| 1/22-12/22 |
2022 |
Regional |
Imperial |
Molina Healthcare |
Child |
$73.23 |
$76.53 |
$80.03 |
| 1/22-12/22 |
2022 |
Regional |
Imperial |
Molina Healthcare |
Adult |
$151.89 |
$157.67 |
$163.75 |
| 1/22-12/22 |
2022 |
Regional |
Imperial |
Molina Healthcare |
Adult Expansion |
$230.63 |
$238.86 |
$247.48 |
| 1/22-12/22 |
2022 |
Regional |
Imperial |
Molina Healthcare |
SPD |
$750.79 |
$774.74 |
$799.71 |
| 1/22-12/22 |
2022 |
Regional |
Imperial |
Molina Healthcare |
SPD Dual |
$240.38 |
$248.61 |
$257.25 |
| 1/22-12/22 |
2022 |
Regional |
Imperial |
Molina Healthcare |
Maternity |
$8,575.96 |
$8,839.50 |
$9,113.04 |
| 1/22-12/22 |
2022 |
Regional |
Imperial |
Molina Healthcare |
Behavioral Health Treatment 0-6 |
$2,726.97 |
$2,817.88 |
$2,912.41 |
| 1/22-12/22 |
2022 |
Regional |
Imperial |
Molina Healthcare |
Behavioral Health Treatment 7-20 |
$2,027.24 |
$2,094.83 |
$2,165.10 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
Kaiser Foundation Health Plan |
Child |
$64.67 |
$67.68 |
$70.87 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
Kaiser Foundation Health Plan |
Adult |
$245.02 |
$253.68 |
$262.75 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
Kaiser Foundation Health Plan |
Adult Expansion |
$252.39 |
$261.18 |
$270.39 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
Kaiser Foundation Health Plan |
SPD |
$589.61 |
$608.48 |
$628.19 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
Kaiser Foundation Health Plan |
SPD Dual |
$110.71 |
$114.92 |
$119.36 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
Kaiser Foundation Health Plan |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 0-6 |
$3,217.90 |
$3,325.18 |
$3,436.74 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 7-20 |
$2,162.48 |
$2,234.57 |
$2,309.54 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
Kaiser Foundation Health Plan |
Child |
$64.67 |
$67.68 |
$70.87 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
Kaiser Foundation Health Plan |
Adult |
$245.02 |
$253.68 |
$262.75 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
Kaiser Foundation Health Plan |
Adult Expansion |
$252.39 |
$261.18 |
$270.39 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
Kaiser Foundation Health Plan |
SPD |
$589.61 |
$608.48 |
$628.19 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
Kaiser Foundation Health Plan |
SPD Dual |
$110.71 |
$114.92 |
$119.36 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
Kaiser Foundation Health Plan |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 0-6 |
$3,217.90 |
$3,325.18 |
$3,436.74 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 7-20 |
$2,162.48 |
$2,234.57 |
$2,309.54 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
Kaiser Foundation Health Plan |
Child |
$64.67 |
$67.68 |
$70.87 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
Kaiser Foundation Health Plan |
Adult |
$245.02 |
$253.68 |
$262.75 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
Kaiser Foundation Health Plan |
Adult Expansion |
$252.39 |
$261.18 |
$270.39 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
Kaiser Foundation Health Plan |
SPD |
$589.61 |
$608.48 |
$628.19 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
Kaiser Foundation Health Plan |
SPD Dual |
$110.71 |
$114.92 |
$119.36 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
Kaiser Foundation Health Plan |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 0-6 |
$3,217.90 |
$3,325.18 |
$3,436.74 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 7-20 |
$2,162.48 |
$2,234.57 |
$2,309.54 |
| 1/22-12/22 |
2022 |
Regional |
Imperial |
CA Health & Wellness |
Child |
$74.31 |
$77.66 |
$81.20 |
| 1/22-12/22 |
2022 |
Regional |
Imperial |
CA Health & Wellness |
Adult |
$171.72 |
$178.19 |
$184.98 |
| 1/22-12/22 |
2022 |
Regional |
Imperial |
CA Health & Wellness |
Adult Expansion |
$232.57 |
$240.85 |
$249.52 |
| 1/22-12/22 |
2022 |
Regional |
Imperial |
CA Health & Wellness |
SPD |
$718.84 |
$741.82 |
$765.81 |
| 1/22-12/22 |
2022 |
Regional |
Imperial |
CA Health & Wellness |
SPD Dual |
$279.01 |
$288.45 |
$298.33 |
| 1/22-12/22 |
2022 |
Regional |
Imperial |
CA Health & Wellness |
Maternity |
$8,575.96 |
$8,839.50 |
$9,113.04 |
| 1/22-12/22 |
2022 |
Regional |
Imperial |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,081.53 |
$2,150.93 |
$2,223.09 |
| 1/22-12/22 |
2022 |
Regional |
Imperial |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,868.68 |
$1,930.98 |
$1,995.76 |
| 1/22-12/22 |
2022 |
Regional |
Alpine |
CA Health & Wellness |
Child |
$68.17 |
$71.63 |
$75.30 |
| 1/22-12/22 |
2022 |
Regional |
Alpine |
CA Health & Wellness |
Adult |
$262.38 |
$271.95 |
$282.00 |
| 1/22-12/22 |
2022 |
Regional |
Alpine |
CA Health & Wellness |
Adult Expansion |
$330.90 |
$342.53 |
$354.72 |
| 1/22-12/22 |
2022 |
Regional |
Alpine |
CA Health & Wellness |
SPD |
$929.39 |
$959.34 |
$990.60 |
| 1/22-12/22 |
2022 |
Regional |
Alpine |
CA Health & Wellness |
SPD Dual |
$212.13 |
$219.76 |
$227.78 |
| 1/22-12/22 |
2022 |
Regional |
Alpine |
CA Health & Wellness |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Alpine |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,369.74 |
$2,448.75 |
$2,530.90 |
| 1/22-12/22 |
2022 |
Regional |
Alpine |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,697.35 |
$1,753.93 |
$1,812.77 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
CA Health & Wellness |
Child |
$68.17 |
$71.63 |
$75.30 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
CA Health & Wellness |
Adult |
$262.38 |
$271.95 |
$282.00 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
CA Health & Wellness |
Adult Expansion |
$330.90 |
$342.53 |
$354.72 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
CA Health & Wellness |
SPD |
$929.39 |
$959.34 |
$990.60 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
CA Health & Wellness |
SPD Dual |
$212.13 |
$219.76 |
$227.78 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
CA Health & Wellness |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,369.74 |
$2,448.75 |
$2,530.90 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,697.35 |
$1,753.93 |
$1,812.77 |
| 1/22-12/22 |
2022 |
Regional |
Butte |
CA Health & Wellness |
Child |
$68.17 |
$71.63 |
$75.30 |
| 1/22-12/22 |
2022 |
Regional |
Butte |
CA Health & Wellness |
Adult |
$262.38 |
$271.95 |
$282.00 |
| 1/22-12/22 |
2022 |
Regional |
Butte |
CA Health & Wellness |
Adult Expansion |
$330.90 |
$342.53 |
$354.72 |
| 1/22-12/22 |
2022 |
Regional |
Butte |
CA Health & Wellness |
SPD |
$929.39 |
$959.34 |
$990.60 |
| 1/22-12/22 |
2022 |
Regional |
Butte |
CA Health & Wellness |
SPD Dual |
$212.13 |
$219.76 |
$227.78 |
| 1/22-12/22 |
2022 |
Regional |
Butte |
CA Health & Wellness |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Butte |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,369.74 |
$2,448.75 |
$2,530.90 |
| 1/22-12/22 |
2022 |
Regional |
Butte |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,697.35 |
$1,753.93 |
$1,812.77 |
| 1/22-12/22 |
2022 |
Regional |
Calaveras |
CA Health & Wellness |
Child |
$68.17 |
$71.63 |
$75.30 |
| 1/22-12/22 |
2022 |
Regional |
Calaveras |
CA Health & Wellness |
Adult |
$262.38 |
$271.95 |
$282.00 |
| 1/22-12/22 |
2022 |
Regional |
Calaveras |
CA Health & Wellness |
Adult Expansion |
$330.90 |
$342.53 |
$354.72 |
| 1/22-12/22 |
2022 |
Regional |
Calaveras |
CA Health & Wellness |
SPD |
$929.39 |
$959.34 |
$990.60 |
| 1/22-12/22 |
2022 |
Regional |
Calaveras |
CA Health & Wellness |
SPD Dual |
$212.13 |
$219.76 |
$227.78 |
| 1/22-12/22 |
2022 |
Regional |
Calaveras |
CA Health & Wellness |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Calaveras |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,369.74 |
$2,448.75 |
$2,530.90 |
| 1/22-12/22 |
2022 |
Regional |
Calaveras |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,697.35 |
$1,753.93 |
$1,812.77 |
| 1/22-12/22 |
2022 |
Regional |
Colusa |
CA Health & Wellness |
Child |
$68.17 |
$71.63 |
$75.30 |
| 1/22-12/22 |
2022 |
Regional |
Colusa |
CA Health & Wellness |
Adult |
$262.38 |
$271.95 |
$282.00 |
| 1/22-12/22 |
2022 |
Regional |
Colusa |
CA Health & Wellness |
Adult Expansion |
$330.90 |
$342.53 |
$354.72 |
| 1/22-12/22 |
2022 |
Regional |
Colusa |
CA Health & Wellness |
SPD |
$929.39 |
$959.34 |
$990.60 |
| 1/22-12/22 |
2022 |
Regional |
Colusa |
CA Health & Wellness |
SPD Dual |
$212.13 |
$219.76 |
$227.78 |
| 1/22-12/22 |
2022 |
Regional |
Colusa |
CA Health & Wellness |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Colusa |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,369.74 |
$2,448.75 |
$2,530.90 |
| 1/22-12/22 |
2022 |
Regional |
Colusa |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,697.35 |
$1,753.93 |
$1,812.77 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
CA Health & Wellness |
Child |
$68.17 |
$71.63 |
$75.30 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
CA Health & Wellness |
Adult |
$262.38 |
$271.95 |
$282.00 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
CA Health & Wellness |
Adult Expansion |
$330.90 |
$342.53 |
$354.72 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
CA Health & Wellness |
SPD |
$929.39 |
$959.34 |
$990.60 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
CA Health & Wellness |
SPD Dual |
$212.13 |
$219.76 |
$227.78 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
CA Health & Wellness |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,369.74 |
$2,448.75 |
$2,530.90 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,697.35 |
$1,753.93 |
$1,812.77 |
| 1/22-12/22 |
2022 |
Regional |
Glenn |
CA Health & Wellness |
Child |
$68.17 |
$71.63 |
$75.30 |
| 1/22-12/22 |
2022 |
Regional |
Glenn |
CA Health & Wellness |
Adult |
$262.38 |
$271.95 |
$282.00 |
| 1/22-12/22 |
2022 |
Regional |
Glenn |
CA Health & Wellness |
Adult Expansion |
$330.90 |
$342.53 |
$354.72 |
| 1/22-12/22 |
2022 |
Regional |
Glenn |
CA Health & Wellness |
SPD |
$929.39 |
$959.34 |
$990.60 |
| 1/22-12/22 |
2022 |
Regional |
Glenn |
CA Health & Wellness |
SPD Dual |
$212.13 |
$219.76 |
$227.78 |
| 1/22-12/22 |
2022 |
Regional |
Glenn |
CA Health & Wellness |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Glenn |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,369.74 |
$2,448.75 |
$2,530.90 |
| 1/22-12/22 |
2022 |
Regional |
Glenn |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,697.35 |
$1,753.93 |
$1,812.77 |
| 1/22-12/22 |
2022 |
Regional |
Inyo |
CA Health & Wellness |
Child |
$68.17 |
$71.63 |
$75.30 |
| 1/22-12/22 |
2022 |
Regional |
Inyo |
CA Health & Wellness |
Adult |
$262.38 |
$271.95 |
$282.00 |
| 1/22-12/22 |
2022 |
Regional |
Inyo |
CA Health & Wellness |
Adult Expansion |
$330.90 |
$342.53 |
$354.72 |
| 1/22-12/22 |
2022 |
Regional |
Inyo |
CA Health & Wellness |
SPD |
$929.39 |
$959.34 |
$990.60 |
| 1/22-12/22 |
2022 |
Regional |
Inyo |
CA Health & Wellness |
SPD Dual |
$212.13 |
$219.76 |
$227.78 |
| 1/22-12/22 |
2022 |
Regional |
Inyo |
CA Health & Wellness |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Inyo |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,369.74 |
$2,448.75 |
$2,530.90 |
| 1/22-12/22 |
2022 |
Regional |
Inyo |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,697.35 |
$1,753.93 |
$1,812.77 |
| 1/22-12/22 |
2022 |
Regional |
Mariposa |
CA Health & Wellness |
Child |
$68.17 |
$71.63 |
$75.30 |
| 1/22-12/22 |
2022 |
Regional |
Mariposa |
CA Health & Wellness |
Adult |
$262.38 |
$271.95 |
$282.00 |
| 1/22-12/22 |
2022 |
Regional |
Mariposa |
CA Health & Wellness |
Adult Expansion |
$330.90 |
$342.53 |
$354.72 |
| 1/22-12/22 |
2022 |
Regional |
Mariposa |
CA Health & Wellness |
SPD |
$929.39 |
$959.34 |
$990.60 |
| 1/22-12/22 |
2022 |
Regional |
Mariposa |
CA Health & Wellness |
SPD Dual |
$212.13 |
$219.76 |
$227.78 |
| 1/22-12/22 |
2022 |
Regional |
Mariposa |
CA Health & Wellness |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Mariposa |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,369.74 |
$2,448.75 |
$2,530.90 |
| 1/22-12/22 |
2022 |
Regional |
Mariposa |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,697.35 |
$1,753.93 |
$1,812.77 |
| 1/22-12/22 |
2022 |
Regional |
Mono |
CA Health & Wellness |
Child |
$68.17 |
$71.63 |
$75.30 |
| 1/22-12/22 |
2022 |
Regional |
Mono |
CA Health & Wellness |
Adult |
$262.38 |
$271.95 |
$282.00 |
| 1/22-12/22 |
2022 |
Regional |
Mono |
CA Health & Wellness |
Adult Expansion |
$330.90 |
$342.53 |
$354.72 |
| 1/22-12/22 |
2022 |
Regional |
Mono |
CA Health & Wellness |
SPD |
$929.39 |
$959.34 |
$990.60 |
| 1/22-12/22 |
2022 |
Regional |
Mono |
CA Health & Wellness |
SPD Dual |
$212.13 |
$219.76 |
$227.78 |
| 1/22-12/22 |
2022 |
Regional |
Mono |
CA Health & Wellness |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Mono |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,369.74 |
$2,448.75 |
$2,530.90 |
| 1/22-12/22 |
2022 |
Regional |
Mono |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,697.35 |
$1,753.93 |
$1,812.77 |
| 1/22-12/22 |
2022 |
Regional |
Nevada |
CA Health & Wellness |
Child |
$68.17 |
$71.63 |
$75.30 |
| 1/22-12/22 |
2022 |
Regional |
Nevada |
CA Health & Wellness |
Adult |
$262.38 |
$271.95 |
$282.00 |
| 1/22-12/22 |
2022 |
Regional |
Nevada |
CA Health & Wellness |
Adult Expansion |
$330.90 |
$342.53 |
$354.72 |
| 1/22-12/22 |
2022 |
Regional |
Nevada |
CA Health & Wellness |
SPD |
$929.39 |
$959.34 |
$990.60 |
| 1/22-12/22 |
2022 |
Regional |
Nevada |
CA Health & Wellness |
SPD Dual |
$212.13 |
$219.76 |
$227.78 |
| 1/22-12/22 |
2022 |
Regional |
Nevada |
CA Health & Wellness |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Nevada |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,369.74 |
$2,448.75 |
$2,530.90 |
| 1/22-12/22 |
2022 |
Regional |
Nevada |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,697.35 |
$1,753.93 |
$1,812.77 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
CA Health & Wellness |
Child |
$68.17 |
$71.63 |
$75.30 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
CA Health & Wellness |
Adult |
$262.38 |
$271.95 |
$282.00 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
CA Health & Wellness |
Adult Expansion |
$330.90 |
$342.53 |
$354.72 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
CA Health & Wellness |
SPD |
$929.39 |
$959.34 |
$990.60 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
CA Health & Wellness |
SPD Dual |
$212.13 |
$219.76 |
$227.78 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
CA Health & Wellness |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,369.74 |
$2,448.75 |
$2,530.90 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,697.35 |
$1,753.93 |
$1,812.77 |
| 1/22-12/22 |
2022 |
Regional |
Plumas |
CA Health & Wellness |
Child |
$68.17 |
$71.63 |
$75.30 |
| 1/22-12/22 |
2022 |
Regional |
Plumas |
CA Health & Wellness |
Adult |
$262.38 |
$271.95 |
$282.00 |
| 1/22-12/22 |
2022 |
Regional |
Plumas |
CA Health & Wellness |
Adult Expansion |
$330.90 |
$342.53 |
$354.72 |
| 1/22-12/22 |
2022 |
Regional |
Plumas |
CA Health & Wellness |
SPD |
$929.39 |
$959.34 |
$990.60 |
| 1/22-12/22 |
2022 |
Regional |
Plumas |
CA Health & Wellness |
SPD Dual |
$212.13 |
$219.76 |
$227.78 |
| 1/22-12/22 |
2022 |
Regional |
Plumas |
CA Health & Wellness |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Plumas |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,369.74 |
$2,448.75 |
$2,530.90 |
| 1/22-12/22 |
2022 |
Regional |
Plumas |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,697.35 |
$1,753.93 |
$1,812.77 |
| 1/22-12/22 |
2022 |
Regional |
Sierra |
CA Health & Wellness |
Child |
$68.17 |
$71.63 |
$75.30 |
| 1/22-12/22 |
2022 |
Regional |
Sierra |
CA Health & Wellness |
Adult |
$262.38 |
$271.95 |
$282.00 |
| 1/22-12/22 |
2022 |
Regional |
Sierra |
CA Health & Wellness |
Adult Expansion |
$330.90 |
$342.53 |
$354.72 |
| 1/22-12/22 |
2022 |
Regional |
Sierra |
CA Health & Wellness |
SPD |
$929.39 |
$959.34 |
$990.60 |
| 1/22-12/22 |
2022 |
Regional |
Sierra |
CA Health & Wellness |
SPD Dual |
$212.13 |
$219.76 |
$227.78 |
| 1/22-12/22 |
2022 |
Regional |
Sierra |
CA Health & Wellness |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Sierra |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,369.74 |
$2,448.75 |
$2,530.90 |
| 1/22-12/22 |
2022 |
Regional |
Sierra |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,697.35 |
$1,753.93 |
$1,812.77 |
| 1/22-12/22 |
2022 |
Regional |
Sutter |
CA Health & Wellness |
Child |
$68.17 |
$71.63 |
$75.30 |
| 1/22-12/22 |
2022 |
Regional |
Sutter |
CA Health & Wellness |
Adult |
$262.38 |
$271.95 |
$282.00 |
| 1/22-12/22 |
2022 |
Regional |
Sutter |
CA Health & Wellness |
Adult Expansion |
$330.90 |
$342.53 |
$354.72 |
| 1/22-12/22 |
2022 |
Regional |
Sutter |
CA Health & Wellness |
SPD |
$929.39 |
$959.34 |
$990.60 |
| 1/22-12/22 |
2022 |
Regional |
Sutter |
CA Health & Wellness |
SPD Dual |
$212.13 |
$219.76 |
$227.78 |
| 1/22-12/22 |
2022 |
Regional |
Sutter |
CA Health & Wellness |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Sutter |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,369.74 |
$2,448.75 |
$2,530.90 |
| 1/22-12/22 |
2022 |
Regional |
Sutter |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,697.35 |
$1,753.93 |
$1,812.77 |
| 1/22-12/22 |
2022 |
Regional |
Tehama |
CA Health & Wellness |
Child |
$68.17 |
$71.63 |
$75.30 |
| 1/22-12/22 |
2022 |
Regional |
Tehama |
CA Health & Wellness |
Adult |
$262.38 |
$271.95 |
$282.00 |
| 1/22-12/22 |
2022 |
Regional |
Tehama |
CA Health & Wellness |
Adult Expansion |
$330.90 |
$342.53 |
$354.72 |
| 1/22-12/22 |
2022 |
Regional |
Tehama |
CA Health & Wellness |
SPD |
$929.39 |
$959.34 |
$990.60 |
| 1/22-12/22 |
2022 |
Regional |
Tehama |
CA Health & Wellness |
SPD Dual |
$212.13 |
$219.76 |
$227.78 |
| 1/22-12/22 |
2022 |
Regional |
Tehama |
CA Health & Wellness |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Tehama |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,369.74 |
$2,448.75 |
$2,530.90 |
| 1/22-12/22 |
2022 |
Regional |
Tehama |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,697.35 |
$1,753.93 |
$1,812.77 |
| 1/22-12/22 |
2022 |
Regional |
Tuolumne |
CA Health & Wellness |
Child |
$68.17 |
$71.63 |
$75.30 |
| 1/22-12/22 |
2022 |
Regional |
Tuolumne |
CA Health & Wellness |
Adult |
$262.38 |
$271.95 |
$282.00 |
| 1/22-12/22 |
2022 |
Regional |
Tuolumne |
CA Health & Wellness |
Adult Expansion |
$330.90 |
$342.53 |
$354.72 |
| 1/22-12/22 |
2022 |
Regional |
Tuolumne |
CA Health & Wellness |
SPD |
$929.39 |
$959.34 |
$990.60 |
| 1/22-12/22 |
2022 |
Regional |
Tuolumne |
CA Health & Wellness |
SPD Dual |
$212.13 |
$219.76 |
$227.78 |
| 1/22-12/22 |
2022 |
Regional |
Tuolumne |
CA Health & Wellness |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Tuolumne |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,369.74 |
$2,448.75 |
$2,530.90 |
| 1/22-12/22 |
2022 |
Regional |
Tuolumne |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,697.35 |
$1,753.93 |
$1,812.77 |
| 1/22-12/22 |
2022 |
Regional |
Yuba |
CA Health & Wellness |
Child |
$68.17 |
$71.63 |
$75.30 |
| 1/22-12/22 |
2022 |
Regional |
Yuba |
CA Health & Wellness |
Adult |
$262.38 |
$271.95 |
$282.00 |
| 1/22-12/22 |
2022 |
Regional |
Yuba |
CA Health & Wellness |
Adult Expansion |
$330.90 |
$342.53 |
$354.72 |
| 1/22-12/22 |
2022 |
Regional |
Yuba |
CA Health & Wellness |
SPD |
$929.39 |
$959.34 |
$990.60 |
| 1/22-12/22 |
2022 |
Regional |
Yuba |
CA Health & Wellness |
SPD Dual |
$212.13 |
$219.76 |
$227.78 |
| 1/22-12/22 |
2022 |
Regional |
Yuba |
CA Health & Wellness |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Yuba |
CA Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,369.74 |
$2,448.75 |
$2,530.90 |
| 1/22-12/22 |
2022 |
Regional |
Yuba |
CA Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,697.35 |
$1,753.93 |
$1,812.77 |
| 1/22-12/22 |
2022 |
Regional |
Alpine |
Anthem Blue Cross |
Child |
$63.50 |
$66.72 |
$70.14 |
| 1/22-12/22 |
2022 |
Regional |
Alpine |
Anthem Blue Cross |
Adult |
$225.44 |
$233.64 |
$242.25 |
| 1/22-12/22 |
2022 |
Regional |
Alpine |
Anthem Blue Cross |
Adult Expansion |
$279.41 |
$289.21 |
$299.49 |
| 1/22-12/22 |
2022 |
Regional |
Alpine |
Anthem Blue Cross |
SPD |
$758.36 |
$782.77 |
$808.26 |
| 1/22-12/22 |
2022 |
Regional |
Alpine |
Anthem Blue Cross |
SPD Dual |
$174.45 |
$180.67 |
$187.20 |
| 1/22-12/22 |
2022 |
Regional |
Alpine |
Anthem Blue Cross |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Alpine |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$3,665.62 |
$3,787.83 |
$3,914.90 |
| 1/22-12/22 |
2022 |
Regional |
Alpine |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$2,349.28 |
$2,427.60 |
$2,509.04 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
Anthem Blue Cross |
Child |
$63.50 |
$66.72 |
$70.14 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
Anthem Blue Cross |
Adult |
$225.44 |
$233.64 |
$242.25 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
Anthem Blue Cross |
Adult Expansion |
$279.41 |
$289.21 |
$299.49 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
Anthem Blue Cross |
SPD |
$758.36 |
$782.77 |
$808.26 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
Anthem Blue Cross |
SPD Dual |
$174.45 |
$180.67 |
$187.20 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
Anthem Blue Cross |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$3,665.62 |
$3,787.83 |
$3,914.90 |
| 1/22-12/22 |
2022 |
Regional |
Amador |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$2,349.28 |
$2,427.60 |
$2,509.04 |
| 1/22-12/22 |
2022 |
Regional |
Butte |
Anthem Blue Cross |
Child |
$63.50 |
$66.72 |
$70.14 |
| 1/22-12/22 |
2022 |
Regional |
Butte |
Anthem Blue Cross |
Adult |
$225.44 |
$233.64 |
$242.25 |
| 1/22-12/22 |
2022 |
Regional |
Butte |
Anthem Blue Cross |
Adult Expansion |
$279.41 |
$289.21 |
$299.49 |
| 1/22-12/22 |
2022 |
Regional |
Butte |
Anthem Blue Cross |
SPD |
$758.36 |
$782.77 |
$808.26 |
| 1/22-12/22 |
2022 |
Regional |
Butte |
Anthem Blue Cross |
SPD Dual |
$174.45 |
$180.67 |
$187.20 |
| 1/22-12/22 |
2022 |
Regional |
Butte |
Anthem Blue Cross |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Butte |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$3,665.62 |
$3,787.83 |
$3,914.90 |
| 1/22-12/22 |
2022 |
Regional |
Butte |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$2,349.28 |
$2,427.60 |
$2,509.04 |
| 1/22-12/22 |
2022 |
Regional |
Calaveras |
Anthem Blue Cross |
Child |
$63.50 |
$66.72 |
$70.14 |
| 1/22-12/22 |
2022 |
Regional |
Calaveras |
Anthem Blue Cross |
Adult |
$225.44 |
$233.64 |
$242.25 |
| 1/22-12/22 |
2022 |
Regional |
Calaveras |
Anthem Blue Cross |
Adult Expansion |
$279.41 |
$289.21 |
$299.49 |
| 1/22-12/22 |
2022 |
Regional |
Calaveras |
Anthem Blue Cross |
SPD |
$758.36 |
$782.77 |
$808.26 |
| 1/22-12/22 |
2022 |
Regional |
Calaveras |
Anthem Blue Cross |
SPD Dual |
$174.45 |
$180.67 |
$187.20 |
| 1/22-12/22 |
2022 |
Regional |
Calaveras |
Anthem Blue Cross |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Calaveras |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$3,665.62 |
$3,787.83 |
$3,914.90 |
| 1/22-12/22 |
2022 |
Regional |
Calaveras |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$2,349.28 |
$2,427.60 |
$2,509.04 |
| 1/22-12/22 |
2022 |
Regional |
Colusa |
Anthem Blue Cross |
Child |
$63.50 |
$66.72 |
$70.14 |
| 1/22-12/22 |
2022 |
Regional |
Colusa |
Anthem Blue Cross |
Adult |
$225.44 |
$233.64 |
$242.25 |
| 1/22-12/22 |
2022 |
Regional |
Colusa |
Anthem Blue Cross |
Adult Expansion |
$279.41 |
$289.21 |
$299.49 |
| 1/22-12/22 |
2022 |
Regional |
Colusa |
Anthem Blue Cross |
SPD |
$758.36 |
$782.77 |
$808.26 |
| 1/22-12/22 |
2022 |
Regional |
Colusa |
Anthem Blue Cross |
SPD Dual |
$174.45 |
$180.67 |
$187.20 |
| 1/22-12/22 |
2022 |
Regional |
Colusa |
Anthem Blue Cross |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Colusa |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$3,665.62 |
$3,787.83 |
$3,914.90 |
| 1/22-12/22 |
2022 |
Regional |
Colusa |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$2,349.28 |
$2,427.60 |
$2,509.04 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
Anthem Blue Cross |
Child |
$63.50 |
$66.72 |
$70.14 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
Anthem Blue Cross |
Adult |
$225.44 |
$233.64 |
$242.25 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
Anthem Blue Cross |
Adult Expansion |
$279.41 |
$289.21 |
$299.49 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
Anthem Blue Cross |
SPD |
$758.36 |
$782.77 |
$808.26 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
Anthem Blue Cross |
SPD Dual |
$174.45 |
$180.67 |
$187.20 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
Anthem Blue Cross |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$3,665.62 |
$3,787.83 |
$3,914.90 |
| 1/22-12/22 |
2022 |
Regional |
El Dorado |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$2,349.28 |
$2,427.60 |
$2,509.04 |
| 1/22-12/22 |
2022 |
Regional |
Glenn |
Anthem Blue Cross |
Child |
$63.50 |
$66.72 |
$70.14 |
| 1/22-12/22 |
2022 |
Regional |
Glenn |
Anthem Blue Cross |
Adult |
$225.44 |
$233.64 |
$242.25 |
| 1/22-12/22 |
2022 |
Regional |
Glenn |
Anthem Blue Cross |
Adult Expansion |
$279.41 |
$289.21 |
$299.49 |
| 1/22-12/22 |
2022 |
Regional |
Glenn |
Anthem Blue Cross |
SPD |
$758.36 |
$782.77 |
$808.26 |
| 1/22-12/22 |
2022 |
Regional |
Glenn |
Anthem Blue Cross |
SPD Dual |
$174.45 |
$180.67 |
$187.20 |
| 1/22-12/22 |
2022 |
Regional |
Glenn |
Anthem Blue Cross |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Glenn |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$3,665.62 |
$3,787.83 |
$3,914.90 |
| 1/22-12/22 |
2022 |
Regional |
Glenn |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$2,349.28 |
$2,427.60 |
$2,509.04 |
| 1/22-12/22 |
2022 |
Regional |
Inyo |
Anthem Blue Cross |
Child |
$63.50 |
$66.72 |
$70.14 |
| 1/22-12/22 |
2022 |
Regional |
Inyo |
Anthem Blue Cross |
Adult |
$225.44 |
$233.64 |
$242.25 |
| 1/22-12/22 |
2022 |
Regional |
Inyo |
Anthem Blue Cross |
Adult Expansion |
$279.41 |
$289.21 |
$299.49 |
| 1/22-12/22 |
2022 |
Regional |
Inyo |
Anthem Blue Cross |
SPD |
$758.36 |
$782.77 |
$808.26 |
| 1/22-12/22 |
2022 |
Regional |
Inyo |
Anthem Blue Cross |
SPD Dual |
$174.45 |
$180.67 |
$187.20 |
| 1/22-12/22 |
2022 |
Regional |
Inyo |
Anthem Blue Cross |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Inyo |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$3,665.62 |
$3,787.83 |
$3,914.90 |
| 1/22-12/22 |
2022 |
Regional |
Inyo |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$2,349.28 |
$2,427.60 |
$2,509.04 |
| 1/22-12/22 |
2022 |
Regional |
Mariposa |
Anthem Blue Cross |
Child |
$63.50 |
$66.72 |
$70.14 |
| 1/22-12/22 |
2022 |
Regional |
Mariposa |
Anthem Blue Cross |
Adult |
$225.44 |
$233.64 |
$242.25 |
| 1/22-12/22 |
2022 |
Regional |
Mariposa |
Anthem Blue Cross |
Adult Expansion |
$279.41 |
$289.21 |
$299.49 |
| 1/22-12/22 |
2022 |
Regional |
Mariposa |
Anthem Blue Cross |
SPD |
$758.36 |
$782.77 |
$808.26 |
| 1/22-12/22 |
2022 |
Regional |
Mariposa |
Anthem Blue Cross |
SPD Dual |
$174.45 |
$180.67 |
$187.20 |
| 1/22-12/22 |
2022 |
Regional |
Mariposa |
Anthem Blue Cross |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Mariposa |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$3,665.62 |
$3,787.83 |
$3,914.90 |
| 1/22-12/22 |
2022 |
Regional |
Mariposa |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$2,349.28 |
$2,427.60 |
$2,509.04 |
| 1/22-12/22 |
2022 |
Regional |
Mono |
Anthem Blue Cross |
Child |
$63.50 |
$66.72 |
$70.14 |
| 1/22-12/22 |
2022 |
Regional |
Mono |
Anthem Blue Cross |
Adult |
$225.44 |
$233.64 |
$242.25 |
| 1/22-12/22 |
2022 |
Regional |
Mono |
Anthem Blue Cross |
Adult Expansion |
$279.41 |
$289.21 |
$299.49 |
| 1/22-12/22 |
2022 |
Regional |
Mono |
Anthem Blue Cross |
SPD |
$758.36 |
$782.77 |
$808.26 |
| 1/22-12/22 |
2022 |
Regional |
Mono |
Anthem Blue Cross |
SPD Dual |
$174.45 |
$180.67 |
$187.20 |
| 1/22-12/22 |
2022 |
Regional |
Mono |
Anthem Blue Cross |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Mono |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$3,665.62 |
$3,787.83 |
$3,914.90 |
| 1/22-12/22 |
2022 |
Regional |
Mono |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$2,349.28 |
$2,427.60 |
$2,509.04 |
| 1/22-12/22 |
2022 |
Regional |
Nevada |
Anthem Blue Cross |
Child |
$63.50 |
$66.72 |
$70.14 |
| 1/22-12/22 |
2022 |
Regional |
Nevada |
Anthem Blue Cross |
Adult |
$225.44 |
$233.64 |
$242.25 |
| 1/22-12/22 |
2022 |
Regional |
Nevada |
Anthem Blue Cross |
Adult Expansion |
$279.41 |
$289.21 |
$299.49 |
| 1/22-12/22 |
2022 |
Regional |
Nevada |
Anthem Blue Cross |
SPD |
$758.36 |
$782.77 |
$808.26 |
| 1/22-12/22 |
2022 |
Regional |
Nevada |
Anthem Blue Cross |
SPD Dual |
$174.45 |
$180.67 |
$187.20 |
| 1/22-12/22 |
2022 |
Regional |
Nevada |
Anthem Blue Cross |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Nevada |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$3,665.62 |
$3,787.83 |
$3,914.90 |
| 1/22-12/22 |
2022 |
Regional |
Nevada |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$2,349.28 |
$2,427.60 |
$2,509.04 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
Anthem Blue Cross |
Child |
$63.50 |
$66.72 |
$70.14 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
Anthem Blue Cross |
Adult |
$225.44 |
$233.64 |
$242.25 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
Anthem Blue Cross |
Adult Expansion |
$279.41 |
$289.21 |
$299.49 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
Anthem Blue Cross |
SPD |
$758.36 |
$782.77 |
$808.26 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
Anthem Blue Cross |
SPD Dual |
$174.45 |
$180.67 |
$187.20 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
Anthem Blue Cross |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$3,665.62 |
$3,787.83 |
$3,914.90 |
| 1/22-12/22 |
2022 |
Regional |
Placer |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$2,349.28 |
$2,427.60 |
$2,509.04 |
| 1/22-12/22 |
2022 |
Regional |
Plumas |
Anthem Blue Cross |
Child |
$63.50 |
$66.72 |
$70.14 |
| 1/22-12/22 |
2022 |
Regional |
Plumas |
Anthem Blue Cross |
Adult |
$225.44 |
$233.64 |
$242.25 |
| 1/22-12/22 |
2022 |
Regional |
Plumas |
Anthem Blue Cross |
Adult Expansion |
$279.41 |
$289.21 |
$299.49 |
| 1/22-12/22 |
2022 |
Regional |
Plumas |
Anthem Blue Cross |
SPD |
$758.36 |
$782.77 |
$808.26 |
| 1/22-12/22 |
2022 |
Regional |
Plumas |
Anthem Blue Cross |
SPD Dual |
$174.45 |
$180.67 |
$187.20 |
| 1/22-12/22 |
2022 |
Regional |
Plumas |
Anthem Blue Cross |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Plumas |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$3,665.62 |
$3,787.83 |
$3,914.90 |
| 1/22-12/22 |
2022 |
Regional |
Plumas |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$2,349.28 |
$2,427.60 |
$2,509.04 |
| 1/22-12/22 |
2022 |
Regional |
Sierra |
Anthem Blue Cross |
Child |
$63.50 |
$66.72 |
$70.14 |
| 1/22-12/22 |
2022 |
Regional |
Sierra |
Anthem Blue Cross |
Adult |
$225.44 |
$233.64 |
$242.25 |
| 1/22-12/22 |
2022 |
Regional |
Sierra |
Anthem Blue Cross |
Adult Expansion |
$279.41 |
$289.21 |
$299.49 |
| 1/22-12/22 |
2022 |
Regional |
Sierra |
Anthem Blue Cross |
SPD |
$758.36 |
$782.77 |
$808.26 |
| 1/22-12/22 |
2022 |
Regional |
Sierra |
Anthem Blue Cross |
SPD Dual |
$174.45 |
$180.67 |
$187.20 |
| 1/22-12/22 |
2022 |
Regional |
Sierra |
Anthem Blue Cross |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Sierra |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$3,665.62 |
$3,787.83 |
$3,914.90 |
| 1/22-12/22 |
2022 |
Regional |
Sierra |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$2,349.28 |
$2,427.60 |
$2,509.04 |
| 1/22-12/22 |
2022 |
Regional |
Sutter |
Anthem Blue Cross |
Child |
$63.50 |
$66.72 |
$70.14 |
| 1/22-12/22 |
2022 |
Regional |
Sutter |
Anthem Blue Cross |
Adult |
$225.44 |
$233.64 |
$242.25 |
| 1/22-12/22 |
2022 |
Regional |
Sutter |
Anthem Blue Cross |
Adult Expansion |
$279.41 |
$289.21 |
$299.49 |
| 1/22-12/22 |
2022 |
Regional |
Sutter |
Anthem Blue Cross |
SPD |
$758.36 |
$782.77 |
$808.26 |
| 1/22-12/22 |
2022 |
Regional |
Sutter |
Anthem Blue Cross |
SPD Dual |
$174.45 |
$180.67 |
$187.20 |
| 1/22-12/22 |
2022 |
Regional |
Sutter |
Anthem Blue Cross |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Sutter |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$3,665.62 |
$3,787.83 |
$3,914.90 |
| 1/22-12/22 |
2022 |
Regional |
Sutter |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$2,349.28 |
$2,427.60 |
$2,509.04 |
| 1/22-12/22 |
2022 |
Regional |
Tehama |
Anthem Blue Cross |
Child |
$63.50 |
$66.72 |
$70.14 |
| 1/22-12/22 |
2022 |
Regional |
Tehama |
Anthem Blue Cross |
Adult |
$225.44 |
$233.64 |
$242.25 |
| 1/22-12/22 |
2022 |
Regional |
Tehama |
Anthem Blue Cross |
Adult Expansion |
$279.41 |
$289.21 |
$299.49 |
| 1/22-12/22 |
2022 |
Regional |
Tehama |
Anthem Blue Cross |
SPD |
$758.36 |
$782.77 |
$808.26 |
| 1/22-12/22 |
2022 |
Regional |
Tehama |
Anthem Blue Cross |
SPD Dual |
$174.45 |
$180.67 |
$187.20 |
| 1/22-12/22 |
2022 |
Regional |
Tehama |
Anthem Blue Cross |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Tehama |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$3,665.62 |
$3,787.83 |
$3,914.90 |
| 1/22-12/22 |
2022 |
Regional |
Tehama |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$2,349.28 |
$2,427.60 |
$2,509.04 |
| 1/22-12/22 |
2022 |
Regional |
Tuolumne |
Anthem Blue Cross |
Child |
$63.50 |
$66.72 |
$70.14 |
| 1/22-12/22 |
2022 |
Regional |
Tuolumne |
Anthem Blue Cross |
Adult |
$225.44 |
$233.64 |
$242.25 |
| 1/22-12/22 |
2022 |
Regional |
Tuolumne |
Anthem Blue Cross |
Adult Expansion |
$279.41 |
$289.21 |
$299.49 |
| 1/22-12/22 |
2022 |
Regional |
Tuolumne |
Anthem Blue Cross |
SPD |
$758.36 |
$782.77 |
$808.26 |
| 1/22-12/22 |
2022 |
Regional |
Tuolumne |
Anthem Blue Cross |
SPD Dual |
$174.45 |
$180.67 |
$187.20 |
| 1/22-12/22 |
2022 |
Regional |
Tuolumne |
Anthem Blue Cross |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Tuolumne |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$3,665.62 |
$3,787.83 |
$3,914.90 |
| 1/22-12/22 |
2022 |
Regional |
Tuolumne |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$2,349.28 |
$2,427.60 |
$2,509.04 |
| 1/22-12/22 |
2022 |
Regional |
Yuba |
Anthem Blue Cross |
Child |
$63.50 |
$66.72 |
$70.14 |
| 1/22-12/22 |
2022 |
Regional |
Yuba |
Anthem Blue Cross |
Adult |
$225.44 |
$233.64 |
$242.25 |
| 1/22-12/22 |
2022 |
Regional |
Yuba |
Anthem Blue Cross |
Adult Expansion |
$279.41 |
$289.21 |
$299.49 |
| 1/22-12/22 |
2022 |
Regional |
Yuba |
Anthem Blue Cross |
SPD |
$758.36 |
$782.77 |
$808.26 |
| 1/22-12/22 |
2022 |
Regional |
Yuba |
Anthem Blue Cross |
SPD Dual |
$174.45 |
$180.67 |
$187.20 |
| 1/22-12/22 |
2022 |
Regional |
Yuba |
Anthem Blue Cross |
Maternity |
$11,430.81 |
$11,782.07 |
$12,146.67 |
| 1/22-12/22 |
2022 |
Regional |
Yuba |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$3,665.62 |
$3,787.83 |
$3,914.90 |
| 1/22-12/22 |
2022 |
Regional |
Yuba |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$2,349.28 |
$2,427.60 |
$2,509.04 |
| 1/22-12/22 |
2022 |
Regional |
San Benito |
Anthem Blue Cross |
Child |
$54.82 |
$57.46 |
$60.26 |
| 1/22-12/22 |
2022 |
Regional |
San Benito |
Anthem Blue Cross |
Adult |
$198.05 |
$205.19 |
$212.69 |
| 1/22-12/22 |
2022 |
Regional |
San Benito |
Anthem Blue Cross |
Adult Expansion |
$269.46 |
$278.75 |
$288.47 |
| 1/22-12/22 |
2022 |
Regional |
San Benito |
Anthem Blue Cross |
SPD |
$536.65 |
$553.80 |
$571.70 |
| 1/22-12/22 |
2022 |
Regional |
San Benito |
Anthem Blue Cross |
SPD Dual |
$167.01 |
$172.78 |
$178.83 |
| 1/22-12/22 |
2022 |
Regional |
San Benito |
Anthem Blue Cross |
Maternity |
$11,493.51 |
$11,846.69 |
$12,213.29 |
| 1/22-12/22 |
2022 |
Regional |
San Benito |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$3,094.78 |
$3,197.95 |
$3,305.24 |
| 1/22-12/22 |
2022 |
Regional |
San Benito |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$2,051.60 |
$2,119.99 |
$2,191.11 |
| None |
None |
None |
None |
None |
None |
None |
None |
None |
| None |
None |
None |
None |
None |
None |
None |
None |
None |
| None |
None |
None |
None |
None |
None |
None |
None |
None |
| None |
None |
None |
None |
None |
None |
None |
None |
None |
| None |
None |
None |
None |
None |
None |
None |
None |
None |