Table: state_fiscal_year_2017_18_two_plan_model_rates
rating_period state_fiscal_year model county health_plan category_of_aid lower_bound midpoint upper_bound
'07/17-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Alameda Alliance for Health' 'Adult' '$211.80 ' '$219.06 ' '$226.66 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Alameda Alliance for Health' 'BCCTP' '$1,287.02 ' '$1,324.68 ' '$1,363.88 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Alameda Alliance for Health' 'Child' '$95.45 ' '$99.39 ' '$103.55 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Alameda Alliance for Health' 'Maternity' '$7,955.39 ' '$8,179.32 ' '$8,411.34 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Alameda Alliance for Health' 'Optional Expansion' '$305.07 ' '$315.17 ' '$325.75 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Alameda Alliance for Health' 'Optional Expansion Maternity ' '$7,955.39 ' '$8,179.32 ' '$8,411.34 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Alameda Alliance for Health' 'SPD' '$798.11 ' '$821.47 ' '$845.80 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Alameda Alliance for Health' 'SPD/Full-Dual' '$158.03 ' '$163.52 ' '$169.30 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Alameda Alliance for Health' 'Behavioral Health Treatment 0-6' '$2,682.92 ' '$2,746.12 ' '$2,811.43 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Alameda Alliance for Health' 'Behavioral Health Treatment 7-20' '$1,942.88 ' '$1,988.64 ' '$2,035.94 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Alameda Alliance for Health' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Alameda Alliance for Health' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Alameda' 'Alameda Alliance for Health' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Alameda' 'Alameda Alliance for Health' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Anthem Blue Cross' 'Adult' '$197.23 ' '$203.98 ' '$211.05 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Anthem Blue Cross' 'BCCTP' '$1,056.08 ' '$1,086.94 ' '$1,119.07 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Anthem Blue Cross' 'Child' '$83.75 ' '$87.29 ' '$91.03 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Anthem Blue Cross' 'Maternity' '$7,955.39 ' '$8,179.32 ' '$8,411.34 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Anthem Blue Cross' 'Optional Expansion' '$250.00 ' '$258.28 ' '$266.94 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Anthem Blue Cross' 'Optional Expansion Maternity ' '$7,955.39 ' '$8,179.32 ' '$8,411.34 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Anthem Blue Cross' 'SPD' '$789.86 ' '$812.97 ' '$837.04 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Anthem Blue Cross' 'SPD/Full-Dual' '$149.27 ' '$154.54 ' '$160.08 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Anthem Blue Cross' 'Adult' '$220.70 ' '$227.97 ' '$235.58 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Anthem Blue Cross' 'BCCTP' '$1,097.80 ' '$1,129.98 ' '$1,163.47 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Anthem Blue Cross' 'Child' '$77.48 ' '$80.76 ' '$84.23 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Anthem Blue Cross' 'Maternity' '$8,235.96 ' '$8,467.80 ' '$8,708.00 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Anthem Blue Cross' 'Optional Expansion' '$268.48 ' '$277.38 ' '$286.69 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Anthem Blue Cross' 'Optional Expansion Maternity ' '$8,235.96 ' '$8,467.80 ' '$8,708.00 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Anthem Blue Cross' 'SPD' '$664.74 ' '$684.23 ' '$704.51 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Anthem Blue Cross' 'SPD/Full-Dual' '$138.26 ' '$143.06 ' '$148.10 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Fresno' 'Anthem Blue Cross' 'Adult' '$227.33 ' '$234.83 ' '$242.68 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Fresno' 'Anthem Blue Cross' 'BCCTP' '$1,058.01 ' '$1,089.13 ' '$1,121.54 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Fresno' 'Anthem Blue Cross' 'Child' '$71.43 ' '$74.43 ' '$77.60 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Fresno' 'Anthem Blue Cross' 'Maternity' '$7,579.28 ' '$7,792.63 ' '$8,013.68 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Fresno' 'Anthem Blue Cross' 'Optional Expansion' '$304.73 ' '$314.88 ' '$325.50 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Fresno' 'Anthem Blue Cross' 'Optional Expansion Maternity ' '$7,579.28 ' '$7,792.63 ' '$8,013.68 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Fresno' 'Anthem Blue Cross' 'SPD' '$752.75 ' '$774.59 ' '$797.32 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Fresno' 'Anthem Blue Cross' 'SPD/Full-Dual' '$155.43 ' '$160.65 ' '$166.12 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kings' 'Anthem Blue Cross' 'Adult' '$195.96 ' '$202.36 ' '$209.06 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kings' 'Anthem Blue Cross' 'BCCTP' '$1,150.09 ' '$1,183.95 ' '$1,219.21 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kings' 'Anthem Blue Cross' 'Child' '$63.27 ' '$65.88 ' '$68.63 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kings' 'Anthem Blue Cross' 'Maternity' '$6,311.36 ' '$6,489.02 ' '$6,673.09 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kings' 'Anthem Blue Cross' 'Optional Expansion' '$291.58 ' '$301.31 ' '$311.50 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kings' 'Anthem Blue Cross' 'Optional Expansion Maternity ' '$6,311.36 ' '$6,489.02 ' '$6,673.09 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kings' 'Anthem Blue Cross' 'SPD' '$666.59 ' '$685.90 ' '$705.98 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kings' 'Anthem Blue Cross' 'SPD/Full-Dual' '$119.46 ' '$123.58 ' '$127.91 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Madera' 'Anthem Blue Cross' 'Adult' '$200.18 ' '$206.71 ' '$213.53 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Madera' 'Anthem Blue Cross' 'BCCTP' '$1,094.19 ' '$1,126.09 ' '$1,159.28 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Madera' 'Anthem Blue Cross' 'Child' '$68.55 ' '$71.29 ' '$74.18 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Madera' 'Anthem Blue Cross' 'Maternity' '$6,538.91 ' '$6,722.97 ' '$6,913.67 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Madera' 'Anthem Blue Cross' 'Optional Expansion' '$327.16 ' '$338.08 ' '$349.50 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Madera' 'Anthem Blue Cross' 'Optional Expansion Maternity ' '$6,538.91 ' '$6,722.97 ' '$6,913.67 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Madera' 'Anthem Blue Cross' 'SPD' '$812.49 ' '$835.65 ' '$859.72 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Madera' 'Anthem Blue Cross' 'SPD/Full-Dual' '$107.04 ' '$110.79 ' '$114.73 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'Anthem Blue Cross' 'Adult' '$248.85 ' '$257.66 ' '$266.92 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'Anthem Blue Cross' 'BCCTP' '$1,133.23 ' '$1,167.65 ' '$1,203.54 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'Anthem Blue Cross' 'Child' '$88.53 ' '$92.71 ' '$97.14 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'Anthem Blue Cross' 'Maternity' '$9,158.89 ' '$9,416.70 ' '$9,683.82 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'Anthem Blue Cross' 'Optional Expansion' '$304.11 ' '$314.22 ' '$324.80 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'Anthem Blue Cross' 'Optional Expansion Maternity ' '$9,158.89 ' '$9,416.70 ' '$9,683.82 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'Anthem Blue Cross' 'SPD' '$844.69 ' '$869.74 ' '$895.85 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'Anthem Blue Cross' 'SPD/Full-Dual' '$460.68 ' '$474.27 ' '$488.50 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Anthem Blue Cross' 'Adult' '$204.34 ' '$211.11 ' '$218.19 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Anthem Blue Cross' 'BCCTP' '$1,083.03 ' '$1,114.87 ' '$1,148.02 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Anthem Blue Cross' 'Child' '$84.40 ' '$87.82 ' '$91.42 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Anthem Blue Cross' 'Maternity' '$7,780.81 ' '$7,999.83 ' '$8,226.75 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Anthem Blue Cross' 'Optional Expansion' '$247.92 ' '$256.16 ' '$264.77 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Anthem Blue Cross' 'Optional Expansion Maternity ' '$7,780.81 ' '$7,999.83 ' '$8,226.75 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Anthem Blue Cross' 'SPD' '$547.42 ' '$563.45 ' '$580.13 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Anthem Blue Cross' 'SPD/Full-Dual' '$117.54 ' '$121.69 ' '$126.05 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Anthem Blue Cross' 'Adult' '$203.33 ' '$209.96 ' '$216.90 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Anthem Blue Cross' 'BCCTP' '$1,053.23 ' '$1,084.19 ' '$1,116.42 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Anthem Blue Cross' 'Child' '$60.29 ' '$62.76 ' '$65.36 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Anthem Blue Cross' 'Maternity' '$6,905.92 ' '$7,100.32 ' '$7,301.72 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Anthem Blue Cross' 'Optional Expansion' '$299.62 ' '$309.62 ' '$320.09 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Anthem Blue Cross' 'Optional Expansion Maternity ' '$6,905.92 ' '$7,100.32 ' '$7,301.72 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Anthem Blue Cross' 'SPD' '$660.39 ' '$679.46 ' '$699.30 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Anthem Blue Cross' 'SPD/Full-Dual' '$109.72 ' '$113.59 ' '$117.64 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' '$3,055.21 ' '$3,127.18 ' '$3,201.55 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' '$2,157.33 ' '$2,208.15 ' '$2,260.66 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' '$2,938.25 ' '$3,007.47 ' '$3,078.99 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' '$2,019.21 ' '$2,066.78 ' '$2,115.93 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Fresno' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' '$3,232.24 ' '$3,308.38 ' '$3,387.06 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Fresno' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' '$2,304.79 ' '$2,359.09 ' '$2,415.19 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kings' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' '$3,004.51 ' '$3,075.28 ' '$3,148.42 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kings' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' '$2,146.98 ' '$2,197.56 ' '$2,249.82 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Madera' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' '$3,060.56 ' '$3,132.66 ' '$3,207.16 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Madera' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' '$2,141.18 ' '$2,191.62 ' '$2,243.74 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' '$2,787.38 ' '$2,853.04 ' '$2,920.89 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' '$2,097.53 ' '$2,146.94 ' '$2,198.00 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' '$2,850.35 ' '$2,917.49 ' '$2,986.88 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' '$2,149.25 ' '$2,199.88 ' '$2,252.20 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Anthem Blue Cross' 'Behavioral Health Treatment 0-6' '$3,102.42 ' '$3,175.50 ' '$3,251.02 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Anthem Blue Cross' 'Behavioral Health Treatment 7-20' '$2,121.23 ' '$2,171.20 ' '$2,222.83 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Anthem Blue Cross' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Alameda' 'Anthem Blue Cross' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Anthem Blue Cross' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Anthem Blue Cross' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Fresno' 'Anthem Blue Cross' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Fresno' 'Anthem Blue Cross' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Kings' 'Anthem Blue Cross' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Kings' 'Anthem Blue Cross' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Madera' 'Anthem Blue Cross' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Madera' 'Anthem Blue Cross' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'01/18-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'Anthem Blue Cross' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'Anthem Blue Cross' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Anthem Blue Cross' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Anthem Blue Cross' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Anthem Blue Cross' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Anthem Blue Cross' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Alameda' 'Anthem Blue Cross' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Alameda' 'Anthem Blue Cross' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Contra Costa' 'Anthem Blue Cross' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Contra Costa' 'Anthem Blue Cross' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Fresno' 'Anthem Blue Cross' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Fresno' 'Anthem Blue Cross' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Kings' 'Anthem Blue Cross' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Kings' 'Anthem Blue Cross' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Madera' 'Anthem Blue Cross' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Madera' 'Anthem Blue Cross' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-12/17' '2017-18' 'Two Plan ' 'San Francisco' 'Anthem Blue Cross' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'San Francisco' 'Anthem Blue Cross' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Santa Clara' 'Anthem Blue Cross' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Santa Clara' 'Anthem Blue Cross' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Tulare' 'Anthem Blue Cross' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Tulare' 'Anthem Blue Cross' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Fresno' 'CalViva Health' 'Adult' '$243.37 ' '$251.42 ' '$259.84 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Fresno' 'CalViva Health' 'BCCTP' '$1,141.70 ' '$1,174.93 ' '$1,209.50 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Fresno' 'CalViva Health' 'Child' '$79.79 ' '$83.13 ' '$86.66 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Fresno' 'CalViva Health' 'Maternity' '$7,579.28 ' '$7,792.63 ' '$8,013.68 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Fresno' 'CalViva Health' 'Optional Expansion' '$335.76 ' '$346.94 ' '$358.63 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Fresno' 'CalViva Health' 'Optional Expansion Maternity ' '$7,579.28 ' '$7,792.63 ' '$8,013.68 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Fresno' 'CalViva Health' 'SPD' '$862.37 ' '$887.34 ' '$913.32 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Fresno' 'CalViva Health' 'SPD/Full-Dual' '$181.97 ' '$187.95 ' '$194.22 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kings' 'CalViva Health' 'Adult' '$227.91 ' '$235.35 ' '$243.13 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kings' 'CalViva Health' 'BCCTP' '$1,099.33 ' '$1,132.02 ' '$1,166.06 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kings' 'CalViva Health' 'Child' '$65.47 ' '$68.22 ' '$71.11 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kings' 'CalViva Health' 'Maternity' '$6,311.36 ' '$6,489.02 ' '$6,673.09 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kings' 'CalViva Health' 'Optional Expansion' '$318.95 ' '$329.60 ' '$340.75 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kings' 'CalViva Health' 'Optional Expansion Maternity ' '$6,311.36 ' '$6,489.02 ' '$6,673.09 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kings' 'CalViva Health' 'SPD' '$764.13 ' '$786.25 ' '$809.27 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kings' 'CalViva Health' 'SPD/Full-Dual' '$119.27 ' '$123.62 ' '$128.21 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Madera' 'CalViva Health' 'Adult' '$236.00 ' '$243.66 ' '$251.67 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Madera' 'CalViva Health' 'BCCTP' '$1,100.70 ' '$1,133.36 ' '$1,167.37 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Madera' 'CalViva Health' 'Child' '$72.68 ' '$75.61 ' '$78.70 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Madera' 'CalViva Health' 'Maternity' '$6,538.91 ' '$6,722.97 ' '$6,913.67 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Madera' 'CalViva Health' 'Optional Expansion' '$338.68 ' '$349.98 ' '$361.81 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Madera' 'CalViva Health' 'Optional Expansion Maternity ' '$6,538.91 ' '$6,722.97 ' '$6,913.67 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Madera' 'CalViva Health' 'SPD' '$902.69 ' '$928.49 ' '$955.31 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Madera' 'CalViva Health' 'SPD/Full-Dual' '$113.80 ' '$117.92 ' '$122.26 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Fresno' 'CalViva Health' 'Behavioral Health Treatment 0-6' '$2,989.93 ' '$3,060.36 ' '$3,133.14 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Fresno' 'CalViva Health' 'Behavioral Health Treatment 7-20' '$2,306.19 ' '$2,360.51 ' '$2,416.65 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kings' 'CalViva Health' 'Behavioral Health Treatment 0-6' '$2,974.72 ' '$3,044.79 ' '$3,117.20 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kings' 'CalViva Health' 'Behavioral Health Treatment 7-20' '$2,117.95 ' '$2,167.84 ' '$2,219.40 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Madera' 'CalViva Health' 'Behavioral Health Treatment 0-6' '$3,073.19 ' '$3,145.58 ' '$3,220.40 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Madera' 'CalViva Health' 'Behavioral Health Treatment 7-20' '$2,135.41 ' '$2,185.71 ' '$2,237.70 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Fresno' 'CalViva Health' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Fresno' 'CalViva Health' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Kings' 'CalViva Health' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Kings' 'CalViva Health' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Madera' 'CalViva Health' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Madera' 'CalViva Health' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Fresno' 'CalViva Health' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Fresno' 'CalViva Health' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Kings' 'CalViva Health' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Kings' 'CalViva Health' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Madera' 'CalViva Health' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Madera' 'CalViva Health' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Contra Costa Health Plan' 'Adult' '$238.27 ' '$246.24 ' '$254.58 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Contra Costa Health Plan' 'BCCTP' '$1,127.31 ' '$1,160.11 ' '$1,194.25 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Contra Costa Health Plan' 'Child' '$80.11 ' '$83.56 ' '$87.20 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Contra Costa Health Plan' 'Maternity' '$8,235.96 ' '$8,467.80 ' '$8,708.00 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Contra Costa Health Plan' 'Optional Expansion' '$336.75 ' '$347.91 ' '$359.59 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Contra Costa Health Plan' 'Optional Expansion Maternity ' '$8,235.96 ' '$8,467.80 ' '$8,708.00 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Contra Costa Health Plan' 'SPD' '$837.69 ' '$862.25 ' '$887.83 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Contra Costa Health Plan' 'SPD/Full-Dual' '$138.73 ' '$143.63 ' '$148.78 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Contra Costa Health Plan' 'Behavioral Health Treatment 0-6' '$2,992.15 ' '$3,062.63 ' '$3,135.47 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Contra Costa Health Plan' 'Behavioral Health Treatment 7-20' '$2,222.92 ' '$2,275.29 ' '$2,329.40 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Contra Costa Health Plan' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Contra Costa' 'Contra Costa Health Plan' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Contra Costa' 'Contra Costa Health Plan' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Contra Costa' 'Contra Costa Health Plan' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kern' 'Health Net of California' 'Adult' '$189.62 ' '$195.85 ' '$202.36 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kern' 'Health Net of California' 'BCCTP' '$1,064.26 ' '$1,095.49 ' '$1,127.99 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kern' 'Health Net of California' 'Child' '$66.57 ' '$69.32 ' '$72.22 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kern' 'Health Net of California' 'Maternity' '$5,993.89 ' '$6,162.61 ' '$6,337.42 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kern' 'Health Net of California' 'Optional Expansion' '$304.12 ' '$314.26 ' '$324.86 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kern' 'Health Net of California' 'Optional Expansion Maternity ' '$5,993.89 ' '$6,162.61 ' '$6,337.42 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kern' 'Health Net of California' 'SPD' '$663.42 ' '$682.60 ' '$702.56 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kern' 'Health Net of California' 'SPD/Full-Dual' '$138.67 ' '$143.27 ' '$148.11 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'Health Net of California' 'Adult' '$189.61 ' '$195.88 ' '$202.45 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'Health Net of California' 'BCCTP' '$1,008.97 ' '$1,038.54 ' '$1,069.32 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'Health Net of California' 'Child' '$71.18 ' '$74.08 ' '$77.13 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'Health Net of California' 'Maternity' '$6,849.39 ' '$7,042.20 ' '$7,241.96 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'Health Net of California' 'Optional Expansion' '$282.95 ' '$292.35 ' '$302.19 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'Health Net of California' 'Optional Expansion Maternity ' '$6,849.39 ' '$7,042.20 ' '$7,241.96 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'Health Net of California' 'SPD' '$542.77 ' '$558.56 ' '$574.99 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'Health Net of California' 'SPD/Full-Dual' '$118.82 ' '$122.85 ' '$127.08 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Net of California' 'Adult' '$198.94 ' '$205.47 ' '$212.31 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Net of California' 'BCCTP' '$1,076.12 ' '$1,107.71 ' '$1,140.60 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Net of California' 'Child' '$64.92 ' '$67.69 ' '$70.61 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Net of California' 'Maternity' '$6,809.86 ' '$7,001.55 ' '$7,200.15 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Net of California' 'Optional Expansion' '$252.59 ' '$260.98 ' '$269.75 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Net of California' 'Optional Expansion Maternity ' '$6,809.86 ' '$7,001.55 ' '$7,200.15 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Net of California' 'SPD' '$765.32 ' '$787.49 ' '$810.56 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Net of California' 'SPD/Full-Dual' '$113.31 ' '$117.34 ' '$121.57 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Net of California' 'Adult' '$227.31 ' '$234.77 ' '$242.58 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Net of California' 'BCCTP' '$1,116.59 ' '$1,149.88 ' '$1,184.56 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Net of California' 'Child' '$68.80 ' '$71.75 ' '$74.88 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Net of California' 'Maternity' '$7,060.62 ' '$7,259.36 ' '$7,465.27 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Net of California' 'Optional Expansion' '$308.33 ' '$318.55 ' '$329.25 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Net of California' 'Optional Expansion Maternity ' '$7,060.62 ' '$7,259.36 ' '$7,465.27 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Net of California' 'SPD' '$784.89 ' '$807.56 ' '$831.15 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Net of California' 'SPD/Full-Dual' '$109.07 ' '$113.08 ' '$117.31 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Health Net of California' 'Adult' '$195.22 ' '$201.63 ' '$208.33 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Health Net of California' 'BCCTP' '$1,041.01 ' '$1,071.87 ' '$1,104.02 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Health Net of California' 'Child' '$61.86 ' '$64.42 ' '$67.12 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Health Net of California' 'Maternity' '$6,905.92 ' '$7,100.32 ' '$7,301.72 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Health Net of California' 'Optional Expansion' '$311.84 ' '$322.25 ' '$333.15 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Health Net of California' 'Optional Expansion Maternity ' '$6,905.92 ' '$7,100.32 ' '$7,301.72 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Health Net of California' 'SPD' '$707.18 ' '$727.60 ' '$748.84 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Health Net of California' 'SPD/Full-Dual' '$119.24 ' '$123.46 ' '$127.90 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kern' 'Health Net of California' 'Behavioral Health Treatment 0-6' '$2,989.27 ' '$3,059.69 ' '$3,132.46 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kern' 'Health Net of California' 'Behavioral Health Treatment 7-20' '$2,145.40 ' '$2,195.94 ' '$2,248.17 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'Health Net of California' 'Behavioral Health Treatment 0-6' '$2,780.91 ' '$2,846.42 ' '$2,914.11 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'Health Net of California' 'Behavioral Health Treatment 7-20' '$2,365.20 ' '$2,420.92 ' '$2,478.49 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Net of California' 'Behavioral Health Treatment 0-6' '$2,887.55 ' '$2,955.57 ' '$3,025.86 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Net of California' 'Behavioral Health Treatment 7-20' '$2,075.65 ' '$2,124.55 ' '$2,175.08 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Net of California' 'Behavioral Health Treatment 0-6' '$2,830.56 ' '$2,897.23 ' '$2,966.14 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Net of California' 'Behavioral Health Treatment 7-20' '$2,100.90 ' '$2,150.39 ' '$2,201.54 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Health Net of California' 'Behavioral Health Treatment 0-6' '$2,891.29 ' '$2,959.40 ' '$3,029.78 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Health Net of California' 'Behavioral Health Treatment 7-20' '$2,116.63 ' '$2,166.49 ' '$2,218.01 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Kern' 'Health Net of California' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Kern' 'Health Net of California' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'Health Net of California' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'Health Net of California' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'01/18-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Net of California' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Net of California' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Net of California' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Net of California' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Health Net of California' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Tulare' 'Health Net of California' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Kern' 'Health Net of California' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Kern' 'Health Net of California' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Los Angeles' 'Health Net of California' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Los Angeles' 'Health Net of California' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-12/17' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Net of California' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Net of California' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Net of California' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Net of California' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Tulare' 'Health Net of California' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Tulare' 'Health Net of California' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Plan of San Joaquin' 'Adult' '$248.84 ' '$256.97 ' '$265.48 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Plan of San Joaquin' 'BCCTP' '$1,274.83 ' '$1,312.41 ' '$1,351.53 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Plan of San Joaquin' 'Child' '$75.93 ' '$79.10 ' '$82.44 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Plan of San Joaquin' 'Maternity' '$6,809.86 ' '$7,001.55 ' '$7,200.15 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Plan of San Joaquin' 'Optional Expansion' '$309.35 ' '$319.60 ' '$330.33 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Plan of San Joaquin' 'Optional Expansion Maternity ' '$6,809.86 ' '$7,001.55 ' '$7,200.15 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Plan of San Joaquin' 'SPD' '$745.97 ' '$767.57 ' '$790.05 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Plan of San Joaquin' 'SPD/Full-Dual' '$101.77 ' '$105.68 ' '$109.80 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Plan of San Joaquin' 'Adult' '$269.42 ' '$278.24 ' '$287.47 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Plan of San Joaquin' 'BCCTP' '$1,180.24 ' '$1,215.16 ' '$1,251.52 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Plan of San Joaquin' 'Child' '$77.64 ' '$80.98 ' '$84.50 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Plan of San Joaquin' 'Maternity' '$7,060.62 ' '$7,259.36 ' '$7,465.27 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Plan of San Joaquin' 'Optional Expansion' '$363.63 ' '$375.66 ' '$388.25 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Plan of San Joaquin' 'Optional Expansion Maternity ' '$7,060.62 ' '$7,259.36 ' '$7,465.27 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Plan of San Joaquin' 'SPD' '$1,009.54 ' '$1,038.49 ' '$1,068.60 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Plan of San Joaquin' 'SPD/Full-Dual' '$118.92 ' '$123.43 ' '$128.18 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Plan of San Joaquin' 'Behavioral Health Treatment 0-6' '$2,734.31 ' '$2,798.72 ' '$2,865.29 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Plan of San Joaquin' 'Behavioral Health Treatment 7-20' '$2,124.91 ' '$2,174.96 ' '$2,226.70 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Plan of San Joaquin' 'Behavioral Health Treatment 0-6' '$2,875.25 ' '$2,942.98 ' '$3,012.97 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Plan of San Joaquin' 'Behavioral Health Treatment 7-20' '$2,095.76 ' '$2,145.13 ' '$2,196.15 '
'01/18-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Plan of San Joaquin' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Plan of San Joaquin' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Plan of San Joaquin' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Plan of San Joaquin' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'07/17-12/17' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Plan of San Joaquin' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'San Joaquin' 'Health Plan of San Joaquin' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Plan of San Joaquin' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Stanislaus' 'Health Plan of San Joaquin' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Inland Empire Health Plan' 'Adult' '$232.20 ' '$239.76 ' '$247.67 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Inland Empire Health Plan' 'BCCTP' '$1,237.07 ' '$1,273.83 ' '$1,312.13 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Inland Empire Health Plan' 'Child' '$79.69 ' '$82.89 ' '$86.27 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Inland Empire Health Plan' 'Maternity' '$5,693.09 ' '$5,853.34 ' '$6,019.38 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Inland Empire Health Plan' 'Optional Expansion' '$357.50 ' '$369.38 ' '$381.81 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Inland Empire Health Plan' 'Optional Expansion Maternity ' '$5,693.09 ' '$5,853.34 ' '$6,019.38 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Inland Empire Health Plan' 'SPD' '$759.34 ' '$781.13 ' '$803.80 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Inland Empire Health Plan' 'SPD/Full-Dual' '$110.65 ' '$114.65 ' '$118.86 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Inland Empire Health Plan' 'Adult' '$228.20 ' '$235.67 ' '$243.48 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Inland Empire Health Plan' 'BCCTP' '$1,277.96 ' '$1,315.85 ' '$1,355.32 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Inland Empire Health Plan' 'Child' '$81.76 ' '$85.06 ' '$88.55 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Inland Empire Health Plan' 'Maternity' '$6,100.88 ' '$6,272.61 ' '$6,450.53 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Inland Empire Health Plan' 'Optional Expansion' '$334.39 ' '$345.51 ' '$357.13 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Inland Empire Health Plan' 'Optional Expansion Maternity ' '$6,100.88 ' '$6,272.61 ' '$6,450.53 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Inland Empire Health Plan' 'SPD' '$746.14 ' '$767.54 ' '$789.81 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Inland Empire Health Plan' 'SPD/Full-Dual' '$106.30 ' '$110.22 ' '$114.35 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Inland Empire Health Plan' 'Behavioral Health Treatment 0-6' '$2,411.15 ' '$2,467.94 ' '$2,526.64 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Inland Empire Health Plan' 'Behavioral Health Treatment 7-20' '$1,905.54 ' '$1,950.43 ' '$1,996.82 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Inland Empire Health Plan' 'Behavioral Health Treatment 0-6' '$2,698.81 ' '$2,762.38 ' '$2,828.08 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Inland Empire Health Plan' 'Behavioral Health Treatment 7-20' '$1,948.54 ' '$1,994.44 ' '$2,041.88 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Inland Empire Health Plan' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Inland Empire Health Plan' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'01/18-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Inland Empire Health Plan' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Inland Empire Health Plan' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Riverside' 'Inland Empire Health Plan' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Riverside' 'Inland Empire Health Plan' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-12/17' '2017-18' 'Two Plan ' 'San Bernardino' 'Inland Empire Health Plan' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'San Bernardino' 'Inland Empire Health Plan' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kern' 'Kern Health Systems' 'Adult' '$210.89 ' '$217.79 ' '$225.00 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kern' 'Kern Health Systems' 'BCCTP' '$1,183.09 ' '$1,217.58 ' '$1,253.48 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kern' 'Kern Health Systems' 'Child' '$69.79 ' '$72.64 ' '$75.65 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kern' 'Kern Health Systems' 'Maternity' '$5,993.89 ' '$6,162.61 ' '$6,337.42 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kern' 'Kern Health Systems' 'Optional Expansion' '$333.78 ' '$344.89 ' '$356.51 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kern' 'Kern Health Systems' 'Optional Expansion Maternity ' '$5,993.89 ' '$6,162.61 ' '$6,337.42 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kern' 'Kern Health Systems' 'SPD' '$731.30 ' '$752.36 ' '$774.28 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kern' 'Kern Health Systems' 'SPD/Full-Dual' '$142.87 ' '$147.63 ' '$152.64 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kern' 'Kern Health Systems' 'Behavioral Health Treatment 0-6' '$2,986.08 ' '$3,056.42 ' '$3,129.11 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Kern' 'Kern Health Systems' 'Behavioral Health Treatment 7-20' '$2,344.52 ' '$2,399.74 ' '$2,456.82 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Kern' 'Kern Health Systems' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Kern' 'Kern Health Systems' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Kern' 'Kern Health Systems' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Kern' 'Kern Health Systems' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'LA Care' 'Adult' '$192.46 ' '$198.90 ' '$205.63 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'LA Care' 'BCCTP' '$982.72 ' '$1,011.66 ' '$1,041.79 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'LA Care' 'Child' '$77.30 ' '$80.45 ' '$83.77 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'LA Care' 'Maternity' '$6,849.39 ' '$7,042.20 ' '$7,241.96 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'LA Care' 'Optional Expansion' '$284.26 ' '$293.71 ' '$303.61 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'LA Care' 'Optional Expansion Maternity ' '$6,849.39 ' '$7,042.20 ' '$7,241.96 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'LA Care' 'SPD' '$638.79 ' '$657.40 ' '$676.77 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'LA Care' 'SPD/Full-Dual' '$121.98 ' '$126.33 ' '$130.91 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'LA Care' 'Behavioral Health Treatment 0-6' '$2,616.69 ' '$2,678.32 ' '$2,742.01 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'LA Care' 'Behavioral Health Treatment 7-20' '$2,090.46 ' '$2,139.70 ' '$2,190.58 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'LA Care' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Los Angeles' 'LA Care' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Los Angeles' 'LA Care' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Los Angeles' 'LA Care' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Molina Healthcare' 'Adult' '$182.10 ' '$188.05 ' '$194.27 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Molina Healthcare' 'BCCTP' '$1,026.48 ' '$1,056.23 ' '$1,087.18 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Molina Healthcare' 'Child' '$72.34 ' '$75.22 ' '$78.25 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Molina Healthcare' 'Maternity' '$5,693.09 ' '$5,853.34 ' '$6,019.38 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Molina Healthcare' 'Optional Expansion' '$296.97 ' '$306.85 ' '$317.18 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Molina Healthcare' 'Optional Expansion Maternity ' '$5,693.09 ' '$5,853.34 ' '$6,019.38 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Molina Healthcare' 'SPD' '$593.04 ' '$610.04 ' '$627.72 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Molina Healthcare' 'SPD/Full-Dual' '$106.99 ' '$110.67 ' '$114.53 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Molina Healthcare' 'Adult' '$205.79 ' '$212.54 ' '$219.59 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Molina Healthcare' 'BCCTP' '$1,042.88 ' '$1,073.05 ' '$1,104.43 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Molina Healthcare' 'Child' '$75.85 ' '$78.88 ' '$82.09 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Molina Healthcare' 'Maternity' '$6,100.88 ' '$6,272.61 ' '$6,450.53 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Molina Healthcare' 'Optional Expansion' '$290.81 ' '$300.46 ' '$310.56 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Molina Healthcare' 'Optional Expansion Maternity ' '$6,100.88 ' '$6,272.61 ' '$6,450.53 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Molina Healthcare' 'SPD' '$624.94 ' '$642.86 ' '$661.51 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Molina Healthcare' 'SPD/Full-Dual' '$106.17 ' '$109.87 ' '$113.76 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Molina Healthcare' 'Behavioral Health Treatment 0-6' '$2,508.68 ' '$2,567.78 ' '$2,628.85 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Molina Healthcare' 'Behavioral Health Treatment 7-20' '$1,912.37 ' '$1,957.42 ' '$2,003.97 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Molina Healthcare' 'Behavioral Health Treatment 0-6' '$2,478.10 ' '$2,536.47 ' '$2,596.80 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Molina Healthcare' 'Behavioral Health Treatment 7-20' '$1,904.06 ' '$1,948.91 ' '$1,995.26 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Molina Healthcare' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Riverside' 'Molina Healthcare' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'01/18-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Molina Healthcare' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'San Bernardino' 'Molina Healthcare' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Riverside' 'Molina Healthcare' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Riverside' 'Molina Healthcare' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-12/17' '2017-18' 'Two Plan ' 'San Bernardino' 'Molina Healthcare' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'San Bernardino' 'Molina Healthcare' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'San Francisco Health Plan' 'Adult' '$243.37 ' '$251.74 ' '$260.51 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'San Francisco Health Plan' 'BCCTP' '$1,146.14 ' '$1,179.82 ' '$1,214.89 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'San Francisco Health Plan' 'Child' '$103.12 ' '$107.53 ' '$112.18 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'San Francisco Health Plan' 'Maternity' '$9,158.89 ' '$9,416.70 ' '$9,683.82 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'San Francisco Health Plan' 'Optional Expansion' '$331.74 ' '$342.79 ' '$354.35 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'San Francisco Health Plan' 'Optional Expansion Maternity ' '$9,158.89 ' '$9,416.70 ' '$9,683.82 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'San Francisco Health Plan' 'SPD' '$755.62 ' '$777.94 ' '$801.20 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'San Francisco Health Plan' 'SPD/Full-Dual' '$185.78 ' '$192.14 ' '$198.82 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'San Francisco Health Plan' 'Behavioral Health Treatment 0-6' '$2,759.33 ' '$2,824.33 ' '$2,891.50 '
'07/17-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'San Francisco Health Plan' 'Behavioral Health Treatment 7-20' '$2,041.50 ' '$2,089.59 ' '$2,139.29 '
'01/18-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'San Francisco Health Plan' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'San Francisco' 'San Francisco Health Plan' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'07/17-12/17' '2017-18' 'Two Plan ' 'San Francisco' 'San Francisco Health Plan' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'San Francisco' 'San Francisco Health Plan' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Santa Clara Family Health' 'Adult' '$234.27 ' '$242.02 ' '$250.14 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Santa Clara Family Health' 'BCCTP' '$984.37 ' '$1,013.41 ' '$1,043.65 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Santa Clara Family Health' 'Child' '$99.98 ' '$103.96 ' '$108.14 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Santa Clara Family Health' 'Maternity' '$7,780.81 ' '$7,999.83 ' '$8,226.75 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Santa Clara Family Health' 'Optional Expansion' '$290.22 ' '$299.87 ' '$309.97 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Santa Clara Family Health' 'Optional Expansion Maternity ' '$7,780.81 ' '$7,999.83 ' '$8,226.75 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Santa Clara Family Health' 'SPD' '$640.31 ' '$659.01 ' '$678.48 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Santa Clara Family Health' 'SPD/Full-Dual' '$120.80 ' '$125.26 ' '$129.96 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Santa Clara Family Health' 'Behavioral Health Treatment 0-6' '$2,843.42 ' '$2,910.40 ' '$2,979.61 '
'07/17-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Santa Clara Family Health' 'Behavioral Health Treatment 7-20' '$2,073.31 ' '$2,122.15 ' '$2,172.62 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Santa Clara Family Health' 'Hepatitis C Non-340B' '$3,036.66 ' '$3,036.66 ' '$3,241.91 '
'01/18-06/18' '2017-18' 'Two Plan ' 'Santa Clara' 'Santa Clara Family Health' 'Hepatitis C 340B' '$3,938.43 ' '$3,938.43 ' '$4,222.96 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Santa Clara' 'Santa Clara Family Health' 'Hepatitis C Non-340B' '$4,406.73 ' '$4,406.73 ' '$4,561.08 '
'07/17-12/17' '2017-18' 'Two Plan ' 'Santa Clara' 'Santa Clara Family Health' 'Hepatitis C 340B' '$5,615.24 ' '$5,615.24 ' '$6,010.88 '