7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Adult |
265.16 |
274.73 |
284.77 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Adult |
265.16 |
274.73 |
284.77 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Adult |
265.16 |
274.73 |
284.77 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Adult |
250.42 |
259.47 |
268.97 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Adult |
250.42 |
259.47 |
268.97 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Adult |
250.42 |
259.47 |
268.97 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Adult |
258.25 |
267.51 |
277.22 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Adult |
258.25 |
267.51 |
277.22 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Adult |
259.55 |
268.86 |
278.62 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Adult |
222.15 |
230.28 |
238.81 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Adult |
222.15 |
230.28 |
238.81 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Adult |
222.42 |
230.56 |
239.10 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Adult |
266.73 |
276.34 |
286.42 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Adult |
266.73 |
276.34 |
286.42 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Adult |
264.56 |
274.09 |
284.09 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Adult |
250.66 |
259.68 |
269.15 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Adult |
250.66 |
259.68 |
269.15 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Adult |
251.17 |
260.21 |
269.69 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Adult |
194.78 |
201.79 |
209.14 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Adult |
194.78 |
201.79 |
209.14 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Adult |
203.98 |
211.33 |
219.03 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Adult |
290.18 |
300.49 |
311.29 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Adult |
290.18 |
300.49 |
311.29 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Adult |
289.91 |
300.21 |
311.00 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Adult |
279.57 |
289.58 |
300.08 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Adult |
279.57 |
289.58 |
300.08 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Adult |
280.78 |
290.83 |
301.38 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Adult |
267.36 |
277.01 |
287.14 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Adult |
267.36 |
277.01 |
287.14 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Adult |
259.15 |
268.51 |
278.32 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Adult |
245.07 |
253.95 |
263.26 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Adult |
245.07 |
253.95 |
263.26 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Adult |
245.24 |
254.12 |
263.44 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Adult |
250.89 |
260.03 |
269.62 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Adult |
250.89 |
260.03 |
269.62 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Adult |
250.89 |
260.03 |
269.62 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Adult Expansion |
339.75 |
351.44 |
363.68 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Adult Expansion |
339.75 |
351.44 |
363.68 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Adult Expansion |
339.75 |
351.44 |
363.68 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Adult Expansion |
335.03 |
346.49 |
358.48 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Adult Expansion |
335.03 |
346.49 |
358.48 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Adult Expansion |
335.03 |
346.49 |
358.48 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Adult Expansion |
328.17 |
339.42 |
351.20 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Adult Expansion |
328.17 |
339.42 |
351.20 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Adult Expansion |
333.25 |
344.68 |
356.64 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Adult Expansion |
330.32 |
341.65 |
353.51 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Adult Expansion |
330.32 |
341.65 |
353.51 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Adult Expansion |
329.42 |
340.72 |
352.54 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Adult Expansion |
349.88 |
361.85 |
374.37 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Adult Expansion |
349.88 |
361.85 |
374.37 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Adult Expansion |
348.81 |
360.74 |
373.22 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Adult Expansion |
326.99 |
338.20 |
349.94 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Adult Expansion |
326.99 |
338.20 |
349.94 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Adult Expansion |
328.17 |
339.42 |
351.20 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Adult Expansion |
254.52 |
263.20 |
272.29 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Adult Expansion |
254.52 |
263.20 |
272.29 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Adult Expansion |
260.29 |
269.17 |
278.47 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Adult Expansion |
370.59 |
383.19 |
396.38 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Adult Expansion |
370.59 |
383.19 |
396.38 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Adult Expansion |
369.06 |
381.61 |
394.74 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Adult Expansion |
363.32 |
375.67 |
388.59 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Adult Expansion |
363.32 |
375.67 |
388.59 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Adult Expansion |
364.30 |
376.68 |
389.63 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Adult Expansion |
358.58 |
370.88 |
383.76 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Adult Expansion |
358.58 |
370.88 |
383.76 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Adult Expansion |
341.17 |
352.88 |
365.13 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Adult Expansion |
333.95 |
345.37 |
357.32 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Adult Expansion |
333.95 |
345.37 |
357.32 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Adult Expansion |
334.39 |
345.83 |
357.79 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Adult Expansion |
335.44 |
346.98 |
359.06 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Adult Expansion |
335.44 |
346.98 |
359.06 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Adult Expansion |
335.44 |
346.98 |
359.06 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
BCCTP |
1138.86 |
1173.82 |
1210.25 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
BCCTP |
1138.86 |
1173.82 |
1210.25 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
BCCTP |
1138.86 |
1173.82 |
1210.25 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
BCCTP |
1174.75 |
1210.95 |
1248.67 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
BCCTP |
1174.75 |
1210.95 |
1248.67 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
BCCTP |
1174.75 |
1210.95 |
1248.67 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
BCCTP |
1153.77 |
1189.13 |
1225.96 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
BCCTP |
1153.77 |
1189.13 |
1225.96 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
BCCTP |
1153.77 |
1189.13 |
1225.96 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
BCCTP |
1226.19 |
1264.63 |
1304.71 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
BCCTP |
1226.19 |
1264.63 |
1304.71 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
BCCTP |
1226.19 |
1264.63 |
1304.71 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
BCCTP |
1154.02 |
1189.84 |
1227.17 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
BCCTP |
1154.02 |
1189.84 |
1227.17 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
BCCTP |
1154.02 |
1189.84 |
1227.17 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
BCCTP |
1104.06 |
1138.03 |
1173.43 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
BCCTP |
1104.06 |
1138.03 |
1173.43 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
BCCTP |
1104.06 |
1138.03 |
1173.43 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
BCCTP |
1085.43 |
1118.75 |
1153.45 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
BCCTP |
1085.43 |
1118.75 |
1153.45 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
BCCTP |
1085.43 |
1118.75 |
1153.45 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
BCCTP |
1129.33 |
1163.67 |
1199.43 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
BCCTP |
1129.33 |
1163.67 |
1199.43 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
BCCTP |
1129.33 |
1163.67 |
1199.43 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
BCCTP |
1094.53 |
1128.29 |
1163.48 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
BCCTP |
1094.53 |
1128.29 |
1163.48 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
BCCTP |
1094.53 |
1128.29 |
1163.48 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
BCCTP |
1092.21 |
1126.08 |
1161.38 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
BCCTP |
1092.21 |
1126.08 |
1161.38 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
BCCTP |
1092.21 |
1126.08 |
1161.38 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
BCCTP |
1201.97 |
1238.67 |
1276.90 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
BCCTP |
1201.97 |
1238.67 |
1276.90 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
BCCTP |
1201.97 |
1238.67 |
1276.90 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
BCCTP |
1175.23 |
1211.53 |
1249.35 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
BCCTP |
1175.23 |
1211.53 |
1249.35 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
BCCTP |
1175.23 |
1211.53 |
1249.35 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Behavioral Health Treatment 0-6 |
4168.43 |
4280.19 |
4395.90 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Behavioral Health Treatment 0-6 |
4168.43 |
4280.19 |
4395.90 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Behavioral Health Treatment 0-6 |
4168.43 |
4280.19 |
4395.90 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Behavioral Health Treatment 0-6 |
2470.57 |
2536.81 |
2605.38 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Behavioral Health Treatment 0-6 |
2470.57 |
2536.81 |
2605.38 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Behavioral Health Treatment 0-6 |
2470.57 |
2536.81 |
2605.38 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
4434.70 |
4553.60 |
4676.70 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
4434.70 |
4553.60 |
4676.70 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
4434.70 |
4553.60 |
4676.70 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Behavioral Health Treatment 0-6 |
2502.86 |
2569.96 |
2639.44 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Behavioral Health Treatment 0-6 |
2502.86 |
2569.96 |
2639.44 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Behavioral Health Treatment 0-6 |
2502.86 |
2569.96 |
2639.44 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Behavioral Health Treatment 0-6 |
2244.75 |
2304.93 |
2367.24 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Behavioral Health Treatment 0-6 |
2244.75 |
2304.93 |
2367.24 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Behavioral Health Treatment 0-6 |
2244.75 |
2304.93 |
2367.24 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Behavioral Health Treatment 0-6 |
3301.23 |
3389.74 |
3481.38 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Behavioral Health Treatment 0-6 |
3301.23 |
3389.74 |
3481.38 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Behavioral Health Treatment 0-6 |
3301.23 |
3389.74 |
3481.38 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Behavioral Health Treatment 0-6 |
2524.82 |
2592.51 |
2662.60 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Behavioral Health Treatment 0-6 |
2524.82 |
2592.51 |
2662.60 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Behavioral Health Treatment 0-6 |
2524.82 |
2592.51 |
2662.60 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 0-6 |
4193.90 |
4306.35 |
4422.76 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 0-6 |
4193.90 |
4306.35 |
4422.76 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 0-6 |
4193.90 |
4306.35 |
4422.76 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 0-6 |
2971.83 |
3051.51 |
3134.00 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 0-6 |
2971.83 |
3051.51 |
3134.00 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 0-6 |
2971.83 |
3051.51 |
3134.00 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Behavioral Health Treatment 0-6 |
3373.34 |
3463.78 |
3557.42 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Behavioral Health Treatment 0-6 |
3373.34 |
3463.78 |
3557.42 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Behavioral Health Treatment 0-6 |
3373.34 |
3463.78 |
3557.42 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Behavioral Health Treatment 0-6 |
2314.11 |
2376.16 |
2440.39 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Behavioral Health Treatment 0-6 |
2314.11 |
2376.16 |
2440.39 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Behavioral Health Treatment 0-6 |
2314.11 |
2376.16 |
2440.39 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Behavioral Health Treatment 0-6 |
2470.57 |
2536.81 |
2605.38 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Behavioral Health Treatment 0-6 |
2470.57 |
2536.81 |
2605.38 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Behavioral Health Treatment 0-6 |
2470.57 |
2536.81 |
2605.38 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Behavioral Health Treatment 7-20 |
2375.57 |
2439.27 |
2505.21 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Behavioral Health Treatment 7-20 |
2375.57 |
2439.27 |
2505.21 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Behavioral Health Treatment 7-20 |
2375.57 |
2439.27 |
2505.21 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Behavioral Health Treatment 7-20 |
2102.11 |
2158.48 |
2216.83 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Behavioral Health Treatment 7-20 |
2102.11 |
2158.48 |
2216.83 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Behavioral Health Treatment 7-20 |
2102.11 |
2158.48 |
2216.83 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2337.88 |
2400.56 |
2465.45 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2337.88 |
2400.56 |
2465.45 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2337.88 |
2400.56 |
2465.45 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Behavioral Health Treatment 7-20 |
2048.78 |
2103.71 |
2160.58 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Behavioral Health Treatment 7-20 |
2048.78 |
2103.71 |
2160.58 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Behavioral Health Treatment 7-20 |
2048.78 |
2103.71 |
2160.58 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Behavioral Health Treatment 7-20 |
1934.09 |
1985.94 |
2039.63 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Behavioral Health Treatment 7-20 |
1934.09 |
1985.94 |
2039.63 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Behavioral Health Treatment 7-20 |
1934.09 |
1985.94 |
2039.63 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Behavioral Health Treatment 7-20 |
2458.56 |
2524.48 |
2592.73 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Behavioral Health Treatment 7-20 |
2458.56 |
2524.48 |
2592.73 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Behavioral Health Treatment 7-20 |
2458.56 |
2524.48 |
2592.73 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Behavioral Health Treatment 7-20 |
2088.61 |
2144.60 |
2202.58 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Behavioral Health Treatment 7-20 |
2088.61 |
2144.60 |
2202.58 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Behavioral Health Treatment 7-20 |
2088.61 |
2144.60 |
2202.58 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 7-20 |
2380.84 |
2444.67 |
2510.76 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 7-20 |
2380.84 |
2444.67 |
2510.76 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 7-20 |
2380.84 |
2444.67 |
2510.76 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 7-20 |
2207.17 |
2266.35 |
2327.61 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 7-20 |
2207.17 |
2266.35 |
2327.61 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 7-20 |
2207.17 |
2266.35 |
2327.61 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Behavioral Health Treatment 7-20 |
2378.15 |
2441.92 |
2507.93 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Behavioral Health Treatment 7-20 |
2378.15 |
2441.92 |
2507.93 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Behavioral Health Treatment 7-20 |
2378.15 |
2441.92 |
2507.93 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Behavioral Health Treatment 7-20 |
2190.27 |
2249.00 |
2309.80 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Behavioral Health Treatment 7-20 |
2190.27 |
2249.00 |
2309.80 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Behavioral Health Treatment 7-20 |
2190.27 |
2249.00 |
2309.80 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Behavioral Health Treatment 7-20 |
2102.11 |
2158.48 |
2216.83 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Behavioral Health Treatment 7-20 |
2102.11 |
2158.48 |
2216.83 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Behavioral Health Treatment 7-20 |
2102.11 |
2158.48 |
2216.83 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Child |
70.16 |
73.78 |
77.63 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Child |
70.16 |
73.78 |
77.63 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Child |
70.16 |
73.78 |
77.63 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Child |
81.26 |
85.19 |
89.36 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Child |
81.26 |
85.19 |
89.36 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Child |
81.26 |
85.19 |
89.36 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Child |
68.81 |
72.29 |
75.99 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Child |
68.81 |
72.29 |
75.99 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Child |
69.10 |
72.60 |
76.32 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Child |
76.96 |
80.69 |
84.65 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Child |
76.96 |
80.69 |
84.65 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Child |
78.20 |
81.99 |
86.01 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Child |
80.60 |
84.50 |
88.63 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Child |
80.60 |
84.50 |
88.63 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Child |
80.17 |
84.04 |
88.15 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Child |
65.44 |
68.78 |
72.32 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Child |
65.44 |
68.78 |
72.32 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Child |
65.33 |
68.66 |
72.20 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Child |
82.76 |
86.59 |
90.65 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Child |
82.76 |
86.59 |
90.65 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Child |
83.43 |
87.29 |
91.38 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Child |
75.68 |
79.44 |
83.42 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Child |
75.68 |
79.44 |
83.42 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Child |
75.37 |
79.11 |
83.08 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Child |
90.51 |
94.79 |
99.31 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Child |
90.51 |
94.79 |
99.31 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Child |
90.21 |
94.47 |
98.99 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Child |
69.15 |
72.69 |
76.44 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Child |
69.15 |
72.69 |
76.44 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Child |
68.92 |
72.44 |
76.18 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Child |
79.85 |
83.68 |
87.75 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Child |
79.85 |
83.68 |
87.75 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Child |
80.02 |
83.86 |
87.94 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Child |
81.73 |
85.74 |
89.99 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Child |
81.73 |
85.74 |
89.99 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Child |
81.73 |
85.74 |
89.99 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Health Homes Dual |
122.87 |
130.11 |
138.21 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Health Homes Dual |
154.16 |
163.22 |
173.28 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Health Homes Dual |
117.17 |
124.38 |
132.40 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Health Homes Dual |
153.38 |
162.45 |
172.53 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Health Homes Dual |
146.07 |
155.00 |
164.92 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Health Homes Dual |
124.94 |
132.27 |
140.41 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Health Homes Dual |
158.43 |
167.54 |
177.66 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Health Homes Dual |
127.10 |
134.47 |
142.64 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Health Homes Dual |
157.21 |
166.32 |
176.42 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Health Homes Dual |
127.01 |
134.38 |
142.55 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Health Homes Dual |
159.19 |
168.33 |
178.47 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Health Homes Dual |
154.16 |
163.22 |
173.28 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Health Homes Non-Dual |
534.62 |
566.91 |
601.76 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Health Homes Non-Dual |
602.87 |
638.90 |
677.81 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Health Homes Non-Dual |
518.79 |
550.98 |
585.74 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Health Homes Non-Dual |
616.08 |
653.15 |
693.22 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Health Homes Non-Dual |
595.90 |
631.79 |
670.54 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Health Homes Non-Dual |
544.09 |
576.32 |
611.10 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Health Homes Non-Dual |
601.41 |
637.05 |
675.53 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Health Homes Non-Dual |
555.02 |
587.70 |
622.94 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Health Homes Non-Dual |
633.22 |
670.68 |
711.12 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Health Homes Non-Dual |
541.12 |
573.35 |
608.12 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Health Homes Non-Dual |
603.82 |
639.58 |
678.18 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Health Homes Non-Dual |
602.87 |
638.90 |
677.81 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Health Homes Dual |
122.87 |
130.11 |
138.21 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Health Homes Dual |
154.16 |
163.22 |
173.28 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Health Homes Dual |
117.17 |
124.38 |
132.40 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Health Homes Dual |
153.38 |
162.45 |
172.53 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Health Homes Dual |
146.07 |
155.00 |
164.92 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Health Homes Dual |
124.94 |
132.27 |
140.41 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Health Homes Dual |
158.43 |
167.54 |
177.66 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Health Homes Dual |
127.10 |
134.47 |
142.64 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Health Homes Dual |
157.21 |
166.32 |
176.42 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Health Homes Dual |
127.01 |
134.38 |
142.55 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Health Homes Dual |
159.19 |
168.33 |
178.47 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Health Homes Dual |
154.16 |
163.22 |
173.28 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Health Homes Non-Dual |
534.62 |
566.91 |
601.76 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Health Homes Non-Dual |
602.87 |
638.90 |
677.81 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Health Homes Non-Dual |
518.79 |
550.98 |
585.74 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Health Homes Non-Dual |
616.08 |
653.15 |
693.22 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Health Homes Non-Dual |
595.90 |
631.79 |
670.54 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Health Homes Non-Dual |
544.09 |
576.32 |
611.10 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Health Homes Non-Dual |
601.41 |
637.05 |
675.53 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Health Homes Non-Dual |
555.02 |
587.70 |
622.94 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Health Homes Non-Dual |
633.22 |
670.68 |
711.12 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Health Homes Non-Dual |
541.12 |
573.35 |
608.12 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Health Homes Non-Dual |
603.82 |
639.58 |
678.18 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Health Homes Non-Dual |
602.87 |
638.90 |
677.81 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Health Homes Dual |
93.22 |
97.31 |
101.96 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Health Homes Dual |
88.19 |
92.38 |
97.00 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Health Homes Dual |
94.96 |
99.19 |
103.86 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Health Homes Dual |
96.61 |
100.82 |
105.46 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Health Homes Dual |
97.31 |
101.62 |
106.37 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Health Homes Non-Dual |
443.48 |
466.66 |
491.93 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Health Homes Non-Dual |
435.05 |
458.69 |
484.34 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Health Homes Non-Dual |
443.24 |
465.85 |
490.38 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Health Homes Non-Dual |
455.35 |
478.50 |
503.59 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Health Homes Non-Dual |
454.83 |
478.42 |
503.99 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Health Homes Dual |
121.73 |
127.20 |
133.22 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Health Homes Dual |
122.95 |
128.66 |
134.96 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Health Homes Dual |
113.17 |
118.41 |
124.18 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Health Homes Dual |
124.80 |
130.21 |
136.16 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Health Homes Dual |
124.54 |
130.04 |
136.10 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Health Homes Dual |
126.71 |
132.28 |
138.41 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Health Homes Dual |
121.73 |
127.20 |
133.22 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Health Homes Non-Dual |
531.24 |
559.38 |
589.90 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Health Homes Non-Dual |
573.73 |
604.92 |
638.73 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Health Homes Non-Dual |
511.84 |
538.97 |
568.40 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Health Homes Non-Dual |
535.20 |
563.33 |
593.83 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Health Homes Non-Dual |
571.29 |
601.58 |
634.42 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Health Homes Non-Dual |
533.63 |
561.62 |
591.98 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Health Homes Non-Dual |
531.24 |
559.38 |
589.90 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Maternity |
8627.51 |
8881.24 |
9144.33 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Maternity |
8627.51 |
8881.24 |
9144.33 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
Maternity |
8627.51 |
8881.24 |
9144.33 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Maternity |
7321.87 |
7537.24 |
7760.57 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Maternity |
7321.87 |
7537.24 |
7760.57 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
Maternity |
7321.87 |
7537.24 |
7760.57 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Maternity |
8627.51 |
8881.24 |
9144.33 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Maternity |
8627.51 |
8881.24 |
9144.33 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
Maternity |
8627.51 |
8881.24 |
9144.33 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Maternity |
7321.87 |
7537.24 |
7760.57 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Maternity |
7321.87 |
7537.24 |
7760.57 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
Maternity |
7321.87 |
7537.24 |
7760.57 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Maternity |
7321.87 |
7537.24 |
7760.57 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Maternity |
7321.87 |
7537.24 |
7760.57 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
Maternity |
7321.87 |
7537.24 |
7760.57 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Maternity |
8627.51 |
8881.24 |
9144.33 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Maternity |
8627.51 |
8881.24 |
9144.33 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
Maternity |
8627.51 |
8881.24 |
9144.33 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Maternity |
7321.87 |
7537.24 |
7760.57 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Maternity |
7321.87 |
7537.24 |
7760.57 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
Maternity |
7321.87 |
7537.24 |
7760.57 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Maternity |
8627.51 |
8881.24 |
9144.33 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Maternity |
8627.51 |
8881.24 |
9144.33 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Maternity |
8627.51 |
8881.24 |
9144.33 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Maternity |
7321.87 |
7537.24 |
7760.57 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Maternity |
7321.87 |
7537.24 |
7760.57 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Maternity |
7321.87 |
7537.24 |
7760.57 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Maternity |
8627.51 |
8881.24 |
9144.33 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Maternity |
8627.51 |
8881.24 |
9144.33 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
Maternity |
8627.51 |
8881.24 |
9144.33 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Maternity |
7321.87 |
7537.24 |
7760.57 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Maternity |
7321.87 |
7537.24 |
7760.57 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
Maternity |
7321.87 |
7537.24 |
7760.57 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Maternity |
7321.87 |
7537.24 |
7760.57 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Maternity |
7321.87 |
7537.24 |
7760.57 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
Maternity |
7321.87 |
7537.24 |
7760.57 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
SPD |
853.80 |
880.34 |
907.99 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
SPD |
853.80 |
880.34 |
907.99 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
SPD |
853.80 |
880.34 |
907.99 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
SPD |
894.15 |
921.83 |
950.66 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
SPD |
894.15 |
921.83 |
950.66 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
SPD |
894.15 |
921.83 |
950.66 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
SPD |
867.68 |
894.60 |
922.66 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
SPD |
867.68 |
894.60 |
922.66 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
SPD |
865.11 |
891.95 |
919.92 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
SPD |
893.67 |
921.38 |
950.25 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
SPD |
893.67 |
921.38 |
950.25 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
SPD |
894.69 |
922.43 |
951.33 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
SPD |
934.42 |
963.38 |
993.56 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
SPD |
934.42 |
963.38 |
993.56 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
SPD |
926.10 |
954.81 |
984.72 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
SPD |
875.82 |
902.98 |
931.28 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
SPD |
875.82 |
902.98 |
931.28 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
SPD |
888.04 |
915.57 |
944.27 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
SPD |
628.10 |
647.50 |
667.71 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
SPD |
628.10 |
647.50 |
667.71 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
SPD |
652.14 |
672.29 |
693.28 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
SPD |
705.22 |
727.09 |
749.89 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
SPD |
705.22 |
727.09 |
749.89 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
SPD |
713.55 |
735.68 |
758.74 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
SPD |
711.37 |
733.42 |
756.40 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
SPD |
711.37 |
733.42 |
756.40 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
SPD |
714.98 |
737.14 |
760.23 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
SPD |
903.17 |
931.29 |
960.59 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
SPD |
903.17 |
931.29 |
960.59 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
SPD |
885.40 |
912.96 |
941.69 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
SPD |
938.28 |
967.30 |
997.54 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
SPD |
938.28 |
967.30 |
997.54 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
SPD |
938.08 |
967.10 |
997.33 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
SPD |
894.60 |
922.37 |
951.31 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
SPD |
894.60 |
922.37 |
951.31 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
SPD |
894.60 |
922.37 |
951.31 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
SPD Dual |
149.15 |
154.99 |
161.15 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
SPD Dual |
149.15 |
154.99 |
161.15 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Aetna Better Health |
SPD Dual |
149.15 |
154.99 |
161.15 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
SPD Dual |
126.81 |
131.79 |
137.05 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
SPD Dual |
126.81 |
131.79 |
137.05 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Aetna Better Health |
SPD Dual |
126.81 |
131.79 |
137.05 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
SPD Dual |
162.45 |
168.57 |
175.01 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
SPD Dual |
162.45 |
168.57 |
175.01 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Anthem Blue Cross |
SPD Dual |
162.45 |
168.57 |
175.01 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
SPD Dual |
140.03 |
145.70 |
151.69 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
SPD Dual |
140.03 |
145.70 |
151.69 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Blue Shield Promise Health Plan of California |
SPD Dual |
140.03 |
145.70 |
151.69 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
SPD Dual |
130.41 |
135.42 |
140.70 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
SPD Dual |
130.41 |
135.42 |
140.70 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Community Health Group |
SPD Dual |
130.41 |
135.42 |
140.70 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
SPD Dual |
154.76 |
160.67 |
166.90 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
SPD Dual |
154.76 |
160.67 |
166.90 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Health Net of California |
SPD Dual |
154.76 |
160.67 |
166.90 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
SPD Dual |
116.13 |
120.34 |
124.76 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
SPD Dual |
116.13 |
120.34 |
124.76 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Health Net of California |
SPD Dual |
116.13 |
120.34 |
124.76 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
SPD Dual |
125.73 |
130.62 |
135.79 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
SPD Dual |
125.73 |
130.62 |
135.79 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
SPD Dual |
125.73 |
130.62 |
135.79 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
SPD Dual |
108.02 |
112.45 |
117.13 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
SPD Dual |
108.02 |
112.45 |
117.13 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Kaiser Foundation Health Plan |
SPD Dual |
108.02 |
112.45 |
117.13 |
7/19-12/19 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
SPD Dual |
163.19 |
169.81 |
176.80 |
1/20-6/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
SPD Dual |
163.19 |
169.81 |
176.80 |
7/20-12/20 |
Bridge Period |
GMC |
Sacramento |
Molina Healthcare |
SPD Dual |
163.19 |
169.81 |
176.80 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
SPD Dual |
124.42 |
129.33 |
134.53 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
SPD Dual |
124.42 |
129.33 |
134.53 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
Molina Healthcare |
SPD Dual |
124.42 |
129.33 |
134.53 |
7/19-12/19 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
SPD Dual |
127.24 |
132.30 |
137.65 |
1/20-6/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
SPD Dual |
127.24 |
132.30 |
137.65 |
7/20-12/20 |
Bridge Period |
GMC |
San Diego |
United Healthcare |
SPD Dual |
127.24 |
132.30 |
137.65 |