| 1/21-12/21 |
2021 |
Regional |
Alpine |
Anthem Blue Cross |
Child |
66.06 |
68.98 |
72.09 |
| 1/21-12/21 |
2021 |
Regional |
Alpine |
Anthem Blue Cross |
Adult |
261.19 |
268.96 |
277.12 |
| 1/21-12/21 |
2021 |
Regional |
Alpine |
Anthem Blue Cross |
Adult Expansion |
330.63 |
340.08 |
349.98 |
| 1/21-12/21 |
2021 |
Regional |
Alpine |
Anthem Blue Cross |
SPD |
927.25 |
950.32 |
974.40 |
| 1/21-12/21 |
2021 |
Regional |
Alpine |
Anthem Blue Cross |
SPD Dual |
150.41 |
155.69 |
161.24 |
| 1/21-12/21 |
2021 |
Regional |
Alpine |
Anthem Blue Cross |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
Anthem Blue Cross |
Child |
66.06 |
68.98 |
72.09 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
Anthem Blue Cross |
Adult |
261.19 |
268.96 |
277.12 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
Anthem Blue Cross |
Adult Expansion |
330.63 |
340.08 |
349.98 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
Anthem Blue Cross |
SPD |
927.25 |
950.32 |
974.40 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
Anthem Blue Cross |
SPD Dual |
150.41 |
155.69 |
161.24 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
Anthem Blue Cross |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Butte |
Anthem Blue Cross |
Child |
66.06 |
68.98 |
72.09 |
| 1/21-12/21 |
2021 |
Regional |
Butte |
Anthem Blue Cross |
Adult |
261.19 |
268.96 |
277.12 |
| 1/21-12/21 |
2021 |
Regional |
Butte |
Anthem Blue Cross |
Adult Expansion |
330.63 |
340.08 |
349.98 |
| 1/21-12/21 |
2021 |
Regional |
Butte |
Anthem Blue Cross |
SPD |
927.25 |
950.32 |
974.40 |
| 1/21-12/21 |
2021 |
Regional |
Butte |
Anthem Blue Cross |
SPD Dual |
150.41 |
155.69 |
161.24 |
| 1/21-12/21 |
2021 |
Regional |
Butte |
Anthem Blue Cross |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Calaveras |
Anthem Blue Cross |
Child |
66.06 |
68.98 |
72.09 |
| 1/21-12/21 |
2021 |
Regional |
Calaveras |
Anthem Blue Cross |
Adult |
261.19 |
268.96 |
277.12 |
| 1/21-12/21 |
2021 |
Regional |
Calaveras |
Anthem Blue Cross |
Adult Expansion |
330.63 |
340.08 |
349.98 |
| 1/21-12/21 |
2021 |
Regional |
Calaveras |
Anthem Blue Cross |
SPD |
927.25 |
950.32 |
974.40 |
| 1/21-12/21 |
2021 |
Regional |
Calaveras |
Anthem Blue Cross |
SPD Dual |
150.41 |
155.69 |
161.24 |
| 1/21-12/21 |
2021 |
Regional |
Calaveras |
Anthem Blue Cross |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Colusa |
Anthem Blue Cross |
Child |
66.06 |
68.98 |
72.09 |
| 1/21-12/21 |
2021 |
Regional |
Colusa |
Anthem Blue Cross |
Adult |
261.19 |
268.96 |
277.12 |
| 1/21-12/21 |
2021 |
Regional |
Colusa |
Anthem Blue Cross |
Adult Expansion |
330.63 |
340.08 |
349.98 |
| 1/21-12/21 |
2021 |
Regional |
Colusa |
Anthem Blue Cross |
SPD |
927.25 |
950.32 |
974.40 |
| 1/21-12/21 |
2021 |
Regional |
Colusa |
Anthem Blue Cross |
SPD Dual |
150.41 |
155.69 |
161.24 |
| 1/21-12/21 |
2021 |
Regional |
Colusa |
Anthem Blue Cross |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
Anthem Blue Cross |
Child |
66.06 |
68.98 |
72.09 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
Anthem Blue Cross |
Adult |
261.19 |
268.96 |
277.12 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
Anthem Blue Cross |
Adult Expansion |
330.63 |
340.08 |
349.98 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
Anthem Blue Cross |
SPD |
927.25 |
950.32 |
974.40 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
Anthem Blue Cross |
SPD Dual |
150.41 |
155.69 |
161.24 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
Anthem Blue Cross |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Glenn |
Anthem Blue Cross |
Child |
66.06 |
68.98 |
72.09 |
| 1/21-12/21 |
2021 |
Regional |
Glenn |
Anthem Blue Cross |
Adult |
261.19 |
268.96 |
277.12 |
| 1/21-12/21 |
2021 |
Regional |
Glenn |
Anthem Blue Cross |
Adult Expansion |
330.63 |
340.08 |
349.98 |
| 1/21-12/21 |
2021 |
Regional |
Glenn |
Anthem Blue Cross |
SPD |
927.25 |
950.32 |
974.40 |
| 1/21-12/21 |
2021 |
Regional |
Glenn |
Anthem Blue Cross |
SPD Dual |
150.41 |
155.69 |
161.24 |
| 1/21-12/21 |
2021 |
Regional |
Glenn |
Anthem Blue Cross |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Inyo |
Anthem Blue Cross |
Child |
66.06 |
68.98 |
72.09 |
| 1/21-12/21 |
2021 |
Regional |
Inyo |
Anthem Blue Cross |
Adult |
261.19 |
268.96 |
277.12 |
| 1/21-12/21 |
2021 |
Regional |
Inyo |
Anthem Blue Cross |
Adult Expansion |
330.63 |
340.08 |
349.98 |
| 1/21-12/21 |
2021 |
Regional |
Inyo |
Anthem Blue Cross |
SPD |
927.25 |
950.32 |
974.40 |
| 1/21-12/21 |
2021 |
Regional |
Inyo |
Anthem Blue Cross |
SPD Dual |
150.41 |
155.69 |
161.24 |
| 1/21-12/21 |
2021 |
Regional |
Inyo |
Anthem Blue Cross |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Mariposa |
Anthem Blue Cross |
Child |
66.06 |
68.98 |
72.09 |
| 1/21-12/21 |
2021 |
Regional |
Mariposa |
Anthem Blue Cross |
Adult |
261.19 |
268.96 |
277.12 |
| 1/21-12/21 |
2021 |
Regional |
Mariposa |
Anthem Blue Cross |
Adult Expansion |
330.63 |
340.08 |
349.98 |
| 1/21-12/21 |
2021 |
Regional |
Mariposa |
Anthem Blue Cross |
SPD |
927.25 |
950.32 |
974.40 |
| 1/21-12/21 |
2021 |
Regional |
Mariposa |
Anthem Blue Cross |
SPD Dual |
150.41 |
155.69 |
161.24 |
| 1/21-12/21 |
2021 |
Regional |
Mariposa |
Anthem Blue Cross |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Mono |
Anthem Blue Cross |
Child |
66.06 |
68.98 |
72.09 |
| 1/21-12/21 |
2021 |
Regional |
Mono |
Anthem Blue Cross |
Adult |
261.19 |
268.96 |
277.12 |
| 1/21-12/21 |
2021 |
Regional |
Mono |
Anthem Blue Cross |
Adult Expansion |
330.63 |
340.08 |
349.98 |
| 1/21-12/21 |
2021 |
Regional |
Mono |
Anthem Blue Cross |
SPD |
927.25 |
950.32 |
974.40 |
| 1/21-12/21 |
2021 |
Regional |
Mono |
Anthem Blue Cross |
SPD Dual |
150.41 |
155.69 |
161.24 |
| 1/21-12/21 |
2021 |
Regional |
Mono |
Anthem Blue Cross |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Nevada |
Anthem Blue Cross |
Child |
66.06 |
68.98 |
72.09 |
| 1/21-12/21 |
2021 |
Regional |
Nevada |
Anthem Blue Cross |
Adult |
261.19 |
268.96 |
277.12 |
| 1/21-12/21 |
2021 |
Regional |
Nevada |
Anthem Blue Cross |
Adult Expansion |
330.63 |
340.08 |
349.98 |
| 1/21-12/21 |
2021 |
Regional |
Nevada |
Anthem Blue Cross |
SPD |
927.25 |
950.32 |
974.40 |
| 1/21-12/21 |
2021 |
Regional |
Nevada |
Anthem Blue Cross |
SPD Dual |
150.41 |
155.69 |
161.24 |
| 1/21-12/21 |
2021 |
Regional |
Nevada |
Anthem Blue Cross |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
Anthem Blue Cross |
Child |
66.06 |
68.98 |
72.09 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
Anthem Blue Cross |
Adult |
261.19 |
268.96 |
277.12 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
Anthem Blue Cross |
Adult Expansion |
330.63 |
340.08 |
349.98 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
Anthem Blue Cross |
SPD |
927.25 |
950.32 |
974.40 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
Anthem Blue Cross |
SPD Dual |
150.41 |
155.69 |
161.24 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
Anthem Blue Cross |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Plumas |
Anthem Blue Cross |
Child |
66.06 |
68.98 |
72.09 |
| 1/21-12/21 |
2021 |
Regional |
Plumas |
Anthem Blue Cross |
Adult |
261.19 |
268.96 |
277.12 |
| 1/21-12/21 |
2021 |
Regional |
Plumas |
Anthem Blue Cross |
Adult Expansion |
330.63 |
340.08 |
349.98 |
| 1/21-12/21 |
2021 |
Regional |
Plumas |
Anthem Blue Cross |
SPD |
927.25 |
950.32 |
974.40 |
| 1/21-12/21 |
2021 |
Regional |
Plumas |
Anthem Blue Cross |
SPD Dual |
150.41 |
155.69 |
161.24 |
| 1/21-12/21 |
2021 |
Regional |
Plumas |
Anthem Blue Cross |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Sierra |
Anthem Blue Cross |
Child |
66.06 |
68.98 |
72.09 |
| 1/21-12/21 |
2021 |
Regional |
Sierra |
Anthem Blue Cross |
Adult |
261.19 |
268.96 |
277.12 |
| 1/21-12/21 |
2021 |
Regional |
Sierra |
Anthem Blue Cross |
Adult Expansion |
330.63 |
340.08 |
349.98 |
| 1/21-12/21 |
2021 |
Regional |
Sierra |
Anthem Blue Cross |
SPD |
927.25 |
950.32 |
974.40 |
| 1/21-12/21 |
2021 |
Regional |
Sierra |
Anthem Blue Cross |
SPD Dual |
150.41 |
155.69 |
161.24 |
| 1/21-12/21 |
2021 |
Regional |
Sierra |
Anthem Blue Cross |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Sutter |
Anthem Blue Cross |
Child |
66.06 |
68.98 |
72.09 |
| 1/21-12/21 |
2021 |
Regional |
Sutter |
Anthem Blue Cross |
Adult |
261.19 |
268.96 |
277.12 |
| 1/21-12/21 |
2021 |
Regional |
Sutter |
Anthem Blue Cross |
Adult Expansion |
330.63 |
340.08 |
349.98 |
| 1/21-12/21 |
2021 |
Regional |
Sutter |
Anthem Blue Cross |
SPD |
927.25 |
950.32 |
974.40 |
| 1/21-12/21 |
2021 |
Regional |
Sutter |
Anthem Blue Cross |
SPD Dual |
150.41 |
155.69 |
161.24 |
| 1/21-12/21 |
2021 |
Regional |
Sutter |
Anthem Blue Cross |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Tehama |
Anthem Blue Cross |
Child |
66.06 |
68.98 |
72.09 |
| 1/21-12/21 |
2021 |
Regional |
Tehama |
Anthem Blue Cross |
Adult |
261.19 |
268.96 |
277.12 |
| 1/21-12/21 |
2021 |
Regional |
Tehama |
Anthem Blue Cross |
Adult Expansion |
330.63 |
340.08 |
349.98 |
| 1/21-12/21 |
2021 |
Regional |
Tehama |
Anthem Blue Cross |
SPD |
927.25 |
950.32 |
974.40 |
| 1/21-12/21 |
2021 |
Regional |
Tehama |
Anthem Blue Cross |
SPD Dual |
150.41 |
155.69 |
161.24 |
| 1/21-12/21 |
2021 |
Regional |
Tehama |
Anthem Blue Cross |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Tuolumne |
Anthem Blue Cross |
Child |
66.06 |
68.98 |
72.09 |
| 1/21-12/21 |
2021 |
Regional |
Tuolumne |
Anthem Blue Cross |
Adult |
261.19 |
268.96 |
277.12 |
| 1/21-12/21 |
2021 |
Regional |
Tuolumne |
Anthem Blue Cross |
Adult Expansion |
330.63 |
340.08 |
349.98 |
| 1/21-12/21 |
2021 |
Regional |
Tuolumne |
Anthem Blue Cross |
SPD |
927.25 |
950.32 |
974.40 |
| 1/21-12/21 |
2021 |
Regional |
Tuolumne |
Anthem Blue Cross |
SPD Dual |
150.41 |
155.69 |
161.24 |
| 1/21-12/21 |
2021 |
Regional |
Tuolumne |
Anthem Blue Cross |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Yuba |
Anthem Blue Cross |
Child |
66.06 |
68.98 |
72.09 |
| 1/21-12/21 |
2021 |
Regional |
Yuba |
Anthem Blue Cross |
Adult |
261.19 |
268.96 |
277.12 |
| 1/21-12/21 |
2021 |
Regional |
Yuba |
Anthem Blue Cross |
Adult Expansion |
330.63 |
340.08 |
349.98 |
| 1/21-12/21 |
2021 |
Regional |
Yuba |
Anthem Blue Cross |
SPD |
927.25 |
950.32 |
974.40 |
| 1/21-12/21 |
2021 |
Regional |
Yuba |
Anthem Blue Cross |
SPD Dual |
150.41 |
155.69 |
161.24 |
| 1/21-12/21 |
2021 |
Regional |
Yuba |
Anthem Blue Cross |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Alpine |
CA Health & Wellness |
Child |
70.78 |
73.93 |
77.28 |
| 1/21-12/21 |
2021 |
Regional |
Alpine |
CA Health & Wellness |
Adult |
301.19 |
310.12 |
319.49 |
| 1/21-12/21 |
2021 |
Regional |
Alpine |
CA Health & Wellness |
Adult Expansion |
386.59 |
397.55 |
409.04 |
| 1/21-12/21 |
2021 |
Regional |
Alpine |
CA Health & Wellness |
SPD |
1,085.70 |
1,112.46 |
1,140.39 |
| 1/21-12/21 |
2021 |
Regional |
Alpine |
CA Health & Wellness |
SPD Dual |
182.43 |
189.11 |
196.13 |
| 1/21-12/21 |
2021 |
Regional |
Alpine |
CA Health & Wellness |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
CA Health & Wellness |
Child |
70.78 |
73.93 |
77.28 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
CA Health & Wellness |
Adult |
301.19 |
310.12 |
319.49 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
CA Health & Wellness |
Adult Expansion |
386.59 |
397.55 |
409.04 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
CA Health & Wellness |
SPD |
1,085.70 |
1,112.46 |
1,140.39 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
CA Health & Wellness |
SPD Dual |
182.43 |
189.11 |
196.13 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
CA Health & Wellness |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Butte |
CA Health & Wellness |
Child |
70.78 |
73.93 |
77.28 |
| 1/21-12/21 |
2021 |
Regional |
Butte |
CA Health & Wellness |
Adult |
301.19 |
310.12 |
319.49 |
| 1/21-12/21 |
2021 |
Regional |
Butte |
CA Health & Wellness |
Adult Expansion |
386.59 |
397.55 |
409.04 |
| 1/21-12/21 |
2021 |
Regional |
Butte |
CA Health & Wellness |
SPD |
1,085.70 |
1,112.46 |
1,140.39 |
| 1/21-12/21 |
2021 |
Regional |
Butte |
CA Health & Wellness |
SPD Dual |
182.43 |
189.11 |
196.13 |
| 1/21-12/21 |
2021 |
Regional |
Butte |
CA Health & Wellness |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Calaveras |
CA Health & Wellness |
Child |
70.78 |
73.93 |
77.28 |
| 1/21-12/21 |
2021 |
Regional |
Calaveras |
CA Health & Wellness |
Adult |
301.19 |
310.12 |
319.49 |
| 1/21-12/21 |
2021 |
Regional |
Calaveras |
CA Health & Wellness |
Adult Expansion |
386.59 |
397.55 |
409.04 |
| 1/21-12/21 |
2021 |
Regional |
Calaveras |
CA Health & Wellness |
SPD |
1,085.70 |
1,112.46 |
1,140.39 |
| 1/21-12/21 |
2021 |
Regional |
Calaveras |
CA Health & Wellness |
SPD Dual |
182.43 |
189.11 |
196.13 |
| 1/21-12/21 |
2021 |
Regional |
Calaveras |
CA Health & Wellness |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Colusa |
CA Health & Wellness |
Child |
70.78 |
73.93 |
77.28 |
| 1/21-12/21 |
2021 |
Regional |
Colusa |
CA Health & Wellness |
Adult |
301.19 |
310.12 |
319.49 |
| 1/21-12/21 |
2021 |
Regional |
Colusa |
CA Health & Wellness |
Adult Expansion |
386.59 |
397.55 |
409.04 |
| 1/21-12/21 |
2021 |
Regional |
Colusa |
CA Health & Wellness |
SPD |
1,085.70 |
1,112.46 |
1,140.39 |
| 1/21-12/21 |
2021 |
Regional |
Colusa |
CA Health & Wellness |
SPD Dual |
182.43 |
189.11 |
196.13 |
| 1/21-12/21 |
2021 |
Regional |
Colusa |
CA Health & Wellness |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
CA Health & Wellness |
Child |
70.78 |
73.93 |
77.28 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
CA Health & Wellness |
Adult |
301.19 |
310.12 |
319.49 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
CA Health & Wellness |
Adult Expansion |
386.59 |
397.55 |
409.04 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
CA Health & Wellness |
SPD |
1,085.70 |
1,112.46 |
1,140.39 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
CA Health & Wellness |
SPD Dual |
182.43 |
189.11 |
196.13 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
CA Health & Wellness |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Glenn |
CA Health & Wellness |
Child |
70.78 |
73.93 |
77.28 |
| 1/21-12/21 |
2021 |
Regional |
Glenn |
CA Health & Wellness |
Adult |
301.19 |
310.12 |
319.49 |
| 1/21-12/21 |
2021 |
Regional |
Glenn |
CA Health & Wellness |
Adult Expansion |
386.59 |
397.55 |
409.04 |
| 1/21-12/21 |
2021 |
Regional |
Glenn |
CA Health & Wellness |
SPD |
1,085.70 |
1,112.46 |
1,140.39 |
| 1/21-12/21 |
2021 |
Regional |
Glenn |
CA Health & Wellness |
SPD Dual |
182.43 |
189.11 |
196.13 |
| 1/21-12/21 |
2021 |
Regional |
Glenn |
CA Health & Wellness |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Inyo |
CA Health & Wellness |
Child |
70.78 |
73.93 |
77.28 |
| 1/21-12/21 |
2021 |
Regional |
Inyo |
CA Health & Wellness |
Adult |
301.19 |
310.12 |
319.49 |
| 1/21-12/21 |
2021 |
Regional |
Inyo |
CA Health & Wellness |
Adult Expansion |
386.59 |
397.55 |
409.04 |
| 1/21-12/21 |
2021 |
Regional |
Inyo |
CA Health & Wellness |
SPD |
1,085.70 |
1,112.46 |
1,140.39 |
| 1/21-12/21 |
2021 |
Regional |
Inyo |
CA Health & Wellness |
SPD Dual |
182.43 |
189.11 |
196.13 |
| 1/21-12/21 |
2021 |
Regional |
Inyo |
CA Health & Wellness |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Mariposa |
CA Health & Wellness |
Child |
70.78 |
73.93 |
77.28 |
| 1/21-12/21 |
2021 |
Regional |
Mariposa |
CA Health & Wellness |
Adult |
301.19 |
310.12 |
319.49 |
| 1/21-12/21 |
2021 |
Regional |
Mariposa |
CA Health & Wellness |
Adult Expansion |
386.59 |
397.55 |
409.04 |
| 1/21-12/21 |
2021 |
Regional |
Mariposa |
CA Health & Wellness |
SPD |
1,085.70 |
1,112.46 |
1,140.39 |
| 1/21-12/21 |
2021 |
Regional |
Mariposa |
CA Health & Wellness |
SPD Dual |
182.43 |
189.11 |
196.13 |
| 1/21-12/21 |
2021 |
Regional |
Mariposa |
CA Health & Wellness |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Mono |
CA Health & Wellness |
Child |
70.78 |
73.93 |
77.28 |
| 1/21-12/21 |
2021 |
Regional |
Mono |
CA Health & Wellness |
Adult |
301.19 |
310.12 |
319.49 |
| 1/21-12/21 |
2021 |
Regional |
Mono |
CA Health & Wellness |
Adult Expansion |
386.59 |
397.55 |
409.04 |
| 1/21-12/21 |
2021 |
Regional |
Mono |
CA Health & Wellness |
SPD |
1,085.70 |
1,112.46 |
1,140.39 |
| 1/21-12/21 |
2021 |
Regional |
Mono |
CA Health & Wellness |
SPD Dual |
182.43 |
189.11 |
196.13 |
| 1/21-12/21 |
2021 |
Regional |
Mono |
CA Health & Wellness |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Nevada |
CA Health & Wellness |
Child |
70.78 |
73.93 |
77.28 |
| 1/21-12/21 |
2021 |
Regional |
Nevada |
CA Health & Wellness |
Adult |
301.19 |
310.12 |
319.49 |
| 1/21-12/21 |
2021 |
Regional |
Nevada |
CA Health & Wellness |
Adult Expansion |
386.59 |
397.55 |
409.04 |
| 1/21-12/21 |
2021 |
Regional |
Nevada |
CA Health & Wellness |
SPD |
1,085.70 |
1,112.46 |
1,140.39 |
| 1/21-12/21 |
2021 |
Regional |
Nevada |
CA Health & Wellness |
SPD Dual |
182.43 |
189.11 |
196.13 |
| 1/21-12/21 |
2021 |
Regional |
Nevada |
CA Health & Wellness |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
CA Health & Wellness |
Child |
70.78 |
73.93 |
77.28 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
CA Health & Wellness |
Adult |
301.19 |
310.12 |
319.49 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
CA Health & Wellness |
Adult Expansion |
386.59 |
397.55 |
409.04 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
CA Health & Wellness |
SPD |
1,085.70 |
1,112.46 |
1,140.39 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
CA Health & Wellness |
SPD Dual |
182.43 |
189.11 |
196.13 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
CA Health & Wellness |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Plumas |
CA Health & Wellness |
Child |
70.78 |
73.93 |
77.28 |
| 1/21-12/21 |
2021 |
Regional |
Plumas |
CA Health & Wellness |
Adult |
301.19 |
310.12 |
319.49 |
| 1/21-12/21 |
2021 |
Regional |
Plumas |
CA Health & Wellness |
Adult Expansion |
386.59 |
397.55 |
409.04 |
| 1/21-12/21 |
2021 |
Regional |
Plumas |
CA Health & Wellness |
SPD |
1,085.70 |
1,112.46 |
1,140.39 |
| 1/21-12/21 |
2021 |
Regional |
Plumas |
CA Health & Wellness |
SPD Dual |
182.43 |
189.11 |
196.13 |
| 1/21-12/21 |
2021 |
Regional |
Plumas |
CA Health & Wellness |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Sierra |
CA Health & Wellness |
Child |
70.78 |
73.93 |
77.28 |
| 1/21-12/21 |
2021 |
Regional |
Sierra |
CA Health & Wellness |
Adult |
301.19 |
310.12 |
319.49 |
| 1/21-12/21 |
2021 |
Regional |
Sierra |
CA Health & Wellness |
Adult Expansion |
386.59 |
397.55 |
409.04 |
| 1/21-12/21 |
2021 |
Regional |
Sierra |
CA Health & Wellness |
SPD |
1,085.70 |
1,112.46 |
1,140.39 |
| 1/21-12/21 |
2021 |
Regional |
Sierra |
CA Health & Wellness |
SPD Dual |
182.43 |
189.11 |
196.13 |
| 1/21-12/21 |
2021 |
Regional |
Sierra |
CA Health & Wellness |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Sutter |
CA Health & Wellness |
Child |
70.78 |
73.93 |
77.28 |
| 1/21-12/21 |
2021 |
Regional |
Sutter |
CA Health & Wellness |
Adult |
301.19 |
310.12 |
319.49 |
| 1/21-12/21 |
2021 |
Regional |
Sutter |
CA Health & Wellness |
Adult Expansion |
386.59 |
397.55 |
409.04 |
| 1/21-12/21 |
2021 |
Regional |
Sutter |
CA Health & Wellness |
SPD |
1,085.70 |
1,112.46 |
1,140.39 |
| 1/21-12/21 |
2021 |
Regional |
Sutter |
CA Health & Wellness |
SPD Dual |
182.43 |
189.11 |
196.13 |
| 1/21-12/21 |
2021 |
Regional |
Sutter |
CA Health & Wellness |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Tehama |
CA Health & Wellness |
Child |
70.78 |
73.93 |
77.28 |
| 1/21-12/21 |
2021 |
Regional |
Tehama |
CA Health & Wellness |
Adult |
301.19 |
310.12 |
319.49 |
| 1/21-12/21 |
2021 |
Regional |
Tehama |
CA Health & Wellness |
Adult Expansion |
386.59 |
397.55 |
409.04 |
| 1/21-12/21 |
2021 |
Regional |
Tehama |
CA Health & Wellness |
SPD |
1,085.70 |
1,112.46 |
1,140.39 |
| 1/21-12/21 |
2021 |
Regional |
Tehama |
CA Health & Wellness |
SPD Dual |
182.43 |
189.11 |
196.13 |
| 1/21-12/21 |
2021 |
Regional |
Tehama |
CA Health & Wellness |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Tuolumne |
CA Health & Wellness |
Child |
70.78 |
73.93 |
77.28 |
| 1/21-12/21 |
2021 |
Regional |
Tuolumne |
CA Health & Wellness |
Adult |
301.19 |
310.12 |
319.49 |
| 1/21-12/21 |
2021 |
Regional |
Tuolumne |
CA Health & Wellness |
Adult Expansion |
386.59 |
397.55 |
409.04 |
| 1/21-12/21 |
2021 |
Regional |
Tuolumne |
CA Health & Wellness |
SPD |
1,085.70 |
1,112.46 |
1,140.39 |
| 1/21-12/21 |
2021 |
Regional |
Tuolumne |
CA Health & Wellness |
SPD Dual |
182.43 |
189.11 |
196.13 |
| 1/21-12/21 |
2021 |
Regional |
Tuolumne |
CA Health & Wellness |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Yuba |
CA Health & Wellness |
Child |
70.78 |
73.93 |
77.28 |
| 1/21-12/21 |
2021 |
Regional |
Yuba |
CA Health & Wellness |
Adult |
301.19 |
310.12 |
319.49 |
| 1/21-12/21 |
2021 |
Regional |
Yuba |
CA Health & Wellness |
Adult Expansion |
386.59 |
397.55 |
409.04 |
| 1/21-12/21 |
2021 |
Regional |
Yuba |
CA Health & Wellness |
SPD |
1,085.70 |
1,112.46 |
1,140.39 |
| 1/21-12/21 |
2021 |
Regional |
Yuba |
CA Health & Wellness |
SPD Dual |
182.43 |
189.11 |
196.13 |
| 1/21-12/21 |
2021 |
Regional |
Yuba |
CA Health & Wellness |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
Kaiser Foundation HP |
Child |
64.98 |
67.65 |
70.48 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
Kaiser Foundation HP |
Adult |
259.89 |
267.35 |
275.17 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
Kaiser Foundation HP |
Adult Expansion |
345.46 |
354.94 |
364.87 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
Kaiser Foundation HP |
SPD |
810.52 |
830.32 |
850.97 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
Kaiser Foundation HP |
SPD Dual |
118.80 |
123.16 |
127.76 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
Kaiser Foundation HP |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
Kaiser Foundation HP |
Child |
64.98 |
67.65 |
70.48 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
Kaiser Foundation HP |
Adult |
259.89 |
267.35 |
275.17 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
Kaiser Foundation HP |
Adult Expansion |
345.46 |
354.94 |
364.87 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
Kaiser Foundation HP |
SPD |
810.52 |
830.32 |
850.97 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
Kaiser Foundation HP |
SPD Dual |
118.80 |
123.16 |
127.76 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
Kaiser Foundation HP |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
Kaiser Foundation HP |
Child |
64.98 |
67.65 |
70.48 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
Kaiser Foundation HP |
Adult |
259.89 |
267.35 |
275.17 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
Kaiser Foundation HP |
Adult Expansion |
345.46 |
354.94 |
364.87 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
Kaiser Foundation HP |
SPD |
810.52 |
830.32 |
850.97 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
Kaiser Foundation HP |
SPD Dual |
118.80 |
123.16 |
127.76 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
Kaiser Foundation HP |
Maternity |
10,630.12 |
10,955.83 |
11,293.84 |
| 1/21-12/21 |
2021 |
Regional |
San Benito |
Anthem Blue Cross |
Child |
58.08 |
60.48 |
63.03 |
| 1/21-12/21 |
2021 |
Regional |
San Benito |
Anthem Blue Cross |
Adult |
266.93 |
274.63 |
282.70 |
| 1/21-12/21 |
2021 |
Regional |
San Benito |
Anthem Blue Cross |
Adult Expansion |
274.44 |
282.01 |
289.93 |
| 1/21-12/21 |
2021 |
Regional |
San Benito |
Anthem Blue Cross |
SPD |
654.61 |
671.64 |
689.40 |
| 1/21-12/21 |
2021 |
Regional |
San Benito |
Anthem Blue Cross |
SPD Dual |
130.71 |
135.25 |
140.02 |
| 1/21-12/21 |
2021 |
Regional |
San Benito |
Anthem Blue Cross |
Maternity |
9,776.26 |
10,075.81 |
10,386.67 |
| 1/21-12/21 |
2021 |
Regional |
Imperial |
CA Health & Wellness |
Health Homes Non-Dual |
307.89 |
312.45 |
327.12 |
| 1/21-12/21 |
2021 |
Regional |
Imperial |
CA Health & Wellness |
Health Homes Dual |
78.66 |
81.25 |
84.08 |
| 1/21-12/21 |
2021 |
Regional |
Imperial |
Molina Healthcare |
Health Homes Non-Dual |
337.92 |
342.61 |
359.37 |
| 1/21-12/21 |
2021 |
Regional |
Imperial |
Molina Healthcare |
Health Homes Dual |
80.87 |
83.48 |
86.32 |
| 1/21-12/21 |
2021 |
Regional |
Imperial |
Molina Healthcare |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Imperial |
Molina Healthcare |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Imperial |
CA Health & Wellness |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Imperial |
CA Health & Wellness |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
San Benito |
Anthem Blue Cross |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
San Benito |
Anthem Blue Cross |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Alpine |
Anthem Blue Cross |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Alpine |
Anthem Blue Cross |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
Anthem Blue Cross |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
Anthem Blue Cross |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Butte |
Anthem Blue Cross |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Butte |
Anthem Blue Cross |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Calaveras |
Anthem Blue Cross |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Calaveras |
Anthem Blue Cross |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Colusa |
Anthem Blue Cross |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Colusa |
Anthem Blue Cross |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
Anthem Blue Cross |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
Anthem Blue Cross |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Glenn |
Anthem Blue Cross |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Glenn |
Anthem Blue Cross |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Inyo |
Anthem Blue Cross |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Inyo |
Anthem Blue Cross |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Mariposa |
Anthem Blue Cross |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Mariposa |
Anthem Blue Cross |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Mono |
Anthem Blue Cross |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Mono |
Anthem Blue Cross |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Nevada |
Anthem Blue Cross |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Nevada |
Anthem Blue Cross |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
Anthem Blue Cross |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
Anthem Blue Cross |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Plumas |
Anthem Blue Cross |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Plumas |
Anthem Blue Cross |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Sierra |
Anthem Blue Cross |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Sierra |
Anthem Blue Cross |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Sutter |
Anthem Blue Cross |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Sutter |
Anthem Blue Cross |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Tehama |
Anthem Blue Cross |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Tehama |
Anthem Blue Cross |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Tuolumne |
Anthem Blue Cross |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Tuolumne |
Anthem Blue Cross |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Yuba |
Anthem Blue Cross |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Yuba |
Anthem Blue Cross |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Alpine |
CA Health & Wellness |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Alpine |
CA Health & Wellness |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
CA Health & Wellness |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
CA Health & Wellness |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Butte |
CA Health & Wellness |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Butte |
CA Health & Wellness |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Calaveras |
CA Health & Wellness |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Calaveras |
CA Health & Wellness |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Colusa |
CA Health & Wellness |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Colusa |
CA Health & Wellness |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
CA Health & Wellness |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
CA Health & Wellness |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Glenn |
CA Health & Wellness |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Glenn |
CA Health & Wellness |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Inyo |
CA Health & Wellness |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Inyo |
CA Health & Wellness |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Mariposa |
CA Health & Wellness |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Mariposa |
CA Health & Wellness |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Mono |
CA Health & Wellness |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Mono |
CA Health & Wellness |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Nevada |
CA Health & Wellness |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Nevada |
CA Health & Wellness |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
CA Health & Wellness |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
CA Health & Wellness |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Plumas |
CA Health & Wellness |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Plumas |
CA Health & Wellness |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Sierra |
CA Health & Wellness |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Sierra |
CA Health & Wellness |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Sutter |
CA Health & Wellness |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Sutter |
CA Health & Wellness |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Tehama |
CA Health & Wellness |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Tehama |
CA Health & Wellness |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Tuolumne |
CA Health & Wellness |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Tuolumne |
CA Health & Wellness |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Yuba |
CA Health & Wellness |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Yuba |
CA Health & Wellness |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Imperial |
Molina Healthcare |
Behavioral Health Treatment 0-6 |
2,651.19 |
2,725.73 |
2,802.96 |
| 1/21-12/21 |
2021 |
Regional |
Imperial |
Molina Healthcare |
Behavioral Health Treatment 7-20 |
1,975.39 |
2,030.93 |
2,088.47 |
| 1/21-12/21 |
2021 |
Regional |
Imperial |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
2,019.15 |
2,075.92 |
2,134.74 |
| 1/21-12/21 |
2021 |
Regional |
Imperial |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
1,821.42 |
1,872.63 |
1,925.69 |
| 1/21-12/21 |
2021 |
Regional |
San Benito |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
3,007.63 |
3,092.20 |
3,179.81 |
| 1/21-12/21 |
2021 |
Regional |
San Benito |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2,002.30 |
2,058.60 |
2,116.93 |
| 1/21-12/21 |
2021 |
Regional |
Alpine |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
3,584.10 |
3,684.87 |
3,789.28 |
| 1/21-12/21 |
2021 |
Regional |
Alpine |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2,292.82 |
2,357.28 |
2,424.08 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
3,584.10 |
3,684.87 |
3,789.28 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2,292.82 |
2,357.28 |
2,424.08 |
| 1/21-12/21 |
2021 |
Regional |
Butte |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
3,584.10 |
3,684.87 |
3,789.28 |
| 1/21-12/21 |
2021 |
Regional |
Butte |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2,292.82 |
2,357.28 |
2,424.08 |
| 1/21-12/21 |
2021 |
Regional |
Calaveras |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
3,584.10 |
3,684.87 |
3,789.28 |
| 1/21-12/21 |
2021 |
Regional |
Calaveras |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2,292.82 |
2,357.28 |
2,424.08 |
| 1/21-12/21 |
2021 |
Regional |
Colusa |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
3,584.10 |
3,684.87 |
3,789.28 |
| 1/21-12/21 |
2021 |
Regional |
Colusa |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2,292.82 |
2,357.28 |
2,424.08 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
3,584.10 |
3,684.87 |
3,789.28 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2,292.82 |
2,357.28 |
2,424.08 |
| 1/21-12/21 |
2021 |
Regional |
Glenn |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
3,584.10 |
3,684.87 |
3,789.28 |
| 1/21-12/21 |
2021 |
Regional |
Glenn |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2,292.82 |
2,357.28 |
2,424.08 |
| 1/21-12/21 |
2021 |
Regional |
Inyo |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
3,584.10 |
3,684.87 |
3,789.28 |
| 1/21-12/21 |
2021 |
Regional |
Inyo |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2,292.82 |
2,357.28 |
2,424.08 |
| 1/21-12/21 |
2021 |
Regional |
Mariposa |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
3,584.10 |
3,684.87 |
3,789.28 |
| 1/21-12/21 |
2021 |
Regional |
Mariposa |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2,292.82 |
2,357.28 |
2,424.08 |
| 1/21-12/21 |
2021 |
Regional |
Mono |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
3,584.10 |
3,684.87 |
3,789.28 |
| 1/21-12/21 |
2021 |
Regional |
Mono |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2,292.82 |
2,357.28 |
2,424.08 |
| 1/21-12/21 |
2021 |
Regional |
Nevada |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
3,584.10 |
3,684.87 |
3,789.28 |
| 1/21-12/21 |
2021 |
Regional |
Nevada |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2,292.82 |
2,357.28 |
2,424.08 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
3,584.10 |
3,684.87 |
3,789.28 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2,292.82 |
2,357.28 |
2,424.08 |
| 1/21-12/21 |
2021 |
Regional |
Plumas |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
3,584.10 |
3,684.87 |
3,789.28 |
| 1/21-12/21 |
2021 |
Regional |
Plumas |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2,292.82 |
2,357.28 |
2,424.08 |
| 1/21-12/21 |
2021 |
Regional |
Sierra |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
3,584.10 |
3,684.87 |
3,789.28 |
| 1/21-12/21 |
2021 |
Regional |
Sierra |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2,292.82 |
2,357.28 |
2,424.08 |
| 1/21-12/21 |
2021 |
Regional |
Sutter |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
3,584.10 |
3,684.87 |
3,789.28 |
| 1/21-12/21 |
2021 |
Regional |
Sutter |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2,292.82 |
2,357.28 |
2,424.08 |
| 1/21-12/21 |
2021 |
Regional |
Tehama |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
3,584.10 |
3,684.87 |
3,789.28 |
| 1/21-12/21 |
2021 |
Regional |
Tehama |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2,292.82 |
2,357.28 |
2,424.08 |
| 1/21-12/21 |
2021 |
Regional |
Tuolumne |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
3,584.10 |
3,684.87 |
3,789.28 |
| 1/21-12/21 |
2021 |
Regional |
Tuolumne |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2,292.82 |
2,357.28 |
2,424.08 |
| 1/21-12/21 |
2021 |
Regional |
Yuba |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
3,584.10 |
3,684.87 |
3,789.28 |
| 1/21-12/21 |
2021 |
Regional |
Yuba |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
2,292.82 |
2,357.28 |
2,424.08 |
| 1/21-12/21 |
2021 |
Regional |
Alpine |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
2,304.24 |
2,369.03 |
2,436.16 |
| 1/21-12/21 |
2021 |
Regional |
Alpine |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
1,650.61 |
1,697.02 |
1,745.11 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
2,304.24 |
2,369.03 |
2,436.16 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
1,650.61 |
1,697.02 |
1,745.11 |
| 1/21-12/21 |
2021 |
Regional |
Butte |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
2,304.24 |
2,369.03 |
2,436.16 |
| 1/21-12/21 |
2021 |
Regional |
Butte |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
1,650.61 |
1,697.02 |
1,745.11 |
| 1/21-12/21 |
2021 |
Regional |
Calaveras |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
2,304.24 |
2,369.03 |
2,436.16 |
| 1/21-12/21 |
2021 |
Regional |
Calaveras |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
1,650.61 |
1,697.02 |
1,745.11 |
| 1/21-12/21 |
2021 |
Regional |
Colusa |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
2,304.24 |
2,369.03 |
2,436.16 |
| 1/21-12/21 |
2021 |
Regional |
Colusa |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
1,650.61 |
1,697.02 |
1,745.11 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
2,304.24 |
2,369.03 |
2,436.16 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
1,650.61 |
1,697.02 |
1,745.11 |
| 1/21-12/21 |
2021 |
Regional |
Glenn |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
2,304.24 |
2,369.03 |
2,436.16 |
| 1/21-12/21 |
2021 |
Regional |
Glenn |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
1,650.61 |
1,697.02 |
1,745.11 |
| 1/21-12/21 |
2021 |
Regional |
Inyo |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
2,304.24 |
2,369.03 |
2,436.16 |
| 1/21-12/21 |
2021 |
Regional |
Inyo |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
1,650.61 |
1,697.02 |
1,745.11 |
| 1/21-12/21 |
2021 |
Regional |
Mariposa |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
2,304.24 |
2,369.03 |
2,436.16 |
| 1/21-12/21 |
2021 |
Regional |
Mariposa |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
1,650.61 |
1,697.02 |
1,745.11 |
| 1/21-12/21 |
2021 |
Regional |
Mono |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
2,304.24 |
2,369.03 |
2,436.16 |
| 1/21-12/21 |
2021 |
Regional |
Mono |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
1,650.61 |
1,697.02 |
1,745.11 |
| 1/21-12/21 |
2021 |
Regional |
Nevada |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
2,304.24 |
2,369.03 |
2,436.16 |
| 1/21-12/21 |
2021 |
Regional |
Nevada |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
1,650.61 |
1,697.02 |
1,745.11 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
2,304.24 |
2,369.03 |
2,436.16 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
1,650.61 |
1,697.02 |
1,745.11 |
| 1/21-12/21 |
2021 |
Regional |
Plumas |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
2,304.24 |
2,369.03 |
2,436.16 |
| 1/21-12/21 |
2021 |
Regional |
Plumas |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
1,650.61 |
1,697.02 |
1,745.11 |
| 1/21-12/21 |
2021 |
Regional |
Sierra |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
2,304.24 |
2,369.03 |
2,436.16 |
| 1/21-12/21 |
2021 |
Regional |
Sierra |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
1,650.61 |
1,697.02 |
1,745.11 |
| 1/21-12/21 |
2021 |
Regional |
Sutter |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
2,304.24 |
2,369.03 |
2,436.16 |
| 1/21-12/21 |
2021 |
Regional |
Sutter |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
1,650.61 |
1,697.02 |
1,745.11 |
| 1/21-12/21 |
2021 |
Regional |
Tehama |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
2,304.24 |
2,369.03 |
2,436.16 |
| 1/21-12/21 |
2021 |
Regional |
Tehama |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
1,650.61 |
1,697.02 |
1,745.11 |
| 1/21-12/21 |
2021 |
Regional |
Tuolumne |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
2,304.24 |
2,369.03 |
2,436.16 |
| 1/21-12/21 |
2021 |
Regional |
Tuolumne |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
1,650.61 |
1,697.02 |
1,745.11 |
| 1/21-12/21 |
2021 |
Regional |
Yuba |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
2,304.24 |
2,369.03 |
2,436.16 |
| 1/21-12/21 |
2021 |
Regional |
Yuba |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
1,650.61 |
1,697.02 |
1,745.11 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
Kaiser Foundation HP |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
Kaiser Foundation HP |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
Kaiser Foundation HP |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
Kaiser Foundation HP |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
Kaiser Foundation HP |
Hep C 340B |
1,722.85 |
1,722.85 |
1,759.31 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
Kaiser Foundation HP |
Hep C Non-340B |
2,184.11 |
2,184.11 |
2,285.16 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
Kaiser Foundation HP |
Behavioral Health Treatment 0-6 |
3,073.91 |
3,160.34 |
3,249.89 |
| 1/21-12/21 |
2021 |
Regional |
Amador |
Kaiser Foundation HP |
Behavioral Health Treatment 7-20 |
2,084.80 |
2,143.42 |
2,204.15 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
Kaiser Foundation HP |
Behavioral Health Treatment 0-6 |
3,073.91 |
3,160.34 |
3,249.89 |
| 1/21-12/21 |
2021 |
Regional |
El Dorado |
Kaiser Foundation HP |
Behavioral Health Treatment 7-20 |
2,084.80 |
2,143.42 |
2,204.15 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
Kaiser Foundation HP |
Behavioral Health Treatment 0-6 |
3,073.91 |
3,160.34 |
3,249.89 |
| 1/21-12/21 |
2021 |
Regional |
Placer |
Kaiser Foundation HP |
Behavioral Health Treatment 7-20 |
2,084.80 |
2,143.42 |
2,204.15 |
| 1/21-12/21 |
2021 |
Regional Model |
Imperial |
CA Health & Wellness |
Child |
78.15 |
81.14 |
84.32 |
| 1/21-12/21 |
2021 |
Regional Model |
Imperial |
CA Health & Wellness |
Adult |
227.67 |
234.17 |
241.00 |
| 1/21-12/21 |
2021 |
Regional Model |
Imperial |
CA Health & Wellness |
Adult Expansion |
324.67 |
333.10 |
341.92 |
| 1/21-12/21 |
2021 |
Regional Model |
Imperial |
CA Health & Wellness |
SPD |
974.44 |
996.10 |
1,018.69 |
| 1/21-12/21 |
2021 |
Regional Model |
Imperial |
CA Health & Wellness |
SPD Dual |
240.58 |
248.18 |
256.14 |
| 1/21-12/21 |
2021 |
Regional Model |
Imperial |
CA Health & Wellness |
Maternity |
8,505.94 |
8,766.57 |
9,037.06 |
| 1/21-12/21 |
2021 |
Regional |
Imperial |
Molina Healthcare |
Child |
71.64 |
74.48 |
77.48 |
| 1/21-12/21 |
2021 |
Regional |
Imperial |
Molina Healthcare |
Adult |
184.69 |
190.22 |
196.03 |
| 1/21-12/21 |
2021 |
Regional |
Imperial |
Molina Healthcare |
Adult Expansion |
304.55 |
312.81 |
321.47 |
| 1/21-12/21 |
2021 |
Regional |
Imperial |
Molina Healthcare |
SPD |
974.50 |
997.43 |
1,021.34 |
| 1/21-12/21 |
2021 |
Regional |
Imperial |
Molina Healthcare |
SPD Dual |
287.11 |
295.71 |
304.72 |
| 1/21-12/21 |
2021 |
Regional |
Imperial |
Molina Healthcare |
Maternity |
8,505.94 |
8,766.57 |
9,037.06 |