40","31.76","10,032.44","384.88","625.12","35.45"
"H3668",,"Mt. Carmel Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,785.22","1,062.36","351.04","129.33","10,627.38","627.72","879.51","143.68","8,443.97","308.51","666.97","82.75","10,425.09","464.85","749.00","129.88","10,418.15","609.11","591.09","179.81","9,406.79","408.17","697.59","110.83"
"H3672",,"The Health Plan of the Upper Ohio Valley, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,876.40","1,011.24","224.72","112.36","10,013.72","550.18","608.66","69.31","8,063.19","296.09","492.92","47.21","9,992.48","408.17","502.47","70.39","10,505.76","634.33","329.01","93.47","9,078.40","385.68","485.58","61.37"
"H3706",,"GlobalHealth, Inc.","NR","NA","NA","NA","NR","NA","NA","NA","NR","NA","NA","NA","NR","1,661.16","148.76","8.26","NR","752.39","338.38","16.80","NR","343.90","311.14","11.66","NR","385.77","294.04","17.85","NR","503.56","186.44","36.59","NR","476.78","296.94","15.88"
"H3709",,"CommunityCare Managed Healthcare Plans of Oklahoma","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,009.30","1,376.74","204.65","18.60","8,534.32","652.23","526.95","29.48","5,881.49","245.65","333.99","11.85","7,458.56","331.49","408.84","7.37","7,370.44","529.75","195.78","23.03","6,945.83","420.61","390.33","16.99"
"H3749",,"PacifiCare of Oklahoma, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,875.26","1,505.29","374.91","2.82","8,999.69","721.98","565.57","2.88","7,387.35","290.86","479.45","2.83","8,517.01","348.56","438.25","4.27","8,132.95","479.05","311.43","6.73","7,982.02","395.80","459.47","3.64"
"H3755",,"CommunityCare Managed Healthcare Plans of Oklahoma","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,950.72","733.06","338.81","12.32","8,224.79","553.17","631.40","19.28","6,903.10","274.75","485.10","15.55","7,996.13","411.88","500.32","17.11","8,071.48","641.01","290.77","18.03","7,485.02","380.56","480.45","16.57"
"H3805",,"PacifiCare of Oregon, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,587.58","505.54","239.47","13.30","8,820.60","495.24","488.03","9.62","7,116.13","204.00","420.35","4.06","8,540.38","312.19","474.94","7.27","8,613.10","462.06","345.73","12.20","8,114.41","321.76","427.58","7.54"
"H3810",,"Mid Rogue Independent Physician Association","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,289.70","1,044.93","281.33","10.05","10,298.78","923.88","501.95","33.26","8,773.03","468.69","515.98","19.20","9,827.91","581.03","479.41","36.46","10,188.16","952.24","411.78","46.33","9,325.47","665.45","479.64","28.47"
"H3811",,"Samaritan Advantage Health Plans","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,962.21","882.57","170.66","43.88","11,350.34","567.08","393.10","39.64","8,387.85","320.61","389.57","52.49","10,110.05","454.19","469.36","78.52","10,066.14","731.73","247.78","98.73","9,555.23","487.12","375.49","60.20"
"H3812",,"UnitedHealthcare Insurance Company (Oregon)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,168.35","1,696.97","323.23","13.47","8,974.63","593.18","460.19","21.00","6,600.41","241.94","356.17","11.35","8,413.83","385.15","362.64","22.51","8,047.04","400.75","263.41","18.81","7,430.39","350.97","359.17","15.84"
"H3813",,"ODS Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,065.38","1,278.45","1,191.28","58.11","9,957.61","384.06","546.84","38.15","7,414.23","177.42","368.68","16.69","9,360.19","288.39","434.38","43.08","10,561.66","474.84","368.81","64.54","7,972.44","223.18","394.01","23.69"
"H3814",,"ATRIO Health Plans, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,601.66","1,095.68","137.99","13.80","9,775.01","1,068.27","255.84","31.30","8,873.01","538.15","346.44","18.87","10,539.49","769.62","321.10","31.07","9,548.36","1,095.52","229.24","53.09","9,327.66","813.27","289.85","27.62"
"H3815",,"Honored Citizens Choice Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,926.99","611.21","122.24","0.00","10,371.56","418.58","307.34","5.73","9,503.10","235.13","271.37","2.49","10,945.59","309.75","255.65","7.43","11,569.14","429.03","220.02","7.33","10,059.79","291.85","266.13","4.35"
"H3817",,"Regence BlueCross BlueShield of Oregon","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,332.20","863.21","339.85","30.59","11,950.88","535.87","606.82","31.38","8,415.16","235.12","441.13","17.81","10,922.38","407.32","468.44","39.86","10,943.82","644.47","318.06","62.05","9,849.77","377.17","438.25","33.12"
"H3818",,"FamilyCare Health Plans","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","20,166.02","2,204.63","629.34","23.17","10,380.55","587.03","424.91","54.61","5,480.69","326.95","181.91","40.56","4,824.61","305.52","112.45","67.89","0.00","0.00","0.00","66.24","8,100.21","660.79","273.56","50.38"
"H3864",,"Clear One Health Plans, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,867.92","1,091.19","295.60","47.17","12,120.33","648.36","563.08","74.77","8,752.02","205.22","500.87","34.99","10,813.14","271.44","571.58","41.47","11,216.50","451.03","325.26","88.92","9,862.69","315.65","499.97","46.78"
"H3887",,"UnitedHealthcare Insurance Company (Illinois)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,900.99","884.49","184.82","13.20","8,161.84","544.60","461.04","15.85","6,291.68","246.33","279.00","13.45","7,775.72","357.59","314.30","24.47","9,062.67","463.39","192.45","10.13","7,107.45","341.44","304.37","15.94"
"H3907",,"UPMC Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,524.87","1,452.78","367.96","42.18","9,617.77","824.56","545.95","45.59","8,074.87","322.51","476.30","26.77","9,532.26","412.92","495.37","38.66","9,727.92","582.52","338.56","57.82","8,784.59","508.13","475.16","36.00"
"H3909",,"QCC Insurance Company (Personal Choice)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,361.86","337.41","337.41","14.67","11,553.17","351.20","505.94","5.22","10,151.21","207.03","499.37","7.35","12,164.49","284.22","519.28","11.25","12,844.62","360.82","374.08","22.09","11,059.38","250.89","493.50","9.84"
"H3912",,"UnitedHealhcare Insurance Company - PA Evercare","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,947.76","1,798.51","298.51","52.24","10,299.39","724.11","475.20","20.89","10,439.85","511.70","409.36","15.24","13,163.28","325.99","272.23","20.59","15,949.72","220.46","152.00","8.12","12,436.50","476.35","314.59","17.25"
"H3916",,"Keystone Health Plan West, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,409.25","1,018.65","473.14","37.53","10,037.70","451.32","632.24","37.65","8,039.53","213.52","506.92","20.23","10,554.34","340.18","578.72","34.36","11,164.41","491.11","368.56","54.12","8,977.04","286.69","523.71","27.21"
"H3920",,"Unison Health Plan of Pennsylvania, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","4,601.04","1,316.74","221.54","49.89","7,320.44","998.75","396.17","77.59","7,429.87","576.28","401.57","68.63","8,038.56","591.26","362.52","80.93","7,926.21","670.74","246.69","94.68","7,019.44","842.71","355.97","71.17"
"H3923",,"Keystone Health Plan Central","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,544.14","590.45","503.62","0.00","12,412.99","449.80","1,183.10","29.99","8,535.15","202.10","573.44","19.14","11,293.88","338.21","666.22","33.69","12,311.41","508.01","400.38","44.49","9,748.02","277.18","628.58","25.09"
"H3924",,"Geisinger Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,203.26","577.19","856.48","9.31","7,970.40","222.65","563.71","14.16","10,337.15","333.88","759.41","32.73","11,171.22","604.32","638.85","17.27","8,883.38","302.81","642.77","18.18"
"H3931",,"Aetna Health Inc. (Pennsylvania)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,957.35","976.47","327.94","16.18","10,398.29","487.21","472.40","19.44","9,400.64","198.93","390.99","7.61","11,662.88","254.50","439.34","12.59","11,917.73","349.00","294.32","13.03","10,447.27","266.60","403.40","10.84"
"H3949",,"Bravo Health Pennsylvania, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,879.10","1,013.43","201.49","4.48","8,981.58","718.08","409.92","4.79","8,721.80","420.66","411.53","2.03","9,456.80","434.42","338.57","2.40","9,307.04","531.94","220.99","1.47","8,946.16","504.31","362.52","2.60"
"H3952",,"Keystone Health Plan East, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,443.97","1,120.57","279.46","18.33","9,366.88","758.07","485.02","16.14","8,952.45","247.12","447.31","10.79","10,709.58","308.09","468.86","14.58","11,078.95","417.84","315.35","17.61","9,879.03","366.75","435.49","13.90"
"H3954",,"Geisinger Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,954.88","856.72","416.46","5.95","8,980.91","447.74","945.77","23.02","7,844.00","257.89","777.81","21.30","9,596.29","352.74","813.59","32.87","9,951.89","537.08","678.23","46.08","8,911.05","345.65","787.45","29.35"
"H3957",,"Keystone Health Plan West, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,180.84","872.99","418.75","44.36","9,434.62","481.24","584.82","49.17","8,140.73","259.08","511.61","28.27","9,962.74","366.94","533.96","44.92","10,428.12","537.39","361.85","59.31","9,232.72","352.41","502.30","40.15"
"H3959",,"HealthAmerica Pennsylvania, Inc./HealthAssurance Pennsylvania, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,919.14","1,238.42","356.60","66.34","8,849.62","562.34","575.12","47.29","7,719.49","276.32","509.44","29.38","9,415.40","374.11","540.40","40.70","9,805.81","567.30","364.78","54.35","8,628.76","369.43","509.00","37.62"
"H3962",,"Keystone Health Plan Central","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,323.53","547.06","282.35","123.53","11,140.55","504.52","778.78","60.13","9,102.77","237.75","599.83","27.34","10,867.02","312.68","642.15","34.21","11,364.38","497.27","441.12","46.27","10,243.52","314.92","604.55","34.34"
"H3964",,"Senior Partners by Bravo Health","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,987.29","1,134.70","202.71","1.77","9,613.85","845.46","465.94","3.26","9,373.78","532.99","427.99","2.15","9,765.28","525.26","364.24","1.98","9,109.64","598.56","228.31","0.67","9,257.40","643.41","388.75","2.20"
"H4003",,"MMM Healthcare, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,121.30","1,195.60","107.59","5.15","12,034.36","859.02","194.49","3.86","12,328.72","658.68","236.53","1.72","12,427.08","760.13","214.40","2.14","10,414.48","843.75","110.96","2.85","12,026.75","755.93","207.45","2.44"
"H4004",,"PMC Medicare Choice, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,968.55","1,321.04","135.46","2.59","12,907.78","967.61","204.70","1.79","12,759.10","753.02","244.57","1.51","12,589.39","835.87","208.34","1.28","9,928.87","840.93","103.17","0.43","12,400.90","848.97","210.67","1.46"
"H4005",,"Triple-S Salud","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,506.34","739.68","0.00","0.00","7,130.67","410.66","0.00","0.38","6,690.85","323.53","0.00","1.03","7,448.28","433.67","0.00","0.91","6,786.47","522.88","0.00","2.59","6,931.57","390.26","0.00","1.04"
"H4006",,"Medical Card System, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,782.81","702.26","119.46","0.90","13,445.86","491.87","212.66","1.74","13,741.24","440.89","256.87","1.78","14,389.14","532.71","236.86","1.94","12,388.45","630.15","131.63","3.78","13,622.44","490.77","231.35","1.91"
"H4007",,"Humana Health Plans of Puerto Rico, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,793.46","1,222.89","81.74","4.90","11,349.01","977.35","158.63","5.60","11,632.39","812.94","204.54","5.44","11,597.55","957.12","178.66","8.66","10,397.33","1,055.51","101.91","10.92","11,261.14","920.91","174.19","6.46"
"H4011",,"First Medical Health Plan Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,099.67","518.27","99.67","19.93","11,870.30","669.31","172.53","3.57","10,571.21","496.05","195.66","1.89","11,271.04","659.76","171.99","2.69","8,722.11","756.44","53.27","3.55","10,810.26","554.78","184.19","2.41"
"H4012",,"Triple-S Salud","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,831.70","1,036.76","0.00","4.14","11,929.56","689.27","0.00","1.65","12,470.74","542.88","0.00","2.06","12,596.69","692.67","0.00","3.43","10,325.05","714.57","0.00","7.23","11,941.38","657.85","0.00","2.67"
"H4102",,"UnitedHealthcare of New England, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,544.75","1,017.90","233.46","74.71","8,404.64","553.69","415.27","24.59","8,472.88","227.34","411.31","12.10","9,905.22","315.68","427.13","17.20","10,132.05","432.95","308.69","24.93","9,294.46","317.59","402.53","17.16"
"H4106",,"UnitedHealthcare Insurance Company-Rhode Island","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,404.44","1,066.67","302.22","0.00","10,340.59","1,054.75","350.07","40.92","10,087.59","512.87","511.29","27.66","10,638.93","505.20","464.78","33.28","11,879.90","745.62","370.31","50.04","10,406.87","623.33","457.78","32.47"
"H4152",,"Blue Cross & Blue Shield of Rhode Island","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,240.75","1,251.32","330.57","19.62","10,825.26","602.39","532.64","22.69","9,350.41","231.05","433.96","13.27","11,177.72","354.68","460.54","23.95","11,090.27","486.98","313.20","34.69","10,382.81","360.45","430.20","21.25"
"H4209",,"BlueChoice HealthPlan of South Carolina","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,988.59","1,106.46","285.17","34.22","9,957.67","399.29","512.49","19.89","6,891.99","239.09","340.79","12.98","9,042.31","302.51","426.81","31.45","9,407.78","473.77","291.03","27.07","8,065.19","314.78","387.02","19.09"
"H4270",,"UCare","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,199.10","660.63","561.09","81.45","5,593.70","191.34","355.01","10.37","7,285.50","355.88","529.71","21.14","7,019.43","550.07","245.14","11.96","6,281.65","278.86","407.83","16.38"
"H4406",,"UnitedHealthcare of Tennessee, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,796.20","574.14","560.99","17.53","6,503.72","295.98","327.25","24.57","7,291.01","362.43","396.83","26.46","6,539.33","471.91","194.76","59.93","7,017.20","372.46","362.23","27.08"
"H4407",,"HealthSpring of Tennessee","NA","NA","NA","NR","NA","NA","NA","NR","NA","NA","NA","NR","6,954.20","1,320.61","465.65","NR","10,126.25","990.41","689.27","NR","8,221.27","426.45","531.14","NR","9,166.65","535.52","534.40","NR","8,489.45","765.12","275.67","NR","8,755.62","599.54","547.82","NR"
"H4408",,"Humana Insurance Company (Tennessee)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,229.13","1,571.19","196.40","78.56","10,461.39","532.67","649.50","41.58","7,608.19","253.20","387.94","28.34","9,399.23","382.42","409.31","49.30","9,822.35","595.99","246.42","68.77","8,469.00","353.02","419.45","36.88"
"H4454",,"HealthSpring of Tennessee","NA","NA","NA","NR","NA","NA","NA","NR","NA","NA","NA","NR","7,561.31","1,270.26","555.59","NR","9,697.74","771.15","582.04","NR","7,995.88","311.04","512.78","NR","8,945.90","417.72","496.29","NR","8,672.35","580.46","336.76","NR","8,487.74","423.64","502.35","NR"
"H4456",,"UnitedHealthcare Plan of the River Valley, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,049.46","1,293.49","415.50","49.46","10,133.17","568.48","513.97","35.75","8,518.23","307.01","466.14","28.20","10,051.02","422.50","448.82","35.83","11,487.13","669.77","303.43","46.99","9,341.12","407.06","455.98","32.71"
"H4461",,"Cariten Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,791.68","1,282.87","322.43","45.96","10,277.98","766.86","593.31","73.96","8,343.46","297.04","500.88","43.75","9,556.11","428.13","491.81","58.30","9,500.87","626.37","304.71","82.91","8,921.75","441.02","491.67","53.92"
"H4506",,"SelectCare of Texas, LLC","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","4,768.42","1,002.63","202.11","58.42","6,663.76","575.21","416.34","58.64","5,871.94","295.57","391.75","47.71","6,570.14","381.49","409.08","66.98","6,261.48","550.09","274.30","108.53","6,177.53","378.58","387.83","59.48"
"H4510",,"Humana Health Plan of Texas, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,575.53","1,209.74","358.30","56.18","11,058.09","676.61","546.33","31.44","9,284.01","277.76","415.42","19.63","10,474.46","352.41","418.28","26.35","10,135.72","516.11","294.97","37.28","9,937.29","399.61","423.31","25.66"
"H4513",,"Texas HealthSpring, LLC","NA","NA","NA","NR","NA","NA","NA","NR","NA","NA","NA","NR","7,665.05","933.39","257.26","NR","10,380.93","614.81","477.61","NR","8,686.11","310.86","404.56","NR","9,183.48","395.91","392.40","NR","8,939.93","590.05","286.02","NR","9,038.25","404.54","398.24","NR"
"H4514",,"Evercare of Texas, LLC","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","4,837.73","769.40","178.98","14.85","8,589.11","787.83","387.22","27.43","7,813.85","364.84","355.24","22.06","7,737.13","419.31","317.24","32.06","6,195.12","424.48","183.14","27.39","7,576.96","496.34","324.96","25.28"
"H4520",,"Humana Insurance Company (Texas)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,127.30","862.85","485.75","25.57","11,876.70","639.52","700.60","66.26","8,738.89","254.27","452.02","36.37","10,503.41","359.93","508.42","56.39","11,120.79","474.65","299.44","68.49","9,759.33","366.33","494.76","46.57"
"H4522",,"UnitedHealthcare Insurance Company (NM/TX)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,864.43","647.68","254.99","25.50","8,791.76","582.35","510.88","6.18","7,411.14","250.41","377.77","6.86","8,278.78","347.71","406.93","4.96","8,417.40","454.11","301.84","9.52","7,884.12","338.53","393.38","6.77"
"H4523",,"Aetna Health Inc. (Texas)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,420.08","1,050.91","380.21","64.08","11,191.74","616.73","523.52","98.32","9,071.62","249.70","352.72","31.30","11,267.15","367.09","368.42","68.91","9,503.67","446.40","240.82","88.11","9,762.16","377.03","381.08","52.25"
"H4524",,"Aetna Life Insurance Company (Texas)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","11,399.46","1,265.42","514.75","32.17","13,353.29","536.40","524.09","46.75","9,266.83","190.17","376.66","21.38","11,854.74","266.31","398.12","61.87","12,309.39","441.99","342.54","132.60","10,602.59","316.14","410.16","37.09"
"H4525",,"SHA, LLC dba FIRSTCARE","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,223.62","1,812.20","476.28","23.23","12,687.78","1,214.43","719.04","62.53","9,375.60","539.55","539.55","41.76","10,549.87","601.52","498.23","34.43","11,117.75","853.56","394.50","35.86","10,457.26","769.39","553.66","43.05"
"H4527",,"PSO Health Services, LLC","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,267.31","1,107.34","355.26","14.54","10,247.92","736.06","525.44","20.18","8,868.98","346.97","421.79","16.11","9,631.83","429.06","420.84","18.13","9,806.22","641.77","338.00","25.67","9,306.23","479.79","433.05","17.87"
"H4528",,"Bravo Health Texas, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,040.84","1,033.47","309.49","11.05","9,872.04","594.17","500.84","8.45","8,631.74","321.08","407.83","4.22","8,909.84","421.60","387.49","4.42","8,002.37","438.78","263.27","5.93","8,804.47","424.42","406.38","5.35"
"H4529",,"Arcadian Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,723.09","1,653.53","397.48","67.57","8,998.29","841.50","470.87","104.15","7,427.54","471.57","418.05","74.86","8,615.73","615.73","396.50","111.65","8,020.93","940.05","330.88","154.41","8,030.17","626.44","417.90","92.82"
"H4564",,"Scott and White Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","12,575.89","549.11","1,044.64","80.36","16,400.51","723.09","1,509.24","76.11","12,778.10","293.38","1,248.09","39.44","15,956.22","462.68","1,549.78","51.53","15,237.62","751.30","1,386.94","77.01","14,547.84","446.48","1,398.17","51.40"
"H4590",,"PacifiCare of Texas, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,933.52","1,037.15","343.25","7.82","10,530.90","595.52","516.08","10.67","8,869.63","247.57","433.25","6.86","10,123.79","304.13","450.22","8.87","9,849.69","397.64","285.76","9.93","9,521.19","328.46","432.04","8.20"
"H4604",,"United Healthcare of Utah, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,805.65","1,134.28","434.63","7.07","9,120.45","815.00","494.67","13.74","6,388.93","239.99","409.42","5.41","7,725.04","315.50","427.74","8.83","7,900.26","400.15","270.90","9.74","7,154.69","344.07","410.65","7.48"
"H4605",,"Regence BlueCross BlueShield of Utah","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","12,066.83","957.92","497.52","59.41","13,521.51","481.58","715.57","55.71","8,457.16","208.47","477.99","23.64","11,077.22","298.98","515.76","31.13","11,025.46","444.02","405.69","35.59","9,715.35","271.31","492.94","28.40"
"H4606",,"Humana Insurance Company (Utah)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,344.22","1,213.61","549.66","27.21","9,889.10","639.09","557.81","30.28","6,657.92","226.11","458.27","12.59","8,324.87","302.88","508.70","17.45","8,540.05","409.17","471.37","18.47","7,533.06","307.35","481.89","15.98"
"H4908",,"Optima Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,133.00","1,054.19","532.02","39.41","11,801.63","701.38","524.26","32.59","9,152.27","261.40","420.30","18.07","10,734.74","394.47","473.16","19.93","10,915.92","699.26","309.74","14.08","9,952.98","391.82","444.10","20.91"
"H4909",,"Anthem Health Plans of Virginia, Inc. dba Anthem Blue Cross Blue Shield in Virginia","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,334.13","898.93","684.90","0.00","9,523.18","460.26","635.76","9.93","6,901.59","207.01","335.90","3.91","8,924.73","249.46","404.30","21.51","7,661.41","516.50","223.82","17.22","7,835.75","313.82","422.86","8.39"
"H4956",,"Humana Insurance Company (Mississippi)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,394.42","1,195.22","358.57","47.81","9,565.58","566.27","716.17","58.29","7,048.98","268.57","497.02","25.29","8,490.16","411.47","472.18","53.96","8,759.26","546.30","425.93","83.33","7,919.90","382.55","522.92","40.44"
"H4979",,"BlueCross BlueShield of Tennessee, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","16,152.74","744.63","887.83","200.48","15,914.44","624.82","776.81","74.30","10,104.06","296.42","545.58","35.80","13,329.40","409.85","547.16","64.49","13,728.52","544.92","421.88","82.03","12,593.22","423.64","581.91","58.91"
"H5005",,"PacifiCare of Washington, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,644.88","769.42","271.27","0.00","8,736.94","502.59","489.43","5.57","7,468.00","199.25","443.38","4.37","9,295.46","284.93","503.18","6.16","9,401.00","428.27","355.16","8.21","8,575.78","291.19","453.23","5.76"
"H5006",,"Sterling Life Insurance","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,426.38","1,296.49","371.25","21.50","9,920.92","668.30","513.17","29.69","7,407.41","344.58","394.63","18.28","9,027.22","487.04","428.20","26.27","9,471.03","699.27","311.57","27.45","8,244.53","453.11","411.13","22.20"
"H5008",,"UnitedHealthcare Insurance Company (Washington)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,661.13","1,121.26","249.17","14.95","10,114.36","856.92","440.43","11.45","9,089.10","376.00","406.74","15.59","10,100.17","440.75","384.80","15.12","9,240.11","465.94","231.54","14.29","9,520.53","516.01","378.95","14.55"
"H5009",,"Regence BlueShield","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","12,021.69","798.26","451.19","30.37","12,876.90","482.08","681.87","23.36","8,662.64","211.96","504.54","10.84","11,859.08","366.80","611.68","22.33","12,356.63","537.92","436.13","46.81","9,915.15","292.73","536.27","16.58"
"H5010",,"Asuris Northwest Health","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","11,766.33","647.09","629.12","14.38","7,575.79","193.02","461.29","16.36","10,290.63","321.22","458.89","11.47","9,941.61","810.22","470.80","10.95","8,883.02","341.71","512.90","15.44"
"H5042",,"Universal Benefits","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","13,890.59","761.49","577.68","0.00","13,139.22","378.40","656.16","24.15","10,222.77","187.52","497.03","8.44","12,721.94","326.36","563.71","15.82","14,626.65","455.43","550.75","42.37","11,270.49","255.39","530.55","12.77"
"H5050",,"Group Health Cooperative","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,419.81","537.74","160.38","23.58","8,745.77","316.21","343.34","37.42","6,868.10","130.47","283.54","21.59","8,842.01","213.19","316.57","38.88","9,366.50","359.66","218.41","74.77","8,089.27","209.40","285.83","37.80"
"H5087",,"Easy Choice Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,143.24","636.60","95.49","0.00","8,767.48","343.09","222.47","10.72","8,534.08","172.12","192.81","4.23","9,037.91","210.36","192.21","6.41","8,996.81","336.05","80.82","8.51","8,672.66","216.93","186.94","5.62"
"H5106",,"Keystone Health Plan West, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,003.25","1,066.09","526.54","52.00","9,827.72","541.51","658.30","58.71","7,746.05","266.36","472.36","40.62","9,699.09","453.18","479.31","70.62","9,815.20","654.86","320.67","117.84","8,697.01","395.43","500.50","55.23"
"H5151",,"The Health Plan of the Upper Ohio Valley, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,467.84","561.40","280.70","70.18","10,865.84","464.42","482.83","50.97","8,323.71","324.46","407.77","54.42","10,264.51","420.61","393.62","71.35","10,500.00","586.10","239.43","87.61","9,457.81","403.35","385.16","64.45"
"H5206",,"Partnership Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,126.61","1,712.45","289.70","12.88","14,328.69","1,523.11","570.07","66.03","13,632.30","959.63","416.56","74.06","11,620.42","740.17","376.86","37.96","9,837.66","996.29","214.29","83.49","12,228.05","1,143.26","394.12","60.17"
"H5211",,"Security Health Plan of Wisconsin, Inc","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","11,526.32","1,000.00","368.42","26.32","12,453.06","400.04","1,018.17","31.33","8,393.35","215.48","562.89","14.59","11,112.10","352.87","655.25","32.40","11,956.48","520.67","492.95","54.16","10,013.99","315.44","602.38","27.12"
"H5214",,"Humana Insurance Company (Georgia)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,201.16","724.19","412.92","38.12","10,194.15","642.67","554.92","31.83","7,970.15","251.96","442.26","22.58","9,666.92","360.19","508.91","36.60","9,683.00","500.52","275.29","50.05","8,709.23","348.79","460.95","28.45"
"H5215",,"Network Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,940.85","1,098.59","405.63","25.35","11,199.64","689.26","677.39","22.65","7,609.53","284.99","483.14","15.47","9,514.32","464.16","480.98","26.67","9,554.42","782.00","309.45","45.07","8,639.07","425.61","470.72","23.01"
"H5216",,"Humana Insurance Company (Wisconsin)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,335.49","739.06","758.51","0.00","10,240.80","609.89","810.48","29.82","7,112.22","217.10","485.64","15.36","8,934.63","326.47","550.38","27.45","8,263.21","455.98","472.66","44.49","8,093.45","321.21","548.86","21.87"
"H5253",,"UnitedHealthcare of Wisconsin, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,626.74","846.80","412.26","8.36","9,402.33","569.29","665.44","13.22","6,712.27","221.54","465.72","9.44","8,211.96","281.19","518.21","10.26","8,230.44","397.81","358.16","13.74","7,585.64","294.67","486.60","10.44"
"H5256",,"Medical Associates Clinic Health Plan of Wisconsin dba Medical Associates Health Plans","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,658.65","447.12","548.08","7.21","8,100.99","227.89","378.04","30.65","10,768.60","368.25","424.86","58.36","11,462.04","539.50","251.25","90.94","9,585.42","327.27","381.88","48.10"
"H5262",,"Gundersen Lutheran Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,443.26","468.90","615.19","3.75","7,158.95","206.06","360.65","0.99","9,044.80","314.86","399.44","1.22","9,416.86","444.73","231.90","8.35","8,281.92","288.71","361.52","2.25"
"H5264",,"Dean Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,053.06","483.07","497.71","18.30","6,790.50","246.16","361.66","10.69","8,540.78","331.42","444.82","16.20","8,876.72","547.03","335.16","30.00","7,922.30","336.81","394.18","16.31"
"H5291",,"Humana Health Plan. Inc (Colorado)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,940.13","798.23","345.90","0.00","9,468.16","674.16","424.47","39.95","6,835.73","282.32","316.05","9.99","9,393.33","297.91","470.13","37.24","9,424.00","464.00","160.00","64.00","7,837.09","367.87","351.15","21.28"
"H5302",,"Coventry Health Care of Georgia, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,211.38","861.79","447.15","56.91","8,895.07","305.91","530.54","13.30","10,180.78","441.48","521.41","30.45","10,436.09","721.80","511.28","45.11","9,365.64","431.80","516.25","23.51"
"H5304",,"Empire HealthChoice Assurance, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,394.83","283.46","836.90","0.00","7,593.17","140.73","360.50","9.99","11,693.37","238.49","511.06","19.62","12,334.83","484.30","313.90","11.96","9,141.85","200.35","405.86","12.49"
"H5378",,"Pyramid Life Insurance Company","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,427.75","1,676.30","450.87","34.68","10,954.49","967.49","678.80","72.82","8,973.14","510.17","579.46","61.26","9,785.82","516.38","577.02","74.33","10,005.67","713.88","487.25","101.98","9,647.91","654.33","588.02","67.27"
"H5402",,"Quality Health Plans, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","3,631.84","1,166.47","87.34","0.00","5,821.09","509.24","267.90","7.92","5,619.70","227.60","292.45","6.39","6,658.95","239.45","290.10","12.20","6,838.70","327.35","227.72","18.30","5,982.26","308.46","277.63","8.98"
"H5404",,"Universal Health Care","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,388.19","1,167.80","184.62","12.88","7,835.87","627.36","380.85","21.57","7,270.77","287.51","394.95","13.19","8,826.57","385.43","429.52","11.93","9,040.23","648.85","298.85","20.69","7,966.44","389.58","394.44","14.10"
"H5407",,"Citrus Health Care, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,663.30","1,276.12","168.60","24.23","10,545.40","667.07","353.91","26.05","9,051.51","268.64","275.14","20.63","9,450.20","289.10","261.94","18.11","8,319.10","276.96","121.82","16.09","9,303.01","430.45","276.64","21.41"
"H5410",,"Leon Medical Centers Health Plans","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,825.60","633.60","115.20","19.20","13,102.67","366.91","259.74","21.24","12,847.92","139.33","242.38","13.03","16,620.88","216.11","223.80","21.53","17,784.44","320.73","148.71","34.65","14,632.00","194.60","226.14","18.50"
"H5414",,"Aetna Health Inc.  (Florida)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,820.45","817.82","346.00","110.09","14,437.68","403.34","535.82","91.27","10,047.72","147.47","385.16","42.68","12,074.03","243.58","518.21","54.93","11,939.13","460.87","286.96","52.17","10,982.49","221.29","418.55","52.36"
"H5416",,"Arcadian Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,723.80","1,598.03","355.12","88.78","9,140.13","766.44","391.23","41.18","7,451.46","339.68","436.91","39.61","8,713.48","586.73","477.18","69.52","9,848.15","740.09","441.57","93.29","8,243.28","524.14","441.04","54.04"
"H5417",,"UnitedHealthcare Insurance Company (Florida)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","12,118.13","1,148.68","431.77","44.81","13,878.83","517.01","685.13","35.25","11,063.27","228.59","563.00","22.96","13,926.69","319.14","572.18","25.52","14,148.41","392.74","368.45","31.15","12,478.66","310.23","556.94","26.08"
"H5419",,"Blue Cross of California dba Anthem Blue Cross","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,675.56","591.38","431.21","0.00","9,928.21","475.01","531.37","18.79","7,206.21","168.09","395.93","10.65","9,789.02","277.87","463.12","17.43","10,548.41","448.70","346.67","26.67","8,414.53","248.98","420.61","14.43"
"H5420",,"Medica Healthcare Plans Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,373.52","652.48","321.51","56.74","9,420.19","414.61","310.59","1.49","8,988.90","176.93","248.43","3.20","10,690.63","191.33","192.50","1.75","10,224.79","227.44","106.45","0.00","9,732.42","202.15","216.76","2.66"
"H5422",,"Blue Cross Blue Shield Healthcare Plan of Georgia","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,646.90","743.94","339.62","48.52","8,483.52","483.52","587.91","27.47","6,988.36","169.94","402.43","25.02","8,709.72","214.82","454.11","32.63","10,030.57","405.47","251.01","96.54","7,704.56","249.65","422.26","32.25"
"H5424",,"UnitedHealthcare Insurance Company (Hawaii)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,335.99","670.39","253.79","14.37","9,589.83","543.31","280.34","11.16","9,174.43","244.95","349.72","7.57","10,676.74","315.27","363.60","9.24","9,419.10","480.52","252.22","13.05","9,672.26","329.06","335.39","9.16"
"H5425",,"SCAN Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,850.31","848.23","399.17","8.32","8,880.57","406.69","406.69","6.22","7,791.39","204.97","337.84","4.15","10,025.40","323.89","376.62","6.59","10,876.65","494.05","297.24","13.50","8,807.64","283.04","349.11","5.94"
"H5426",,"Metcare Health Plans - Corporate","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,518.43","1,161.67","188.70","47.17","10,496.04","682.72","412.60","33.64","9,399.17","271.01","388.39","22.93","10,852.38","329.23","417.56","26.85","11,295.38","392.65","297.18","33.62","10,093.31","365.43","388.12","26.79"
"H5427",,"Freedom Health Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,337.63","1,482.11","200.99","7.23","8,447.50","631.65","329.94","6.80","7,270.91","228.68","294.08","4.90","8,313.95","276.54","283.47","6.15","8,197.94","378.69","200.86","5.99","7,725.70","323.34","287.35","5.57"
"H5428",,"Health Plan of San Mateo","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,025.87","790.14","295.69","11.50","11,386.08","1,013.68","560.71","22.06","11,909.37","660.23","605.43","24.24","11,371.94","659.00","517.67","19.65","10,720.78","805.02","366.67","22.97","11,064.72","763.63","508.82","21.12"
"H5429",,"Universal Health Care","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,679.69","1,429.69","164.06","23.44","9,680.91","682.09","413.96","23.52","8,508.85","279.51","378.95","12.09","10,878.01","313.00","462.28","12.04","12,020.55","585.62","195.21","30.82","9,498.82","397.46","388.87","15.21"
"H5430",,"ONECare by Care1st HealthPlan Arizona","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,580.36","1,500.37","251.05","32.49","11,314.54","905.95","488.99","58.94","10,011.19","691.28","335.57","71.59","10,322.12","488.50","378.05","46.73","10,375.94","469.17","360.90","18.05","9,704.14","894.75","370.15","53.44"
"H5431",,"HealthSun Health Plans, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,428.17","381.84","123.54","22.46","9,345.67","197.73","114.63","9.31","11,051.12","283.00","118.19","20.81","10,152.87","335.27","56.93","12.65","10,072.92","256.75","109.94","14.74"
"H5433",,"California Orange Prevention and Treatment Integrated Medical Assistance program dba CalOptima","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,192.17","570.05","90.53","9.95","8,223.26","535.31","239.34","2.57","7,986.65","295.14","248.12","1.82","7,186.09","295.61","205.00","2.29","7,236.09","309.57","149.65","4.40","7,447.44","370.83","209.89","3.21"
"H5434",,"Health Options Inc.","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H5435",,"UnitedHealthcare Insurance Company - Multi State","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,676.75","1,093.43","373.73","23.40","9,039.84","608.23","517.04","25.83","7,202.09","248.87","421.83","14.55","9,093.46","337.41","473.80","20.63","9,623.03","488.13","351.08","29.09","8,142.57","344.09","440.46","18.83"
"H5440",,"UnitedHealthcare Insurance Company (Florida)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,370.26","979.59","314.87","23.32","12,106.36","923.08","512.82","56.98","12,046.42","628.16","612.69","30.94","13,271.99","680.16","331.25","35.33","10,841.06","647.91","209.89","36.50","11,808.56","748.88","454.29","38.68"
"H5507",,"UnitedHealthcare Insurance Company (Missouri)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,990.51","660.34","409.87","0.00","7,845.25","467.19","455.44","23.51","6,332.22","237.30","414.65","14.15","8,074.78","336.53","467.85","25.54","8,613.55","432.25","294.85","17.18","7,100.52","301.98","421.78","17.96"
"H5508",,"ADVANTAGE Health Solutions, Inc","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,693.99","491.87","606.36","67.84","6,884.64","206.77","463.96","17.65","9,412.75","320.89","453.02","66.69","10,146.58","468.49","279.45","82.19","8,388.43","299.59","455.23","44.35"
"H5509",,"Coventry Health and Life Insurance Company","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,168.31","960.94","401.24","16.86","9,806.19","703.05","609.96","29.47","7,610.62","276.67","518.24","17.12","9,265.27","386.35","567.08","24.76","9,985.16","529.92","449.64","39.04","8,414.18","365.31","532.02","21.87"
"H5516",,"UnitedHealthcare Insurance Company (North Carolina)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,537.59","278.01","408.51","22.70","8,004.21","182.72","344.76","10.34","9,527.66","256.89","415.14","20.55","9,865.70","413.79","181.49","14.52","8,739.62","230.99","356.23","14.77"
"H5520",,"Health Net Life Insurance Company","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,980.60","945.33","380.95","0.00","9,940.09","456.84","420.49","4.12","7,211.11","205.10","395.48","4.34","9,588.86","322.32","430.41","6.17","10,352.00","532.06","327.08","5.86","8,366.32","289.67","400.38","4.96"
"H5521",,"Aetna Life Insurance Company (Pennsylvania)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","12,248.93","859.06","441.73","53.69","13,980.09","410.79","567.38","21.15","10,973.63","184.41","432.88","11.69","13,446.84","260.19","473.11","14.27","14,310.98","348.24","309.11","22.99","12,138.64","245.49","447.14","14.59"
"H5522",,"HealthAmerica Pennsylvania, Inc./HealthAssurance Pennsylvania, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,032.26","592.03","576.85","15.18","10,313.08","476.27","721.80","46.59","8,275.79","228.23","536.16","23.92","10,822.03","333.19","586.60","38.33","11,217.62","492.75","391.67","42.76","9,262.22","291.32","555.22","30.35"
"H5525",,"Humana Benefit Plan of Illinois","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,798.22","985.16","308.61","59.35","10,996.40","563.82","791.23","59.20","7,918.23","253.59","482.32","31.63","9,945.25","367.69","596.99","44.34","10,204.31","572.31","380.31","68.92","9,025.52","351.61","527.93","41.92"
"H5526",,"HealthNow New York, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","11,634.87","592.11","680.92","0.00","11,490.08","376.90","626.56","14.46","9,622.24","208.74","505.92","11.66","11,784.95","303.32","551.16","15.80","11,574.62","422.35","392.09","23.78","10,663.31","276.47","513.85","14.56"
"H5528",,"Group Health Incorporated","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","11,203.45","959.02","106.40","4.31","13,085.93","849.90","152.22","1.07","11,323.86","554.23","145.58","1.01","13,522.70","647.52","141.40","0.86","13,734.79","700.86","105.73","1.51","12,220.80","639.63","141.60","1.13"
"H5529",,"Community Insurance Company dba Anthem Blue Cross and Blue Shield in Ohio","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,455.10","1,212.24","391.84","12.24","9,846.18","637.99","612.09","31.66","7,341.95","319.76","418.48","15.47","10,067.28","564.38","543.07","33.98","10,200.60","781.90","379.00","35.85","8,431.75","458.72","464.76","22.63"
"H5530",,"Anthem Health Plans Kentucky, Inc. dba Anthem Blue Cross and Blue Shield in Kentucky","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,490.91","1,047.27","552.73","72.73","8,888.89","512.03","387.10","16.39","6,999.18","307.49","354.24","13.83","9,343.60","502.34","415.94","20.09","9,521.19","1,074.63","222.09","21.49","7,911.54","438.26","369.70","17.32"
"H5533",,"UPMC Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,232.44","505.75","551.72","35.76","8,590.51","313.65","480.15","30.98","10,384.39","463.63","541.69","47.31","13,276.42","560.98","414.63","73.17","9,494.17","388.09","497.93","37.92"
"H5549",,"VNS CHOICE","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,173.63","1,345.05","105.49","0.00","11,668.97","668.44","331.03","0.00","12,834.09","826.34","333.12","0.00","14,189.17","967.95","234.37","0.00","13,604.34","1,270.45","131.89","0.00","13,371.03","983.33","244.44","0.00"
"H5576",,"Vantage Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,766.09","862.10","567.93","40.86","8,510.69","376.29","459.24","31.86","9,417.02","603.03","444.60","55.57","8,907.74","935.31","308.59","57.26","9,011.22","532.91","446.72","42.40"
"H5577",,"Medical Card System, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,989.26","1,231.54","97.33","2.25","14,235.28","940.22","200.15","2.01","14,104.64","710.67","221.26","2.19","14,125.43","825.10","199.80","3.33","11,359.09","829.61","110.57","1.84","13,772.47","833.84","196.36","2.35"
"H5578",,"Arcadian Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,146.79","3,522.94","293.58","293.58","9,056.39","1,384.96","415.04","207.52","8,516.46","767.53","431.86","116.66","10,240.73","1,235.23","521.83","231.19","8,145.17","1,318.29","306.03","311.92","8,963.91","1,115.25","434.00","181.03"
"H5580",,"SCHN/ Mercy Care Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,991.32","1,327.30","333.27","38.36","14,325.21","1,037.53","533.35","62.00","13,021.65","577.22","494.72","37.71","13,341.14","596.64","375.04","42.43","12,135.86","577.78","158.23","35.16","12,840.45","864.80","429.46","45.99"
"H5587",,"Health Choice Arizona, Inc. dba Health Choice Generations","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,321.75","1,314.13","311.37","40.67","10,829.83","935.82","531.83","49.71","9,480.96","474.83","438.05","49.04","9,770.92","510.01","494.26","66.95","9,992.50","657.16","306.08","27.01","9,541.07","834.12","447.31","49.30"
"H5591",,"Martins Point Health Care, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,519.90","321.69","438.67","0.00","6,637.97","190.91","379.71","7.95","8,333.70","331.49","440.88","23.20","8,123.65","445.13","333.85","0.00","6,973.27","220.11","388.37","9.35"
"H5594",,"Optimum HealthCare, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","4,194.84","1,048.71","171.92","0.00","4,468.70","433.68","274.96","4.47","3,778.14","184.81","241.20","1.65","4,789.39","234.29","231.84","5.71","4,869.03","331.75","113.93","3.35","4,203.73","244.48","232.59","3.14"
"H5608",,"Denver Health Medical Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","12,720.63","1,466.32","714.36","6.27","15,502.09","1,182.43","2,180.33","64.02","14,173.38","652.45","2,042.37","44.25","20,647.67","764.57","2,491.92","102.38","16,227.38","826.26","2,526.82","38.43","15,675.15","885.10","2,100.30","57.63"
"H5609",,"GEMCare Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,020.94","230.37","272.25","0.00","12,968.39","397.76","532.03","6.71","11,065.01","249.35","466.23","7.22","13,790.89","340.17","495.84","7.98","12,751.33","466.74","290.29","1.42","12,370.67","319.20","462.00","6.75"
"H5619",,"Arcadian Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","24,322.70","1,828.61","1,480.10","223.74","13,860.58","697.12","924.53","75.13","28,717.11","1,718.15","1,503.64","212.43","35,921.82","2,345.28","1,358.31","390.88","19,123.33","1,123.76","1,118.14","133.55"
"H5628",,"Molina Healthcare of Utah Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,553.02","1,296.74","348.70","4.84","12,936.34","803.52","612.13","11.55","13,240.06","673.30","636.36","15.63","11,647.06","483.77","559.84","3.04","9,711.58","576.83","255.32","9.46","11,883.20","862.27","531.72","9.76"
"H5640",,"Inland Empire Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,690.02","1,183.30","174.10","9.91","15,103.35","841.21","326.87","8.65","14,596.12","541.26","274.07","5.51","13,385.71","521.43","328.57","0.00","NA","NA","NA","NA","13,392.55","829.69","270.25","7.58"
"H5649",,"Central Health Plan of California, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,842.01","412.93","355.48","21.54","7,942.25","130.86","303.68","6.58","11,559.51","259.02","327.80","19.02","11,809.17","418.35","249.54","29.36","8,940.13","193.05","309.28","11.82"
"H5652",,"UnitedHealthcare Insurance Company - Maryland","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","13,355.70","174.50","604.03","13.42","17,545.03","245.50","490.99","8.01","18,972.76","254.45","349.87","0.00","18,037.30","244.44","419.18","3.93"
"H5656",,"SelectCare Health Plans","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,774.15","1,661.93","196.02","51.14","9,099.23","821.99","389.36","41.10","7,724.96","371.83","300.66","21.96","8,650.59","450.34","321.92","30.79","8,104.98","526.25","330.90","31.89","8,089.99","529.53","317.27","28.86"
"H5657",,"Humana Insurance Company of New York","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,378.18","1,083.64","407.27","7.27","8,555.80","650.87","488.15","32.73","8,054.44","316.59","415.13","19.16","10,141.56","337.25","479.11","21.41","10,771.59","542.64","249.96","25.64","8,894.84","435.26","429.44","22.86"
"H5665",,"Care Improvement Plus of Maryland, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","11,683.80","979.43","794.34","0.00","8,920.08","488.56","522.33","9.01","10,597.56","465.85","407.32","2.44","9,900.29","563.05","445.75","11.73","9,948.17","553.01","497.88","6.03"
"H5696",,"Physicians United Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,685.70","1,200.77","319.44","53.88","10,153.73","713.34","481.99","78.13","8,291.23","285.13","388.40","32.78","9,784.26","417.84","402.64","53.66","9,767.66","622.23","293.98","60.25","8,936.09","396.19","396.14","44.70"
"H5697",,"UnitedHealthcare Insurance Company - Pennsylvania","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","15,583.62","95.56","552.90","13.65","19,484.19","180.51","567.76","12.34","23,357.14","286.87","369.82","3.46","19,973.61","199.80","511.93","10.13"
"H5698",,"Windsor Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,544.90","1,743.61","417.07","50.77","9,845.92","943.45","618.73","54.63","8,634.66","495.05","511.85","35.82","9,084.05","533.12","480.51","45.26","8,216.66","647.67","327.01","68.05","8,945.36","709.42","515.09","45.64"
"H5700",,"Arkansas Community Care, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","11,231.47","2,547.66","417.55","151.29","12,724.92","1,305.92","805.36","210.06","9,250.56","562.08","554.23","118.92","10,485.80","695.97","543.88","148.24","10,819.33","1,138.51","513.03","242.46","10,376.00","839.17","598.89","151.66"
"H5732",,"Triple-S Salud","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,891.99","564.46","0.00","0.00","8,319.58","547.65","0.00","0.00","9,878.19","721.41","0.00","1.57","9,715.23","925.83","0.00","0.00","9,064.15","671.12","0.00","0.58"
"H5774",,"American Health Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,682.23","1,169.53","60.32","3.07","12,608.32","822.05","94.49","1.19","12,667.88","674.62","121.25","2.72","12,478.71","707.91","95.71","2.03","11,455.25","615.77","43.84","2.34","12,361.79","724.48","96.38","2.20"
"H5782",,"Partnership HealthPlan of California","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,354.66","1,123.75","162.05","21.25","9,748.30","1,068.93","422.13","86.64","10,049.29","598.16","363.41","61.82","11,128.73","633.34","397.65","106.12","9,960.72","836.89","293.77","146.88","9,849.76","802.34","361.48","81.51"
"H5783",,"Arcadian Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","11,526.42","3,001.91","244.43","84.02","12,325.26","1,511.56","561.40","81.31","9,314.72","653.34","464.89","62.68","10,916.35","804.28","444.22","91.97","11,383.69","1,183.19","299.92","105.47","10,413.97","937.38","461.65","76.00"
"H5793",,"Aetna Health Inc. (Connecticut)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","12,252.85","537.31","510.97","31.61","9,570.15","229.20","385.81","11.42","12,514.53","340.14","410.94","25.90","13,551.25","341.69","266.51","6.83","10,923.72","314.84","397.13","17.57"
"H5810",,"Molina Healthcare of California Partner Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","2,813.51","822.32","64.61","14.68","4,718.55","535.13","134.62","1.68","4,216.68","280.07","114.10","1.73","5,586.41","372.82","133.98","0.00","4,391.23","505.90","20.24","0.00","4,252.89","489.45","110.69","4.04"
"H5811",,"SCAN Health Plan","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H5817",,"AMERIGROUP Texas, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","4,611.92","899.97","99.35","23.11","7,769.70","749.60","255.59","39.74","8,416.59","368.24","262.80","36.93","7,162.74","368.08","206.40","47.69","6,281.80","355.03","135.36","26.63","7,235.46","523.79","212.64","37.10"
"H5821",,"MAPFRE Life Insurance Company","NA","NR","NR","NR","NA","NR","NR","NR","NA","NR","NR","NR","10,212.11","NR","NR","NR","12,706.84","NR","NR","NR","12,584.77","NR","NR","NR","12,586.99","NR","NR","NR","10,540.17","NR","NR","NR","12,418.62","NR","NR","NR"
"H5826",,"Community Health Plan of Washington","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,780.08","1,708.65","259.40","0.00","9,999.82","955.84","445.84","32.08","7,538.34","321.06","351.74","21.47","8,659.79","519.24","404.24","36.59","9,640.88","579.13","281.05","51.10","8,432.96","579.58","376.01","26.28"
"H5850",,"Coventry Summit Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,602.34","1,408.85","165.26","43.38","9,091.47","709.77","368.91","15.10","8,428.88","315.63","335.74","12.79","9,826.05","413.85","341.78","22.48","9,275.13","517.33","205.38","31.65","8,889.76","429.78","327.14","17.92"
"H5854",,"Anthem Health Plans, Inc. dba Anthem Blue Cross and Blue Shield - Connecticut","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,938.60","508.77","473.68","0.00","6,974.02","174.58","339.45","1.39","8,925.29","216.48","363.98","1.92","8,830.84","312.29","352.77","11.57","7,695.67","218.05","354.93","2.19"
"H5859",,"Health Plan of CareOregon","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,050.38","1,520.07","147.74","24.77","9,329.28","1,089.46","309.88","55.50","10,040.95","712.77","392.10","74.99","10,332.03","621.50","258.68","104.14","9,541.13","729.06","253.58","176.60","8,917.13","1,017.94","287.81","64.31"
"H5868",,"Humana Insurance Company (IA, MO, NE)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,114.50","854.96","427.48","0.00","9,776.72","669.83","536.82","57.01","6,733.27","184.38","347.93","20.06","8,495.43","250.84","390.68","40.37","9,466.84","426.53","504.55","93.63","7,723.21","273.77","390.04","34.63"
"H5883",,"Blue Care Network of Michigan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,063.49","849.21","313.49","35.71","9,797.55","523.48","666.58","61.43","8,168.96","246.04","539.53","24.96","10,139.69","357.08","552.83","41.29","11,089.06","497.68","372.60","48.62","9,028.90","323.59","539.92","34.30"
"H5884",,"BlueCross BlueShield of Tennessee, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","12,886.67","756.12","625.57","59.84","15,114.88","550.51","817.60","74.65","10,809.18","248.35","554.29","31.16","12,958.99","359.93","553.88","41.70","12,531.36","527.24","385.63","56.37","12,004.61","334.86","573.92","40.80"
"H5887",,"First Medical Health Plan Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,575.00","1,200.00","150.00","0.00","11,051.40","602.09","181.86","4.92","9,128.98","574.20","155.02","0.00","9,082.29","652.72","106.00","0.00","8,955.70","660.40","32.21","0.00","9,678.28","611.54","151.21","1.34"
"H5896",,"AMERIGROUP Maryland, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,182.67","2,135.83","224.82","44.96","9,817.26","1,122.84","444.67","12.18","8,580.11","559.18","364.68","10.13","8,921.83","609.91","301.65","17.61","8,646.78","558.87","263.74","12.56","8,731.91","815.26","351.28","14.97"
"H5926",,"Molina Healthcare of Michigan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,493.10","1,655.32","320.03","17.66","11,161.73","1,150.84","478.81","14.21","10,538.64","678.05","486.38","18.83","11,542.39","888.56","488.71","17.77","10,998.33","921.54","240.40","0.00","10,240.09","1,035.57","446.51","16.70"
"H5928",,"Care1st Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","4,572.89","675.19","107.42","0.00","8,203.01","359.31","355.14","8.32","7,920.81","216.02","252.76","9.94","9,260.19","317.67","264.35","10.74","8,932.08","459.34","177.84","18.77","8,495.44","298.65","254.16","11.18"
"H5932",,"Gateway Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,563.49","1,447.01","366.21","29.34","9,141.83","1,088.77","584.80","38.27","9,695.34","779.17","593.71","54.82","9,973.60","728.26","501.67","57.21","9,665.60","698.95","352.67","52.08","8,757.74","1,049.12","512.76","42.54"
"H5938",,"Capital Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,473.15","797.95","337.60","30.69","10,862.75","536.11","703.09","35.15","9,082.95","191.03","624.48","19.08","11,113.83","281.22","651.09","30.89","11,412.01","386.79","361.84","37.43","9,892.67","254.63","616.23","24.63"
"H5969",,"AlohaCare","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,132.08","1,075.47","94.34","18.87","9,827.74","747.45","291.97","35.04","9,977.34","309.35","260.06","11.90","11,655.37","419.15","208.02","21.73","9,432.62","340.43","241.13","0.00","10,247.55","436.45","242.29","17.42"
"H5985",,"Abrazo Advantage Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,920.39","1,221.53","313.21","7.83","11,341.16","1,072.47","474.36","8.02","10,622.81","779.72","525.05","4.83","10,053.77","626.11","420.23","0.00","9,450.96","696.46","201.97","6.96","10,201.87","920.11","437.24","5.66"
"H5991",,"Affinity Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,727.86","907.13","207.34","0.00","9,765.74","622.66","430.37","2.29","8,672.27","374.70","330.12","0.00","9,662.94","536.83","365.60","0.00","8,637.58","442.95","161.07","0.00","8,870.21","493.04","346.49","0.57"
"H5995",,"Marion Polk Community Health Plan Advantage","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,272.97","598.77","322.28","0.00","9,473.32","713.80","380.92","0.87","9,500.35","511.71","446.07","0.84","9,579.58","532.27","417.92","2.72","8,445.75","814.80","273.40","8.12","8,952.24","613.55","388.80","1.75"
"H5998",,"Unison Health Plan of Tennessee, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","3,249.91","1,189.93","142.02","42.74","4,772.44","851.29","229.51","43.41","5,045.52","523.00","229.54","34.14","5,063.29","566.70","249.27","75.95","4,282.16","597.51","56.02","80.91","4,630.06","766.16","211.94","45.46"
"H6050",,"Kaiser Foundation Health Plan Inc. - Southern California","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H6052",,"Kaiser Foundation Health Plan, Inc. - Northern California","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,514.62","619.88","187.13","11.70","14,144.35","281.74","99.13","5.22","10,677.61","487.01","122.39","8.63","9,239.65","651.15","87.84","11.75","10,165.02","556.81","106.38","9.97"
"H6360",,"Kaiser Foundation Health Plan of Ohio","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","4,710.39","992.94","484.36","60.54","6,383.75","731.17","408.73","49.96","5,580.27","405.43","276.66","31.52","6,971.02","662.28","296.24","55.12","6,686.62","849.71","222.54","61.76","6,324.90","586.10","282.18","46.13"
"H6411",,"Humana Insurance Company (New Mexico)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,736.68","706.68","517.63","40.51","7,177.00","218.34","372.35","13.65","8,789.69","377.12","464.14","19.34","8,415.42","488.22","269.81","77.09","7,813.77","377.57","406.53","21.01"
"H7015",,"Healthfirst Health Plan of New Jersey, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,082.12","2,102.19","279.20","21.90","8,233.26","964.11","350.48","0.00","8,211.70","435.98","347.95","4.19","9,227.08","450.57","373.88","4.79","7,175.88","723.62","301.51","0.00","8,212.18","699.72","347.30","4.10"
"H7149",,"Coventry Health Care of Nebraska, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,210.88","408.16","476.19","40.82","6,799.16","214.51","459.52","28.39","7,997.19","250.44","465.10","18.94","9,185.19","379.63","444.44","27.78","7,364.24","267.24","461.92","26.55"
"H7179",,"Arcadian Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","18,122.45","3,918.37","397.96","183.67","12,745.84","1,517.71","644.66","124.31","10,247.88","789.57","593.61","76.80","11,816.30","1,013.19","599.15","90.44","10,486.28","1,317.28","369.76","69.33","11,104.62","1,017.15","584.73","87.46"
"H7187",,"UnitedHealthcare Insurance Company (Mid-Atlantic)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,060.26","1,446.20","172.17","17.22","8,833.52","1,092.34","547.49","34.22","7,293.39","556.81","361.71","23.02","8,474.69","690.66","416.20","47.24","8,230.95","623.56","145.50","6.93","7,898.41","723.99","388.81","29.39"
"H7188",,"Humana Insurance Company (Arkansas)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,111.90","2,056.84","527.53","37.30","9,122.67","681.64","618.59","46.60","7,196.03","254.20","496.81","24.16","8,642.41","322.88","427.49","27.16","9,867.09","480.38","446.76","76.86","8,006.48","421.57","507.66","31.60"
"H7220",,"Clarian Health Plans, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,787.79","482.66","682.39","33.29","7,423.53","222.31","625.53","6.13","8,935.47","360.19","608.67","0.00","9,991.53","516.95","322.03","0.00","8,275.40","312.60","593.42","4.43"
"H7292",,"Alameda Alliance for Health","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","2,111.16","1,322.38","214.60","0.00","2,488.65","1,118.83","283.04","8.01","2,144.47","404.37","298.98","0.00","1,990.32","418.80","273.67","8.29","2,093.50","424.17","301.03","0.00","2,206.50","729.22","279.02","3.77"
"H7301",,"PersonalCare Insurance of Illinois, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,456.38","562.36","770.01","69.21","6,840.44","247.15","407.93","18.60","9,452.97","374.09","455.41","35.78","9,044.51","439.17","391.69","47.48","7,851.11","321.63","450.59","29.10"
"H7306",,"First Health Life and Health Insurance Company","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,297.64","1,350.27","283.12","0.00","10,407.32","582.15","411.90","43.94","8,394.07","269.82","407.07","15.60","9,537.93","325.86","475.86","41.38","9,561.60","518.40","249.60","38.40","8,971.96","386.69","407.33","25.12"
"H7352",,"University Physicians Health Plans","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,358.13","1,224.49","229.10","43.45","10,701.73","1,052.04","494.68","80.58","11,858.03","883.10","560.66","108.28","12,932.15","778.76","442.48","106.19","12,539.61","1,027.84","385.44","334.05","10,956.13","996.29","454.71","92.91"
"H7731",,"MD Care Health Plan","NR","NA","NR","NR","NR","NA","NR","NR","NR","NA","NR","NR","NR","325.70","NR","NR","NR","341.85","NR","NR","NR","163.66","NR","NR","NR","208.24","NR","NR","NR","304.88","NR","NR","NR","207.03","NR","NR"
"H7787",,"HealthSpring Life and Health","NA","NA","NA","NR","NA","NA","NA","NR","NA","NA","NA","NR","7,152.71","1,034.48","384.24","NR","11,142.86","751.10","578.79","NR","7,634.89","274.46","422.91","NR","8,782.41","359.38","496.96","NR","9,813.08","370.09","426.17","NR","8,550.95","388.83","463.15","NR"
"H7917",,"BlueCross BlueShield of Tennessee, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","12,102.56","841.03","512.82","205.13","14,047.40","525.42","755.56","47.77","10,443.03","258.99","485.04","35.66","13,232.01","469.23","511.99","88.99","13,460.32","550.26","359.79","68.78","11,640.18","354.76","531.95","49.13"
"H7949",,"PacifiCare of Nevada, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","12,539.57","366.91","323.74","0.00","9,219.34","168.61","362.94","2.86","9,649.60","214.93","383.01","0.00","11,744.08","298.58","170.62","0.00","9,631.19","198.32","355.96","1.70"
"H8644",,"Humana Insurance Company (Oklahoma)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,241.38","1,313.34","467.77","23.99","9,210.21","626.61","476.10","31.48","7,059.65","271.77","371.24","11.55","8,746.38","347.78","390.63","24.72","8,590.95","489.72","258.15","22.78","7,985.76","401.33","395.39","19.30"
"H8649",,"Altius Health Plans","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,096.00","448.00","192.00","0.00","11,168.03","531.81","864.60","39.15","7,569.53","236.41","534.72","9.62","8,970.43","339.80","574.12","22.60","8,519.93","399.76","424.75","35.69","8,210.50","291.74","556.82","16.20"
"H8707",,"Humana Insurance Company (South Carolina)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,498.95","2,412.63","265.26","88.42","9,997.45","662.88","487.41","13.93","8,072.27","277.21","382.78","11.86","9,053.52","347.35","318.90","10.48","8,832.36","402.34","281.00","12.77","8,741.23","428.23","384.91","13.85"
"H8742",,"Abri Health Plan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,247.36","1,351.43","247.36","12.07","10,344.09","1,058.73","570.72","29.78","7,810.60","427.45","524.98","40.58","8,700.03","523.34","534.53","41.38","8,151.58","602.11","442.11","37.89","8,533.77","620.47","516.38","37.32"
"H8778",,"Essence Healthcare Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,880.00","1,144.62","233.85","0.00","9,826.66","603.61","469.86","35.20","7,642.68","226.20","398.57","13.46","9,213.47","328.69","425.10","23.87","9,468.26","518.99","339.34","26.61","8,434.54","338.74","407.37","19.57"
"H8991",,"AMERIGROUP Florida, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,203.16","1,397.33","121.08","29.45","9,723.25","976.05","256.42","86.85","8,863.59","526.90","197.85","45.82","8,383.42","435.23","150.26","46.63","7,723.18","685.12","145.33","41.52","8,300.56","840.78","193.31","55.61"
"H9001",,"Fallon Community Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,635.49","416.59","428.16","11.57","8,177.38","177.38","488.35","47.15","7,178.37","115.12","428.96","28.30","8,664.78","122.68","484.27","49.21","9,065.98","140.98","382.74","79.80","8,132.75","125.38","445.42","46.14"
"H9003",,"Kaiser Foundation Health Plan of the Northwest, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,672.78","633.60","333.47","10.00","8,362.42","467.07","302.20","8.97","5,543.88","190.67","252.88","4.52","7,946.23","332.60","283.68","9.85","10,454.83","522.75","187.63","13.75","7,030.20","294.88","257.81","7.54"
"H9011",,"UnitedHealthcare of Florida, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,672.90","635.51","299.07","0.00","11,269.95","616.21","485.05","17.32","9,927.46","251.50","428.31","9.14","11,404.05","308.38","425.04","11.89","11,103.01","342.31","431.06","38.03","10,462.91","303.11","430.66","12.09"
"H9047",,"Providence Health Plans - Oregon","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,510.22","1,015.86","181.16","41.28","9,518.24","610.83","539.67","96.09","7,612.19","231.91","437.80","49.94","9,468.71","360.17","496.42","93.31","9,088.20","542.57","338.34","175.16","8,629.04","361.75","444.46","89.51"
"H9101",,"Elderplan, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,658.23","282.10","173.60","0.00","10,974.44","416.08","267.62","0.00","10,333.71","213.67","220.75","0.15","11,150.07","228.86","250.39","0.56","11,316.57","286.81","154.61","0.88","10,801.46","237.79","222.85","0.41"
"H9103",,"Kaiser Foundation Health Plan of the Northwest, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,641.20","324.36","321.85","10.02","11,378.58","416.30","269.44","4.85","14,098.30","631.94","129.11","27.18","11,300.33","452.45","243.40","13.57"
"H9104",,"SCAN Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,693.28","529.41","226.89","0.00","9,681.47","408.03","380.55","4.23","8,918.57","231.18","341.07","5.03","11,208.79","346.04","383.93","5.68","11,359.73","489.15","259.85","8.70","10,366.69","335.48","341.88","6.04"
"H9302",,"Puget Sound Health Partners","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,154.55","504.55","300.00","27.27","7,731.73","233.98","306.17","10.23","9,452.00","375.52","395.40","37.55","10,208.17","622.08","328.12","65.87","8,977.87","374.87","344.84","32.01"
"H9313",,"Medical Mutual of Ohio","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,150.20","996.05","1,280.63","118.58","11,800.62","564.92","1,026.46","36.92","8,175.54","245.32","721.26","21.30","10,758.18","328.81","659.22","19.15","11,706.43","438.34","462.47","56.30","9,571.92","331.01","722.42","27.45"
"H9385",,"SCAN Health Plan","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","13,714.29","3,085.71","280.52","93.51","15,144.15","756.12","777.88","27.20","12,340.78","407.77","451.46","14.56","12,271.42","542.84","393.33","41.40","10,050.31","473.15","112.17","34.67","11,940.71","569.95","359.08","32.34"
"H9452",,"Rocky Mountain Hospital and Medical Serices, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","11,448.56","411.52","551.44","41.15","7,366.06","156.12","325.25","7.10","10,307.22","301.10","374.54","22.03","10,046.51","558.14","209.30","17.44","8,488.19","241.43","360.24","13.71"
"H9503",,"Humana Insurance Company (Las Vegas)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","14,811.61","474.93","588.92","25.33","9,583.61","216.61","425.91","10.25","12,869.84","341.39","388.15","32.74","14,280.44","442.80","420.66","44.28","11,334.62","308.19","482.78","18.71"
"H9615",,"MVP Health Care, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","12,710.13","433.30","686.06","36.11","9,179.97","195.77","480.74","16.11","12,308.11","259.46","547.30","12.16","12,798.98","445.58","291.93","15.36","10,288.07","254.69","501.96","17.31"
"H9793",,"Keystone Health Plan West, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,222.52","862.96","439.62","0.00","9,265.22","495.37","713.37","28.06","8,308.24","270.80","478.34","14.36","10,589.64","398.76","555.79","20.11","11,988.44","653.98","450.44","20.82","9,437.05","358.43","512.83","17.44"
"H9847",,"Advantra PPO from Coventry Health and Life Insurance Company","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,144.09","501.44","276.66","0.00","9,851.40","790.73","422.63","8.18","8,183.73","266.07","407.97","17.74","9,946.12","344.32","428.52","24.06","10,127.89","529.22","390.30","39.69","8,934.85","373.87","411.15","18.82"
"H9859",,"MVP Health Care, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,794.33","340.43","567.38","28.37","11,358.04","376.00","651.13","6.88","9,132.97","176.96","428.92","8.17","11,867.09","324.10","486.74","18.65","12,464.69","448.75","373.58","15.95","10,199.76","246.61","455.42","11.40"
"R3175",,"UnitedHealthcare Insurance Company (Hawaii Regional)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,155.13","787.59","85.92","0.00","8,869.57","572.03","242.01","9.43","7,261.09","312.32","255.95","7.62","8,875.63","316.57","297.19","20.67","7,563.28","405.71","171.22","7.44","7,879.10","364.88","253.34","11.30"
"R3444",,"Care Improvement Plus South Central Insurance Company","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,092.08","1,528.55","788.21","77.35","10,570.82","952.64","779.23","44.57","9,728.02","596.47","658.95","40.93","9,704.04","628.68","594.89","45.79","8,708.32","720.05","403.34","55.49","9,856.20","728.81","656.09","45.23"
"R5287",,"UnitedHealthcare Insurance Company (Florida Regional)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","8,638.48","1,234.97","323.84","25.31","10,948.30","593.20","513.39","26.67","8,460.72","216.80","439.56","12.92","10,839.52","296.75","480.97","21.27","11,200.11","412.69","340.21","24.55","9,497.00","324.18","449.90","17.68"
"R5342",,"UnitedHealthcare Insurance Company of New York, Inc.","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,842.16","1,227.23","347.25","19.73","8,770.81","662.11","385.31","17.16","8,044.30","293.64","344.83","12.77","9,282.97","374.49","359.16","12.62","9,605.65","434.29","246.97","23.02","8,534.55","441.88","351.03","14.62"
"R5566",,"BlueCross BlueShield Northern Plains Alliance","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","6,908.24","414.12","254.12","47.06","8,594.09","334.02","604.77","16.82","5,704.94","154.80","417.74","10.72","8,058.67","249.31","599.40","17.39","9,275.62","389.54","541.84","34.59","6,716.16","206.54","481.56","14.63"
"R5674",,"Sierra Health & Life","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,388.24","588.24","494.12","0.00","10,070.28","471.27","473.75","24.80","7,558.57","209.74","353.61","14.48","9,268.27","367.78","440.37","53.23","10,263.93","598.24","293.26","11.73","8,385.94","298.59","385.94","24.28"
"R5826",,"Humana Insurance Company","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,104.08","1,213.57","470.96","53.17","9,937.95","614.09","597.22","55.68","7,500.29","259.23","422.87","27.64","9,108.33","354.30","473.15","43.34","9,687.50","499.84","352.74","56.54","8,399.83","375.53","461.55","37.79"
"R5941",,"Anthem Health Plans Kentucky, Inc. dba Anthem Blue Cross and Blue Shield in Kentucky","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","7,843.52","1,308.09","486.15","38.42","8,915.56","658.05","526.59","24.94","6,678.38","301.65","386.71","16.21","9,152.98","506.56","480.64","26.11","9,207.07","888.72","384.91","40.07","7,689.96","453.85","429.07","21.41"
"R6801",,"Care Improvement Plus of Texas","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,279.76","1,595.13","785.40","52.13","12,507.80","979.90","776.78","40.55","11,278.60","537.80","600.27","29.33","11,506.46","620.93","521.01","37.93","10,327.05","721.48","349.61","41.73","11,489.92","679.87","597.92","35.20"
"R7444",,"UnitedHealthcare Insurance Company (CT, MA, RI, VT)","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","5,774.14","648.12","392.80","19.64","7,515.06","404.59","390.82","12.05","6,142.76","182.59","296.29","7.32","8,701.47","373.74","347.69","24.74","9,330.87","332.26","337.79","22.15","6,993.25","266.25","323.65","12.30"
"R9896",,"Care Improvement Plus South Central Insurance Company","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","10,451.40","2,427.18","797.85","61.89","11,927.69","1,343.27","837.21","58.40","11,025.55","740.33","663.45","33.26","11,186.96","806.65","552.06","50.32","9,772.19","802.72","364.64","53.02","11,159.23","937.28","655.95","45.28"
"R9943",,"Anthem Blue Cross Life and Health Insurance Company","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","9,276.93","707.66","434.03","22.65","10,760.10","416.27","534.94","24.60","7,331.69","157.89","349.24","10.15","10,147.76","272.82","467.30","17.34","11,340.14","452.65","360.68","31.00","8,530.95","232.09","395.60","14.44"
