Table cy_2021_two_plan_model_rates

Table: cy_2021_two_plan_model_rates

rating_period calendar_year model county health_plan category_of_aid lower_bound midpoint upper_bound

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Alameda Alliance for Health' 'Adult' ' 268.60 ' ' 276.99 ' ' 285.80 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Alameda Alliance for Health' 'Adult Expansion' ' 351.92 ' ' 362.42 ' ' 373.43 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Alameda Alliance for Health' 'Behavioral Health Treatment 0-6' ' 3,281.93 ' ' 3,374.21 ' ' 3,469.82 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Alameda Alliance for Health' 'Behavioral Health Treatment 7-20' ' 2,333.52 ' ' 2,399.13 ' ' 2,467.11 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Alameda Alliance for Health' 'Child' ' 98.38 ' ' 102.56 ' ' 106.99 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Alameda Alliance for Health' 'Health Homes Non-Dual' ' 362.78 ' ' 367.89 ' ' 386.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Alameda Alliance for Health' 'Health Homes Dual' ' 91.12 ' ' 94.58 ' ' 98.37 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Alameda Alliance for Health' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Alameda Alliance for Health' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Alameda Alliance for Health' 'Maternity' ' 8,662.94 ' ' 8,928.42 ' ' 9,203.92 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Alameda Alliance for Health' 'SPD' ' 983.95 ' ' 1,010.59 ' ' 1,038.38 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Alameda Alliance for Health' 'SPD Dual' ' 170.62 ' ' 176.92 ' ' 183.54 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Anthem Blue Cross' 'Adult' ' 238.78 ' ' 246.26 ' ' 254.12 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Anthem Blue Cross' 'Adult Expansion' ' 277.37 ' ' 285.79 ' ' 294.61 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' ' 3,794.26 ' ' 3,900.95 ' ' 4,011.48 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' ' 2,726.01 ' ' 2,802.66 ' ' 2,882.07 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Anthem Blue Cross' 'Child' ' 88.67 ' ' 92.48 ' ' 96.53 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Anthem Blue Cross' 'Health Homes Non-Dual' ' 369.61 ' ' 374.59 ' ' 394.15 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Anthem Blue Cross' 'Health Homes Dual' ' 85.59 ' ' 89.23 ' ' 93.24 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Anthem Blue Cross' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Anthem Blue Cross' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Anthem Blue Cross' 'Maternity' ' 8,662.94 ' ' 8,928.42 ' ' 9,203.92 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Anthem Blue Cross' 'SPD' ' 910.40 ' ' 935.17 ' ' 961.02 '

'1/21-12/21' '2021' 'Two-Plan' 'Alameda' 'Anthem Blue Cross' 'SPD Dual' ' 163.99 ' ' 169.93 ' ' 176.18 '

'1/21-12/21' '2021' 'Two-Plan' 'Contra Costa' 'Anthem Blue Cross' 'Adult' ' 232.48 ' ' 239.90 ' ' 247.68 '

'1/21-12/21' '2021' 'Two-Plan' 'Contra Costa' 'Anthem Blue Cross' 'Adult Expansion' ' 269.92 ' ' 277.97 ' ' 286.41 '

'1/21-12/21' '2021' 'Two-Plan' 'Contra Costa' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' ' 3,541.69 ' ' 3,641.27 ' ' 3,744.45 '

'1/21-12/21' '2021' 'Two-Plan' 'Contra Costa' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' ' 2,396.78 ' ' 2,464.17 ' ' 2,533.99 '

'1/21-12/21' '2021' 'Two-Plan' 'Contra Costa' 'Anthem Blue Cross' 'Child' ' 83.83 ' ' 87.45 ' ' 91.30 '

'1/21-12/21' '2021' 'Two-Plan' 'Contra Costa' 'Anthem Blue Cross' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Contra Costa' 'Anthem Blue Cross' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Contra Costa' 'Anthem Blue Cross' 'Maternity' ' 8,962.25 ' ' 9,236.85 ' ' 9,521.83 '

'1/21-12/21' '2021' 'Two-Plan' 'Contra Costa' 'Anthem Blue Cross' 'SPD' ' 795.00 ' ' 816.35 ' ' 838.63 '

'1/21-12/21' '2021' 'Two-Plan' 'Contra Costa' 'Anthem Blue Cross' 'SPD Dual' ' 147.04 ' ' 152.27 ' ' 157.76 '

'1/21-12/21' '2021' 'Two-Plan' 'Contra Costa' 'Contra Costa Health Plan' 'Adult' ' 283.99 ' ' 293.18 ' ' 302.83 '

'1/21-12/21' '2021' 'Two-Plan' 'Contra Costa' 'Contra Costa Health Plan' 'Adult Expansion' ' 375.27 ' ' 386.71 ' ' 398.69 '

'1/21-12/21' '2021' 'Two-Plan' 'Contra Costa' 'Contra Costa Health Plan' 'Behavioral Health Treatment 0-6' ' 3,399.15 ' ' 3,494.73 ' ' 3,593.75 '

'1/21-12/21' '2021' 'Two-Plan' 'Contra Costa' 'Contra Costa Health Plan' 'Behavioral Health Treatment 7-20' ' 2,658.53 ' ' 2,733.28 ' ' 2,810.73 '

'1/21-12/21' '2021' 'Two-Plan' 'Contra Costa' 'Contra Costa Health Plan' 'Child' ' 88.19 ' ' 92.08 ' ' 96.21 '

'1/21-12/21' '2021' 'Two-Plan' 'Contra Costa' 'Contra Costa Health Plan' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Contra Costa' 'Contra Costa Health Plan' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Contra Costa' 'Contra Costa Health Plan' 'Maternity' ' 8,962.25 ' ' 9,236.85 ' ' 9,521.83 '

'1/21-12/21' '2021' 'Two-Plan' 'Contra Costa' 'Contra Costa Health Plan' 'SPD' ' 1,050.76 ' ' 1,079.68 ' ' 1,109.85 '

'1/21-12/21' '2021' 'Two-Plan' 'Contra Costa' 'Contra Costa Health Plan' 'SPD Dual' ' 148.16 ' ' 153.76 ' ' 159.67 '

'1/21-12/21' '2021' 'Two-Plan' 'Fresno' 'Anthem Blue Cross' 'Adult' ' 226.22 ' ' 232.82 ' ' 239.75 '

'1/21-12/21' '2021' 'Two-Plan' 'Fresno' 'Anthem Blue Cross' 'Adult Expansion' ' 264.84 ' ' 272.30 ' ' 280.11 '

'1/21-12/21' '2021' 'Two-Plan' 'Fresno' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' ' 3,971.16 ' ' 4,082.81 ' ' 4,198.50 '

'1/21-12/21' '2021' 'Two-Plan' 'Fresno' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' ' 2,630.00 ' ' 2,703.95 ' ' 2,780.56 '

'1/21-12/21' '2021' 'Two-Plan' 'Fresno' 'Anthem Blue Cross' 'Child' ' 71.67 ' ' 74.59 ' ' 77.69 '

'1/21-12/21' '2021' 'Two-Plan' 'Fresno' 'Anthem Blue Cross' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Fresno' 'Anthem Blue Cross' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Fresno' 'Anthem Blue Cross' 'Maternity' ' 7,935.33 ' ' 8,178.50 ' ' 8,430.86 '

'1/21-12/21' '2021' 'Two-Plan' 'Fresno' 'Anthem Blue Cross' 'SPD' ' 723.89 ' ' 742.08 ' ' 761.06 '

'1/21-12/21' '2021' 'Two-Plan' 'Fresno' 'Anthem Blue Cross' 'SPD Dual' ' 165.71 ' ' 171.51 ' ' 177.60 '

'1/21-12/21' '2021' 'Two-Plan' 'Fresno' 'CalViva Health' 'Adult' ' 260.45 ' ' 267.80 ' ' 275.51 '

'1/21-12/21' '2021' 'Two-Plan' 'Fresno' 'CalViva Health' 'Adult Expansion' ' 321.30 ' ' 330.05 ' ' 339.22 '

'1/21-12/21' '2021' 'Two-Plan' 'Fresno' 'CalViva Health' 'Behavioral Health Treatment 0-6' ' 3,900.76 ' ' 4,010.44 ' ' 4,124.07 '

'1/21-12/21' '2021' 'Two-Plan' 'Fresno' 'CalViva Health' 'Behavioral Health Treatment 7-20' ' 2,621.97 ' ' 2,695.69 ' ' 2,772.07 '

'1/21-12/21' '2021' 'Two-Plan' 'Fresno' 'CalViva Health' 'Child' ' 78.14 ' ' 81.27 ' ' 84.59 '

'1/21-12/21' '2021' 'Two-Plan' 'Fresno' 'CalViva Health' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Fresno' 'CalViva Health' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Fresno' 'CalViva Health' 'Maternity' ' 7,935.33 ' ' 8,178.50 ' ' 8,430.86 '

'1/21-12/21' '2021' 'Two-Plan' 'Fresno' 'CalViva Health' 'SPD' ' 912.46 ' ' 934.67 ' ' 957.83 '

'1/21-12/21' '2021' 'Two-Plan' 'Fresno' 'CalViva Health' 'SPD Dual' ' 177.48 ' ' 183.59 ' ' 189.99 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Health Net of California' 'Adult' ' 240.87 ' ' 248.08 ' ' 255.65 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Health Net of California' 'Adult Expansion' ' 300.90 ' ' 309.48 ' ' 318.47 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Health Net of California' 'Behavioral Health Treatment 0-6' ' 3,293.17 ' ' 3,385.76 ' ' 3,481.70 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Health Net of California' 'Behavioral Health Treatment 7-20' ' 2,328.61 ' ' 2,394.08 ' ' 2,461.92 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Health Net of California' 'Child' ' 67.36 ' ' 70.28 ' ' 73.38 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Health Net of California' 'Health Homes Non-Dual' ' 328.15 ' ' 332.74 ' ' 348.94 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Health Net of California' 'Health Homes Dual' ' 73.11 ' ' 75.81 ' ' 78.76 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Health Net of California' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Health Net of California' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Health Net of California' 'Maternity' ' 6,837.85 ' ' 7,047.39 ' ' 7,264.85 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Health Net of California' 'SPD' ' 841.84 ' ' 863.33 ' ' 885.75 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Health Net of California' 'SPD Dual' ' 155.69 ' ' 161.11 ' ' 166.81 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Kern Health Systems' 'Adult' ' 281.84 ' ' 290.25 ' ' 299.07 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Kern Health Systems' 'Adult Expansion' ' 342.31 ' ' 351.99 ' ' 362.13 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Kern Health Systems' 'Behavioral Health Treatment 0-6' ' 4,316.67 ' ' 4,438.05 ' ' 4,563.80 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Kern Health Systems' 'Behavioral Health Treatment 7-20' ' 3,098.25 ' ' 3,185.36 ' ' 3,275.62 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Kern Health Systems' 'Child' ' 75.47 ' ' 78.69 ' ' 82.11 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Kern Health Systems' 'Health Homes Non-Dual' ' 312.68 ' ' 317.06 ' ' 332.88 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Kern Health Systems' 'Health Homes Dual' ' 69.01 ' ' 71.55 ' ' 74.32 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Kern Health Systems' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Kern Health Systems' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Kern Health Systems' 'Maternity' ' 6,837.85 ' ' 7,047.39 ' ' 7,264.85 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Kern Health Systems' 'SPD' ' 927.20 ' ' 950.84 ' ' 975.51 '

'1/21-12/21' '2021' 'Two-Plan' 'Kern' 'Kern Health Systems' 'SPD Dual' ' 184.49 ' ' 190.91 ' ' 197.66 '

'1/21-12/21' '2021' 'Two-Plan' 'Kings' 'Anthem Blue Cross' 'Adult' ' 218.00 ' ' 224.51 ' ' 231.33 '

'1/21-12/21' '2021' 'Two-Plan' 'Kings' 'Anthem Blue Cross' 'Adult Expansion' ' 283.36 ' ' 291.55 ' ' 300.14 '

'1/21-12/21' '2021' 'Two-Plan' 'Kings' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' ' 3,424.21 ' ' 3,520.49 ' ' 3,620.24 '

'1/21-12/21' '2021' 'Two-Plan' 'Kings' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' ' 2,571.64 ' ' 2,643.95 ' ' 2,718.86 '

'1/21-12/21' '2021' 'Two-Plan' 'Kings' 'Anthem Blue Cross' 'Child' ' 65.56 ' ' 68.33 ' ' 71.26 '

'1/21-12/21' '2021' 'Two-Plan' 'Kings' 'Anthem Blue Cross' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Kings' 'Anthem Blue Cross' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Kings' 'Anthem Blue Cross' 'Maternity' ' 8,025.62 ' ' 8,271.54 ' ' 8,526.76 '

'1/21-12/21' '2021' 'Two-Plan' 'Kings' 'Anthem Blue Cross' 'SPD' ' 675.04 ' ' 691.27 ' ' 708.21 '

'1/21-12/21' '2021' 'Two-Plan' 'Kings' 'Anthem Blue Cross' 'SPD Dual' ' 134.13 ' ' 138.94 ' ' 144.00 '

'1/21-12/21' '2021' 'Two-Plan' 'Kings' 'CalViva Health' 'Adult' ' 259.96 ' ' 267.56 ' ' 275.53 '

'1/21-12/21' '2021' 'Two-Plan' 'Kings' 'CalViva Health' 'Adult Expansion' ' 346.55 ' ' 356.46 ' ' 366.82 '

'1/21-12/21' '2021' 'Two-Plan' 'Kings' 'CalViva Health' 'Behavioral Health Treatment 0-6' ' 3,369.92 ' ' 3,464.67 ' ' 3,562.84 '

'1/21-12/21' '2021' 'Two-Plan' 'Kings' 'CalViva Health' 'Behavioral Health Treatment 7-20' ' 2,518.18 ' ' 2,588.99 ' ' 2,662.35 '

'1/21-12/21' '2021' 'Two-Plan' 'Kings' 'CalViva Health' 'Child' ' 69.76 ' ' 72.71 ' ' 75.83 '

'1/21-12/21' '2021' 'Two-Plan' 'Kings' 'CalViva Health' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Kings' 'CalViva Health' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Kings' 'CalViva Health' 'Maternity' ' 8,025.62 ' ' 8,271.54 ' ' 8,526.76 '

'1/21-12/21' '2021' 'Two-Plan' 'Kings' 'CalViva Health' 'SPD' ' 765.61 ' ' 783.65 ' ' 802.47 '

'1/21-12/21' '2021' 'Two-Plan' 'Kings' 'CalViva Health' 'SPD Dual' ' 142.41 ' ' 147.52 ' ' 152.90 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'Health Net of California' 'Health Homes Non-Dual' ' 382.76 ' ' 387.99 ' ' 407.10 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'Health Net of California' 'Health Homes Dual' ' 92.85 ' ' 96.15 ' ' 99.77 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'Health Net of California' 'Adult' ' 200.88 ' ' 206.93 ' ' 213.27 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'Health Net of California' 'Adult Expansion' ' 289.55 ' ' 297.80 ' ' 306.45 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'Health Net of California' 'Behavioral Health Treatment 0-6' ' 3,030.70 ' ' 3,115.92 ' ' 3,204.21 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'Health Net of California' 'Behavioral Health Treatment 7-20' ' 2,373.04 ' ' 2,439.77 ' ' 2,508.90 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'Health Net of California' 'Child' ' 72.60 ' ' 75.61 ' ' 78.79 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'Health Net of California' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'Health Net of California' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'Health Net of California' 'Maternity' ' 7,350.22 ' ' 7,575.48 ' ' 7,809.25 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'Health Net of California' 'SPD' ' 652.13 ' ' 668.20 ' ' 684.97 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'Health Net of California' 'SPD Dual' ' 144.12 ' ' 148.89 ' ' 153.90 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'LA Care' 'Adult' ' 210.25 ' ' 216.59 ' ' 223.26 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'LA Care' 'Adult Expansion' ' 294.65 ' ' 303.10 ' ' 311.96 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'LA Care' 'Behavioral Health Treatment 0-6' ' 3,045.69 ' ' 3,131.33 ' ' 3,220.05 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'LA Care' 'Behavioral Health Treatment 7-20' ' 2,375.69 ' ' 2,442.48 ' ' 2,511.69 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'LA Care' 'Child' ' 77.88 ' ' 81.10 ' ' 84.51 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'LA Care' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'LA Care' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'LA Care' 'Maternity' ' 7,350.22 ' ' 7,575.48 ' ' 7,809.25 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'LA Care' 'SPD' ' 787.69 ' ' 807.01 ' ' 827.15 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'LA Care' 'SPD Dual' ' 134.52 ' ' 138.98 ' ' 143.68 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'LA Care' 'Health Homes Non-Dual' ' 385.87 ' ' 391.10 ' ' 410.50 '

'1/21-12/21' '2021' 'Two-Plan' 'Los Angeles' 'LA Care' 'Health Homes Dual' ' 97.35 ' ' 101.07 ' ' 105.15 '

'1/21-12/21' '2021' 'Two-Plan' 'Madera' 'Anthem Blue Cross' 'Adult' ' 206.66 ' ' 212.40 ' ' 218.42 '

'1/21-12/21' '2021' 'Two-Plan' 'Madera' 'Anthem Blue Cross' 'Adult Expansion' ' 264.06 ' ' 271.06 ' ' 278.39 '

'1/21-12/21' '2021' 'Two-Plan' 'Madera' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' ' 3,666.05 ' ' 3,769.13 ' ' 3,875.93 '

'1/21-12/21' '2021' 'Two-Plan' 'Madera' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' ' 2,689.21 ' ' 2,764.82 ' ' 2,843.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Madera' 'Anthem Blue Cross' 'Child' ' 65.38 ' ' 67.92 ' ' 70.62 '

'1/21-12/21' '2021' 'Two-Plan' 'Madera' 'Anthem Blue Cross' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Madera' 'Anthem Blue Cross' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Madera' 'Anthem Blue Cross' 'Maternity' ' 7,094.08 ' ' 7,311.48 ' ' 7,537.10 '

'1/21-12/21' '2021' 'Two-Plan' 'Madera' 'Anthem Blue Cross' 'SPD' ' 734.72 ' ' 752.24 ' ' 770.50 '

'1/21-12/21' '2021' 'Two-Plan' 'Madera' 'Anthem Blue Cross' 'SPD Dual' ' 140.92 ' ' 145.62 ' ' 150.54 '

'1/21-12/21' '2021' 'Two-Plan' 'Madera' 'CalViva Health' 'Adult' ' 257.67 ' ' 264.67 ' ' 272.00 '

'1/21-12/21' '2021' 'Two-Plan' 'Madera' 'CalViva Health' 'Adult Expansion' ' 320.66 ' ' 328.81 ' ' 337.34 '

'1/21-12/21' '2021' 'Two-Plan' 'Madera' 'CalViva Health' 'Behavioral Health Treatment 0-6' ' 3,650.91 ' ' 3,753.56 ' ' 3,859.91 '

'1/21-12/21' '2021' 'Two-Plan' 'Madera' 'CalViva Health' 'Behavioral Health Treatment 7-20' ' 2,649.93 ' ' 2,724.43 ' ' 2,801.63 '

'1/21-12/21' '2021' 'Two-Plan' 'Madera' 'CalViva Health' 'Child' ' 70.67 ' ' 73.40 ' ' 76.30 '

'1/21-12/21' '2021' 'Two-Plan' 'Madera' 'CalViva Health' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Madera' 'CalViva Health' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Madera' 'CalViva Health' 'Maternity' ' 7,094.08 ' ' 7,311.48 ' ' 7,537.10 '

'1/21-12/21' '2021' 'Two-Plan' 'Madera' 'CalViva Health' 'SPD' ' 927.82 ' ' 949.93 ' ' 972.99 '

'1/21-12/21' '2021' 'Two-Plan' 'Madera' 'CalViva Health' 'SPD Dual' ' 142.44 ' ' 147.29 ' ' 152.38 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Inland Empire Health Plan' 'Adult' ' 297.33 ' ' 305.78 ' ' 314.64 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Inland Empire Health Plan' 'Adult Expansion' ' 385.07 ' ' 395.37 ' ' 406.15 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Inland Empire Health Plan' 'Behavioral Health Treatment 0-6' ' 2,642.42 ' ' 2,716.71 ' ' 2,793.69 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Inland Empire Health Plan' 'Behavioral Health Treatment 7-20' ' 1,868.34 ' ' 1,920.87 ' ' 1,975.30 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Inland Empire Health Plan' 'Child' ' 83.52 ' ' 86.86 ' ' 90.40 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Inland Empire Health Plan' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Inland Empire Health Plan' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Inland Empire Health Plan' 'Maternity' ' 6,775.06 ' ' 6,982.68 ' ' 7,198.15 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Inland Empire Health Plan' 'SPD' ' 963.79 ' ' 986.96 ' ' 1,011.14 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Inland Empire Health Plan' 'SPD Dual' ' 138.59 ' ' 143.56 ' ' 148.79 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Inland Empire Health Plan' 'Health Homes Non-Dual' ' 190.29 ' ' 196.62 ' ' 203.52 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Inland Empire Health Plan' 'Health Homes Dual' ' 61.89 ' ' 63.82 ' ' 65.91 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Molina Healthcare' 'Adult' ' 192.22 ' ' 197.83 ' ' 203.71 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Molina Healthcare' 'Adult Expansion' ' 262.57 ' ' 269.79 ' ' 277.36 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Molina Healthcare' 'Behavioral Health Treatment 0-6' ' 2,745.93 ' ' 2,823.13 ' ' 2,903.13 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Molina Healthcare' 'Behavioral Health Treatment 7-20' ' 2,039.09 ' ' 2,096.43 ' ' 2,155.83 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Molina Healthcare' 'Child' ' 72.32 ' ' 75.21 ' ' 78.27 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Molina Healthcare' 'Health Homes Non-Dual' ' 236.83 ' ' 244.83 ' ' 253.54 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Molina Healthcare' 'Health Homes Dual' ' 76.39 ' ' 78.79 ' ' 81.39 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Molina Healthcare' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Molina Healthcare' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Molina Healthcare' 'Maternity' ' 6,775.06 ' ' 6,982.68 ' ' 7,198.15 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Molina Healthcare' 'SPD' ' 658.52 ' ' 674.71 ' ' 691.60 '

'1/21-12/21' '2021' 'Two-Plan' 'Riverside' 'Molina Healthcare' 'SPD Dual' ' 116.03 ' ' 119.92 ' ' 124.01 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Inland Empire Health Plan' 'Adult' ' 298.83 ' ' 307.27 ' ' 316.12 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Inland Empire Health Plan' 'Adult Expansion' ' 374.74 ' ' 384.91 ' ' 395.56 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Inland Empire Health Plan' 'Behavioral Health Treatment 0-6' ' 2,660.99 ' ' 2,735.81 ' ' 2,813.32 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Inland Empire Health Plan' 'Behavioral Health Treatment 7-20' ' 1,889.48 ' ' 1,942.60 ' ' 1,997.65 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Inland Empire Health Plan' 'Child' ' 85.06 ' ' 88.51 ' ' 92.15 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Inland Empire Health Plan' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Inland Empire Health Plan' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Inland Empire Health Plan' 'Maternity' ' 6,853.90 ' ' 7,063.94 ' ' 7,281.92 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Inland Empire Health Plan' 'SPD' ' 1,007.83 ' ' 1,032.27 ' ' 1,057.77 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Inland Empire Health Plan' 'SPD Dual' ' 138.06 ' ' 143.04 ' ' 148.27 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Inland Empire Health Plan' 'Health Homes Non-Dual' ' 190.93 ' ' 197.27 ' ' 204.18 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Inland Empire Health Plan' 'Health Homes Dual' ' 62.63 ' ' 64.57 ' ' 66.68 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Molina Healthcare' 'Adult' ' 195.40 ' ' 201.07 ' ' 207.02 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Molina Healthcare' 'Adult Expansion' ' 258.43 ' ' 265.64 ' ' 273.18 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Molina Healthcare' 'Behavioral Health Treatment 0-6' ' 2,499.45 ' ' 2,569.73 ' ' 2,642.54 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Molina Healthcare' 'Behavioral Health Treatment 7-20' ' 1,757.92 ' ' 1,807.35 ' ' 1,858.56 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Molina Healthcare' 'Child' ' 70.91 ' ' 73.78 ' ' 76.83 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Molina Healthcare' 'Health Homes Non-Dual' ' 233.55 ' ' 241.47 ' ' 250.09 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Molina Healthcare' 'Health Homes Dual' ' 76.41 ' ' 78.81 ' ' 81.41 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Molina Healthcare' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Molina Healthcare' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Molina Healthcare' 'Maternity' ' 6,853.90 ' ' 7,063.94 ' ' 7,281.92 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Molina Healthcare' 'SPD' ' 709.53 ' ' 727.17 ' ' 745.57 '

'1/21-12/21' '2021' 'Two-Plan' 'San Bernardino' 'Molina Healthcare' 'SPD Dual' ' 113.22 ' ' 117.05 ' ' 121.08 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'Anthem Blue Cross' 'Adult' ' 297.35 ' ' 306.53 ' ' 316.17 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'Anthem Blue Cross' 'Adult Expansion' ' 347.85 ' ' 357.94 ' ' 368.53 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' ' 3,156.06 ' ' 3,244.80 ' ' 3,336.74 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' ' 2,299.39 ' ' 2,364.04 ' ' 2,431.03 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'Anthem Blue Cross' 'Child' ' 97.91 ' ' 102.20 ' ' 106.75 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'Anthem Blue Cross' 'Health Homes Non-Dual' ' 189.06 ' ' 195.29 ' ' 202.07 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'Anthem Blue Cross' 'Health Homes Dual' ' 61.57 ' ' 63.46 ' ' 65.51 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'Anthem Blue Cross' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'Anthem Blue Cross' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'Anthem Blue Cross' 'Maternity' ' 8,401.59 ' ' 8,659.04 ' ' 8,926.22 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'Anthem Blue Cross' 'SPD' ' 959.50 ' ' 984.69 ' ' 1,010.99 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'Anthem Blue Cross' 'SPD Dual' ' 394.09 ' ' 407.79 ' ' 422.15 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'San Francisco Health Plan' 'Adult' ' 289.13 ' ' 297.81 ' ' 306.92 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'San Francisco Health Plan' 'Adult Expansion' ' 380.71 ' ' 391.65 ' ' 403.13 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'San Francisco Health Plan' 'Behavioral Health Treatment 0-6' ' 3,008.71 ' ' 3,093.31 ' ' 3,180.96 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'San Francisco Health Plan' 'Behavioral Health Treatment 7-20' ' 2,254.70 ' ' 2,318.09 ' ' 2,383.78 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'San Francisco Health Plan' 'Child' ' 111.88 ' ' 116.56 ' ' 121.51 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'San Francisco Health Plan' 'Health Homes Non-Dual' ' 195.37 ' ' 202.38 ' ' 210.04 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'San Francisco Health Plan' 'Health Homes Dual' ' 54.10 ' ' 56.02 ' ' 58.11 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'San Francisco Health Plan' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'San Francisco Health Plan' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'San Francisco Health Plan' 'Maternity' ' 8,401.59 ' ' 8,659.04 ' ' 8,926.22 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'San Francisco Health Plan' 'SPD' ' 910.79 ' ' 934.46 ' ' 959.17 '

'1/21-12/21' '2021' 'Two-Plan' 'San Francisco' 'San Francisco Health Plan' 'SPD Dual' ' 156.96 ' ' 162.99 ' ' 169.34 '

'1/21-12/21' '2021' 'Two-Plan' 'San Joaquin' 'Health Net of California' 'Adult' ' 223.56 ' ' 230.23 ' ' 237.24 '

'1/21-12/21' '2021' 'Two-Plan' 'San Joaquin' 'Health Net of California' 'Adult Expansion' ' 275.28 ' ' 283.01 ' ' 291.11 '

'1/21-12/21' '2021' 'Two-Plan' 'San Joaquin' 'Health Net of California' 'Behavioral Health Treatment 0-6' ' 3,169.97 ' ' 3,259.10 ' ' 3,351.45 '

'1/21-12/21' '2021' 'Two-Plan' 'San Joaquin' 'Health Net of California' 'Behavioral Health Treatment 7-20' ' 2,379.78 ' ' 2,446.69 ' ' 2,516.02 '

'1/21-12/21' '2021' 'Two-Plan' 'San Joaquin' 'Health Net of California' 'Child' ' 67.00 ' ' 69.79 ' ' 72.75 '

'1/21-12/21' '2021' 'Two-Plan' 'San Joaquin' 'Health Net of California' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'San Joaquin' 'Health Net of California' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'San Joaquin' 'Health Net of California' 'Maternity' ' 7,236.65 ' ' 7,458.45 ' ' 7,688.63 '

'1/21-12/21' '2021' 'Two-Plan' 'San Joaquin' 'Health Net of California' 'SPD' ' 832.80 ' ' 853.81 ' ' 875.73 '

'1/21-12/21' '2021' 'Two-Plan' 'San Joaquin' 'Health Net of California' 'SPD Dual' ' 141.96 ' ' 147.10 ' ' 152.52 '

'1/21-12/21' '2021' 'Two-Plan' 'San Joaquin' 'Health Plan of San Joaquin' 'Adult' ' 278.42 ' ' 286.52 ' ' 295.01 '

'1/21-12/21' '2021' 'Two-Plan' 'San Joaquin' 'Health Plan of San Joaquin' 'Adult Expansion' ' 325.93 ' ' 334.85 ' ' 344.21 '

'1/21-12/21' '2021' 'Two-Plan' 'San Joaquin' 'Health Plan of San Joaquin' 'Behavioral Health Treatment 0-6' ' 3,030.58 ' ' 3,115.79 ' ' 3,204.08 '

'1/21-12/21' '2021' 'Two-Plan' 'San Joaquin' 'Health Plan of San Joaquin' 'Behavioral Health Treatment 7-20' ' 1,969.87 ' ' 2,025.26 ' ' 2,082.64 '

'1/21-12/21' '2021' 'Two-Plan' 'San Joaquin' 'Health Plan of San Joaquin' 'Child' ' 79.43 ' ' 82.62 ' ' 86.01 '

'1/21-12/21' '2021' 'Two-Plan' 'San Joaquin' 'Health Plan of San Joaquin' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'San Joaquin' 'Health Plan of San Joaquin' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'San Joaquin' 'Health Plan of San Joaquin' 'Maternity' ' 7,236.65 ' ' 7,458.45 ' ' 7,688.63 '

'1/21-12/21' '2021' 'Two-Plan' 'San Joaquin' 'Health Plan of San Joaquin' 'SPD' ' 865.31 ' ' 886.47 ' ' 908.54 '

'1/21-12/21' '2021' 'Two-Plan' 'San Joaquin' 'Health Plan of San Joaquin' 'SPD Dual' ' 117.81 ' ' 122.08 ' ' 126.57 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Anthem Blue Cross' 'Adult' ' 234.67 ' ' 241.74 ' ' 249.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Anthem Blue Cross' 'Adult Expansion' ' 259.66 ' ' 267.00 ' ' 274.69 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' ' 3,238.14 ' ' 3,329.18 ' ' 3,423.51 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' ' 2,280.75 ' ' 2,344.87 ' ' 2,411.32 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Anthem Blue Cross' 'Child' ' 78.50 ' ' 81.81 ' ' 85.32 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Anthem Blue Cross' 'Health Homes Non-Dual' ' 409.06 ' ' 414.66 ' ' 435.71 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Anthem Blue Cross' 'Health Homes Dual' ' 114.37 ' ' 119.14 ' ' 124.39 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Anthem Blue Cross' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Anthem Blue Cross' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Anthem Blue Cross' 'Maternity' ' 8,473.00 ' ' 8,732.62 ' ' 9,002.05 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Anthem Blue Cross' 'SPD' ' 645.59 ' ' 662.29 ' ' 679.74 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Anthem Blue Cross' 'SPD Dual' ' 131.43 ' ' 136.06 ' ' 140.93 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Santa Clara Family Health Plan' 'Adult' ' 276.37 ' ' 284.62 ' ' 293.27 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Santa Clara Family Health Plan' 'Adult Expansion' ' 320.62 ' ' 329.60 ' ' 339.01 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Santa Clara Family Health Plan' 'Behavioral Health Treatment 0-6' ' 3,318.08 ' ' 3,411.38 ' ' 3,508.04 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Santa Clara Family Health Plan' 'Behavioral Health Treatment 7-20' ' 2,734.56 ' ' 2,811.45 ' ' 2,891.11 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Santa Clara Family Health Plan' 'Child' ' 92.12 ' ' 95.94 ' ' 99.98 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Santa Clara Family Health Plan' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Santa Clara Family Health Plan' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Santa Clara Family Health Plan' 'Maternity' ' 8,473.00 ' ' 8,732.62 ' ' 9,002.05 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Santa Clara Family Health Plan' 'SPD' ' 744.29 ' ' 763.56 ' ' 783.67 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Santa Clara Family Health Plan' 'SPD Dual' ' 136.52 ' ' 141.54 ' ' 146.82 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Santa Clara Family Health Plan' 'Health Homes Non-Dual' ' 407.62 ' ' 413.29 ' ' 433.92 '

'1/21-12/21' '2021' 'Two-Plan' 'Santa Clara' 'Santa Clara Family Health Plan' 'Health Homes Dual' ' 108.78 ' ' 113.30 ' ' 118.25 '

'1/21-12/21' '2021' 'Two-Plan' 'Stanislaus' 'Health Net of California' 'Adult' ' 264.45 ' ' 272.31 ' ' 280.55 '

'1/21-12/21' '2021' 'Two-Plan' 'Stanislaus' 'Health Net of California' 'Adult Expansion' ' 314.72 ' ' 323.74 ' ' 333.19 '

'1/21-12/21' '2021' 'Two-Plan' 'Stanislaus' 'Health Net of California' 'Behavioral Health Treatment 0-6' ' 3,679.39 ' ' 3,782.84 ' ' 3,890.03 '

'1/21-12/21' '2021' 'Two-Plan' 'Stanislaus' 'Health Net of California' 'Behavioral Health Treatment 7-20' ' 2,199.01 ' ' 2,260.84 ' ' 2,324.90 '

'1/21-12/21' '2021' 'Two-Plan' 'Stanislaus' 'Health Net of California' 'Child' ' 71.49 ' ' 74.54 ' ' 77.77 '

'1/21-12/21' '2021' 'Two-Plan' 'Stanislaus' 'Health Net of California' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Stanislaus' 'Health Net of California' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Stanislaus' 'Health Net of California' 'Maternity' ' 8,539.56 ' ' 8,801.27 ' ' 9,072.87 '

'1/21-12/21' '2021' 'Two-Plan' 'Stanislaus' 'Health Net of California' 'SPD' ' 910.21 ' ' 932.64 ' ' 956.04 '

'1/21-12/21' '2021' 'Two-Plan' 'Stanislaus' 'Health Net of California' 'SPD Dual' ' 152.63 ' ' 157.97 ' ' 163.57 '

'1/21-12/21' '2021' 'Two-Plan' 'Stanislaus' 'Health Plan of San Joaquin' 'Adult' ' 309.85 ' ' 319.10 ' ' 328.79 '

'1/21-12/21' '2021' 'Two-Plan' 'Stanislaus' 'Health Plan of San Joaquin' 'Adult Expansion' ' 380.96 ' ' 391.76 ' ' 403.07 '

'1/21-12/21' '2021' 'Two-Plan' 'Stanislaus' 'Health Plan of San Joaquin' 'Behavioral Health Treatment 0-6' ' 4,285.47 ' ' 4,405.97 ' ' 4,530.81 '

'1/21-12/21' '2021' 'Two-Plan' 'Stanislaus' 'Health Plan of San Joaquin' 'Behavioral Health Treatment 7-20' ' 2,266.37 ' ' 2,330.10 ' ' 2,396.12 '

'1/21-12/21' '2021' 'Two-Plan' 'Stanislaus' 'Health Plan of San Joaquin' 'Child' ' 80.11 ' ' 83.52 ' ' 87.13 '

'1/21-12/21' '2021' 'Two-Plan' 'Stanislaus' 'Health Plan of San Joaquin' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Stanislaus' 'Health Plan of San Joaquin' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Stanislaus' 'Health Plan of San Joaquin' 'Maternity' ' 8,539.56 ' ' 8,801.27 ' ' 9,072.87 '

'1/21-12/21' '2021' 'Two-Plan' 'Stanislaus' 'Health Plan of San Joaquin' 'SPD' ' 1,117.14 ' ' 1,144.63 ' ' 1,173.30 '

'1/21-12/21' '2021' 'Two-Plan' 'Stanislaus' 'Health Plan of San Joaquin' 'SPD Dual' ' 139.02 ' ' 144.23 ' ' 149.71 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Anthem Blue Cross' 'Adult' ' 208.74 ' ' 214.83 ' ' 221.21 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Anthem Blue Cross' 'Adult Expansion' ' 267.45 ' ' 274.95 ' ' 282.79 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' ' 3,643.57 ' ' 3,746.01 ' ' 3,852.15 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' ' 2,459.35 ' ' 2,528.50 ' ' 2,600.14 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Anthem Blue Cross' 'Child' ' 58.01 ' ' 60.40 ' ' 62.93 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Anthem Blue Cross' 'Health Homes Non-Dual' ' 300.81 ' ' 304.94 ' ' 320.96 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Anthem Blue Cross' 'Health Homes Dual' ' 66.55 ' ' 69.02 ' ' 71.72 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Anthem Blue Cross' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Anthem Blue Cross' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Anthem Blue Cross' 'Maternity' ' 7,166.98 ' ' 7,386.60 ' ' 7,614.52 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Anthem Blue Cross' 'SPD' ' 662.17 ' ' 678.19 ' ' 694.90 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Anthem Blue Cross' 'SPD Dual' ' 121.93 ' ' 126.20 ' ' 130.69 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Health Net of California' 'Adult' ' 216.13 ' ' 222.37 ' ' 228.92 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Health Net of California' 'Adult Expansion' ' 295.25 ' ' 303.47 ' ' 312.08 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Health Net of California' 'Behavioral Health Treatment 0-6' ' 2,769.84 ' ' 2,847.72 ' ' 2,928.41 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Health Net of California' 'Behavioral Health Treatment 7-20' ' 2,164.69 ' ' 2,225.56 ' ' 2,288.62 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Health Net of California' 'Child' ' 58.66 ' ' 61.09 ' ' 63.66 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Health Net of California' 'Health Homes Non-Dual' ' 322.31 ' ' 326.94 ' ' 342.51 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Health Net of California' 'Health Homes Dual' ' 72.60 ' ' 75.14 ' ' 77.91 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Health Net of California' 'Hep C 340B' ' 1,722.85 ' ' 1,722.85 ' ' 1,759.31 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Health Net of California' 'Hep C Non-340B' ' 2,184.11 ' ' 2,184.11 ' ' 2,285.16 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Health Net of California' 'Maternity' ' 7,166.98 ' ' 7,386.60 ' ' 7,614.52 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Health Net of California' 'SPD' ' 723.15 ' ' 740.38 ' ' 758.35 '

'1/21-12/21' '2021' 'Two-Plan' 'Tulare' 'Health Net of California' 'SPD Dual' ' 134.92 ' ' 139.60 ' ' 144.52 '