| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
Aetna Better Health |
Adult |
$237.55 |
$245.76 |
$254.35 |
| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
Aetna Better Health |
BCCTP |
$1,123.74 |
$1,158.42 |
$1,194.57 |
| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
Aetna Better Health |
Child |
$70.17 |
$73.34 |
$76.70 |
| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
Aetna Better Health |
Maternity |
$8,568.59 |
$8,820.66 |
$9,082.04 |
| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
Aetna Better Health |
Optional Expansion |
$329.67 |
$341.03 |
$352.93 |
| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
Aetna Better Health |
Optional Expansion - Maternity |
$8,568.59 |
$8,820.66 |
$9,082.04 |
| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
Aetna Better Health |
SPD |
$739.21 |
$761.63 |
$784.98 |
| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
Aetna Better Health |
SPD/Full-Dual |
$142.52 |
$147.70 |
$153.14 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Aetna Better Health |
Adult |
$254.55 |
$263.23 |
$272.32 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Aetna Better Health |
BCCTP |
$1,200.51 |
$1,237.32 |
$1,275.69 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Aetna Better Health |
Child |
$85.50 |
$89.17 |
$93.05 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Aetna Better Health |
Maternity |
$6,369.24 |
$6,556.61 |
$6,750.90 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Aetna Better Health |
Optional Expansion |
$374.42 |
$387.28 |
$400.75 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Aetna Better Health |
Optional Expansion - Maternity |
$6,369.24 |
$6,556.61 |
$6,750.90 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Aetna Better Health |
SPD |
$829.11 |
$853.80 |
$879.52 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Aetna Better Health |
SPD/Full-Dual |
$112.67 |
$117.00 |
$121.56 |
| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
Aetna Better Health |
Hepatitis C Non-340B |
$3,036.66 |
$3,036.66 |
$3,241.91 |
| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
Aetna Better Health |
Hepatitis C 340B |
$3,938.43 |
$3,938.43 |
$4,222.96 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Aetna Better Health |
Hepatitis C Non-340B |
$3,036.66 |
$3,036.66 |
$3,241.91 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Aetna Better Health |
Hepatitis C 340B |
$3,938.43 |
$3,938.43 |
$4,222.96 |
| 07/17-12/17 |
2017-18 |
GMC |
Sacramento |
Aetna Better Health |
Hepatitis C Non-340B |
$4,406.73 |
$4,406.73 |
$4,561.08 |
| 07/17-12/17 |
2017-18 |
GMC |
Sacramento |
Aetna Better Health |
Hepatitis C 340B |
$5,615.24 |
$5,615.24 |
$6,010.88 |
| 07/17-12/17 |
2017-18 |
GMC |
San Diego |
Aetna Better Health |
Hepatitis C Non-340B |
$4,406.73 |
$4,406.73 |
$4,561.08 |
| 07/17-12/17 |
2017-18 |
GMC |
San Diego |
Aetna Better Health |
Hepatitis C 340B |
$5,615.24 |
$5,615.24 |
$6,010.88 |
| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
Aetna Better Health |
Behavioral Health Treatment 0-6 |
$3,324.93 |
$3,407.47 |
$3,492.83 |
| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
Aetna Better Health |
Behavioral Health Treatment 7-20 |
$2,100.69 |
$2,152.85 |
$2,206.78 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Aetna Better Health |
Behavioral Health Treatment 0-6 |
$2,445.13 |
$2,505.84 |
$2,568.61 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Aetna Better Health |
Behavioral Health Treatment 7-20 |
$1,919.54 |
$1,967.20 |
$2,016.48 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Anthem Blue Cross |
Adult |
$230.89 |
$238.61 |
$246.70 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Anthem Blue Cross |
BCCTP |
$1,129.88 |
$1,163.33 |
$1,198.16 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Anthem Blue Cross |
Child |
$69.24 |
$72.31 |
$75.55 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Anthem Blue Cross |
Maternity |
$8,516.87 |
$8,756.62 |
$9,005.01 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Anthem Blue Cross |
Optional Expansion |
$323.22 |
$333.96 |
$345.20 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Anthem Blue Cross |
Optional Expansion - Maternity |
$8,516.87 |
$8,756.62 |
$9,005.01 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Anthem Blue Cross |
SPD |
$765.04 |
$787.32 |
$810.51 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Anthem Blue Cross |
SPD/Full-Dual |
$139.11 |
$144.14 |
$149.42 |
| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
Anthem Blue Cross |
Hepatitis C Non-340B |
$3,036.66 |
$3,036.66 |
$3,241.91 |
| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
Anthem Blue Cross |
Hepatitis C 340B |
$3,938.43 |
$3,938.43 |
$4,222.96 |
| 07/17-12/17 |
2017-18 |
GMC |
Sacramento |
Anthem Blue Cross |
Hepatitis C Non-340B |
$4,406.73 |
$4,406.73 |
$4,561.08 |
| 07/17-12/17 |
2017-18 |
GMC |
Sacramento |
Anthem Blue Cross |
Hepatitis C 340B |
$5,615.24 |
$5,615.24 |
$6,010.88 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$3,336.60 |
$3,415.19 |
$3,496.41 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$2,043.32 |
$2,091.46 |
$2,141.20 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Care 1st Health Plan |
Adult |
$225.73 |
$233.23 |
$241.08 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Care 1st Health Plan |
BCCTP |
$1,198.20 |
$1,233.89 |
$1,271.06 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Care 1st Health Plan |
Child |
$80.33 |
$83.75 |
$87.37 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Care 1st Health Plan |
Maternity |
$6,330.68 |
$6,508.88 |
$6,693.51 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Care 1st Health Plan |
Optional Expansion |
$359.23 |
$371.13 |
$383.59 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Care 1st Health Plan |
Optional Expansion - Maternity |
$6,330.68 |
$6,508.88 |
$6,693.51 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Care 1st Health Plan |
SPD |
$801.87 |
$824.96 |
$848.98 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Care 1st Health Plan |
SPD/Full-Dual |
$111.33 |
$115.77 |
$120.44 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Care 1st Health Plan |
Hepatitis C Non-340B |
$3,036.66 |
$3,036.66 |
$3,241.91 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Care 1st Health Plan |
Hepatitis C 340B |
$3,938.43 |
$3,938.43 |
$4,222.96 |
| 07/17-12/17 |
2017-18 |
GMC |
San Diego |
Care 1st Health Plan |
Hepatitis C Non-340B |
$4,406.73 |
$4,406.73 |
$4,561.08 |
| 07/17-12/17 |
2017-18 |
GMC |
San Diego |
Care 1st Health Plan |
Hepatitis C 340B |
$5,615.24 |
$5,615.24 |
$6,010.88 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Care 1st Health Plan |
Behavioral Health Treatment 0-6 |
$2,471.96 |
$2,530.18 |
$2,590.36 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Care 1st Health Plan |
Behavioral Health Treatment 7-20 |
$2,108.25 |
$2,157.91 |
$2,209.23 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Community Health Group |
Adult |
$264.83 |
$273.53 |
$282.63 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Community Health Group |
BCCTP |
$1,161.72 |
$1,196.15 |
$1,232.01 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Community Health Group |
Child |
$84.59 |
$88.13 |
$91.86 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Community Health Group |
Maternity |
$6,330.68 |
$6,508.88 |
$6,693.51 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Community Health Group |
Optional Expansion |
$386.02 |
$398.81 |
$412.20 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Community Health Group |
Optional Expansion - Maternity |
$6,330.68 |
$6,508.88 |
$6,693.51 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Community Health Group |
SPD |
$852.32 |
$876.67 |
$902.02 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Community Health Group |
SPD/Full-Dual |
$111.84 |
$116.11 |
$120.60 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Community Health Group |
Hepatitis C Non-340B |
$3,036.66 |
$3,036.66 |
$3,241.91 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Community Health Group |
Hepatitis C 340B |
$3,938.43 |
$3,938.43 |
$4,222.96 |
| 07/17-12/17 |
2017-18 |
GMC |
San Diego |
Community Health Group |
Hepatitis C Non-340B |
$4,406.73 |
$4,406.73 |
$4,561.08 |
| 07/17-12/17 |
2017-18 |
GMC |
San Diego |
Community Health Group |
Hepatitis C 340B |
$5,615.24 |
$5,615.24 |
$6,010.88 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Community Health Group |
Behavioral Health Treatment 0-6 |
$2,298.28 |
$2,352.42 |
$2,408.36 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Community Health Group |
Behavioral Health Treatment 7-20 |
$1,754.77 |
$1,796.11 |
$1,838.83 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Health Net of California |
Adult |
$220.42 |
$227.78 |
$235.48 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Health Net of California |
BCCTP |
$1,051.97 |
$1,083.32 |
$1,115.97 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Health Net of California |
Child |
$64.21 |
$67.08 |
$70.12 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Health Net of California |
Maternity |
$8,516.87 |
$8,756.62 |
$9,005.01 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Health Net of California |
Optional Expansion |
$298.23 |
$308.15 |
$318.53 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Health Net of California |
Optional Expansion - Maternity |
$8,516.87 |
$8,756.62 |
$9,005.01 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Health Net of California |
SPD |
$700.81 |
$721.19 |
$742.40 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Health Net of California |
SPD/Full-Dual |
$150.26 |
$155.35 |
$160.70 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Health Net of California |
Adult |
$199.10 |
$205.64 |
$212.49 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Health Net of California |
BCCTP |
$1,072.06 |
$1,103.76 |
$1,136.77 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Health Net of California |
Child |
$86.55 |
$90.09 |
$93.83 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Health Net of California |
Maternity |
$6,330.68 |
$6,508.88 |
$6,693.51 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Health Net of California |
Optional Expansion |
$287.71 |
$297.24 |
$307.22 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Health Net of California |
Optional Expansion - Maternity |
$6,330.68 |
$6,508.88 |
$6,693.51 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Health Net of California |
SPD |
$672.30 |
$691.63 |
$711.76 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Health Net of California |
SPD/Full-Dual |
$109.27 |
$113.25 |
$117.42 |
| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
Health Net of California |
Hepatitis C Non-340B |
$3,036.66 |
$3,036.66 |
$3,241.91 |
| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
Health Net of California |
Hepatitis C 340B |
$3,938.43 |
$3,938.43 |
$4,222.96 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Health Net of California |
Hepatitis C Non-340B |
$3,036.66 |
$3,036.66 |
$3,241.91 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Health Net of California |
Hepatitis C 340B |
$3,938.43 |
$3,938.43 |
$4,222.96 |
| 07/17-12/17 |
2017-18 |
GMC |
Sacramento |
Health Net of California |
Hepatitis C Non-340B |
$4,406.73 |
$4,406.73 |
$4,561.08 |
| 07/17-12/17 |
2017-18 |
GMC |
Sacramento |
Health Net of California |
Hepatitis C 340B |
$5,615.24 |
$5,615.24 |
$6,010.88 |
| 07/17-12/17 |
2017-18 |
GMC |
San Diego |
Health Net of California |
Hepatitis C Non-340B |
$4,406.73 |
$4,406.73 |
$4,561.08 |
| 07/17-12/17 |
2017-18 |
GMC |
San Diego |
Health Net of California |
Hepatitis C 340B |
$5,615.24 |
$5,615.24 |
$6,010.88 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Health Net of California |
Behavioral Health Treatment 0-6 |
$2,905.28 |
$2,973.71 |
$3,044.43 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Health Net of California |
Behavioral Health Treatment 7-20 |
$1,993.76 |
$2,040.72 |
$2,089.26 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Health Net of California |
Behavioral Health Treatment 0-6 |
$2,441.69 |
$2,499.20 |
$2,558.64 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Health Net of California |
Behavioral Health Treatment 7-20 |
$1,990.63 |
$2,037.52 |
$2,085.98 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Kaiser Foundation |
Adult |
$268.48 |
$277.30 |
$286.53 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Kaiser Foundation |
BCCTP |
$1,157.38 |
$1,191.61 |
$1,227.25 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Kaiser Foundation |
Child |
$78.07 |
$81.42 |
$84.97 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Kaiser Foundation |
Maternity |
$8,516.87 |
$8,756.62 |
$9,005.01 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Kaiser Foundation |
Optional Expansion |
$378.13 |
$390.71 |
$403.87 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Kaiser Foundation |
Optional Expansion - Maternity |
$8,516.87 |
$8,756.62 |
$9,005.01 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Kaiser Foundation |
SPD |
$686.10 |
$706.10 |
$726.93 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Kaiser Foundation |
SPD/Full-Dual |
$126.23 |
$130.73 |
$135.46 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Kaiser Foundation |
Adult |
$281.92 |
$291.08 |
$300.67 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Kaiser Foundation |
BCCTP |
$1,125.20 |
$1,158.90 |
$1,194.00 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Kaiser Foundation |
Child |
$93.36 |
$97.16 |
$101.17 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Kaiser Foundation |
Maternity |
$6,330.68 |
$6,508.88 |
$6,693.51 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Kaiser Foundation |
Optional Expansion |
$400.67 |
$413.95 |
$427.85 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Kaiser Foundation |
Optional Expansion - Maternity |
$6,330.68 |
$6,508.88 |
$6,693.51 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Kaiser Foundation |
SPD |
$654.75 |
$673.54 |
$693.10 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Kaiser Foundation |
SPD/Full-Dual |
$111.16 |
$115.19 |
$119.44 |
| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
Kaiser Foundation |
Hepatitis C Non-340B |
$3,036.66 |
$3,036.66 |
$3,241.91 |
| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
Kaiser Foundation |
Hepatitis C 340B |
$3,938.43 |
$3,938.43 |
$4,222.96 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Kaiser Foundation |
Hepatitis C Non-340B |
$3,036.66 |
$3,036.66 |
$3,241.91 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Kaiser Foundation |
Hepatitis C 340B |
$3,938.43 |
$3,938.43 |
$4,222.96 |
| 07/17-12/17 |
2017-18 |
GMC |
Sacramento |
Kaiser Foundation |
Hepatitis C Non-340B |
$4,406.73 |
$4,406.73 |
$4,561.08 |
| 07/17-12/17 |
2017-18 |
GMC |
Sacramento |
Kaiser Foundation |
Hepatitis C 340B |
$5,615.24 |
$5,615.24 |
$6,010.88 |
| 07/17-12/17 |
2017-18 |
GMC |
San Diego |
Kaiser Foundation |
Hepatitis C Non-340B |
$4,406.73 |
$4,406.73 |
$4,561.08 |
| 07/17-12/17 |
2017-18 |
GMC |
San Diego |
Kaiser Foundation |
Hepatitis C 340B |
$5,615.24 |
$5,615.24 |
$6,010.88 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Kaiser Foundation |
Behavioral Health Treatment 0-6 |
$3,457.79 |
$3,539.24 |
$3,623.41 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Kaiser Foundation |
Behavioral Health Treatment 7-20 |
$2,157.35 |
$2,208.17 |
$2,260.68 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Kaiser Foundation |
Behavioral Health Treatment 0-6 |
$3,139.80 |
$3,213.76 |
$3,290.19 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Kaiser Foundation |
Behavioral Health Treatment 7-20 |
$2,252.54 |
$2,305.60 |
$2,360.43 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Molina Healthcare |
Adult |
$242.15 |
$250.28 |
$258.79 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Molina Healthcare |
BCCTP |
$1,057.48 |
$1,088.71 |
$1,121.23 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Molina Healthcare |
Child |
$73.22 |
$76.42 |
$79.81 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Molina Healthcare |
Maternity |
$8,516.87 |
$8,756.62 |
$9,005.01 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Molina Healthcare |
Optional Expansion |
$357.80 |
$369.68 |
$382.13 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Molina Healthcare |
Optional Expansion - Maternity |
$8,516.87 |
$8,756.62 |
$9,005.01 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Molina Healthcare |
SPD |
$779.91 |
$802.68 |
$826.40 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Molina Healthcare |
SPD/Full-Dual |
$158.51 |
$164.06 |
$169.90 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Molina Healthcare |
Adult |
$249.76 |
$257.97 |
$266.57 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Molina Healthcare |
BCCTP |
$1,232.02 |
$1,267.91 |
$1,305.27 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Molina Healthcare |
Child |
$82.90 |
$86.36 |
$90.02 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Molina Healthcare |
Maternity |
$6,330.68 |
$6,508.88 |
$6,693.51 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Molina Healthcare |
Optional Expansion |
$370.20 |
$382.46 |
$395.30 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Molina Healthcare |
Optional Expansion - Maternity |
$6,330.68 |
$6,508.88 |
$6,693.51 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Molina Healthcare |
SPD |
$853.94 |
$878.34 |
$903.73 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Molina Healthcare |
SPD/Full-Dual |
$112.65 |
$116.87 |
$121.32 |
| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
Molina Healthcare |
Hepatitis C Non-340B |
$3,036.66 |
$3,036.66 |
$3,241.91 |
| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
Molina Healthcare |
Hepatitis C 340B |
$3,938.43 |
$3,938.43 |
$4,222.96 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Molina Healthcare |
Hepatitis C Non-340B |
$3,036.66 |
$3,036.66 |
$3,241.91 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
Molina Healthcare |
Hepatitis C 340B |
$3,938.43 |
$3,938.43 |
$4,222.96 |
| 07/17-12/17 |
2017-18 |
GMC |
Sacramento |
Molina Healthcare |
Hepatitis C Non-340B |
$4,406.73 |
$4,406.73 |
$4,561.08 |
| 07/17-12/17 |
2017-18 |
GMC |
Sacramento |
Molina Healthcare |
Hepatitis C 340B |
$5,615.24 |
$5,615.24 |
$6,010.88 |
| 07/17-12/17 |
2017-18 |
GMC |
San Diego |
Molina Healthcare |
Hepatitis C Non-340B |
$4,406.73 |
$4,406.73 |
$4,561.08 |
| 07/17-12/17 |
2017-18 |
GMC |
San Diego |
Molina Healthcare |
Hepatitis C 340B |
$5,615.24 |
$5,615.24 |
$6,010.88 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Molina Healthcare |
Behavioral Health Treatment 0-6 |
$2,969.37 |
$3,039.31 |
$3,111.60 |
| 07/17-06/18 |
2017-18 |
GMC |
Sacramento |
Molina Healthcare |
Behavioral Health Treatment 7-20 |
$2,034.01 |
$2,081.93 |
$2,131.45 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Molina Healthcare |
Behavioral Health Treatment 0-6 |
$2,283.67 |
$2,337.46 |
$2,393.06 |
| 07/17-06/18 |
2017-18 |
GMC |
San Diego |
Molina Healthcare |
Behavioral Health Treatment 7-20 |
$1,874.14 |
$1,918.29 |
$1,963.91 |
| 10/17-06/18 |
2017-18 |
GMC |
Sacramento |
United Healthcare |
Adult |
$236.40 |
$244.42 |
$252.82 |
| 10/17-06/18 |
2017-18 |
GMC |
Sacramento |
United Healthcare |
BCCTP |
$1,119.00 |
$1,152.85 |
$1,188.11 |
| 10/17-06/18 |
2017-18 |
GMC |
Sacramento |
United Healthcare |
Child |
$69.82 |
$72.93 |
$76.23 |
| 10/17-06/18 |
2017-18 |
GMC |
Sacramento |
United Healthcare |
Maternity |
$8,542.69 |
$8,788.58 |
$9,043.44 |
| 10/17-06/18 |
2017-18 |
GMC |
Sacramento |
United Healthcare |
Optional Expansion |
$328.12 |
$339.22 |
$350.85 |
| 10/17-06/18 |
2017-18 |
GMC |
Sacramento |
United Healthcare |
Optional Expansion - Maternity |
$8,542.69 |
$8,788.58 |
$9,043.44 |
| 10/17-06/18 |
2017-18 |
GMC |
Sacramento |
United Healthcare |
SPD |
$735.47 |
$757.34 |
$780.10 |
| 10/17-06/18 |
2017-18 |
GMC |
Sacramento |
United Healthcare |
SPD/Full-Dual |
$142.15 |
$147.23 |
$152.57 |
| 10/17-06/18 |
2017-18 |
GMC |
San Diego |
United Healthcare |
Adult |
$253.22 |
$261.70 |
$270.57 |
| 10/17-06/18 |
2017-18 |
GMC |
San Diego |
United Healthcare |
BCCTP |
$1,195.20 |
$1,231.12 |
$1,268.55 |
| 10/17-06/18 |
2017-18 |
GMC |
San Diego |
United Healthcare |
Child |
$85.10 |
$88.69 |
$92.49 |
| 10/17-06/18 |
2017-18 |
GMC |
San Diego |
United Healthcare |
Maternity |
$6,349.93 |
$6,532.70 |
$6,722.14 |
| 10/17-06/18 |
2017-18 |
GMC |
San Diego |
United Healthcare |
Optional Expansion |
$372.64 |
$385.22 |
$398.38 |
| 10/17-06/18 |
2017-18 |
GMC |
San Diego |
United Healthcare |
Optional Expansion - Maternity |
$6,349.93 |
$6,532.70 |
$6,722.14 |
| 10/17-06/18 |
2017-18 |
GMC |
San Diego |
United Healthcare |
SPD |
$824.99 |
$849.08 |
$874.16 |
| 10/17-06/18 |
2017-18 |
GMC |
San Diego |
United Healthcare |
SPD/Full-Dual |
$112.29 |
$116.54 |
$121.01 |
| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
United Healthcare |
Hepatitis C Non-340B |
$3,036.66 |
$3,036.66 |
$3,241.91 |
| 01/18-06/18 |
2017-18 |
GMC |
Sacramento |
United Healthcare |
Hepatitis C 340B |
$3,938.43 |
$3,938.43 |
$4,222.96 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
United Healthcare |
Hepatitis C Non-340B |
$3,036.66 |
$3,036.66 |
$3,241.91 |
| 01/18-06/18 |
2017-18 |
GMC |
San Diego |
United Healthcare |
Hepatitis C 340B |
$3,938.43 |
$3,938.43 |
$4,222.96 |
| 07/17-12/17 |
2017-18 |
GMC |
Sacramento |
United Healthcare |
Hepatitis C Non-340B |
$4,406.73 |
$4,406.73 |
$4,561.08 |
| 07/17-12/17 |
2017-18 |
GMC |
Sacramento |
United Healthcare |
Hepatitis C 340B |
$5,615.24 |
$5,615.24 |
$6,010.88 |
| 07/17-12/17 |
2017-18 |
GMC |
San Diego |
United Healthcare |
Hepatitis C Non-340B |
$4,406.73 |
$4,406.73 |
$4,561.08 |
| 07/17-12/17 |
2017-18 |
GMC |
San Diego |
United Healthcare |
Hepatitis C 340B |
$5,615.24 |
$5,615.24 |
$6,010.88 |
| 10/17-06/18 |
2017-18 |
GMC |
Sacramento |
United Healthcare |
Behavioral Health Treatment 0-6 |
$3,321.25 |
$3,401.59 |
$3,484.64 |
| 10/17-06/18 |
2017-18 |
GMC |
Sacramento |
United Healthcare |
Behavioral Health Treatment 7-20 |
$2,097.78 |
$2,148.52 |
$2,200.98 |
| 10/17-06/18 |
2017-18 |
GMC |
San Diego |
United Healthcare |
Behavioral Health Treatment 0-6 |
$2,443.62 |
$2,502.74 |
$2,563.84 |
| 10/17-06/18 |
2017-18 |
GMC |
San Diego |
United Healthcare |
Behavioral Health Treatment 7-20 |
$1,917.57 |
$1,963.96 |
$2,011.92 |