07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Aetna Better Health |
Adult |
$247.55 |
$255.84 |
$264.52 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Aetna Better Health |
BCCTP |
$1,104.45 |
$1,136.76 |
$1,170.39 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Aetna Better Health |
Behavioral Health Treatment 0-6 |
$3,765.32 |
$3,861.40 |
$3,960.79 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Aetna Better Health |
Behavioral Health Treatment 7-20 |
$2,444.30 |
$2,506.67 |
$2,571.19 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Aetna Better Health |
Child |
$71.46 |
$74.69 |
$78.11 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Aetna Better Health |
Maternity |
$8,457.64 |
$8,696.18 |
$8,943.35 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Aetna Better Health |
Optional Expansion |
$326.53 |
$337.45 |
$348.87 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Aetna Better Health |
Optional Expansion - Maternity |
$8,457.64 |
$8,696.18 |
$8,943.35 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Aetna Better Health |
SPD |
$822.22 |
$846.26 |
$871.29 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Aetna Better Health |
SPD/Full-Dual |
$139.71 |
$144.73 |
$150.01 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Aetna Better Health |
Adult |
$251.57 |
$259.91 |
$268.65 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Aetna Better Health |
BCCTP |
$1,175.50 |
$1,210.13 |
$1,246.19 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Aetna Better Health |
Behavioral Health Treatment 0-6 |
$2,453.49 |
$2,516.09 |
$2,580.84 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Aetna Better Health |
Behavioral Health Treatment 7-20 |
$2,050.36 |
$2,102.67 |
$2,156.79 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Aetna Better Health |
Child |
$80.04 |
$83.49 |
$87.13 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Aetna Better Health |
Maternity |
$6,891.61 |
$7,085.96 |
$7,287.33 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Aetna Better Health |
Optional Expansion |
$322.47 |
$333.22 |
$344.48 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Aetna Better Health |
Optional Expansion - Maternity |
$6,891.61 |
$7,085.96 |
$7,287.33 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Aetna Better Health |
SPD |
$832.19 |
$856.27 |
$881.34 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Aetna Better Health |
SPD/Full-Dual |
$113.73 |
$118.09 |
$122.68 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Aetna Better Health |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Aetna Better Health |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Aetna Better Health |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Aetna Better Health |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Anthem Blue Cross |
Adult |
$241.61 |
$249.73 |
$258.22 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Anthem Blue Cross |
BCCTP |
$1,095.85 |
$1,128.17 |
$1,161.82 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$3,692.84 |
$3,787.06 |
$3,884.53 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$2,174.90 |
$2,230.39 |
$2,287.79 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Anthem Blue Cross |
Child |
$70.35 |
$73.56 |
$76.95 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Anthem Blue Cross |
Maternity |
$8,457.64 |
$8,696.18 |
$8,943.35 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Anthem Blue Cross |
Optional Expansion |
$324.25 |
$335.10 |
$346.45 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Anthem Blue Cross |
Optional Expansion - Maternity |
$8,457.64 |
$8,696.18 |
$8,943.35 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Anthem Blue Cross |
SPD |
$843.57 |
$868.23 |
$893.90 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Anthem Blue Cross |
SPD/Full-Dual |
$154.79 |
$160.35 |
$166.19 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Anthem Blue Cross |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Anthem Blue Cross |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Care1st Health Plan |
Adult |
$229.68 |
$237.36 |
$245.41 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Care1st Health Plan |
BCCTP |
$1,217.92 |
$1,254.86 |
$1,293.38 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Care1st Health Plan |
Behavioral Health Treatment 0-6 |
$2,577.43 |
$2,643.19 |
$2,711.22 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Care1st Health Plan |
Behavioral Health Treatment 7-20 |
$2,235.81 |
$2,292.86 |
$2,351.88 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Care1st Health Plan |
Child |
$75.49 |
$78.81 |
$82.32 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Care1st Health Plan |
Maternity |
$6,891.61 |
$7,085.96 |
$7,287.33 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Care1st Health Plan |
Optional Expansion |
$313.60 |
$324.05 |
$335.00 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Care1st Health Plan |
Optional Expansion - Maternity |
$6,891.61 |
$7,085.96 |
$7,287.33 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Care1st Health Plan |
SPD |
$818.50 |
$842.24 |
$866.96 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Care1st Health Plan |
SPD/Full-Dual |
$114.89 |
$119.48 |
$124.33 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Care1st Health Plan |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Care1st Health Plan |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Community Health Group |
Adult |
$268.14 |
$277.03 |
$286.33 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Community Health Group |
BCCTP |
$1,136.15 |
$1,169.92 |
$1,205.09 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Community Health Group |
Behavioral Health Treatment 0-6 |
$2,112.10 |
$2,165.99 |
$2,221.74 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Community Health Group |
Behavioral Health Treatment 7-20 |
$1,692.94 |
$1,736.14 |
$1,780.83 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Community Health Group |
Child |
$79.62 |
$83.08 |
$86.73 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Community Health Group |
Maternity |
$6,891.61 |
$7,085.96 |
$7,287.33 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Community Health Group |
Optional Expansion |
$342.06 |
$353.47 |
$365.42 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Community Health Group |
Optional Expansion - Maternity |
$6,891.61 |
$7,085.96 |
$7,287.33 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Community Health Group |
SPD |
$870.09 |
$895.25 |
$921.44 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Community Health Group |
SPD/Full-Dual |
$113.21 |
$117.59 |
$122.20 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Community Health Group |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Community Health Group |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Health Net of California |
Adult |
$229.94 |
$237.67 |
$245.76 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Health Net of California |
BCCTP |
$1,043.97 |
$1,074.64 |
$1,106.58 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Health Net of California |
Behavioral Health Treatment 0-6 |
$3,149.85 |
$3,230.21 |
$3,313.35 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Health Net of California |
Behavioral Health Treatment 7-20 |
$2,241.38 |
$2,298.57 |
$2,357.73 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Health Net of California |
Child |
$64.92 |
$67.92 |
$71.09 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Health Net of California |
Maternity |
$8,457.64 |
$8,696.18 |
$8,943.35 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Health Net of California |
Optional Expansion |
$300.61 |
$310.66 |
$321.18 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Health Net of California |
Optional Expansion - Maternity |
$8,457.64 |
$8,696.18 |
$8,943.35 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Health Net of California |
SPD |
$809.21 |
$832.87 |
$857.51 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Health Net of California |
SPD/Full-Dual |
$141.76 |
$146.76 |
$152.02 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Health Net of California |
Adult |
$189.04 |
$195.32 |
$201.88 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Health Net of California |
BCCTP |
$1,038.49 |
$1,069.20 |
$1,101.17 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Health Net of California |
Behavioral Health Treatment 0-6 |
$2,583.97 |
$2,649.90 |
$2,718.10 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Health Net of California |
Behavioral Health Treatment 7-20 |
$2,161.08 |
$2,216.22 |
$2,273.26 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Health Net of California |
Child |
$82.21 |
$85.65 |
$89.29 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Health Net of California |
Maternity |
$6,891.61 |
$7,085.96 |
$7,287.33 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Health Net of California |
Optional Expansion |
$241.89 |
$249.96 |
$258.42 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Health Net of California |
Optional Expansion - Maternity |
$6,891.61 |
$7,085.96 |
$7,287.33 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Health Net of California |
SPD |
$615.11 |
$632.93 |
$651.48 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Health Net of California |
SPD/Full-Dual |
$112.38 |
$116.37 |
$120.55 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Health Net of California |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Health Net of California |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Health Net of California |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Health Net of California |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Adult |
$277.28 |
$286.46 |
$296.08 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
BCCTP |
$1,135.13 |
$1,167.91 |
$1,202.02 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 0-6 |
$3,988.84 |
$4,090.63 |
$4,195.93 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 7-20 |
$2,659.54 |
$2,727.41 |
$2,797.61 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Child |
$78.22 |
$81.66 |
$85.31 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Maternity |
$8,457.64 |
$8,696.18 |
$8,943.35 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Optional Expansion |
$354.11 |
$365.94 |
$378.32 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Optional Expansion - Maternity |
$8,457.64 |
$8,696.18 |
$8,943.35 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
SPD |
$708.68 |
$729.34 |
$750.86 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
SPD/Full-Dual |
$119.38 |
$123.64 |
$128.12 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Adult |
$284.54 |
$293.88 |
$303.65 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Kaiser Foundation Health Plan |
BCCTP |
$1,106.39 |
$1,138.71 |
$1,172.34 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 0-6 |
$3,662.23 |
$3,755.67 |
$3,852.33 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 7-20 |
$2,664.60 |
$2,732.58 |
$2,802.92 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Child |
$88.80 |
$92.55 |
$96.50 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Maternity |
$6,891.61 |
$7,085.96 |
$7,287.33 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Optional Expansion |
$361.96 |
$374.02 |
$386.65 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Optional Expansion - Maternity |
$6,891.61 |
$7,085.96 |
$7,287.33 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Kaiser Foundation Health Plan |
SPD |
$696.99 |
$717.12 |
$738.07 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Kaiser Foundation Health Plan |
SPD/Full-Dual |
$114.61 |
$118.74 |
$123.09 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Kaiser Foundation Health Plan |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Kaiser Foundation Health Plan |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Molina Healthcare |
Adult |
$254.62 |
$263.20 |
$272.19 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Molina Healthcare |
BCCTP |
$1,031.20 |
$1,061.84 |
$1,093.75 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Molina Healthcare |
Behavioral Health Treatment 0-6 |
$3,216.87 |
$3,298.95 |
$3,383.86 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Molina Healthcare |
Behavioral Health Treatment 7-20 |
$2,192.79 |
$2,248.74 |
$2,306.62 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Molina Healthcare |
Child |
$76.05 |
$79.45 |
$83.04 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Molina Healthcare |
Maternity |
$8,457.64 |
$8,696.18 |
$8,943.35 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Molina Healthcare |
Optional Expansion |
$347.64 |
$359.26 |
$371.42 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Molina Healthcare |
Optional Expansion - Maternity |
$8,457.64 |
$8,696.18 |
$8,943.35 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Molina Healthcare |
SPD |
$878.59 |
$904.33 |
$931.13 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Molina Healthcare |
SPD/Full-Dual |
$149.82 |
$155.37 |
$161.22 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Molina Healthcare |
Adult |
$245.22 |
$253.37 |
$261.91 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Molina Healthcare |
BCCTP |
$1,237.37 |
$1,273.17 |
$1,310.41 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Molina Healthcare |
Behavioral Health Treatment 0-6 |
$2,118.80 |
$2,172.85 |
$2,228.78 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Molina Healthcare |
Behavioral Health Treatment 7-20 |
$2,000.61 |
$2,051.65 |
$2,104.46 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Molina Healthcare |
Child |
$78.77 |
$82.18 |
$85.77 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Molina Healthcare |
Maternity |
$6,891.61 |
$7,085.96 |
$7,287.33 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Molina Healthcare |
Optional Expansion |
$315.53 |
$326.05 |
$337.07 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Molina Healthcare |
Optional Expansion - Maternity |
$6,891.61 |
$7,085.96 |
$7,287.33 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Molina Healthcare |
SPD |
$867.66 |
$892.76 |
$918.88 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Molina Healthcare |
SPD/Full-Dual |
$113.60 |
$117.91 |
$122.45 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Molina Healthcare |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
Molina Healthcare |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Molina Healthcare |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
Molina Healthcare |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
United Healthcare |
Adult |
$247.55 |
$255.84 |
$264.52 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
United Healthcare |
BCCTP |
$1,104.45 |
$1,136.76 |
$1,170.39 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
United Healthcare |
Behavioral Health Treatment 0-6 |
$3,765.32 |
$3,861.40 |
$3,960.79 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
United Healthcare |
Behavioral Health Treatment 7-20 |
$2,444.30 |
$2,506.67 |
$2,571.19 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
United Healthcare |
Child |
$71.46 |
$74.69 |
$78.11 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
United Healthcare |
Maternity |
$8,457.64 |
$8,696.18 |
$8,943.35 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
United Healthcare |
Optional Expansion |
$326.53 |
$337.45 |
$348.87 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
United Healthcare |
Optional Expansion - Maternity |
$8,457.64 |
$8,696.18 |
$8,943.35 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
United Healthcare |
SPD |
$822.22 |
$846.26 |
$871.29 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
United Healthcare |
SPD/Full-Dual |
$139.71 |
$144.73 |
$150.01 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
United Healthcare |
Behavioral Health Treatment 0-6 |
$2,453.49 |
$2,516.09 |
$2,580.84 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
United Healthcare |
Behavioral Health Treatment 7-20 |
$2,050.36 |
$2,102.67 |
$2,156.79 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
United Healthcare |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
07/18-06/19 |
2018-19 |
GMC |
Sacramento |
United Healthcare |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
United Healthcare |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
United Healthcare |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
United Healthcare |
Adult |
$251.57 |
$259.91 |
$268.65 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
United Healthcare |
BCCTP |
$1,175.50 |
$1,210.13 |
$1,246.19 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
United Healthcare |
Child |
$80.04 |
$83.49 |
$87.13 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
United Healthcare |
Maternity |
$6,891.61 |
$7,085.96 |
$7,287.33 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
United Healthcare |
Optional Expansion |
$322.47 |
$333.22 |
$344.48 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
United Healthcare |
Optional Expansion - Maternity |
$6,891.61 |
$7,085.96 |
$7,287.33 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
United Healthcare |
SPD |
$832.19 |
$856.27 |
$881.34 |
07/18-06/19 |
2018-19 |
GMC |
San Diego |
United Healthcare |
SPD/Full-Dual |
$113.73 |
$118.09 |
$122.68 |