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HomeMy WebLinkAboutSLOANS LAKE - CONTRACT - RFP - P682 (2)City of Fort Collins Administrative Services Purchasing Division PARTICIPATION AND MEDICAL MANAGEMENT AGREEMENT CITY OF FORT COLLINS /�11I-C SLOANS LAKE MANAGED CARE INC. 256 W. Mountain Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6775 • FAX (970) 221-6707 5.13 The Participating Plan acknowledges that all Participating Providers are contractually required to submit all bills for Covered Services rendered to Covered Individuals directly to SLMC. All claims received by SLMC which identify the insured to be a member of the Participating Plan shall be sent to the Participating Plan's claim administrator. In the event the Participating Plan's claim administrator does not identify the patient as a Covered Individual, the Participating Plan agrees that its claim administrator shall either return the claim to the Participating Provider or send the Participating Provider a notice of denial. 5.14 The Participating Plan has contracted for access to the SLMC statewide network of Participating Providers and understands that it cannot terminate any Participating Provider from this Agreement. 5.15 The Participating Plan agrees that it shall not use the list of Participating Providers and/or the Negotiated Rates on Exhibits A and B as a source for forming a network of preferred providers or to contract directly with any Participating Provider. The obligations contained in this Section 5.15 shall survive termination of this Agreement and continue for a period of one year following the termination of this Agreement. 5.16 Participating Plan is solely responsible for ERISA compliance and reporting obligations, SLMC shall not be deemed a fiduciary of Participating Plan for any purpose. 5.17 Participating Plan agrees to provide SLMC with the enrollment data listed on Exhibit C upon execution of this Agreement and thereafter on an annual basis. 5.18 In order to assure that there will be no disruption of service to the Covered Individual or the Participating Provider, Participating Plan agrees to contact its claim administrator to ensure that they are taking the necessary steps to be Year 2000 compliant by December 31, 1999. ARTICLE VI INDEPENDENT RELATIONSHIP 6.1 The relationship of the parties hereto is only that of independent entities contracting with each other at arm's length solely for the purpose of affecting the provisions of this Agreement. None of the parties to this Agreement nor any of their respective affiliates or employees shall be construed to be agents, employees, joint venturers or representatives of the other. 6.2 Participating Plan shall not interfere with or otherwise influence the manner in which any of the services or obligations of SLMC outlined in this Agreement are provided. SLMC shall not interfere with or otherwise influence the relationship between Participating Plan and its Covered Individuals. Participating Plan acknowledges that SLMC does not 9 PPO17/PAR-WE-UR/CrrY OF Fr COLLINS/ 11.20.98/jg EXHIBIT A The Network Alliance Page 7 Steroid Therapy Infusion - Continued Amount Code Steroid Therapy $ 70.00 + AWP STET Included in the per diem -rate for steroid therapy: --Solutions, pharmacy -compounding fees, standard -medical sup and _ equipment, delivery, hazardous waste disposal and pharmacy management services. Iron Binding Therapy Amount Code Iron Binding Therapy $ 65.00 + AWP IBTH Included in the per diem rate for iron binding therapy: Solutions, pharmacy compounding fees, standard medical supplies, delivery, hazardous waste disposal and pharmacy management services. Dobutamine Therapy Dobutamine Therapy Amount Code $95.00+AWP DOBT Included in the per diem rate for dobutamin therapy: Solutions, pharmacy compounding fees, standard medical supplies and equipment, delivery, hazardous waste disposal and pharmacy management services. Iniectibles Amount Code Neupogen, epogen, interferon, etc. $ 55.00+AWP NEUP Included in the per diem rate for injectibles: Standard medical supplies, delivery, hazardous waste disposal and pharmacy management services. — Aerosolized Pentamidine Amount Code Aerosolized Pentamidine $ 90.00 + AWP AREO Included in the rate for aerosolized pentamidine: Pharmacy compounding fees, standard medical supplies, nebulizer, delivery, hazardous waste disposal and pharmacy management services. Enteral Therapy Amount Code Enteral Therapy $ 20.00 + AWP — ENTT Included in the per diem rate for enteral therapy: Standard medical supplies, stationary pump, delivery, hazardous waste disposal and pharmacy management services. Human Growth Hormone Amount Code 5 mg vial AWP + 10% HGH5 Included in the per diem rate for human growth hormone: Medical supplies, equipment, delivery, hazardous waste disposal and pharmacy management services. EXHIBIT A The Network Alliance Page 9 Infusion - Continued Antihemophilic Factor IX Amount Code Mononine® $0.90/A.U. ANT6 Alphanine ®SD -$0.89/A.U. __ ANTI - Proplex n $0.23/A.U. ANT8 Konyne® 80 $0.32/A.U. ANT9 Profilnine®IIT $0.32/A.U. ANT9 Others Autoplex®T FEIBA" DDAVP Humate® Chronic Immune Globulin Intravenous (IVIG Therapy) Gammagard®SD SandoglobulirP Gamimune®N 5% Venoglobulin2-1 Gamimune®N 10% Venoglobulin2-S Alpha Antitrypsin Deficiency/ Genetic Emphysema Amount Code $ 1.14/A.U. ANT10 $ 1.10/A.U. ANT11 $219.00 per vial ANT12 $ 1.10/A.U. ANT11 Amount Code $50.00 + AWP IVIG Polygam ®SD Gammar®IV Iveegam® Amount Code Prolastin® - — $75.00 + AWP PROT Continuous Passive. Motion for T U PPO Allowable Continuous Passive Motion Device Rentals $ 46.20 per diem Splints and Set -Up Charges Splints _ $360.00 per diem - — Set -Up Charges - $ 67.50 Other Related Services 9% discount Note: Routine services of the Rehabilitation Coordinator are included in the above charges. EXHIBIT A The Network Alliance Page 10 =, �,..� ztt 6 sac'.u..,t �`� . raw.. •:�s3.m�Lsurs � �" .�... - s; z,..., Per Diem Rates Routine Home Care $108.00/day Inpatient Care $476.00/day Continuous Care . S631.00/day Respite Care $109.00/day Admission Visit Skilled Visit (RN or LPN) MSW Admission Visit MSW/Chaplain Visit CNA Routine Visit Spiritual Admission Assessment - Spiritual Routine Visit PER DIEM RATES INCLUDE THE FOLLOWING: Per Visit Rates $110.00/visit $ 80.00/visit $110.00/visit S 80 06/visit - `- $ 28.00/visit $ 50.00/visit $ 20.00/visit 1. Intermittent home visits by licensed nurses. 2. Home visits by social workers/counselors. 3. Home visits by home health aides. 4. Home visits by volunteers. 5. Chaplaincy services. 6. Family counseling services to patients and family members while the patient is receiving hospice care. 7. Bereavement care and for family up to 13 months following the patient's death. 8. Palliative physical therapy (only when necessary). 9. Palliative occupational therapy (only when necessary). 10. Palliative speech therapy (only when necessary). 11. Dietary consultation. 12. Durable Medical Equipment (excluding ventilators) related to the terminal diagnosis. 13. Routine medical supplies related to the terminal diagnosis. 14. Palliative medications related to the terminal diagnosis. 15. In -home lab fees related to the terminal diagnosis. EXCLUSIONS TO THE PER DIEM RATES: 1. Inpatient Hospitalizations. - - 2. Outpatient diagnosis tests and other procedures. 3. Custodial care. 4. Blood transfusions. 5. Experimental therapy. -- 6. Physician fees. 7. Radiation and chemotherapy. 8. Total Parenteral Alimentation. 9. IV antibiotics. 10. Insertion of Epidermal Catheters, Port-a-Cath, Central Lines. I I. Specialty Beds-(e.g., Climitron).- 12. Epidermal infusion (unless all other methods have been exhausted). 13. Ventilators. HOLIDAY RATES: All "per visit" rates will be billed at time and one half for the following recognized holidays: New Years Day Labor Day Memorial Day Thanksgiving Day Independence Day Christmas Day Holiday rates begin at 11 p.m. on the eve of the holiday through 11 p.m. on the actual date of the holiday. I provide professional healthcare services to Covered Individuals and that Participating Providers are individually and solely responsible for the professional decisions and actions made while providing Healthcare Services to Covered Individuals. ARTICLE VII INSURANCE 7.1 SLMC agrees to maintain at its expense during the term of this Agreement professional liability insurance in the amount of one million ($1,000,000) per occurrence to one million ($1,000,000) aggregate to cover any claims that could arise from the provision of services under this Agreement. Each of the parties hereto shall, during the term of this Agreement, maintain at its sole cost and expense all necessary insurance for its employees, including but not limited to workers' compensation, unemployment insurance, and any other insurance required by law. Either party will provide the other with certification of such insurance upon request. ARTICLE VIII MEDICAL RECORDS 8.1 Participating Plan grants to SLMC the right to review Covered Individuals' medical records. 8.2 SLMC shall require Participating Providers to maintain appropriate medical records in such form, containing such information, and preserved for such time period(s) as required by state and federal law and SLMC. All medical records shall be and remain the property of Participating Providers and shall not be removed or transferred from the premises of Participating Providers except in accordance with applicable law. 8.3 SLMC and its Participating Providers shall only release medical records of Covered Individuals with written authorization for the release of such records signed by Covered Individual or another person legally authorized to consent to the release of Covered Individual's medical records. When presented with an adequate authorization for the release of medical records, SLMC and its Participating Providers shall permit Participating Plan to inspect Covered Individual's medical records, and shall provide copies of such records to Participating Plan upon reasonable request. Participating Plan is responsible to pay for copies of medical records, whether requested by SLMC or Participating Plan, in accordance with rates established by the State of Colorado, Department of Health. 8.4 This Agreement does not oblige SLMC to disclose to Participating Plan internal SLMC records, documents, minutes, correspondence or any other document or item related to the credentialing of or peer review activities or committee meetings related to any -. 10 PPOMPAR-WE-UR/CITY OF Fr COLLINS/11.20.9g/jg i particular Participating Provider. Participating Plan is entitled to review the SLMC policies and procedures relating generally to credentialing and peer review. 8.5 SLMC represents and warrants that it will maintain the privacy and confidentiality of all medical records or other medical information that SLMC obtains from any provider including a hospital or physician concerning Covered Individuals. SLMC further agrees it will utilize the medical information it obtains only for utilization review determinations and case management services, and will not release such medical information to any third party without prior written consent of the patient and Participating Plan unless required to release such medical information by court order. SLMC may develop and release statistical compilations and comparisons for purposes of statistical reporting as long as Covered Individuals are not identified by name. ARTICLE IX CONFIDENTIALITY 9.1 SLMC and Participating Plan shall hold and cause their respective affiliates, employees, and other representatives and agents to hold, in strict confidence, Confidential Information concerning the other party or with respect to this Agreement unless compelled to disclose by judicial or administrative process or by other requirements of law. For purposes of this Agreement, "Confidential Information" shall mean all information of a proprietary or confidential nature including any financial information relating to SLMC or Participating Plan, their respective affiliates, employees, agents or other representatives, or information otherwise prohibited from transmission by contractual, legal or fiduciary obligations, including any credentialing and peer review information regarding Participating Providers and any information clearly marked as confidential. Exhibits A and B of this Agreement shall be considered Confidential Information. Confidential Information shall not include information generally available to the public, other than as a result of a disclosure by the party receiving such information on a non -confidential basis or from a source other than SLMC or Participating Plan. The obligations contained in this Section 9.1 shall survive termination of this Agreement and continue for a period of five (5) years thereafter. ARTICLE X PARTICIPATING PROVIDERS LISTING 10.1 Participating Plan may list each Participating Provider's name, address(es), telephone number(s) and a description of his/her Healthcare Services in Participating Plan's marketing/promotional activities to Covered Individuals. However, such description and/or material shall be subject to SLMC prior written approval. 11 PPO17/PAR-WE-UR/CrrY OF Fr COLLINS/11.20.981jg ARTICLE )a TERM OF AGREEMENT 11.1 This Agreement shall continue for a period of twelve (12) months and it shall thereafter be renewed for successive one-year periods effective each January 1st unless terminated as set forth in Sections 11.2 and 11.3. 11.2 This Agreement may be terminated at any time by mutual consent of both parties. This Agreement may also be terminated without cause, with or without providing reasons for termination, by any of the parties hereto upon not less than sixty (60) days prior written notice to the other party. Any such written notice shall designate the intended date of termination. The fees outlined under Article IV shall remain in effect until the designated date of termination. 11.3 This Agreement may be terminated by either party due to the failure of a party to correct a breach of its obligations under the Agreement within thirty (30) days after written notice from the other party; however, that if any such breach by a party cannot, with due diligence, be corrected within such thirty (30) day period, cause for termination shall exist only if such party fails to undertake and to diligently pursue correction of said breach as soon as reasonably possible. 11.4 Termination shall have no effect upon the rights and obligations of the parties arising out of any transactions occurring between the parties prior to the effective date of such termination unless otherwise specifically stated in this Agreement. Termination of the Agreement shall not affect Participating Plan's obligation to pay for Covered Services provided after termination of the Agreement to a Covered Individual who was properly admitted to Hospital(s) or received Healthcare Services from a Participating Provider prior to such termination provided Covered Individual was otherwise entitled to benefits - of Participating Plan. ARTICLE III DISPUTE RESOLUTION 12.1 Mediation. If any dispute or claim arising out of or relating to this Agreement cannot be settled through informal negotiation by the parties directly, the parties agree that they will not proceed with any further dispute resolution procedures without first participating in mediation. Mediation is a process whereby a neutral third party facilitates discussion between the parties in an attempt to resolve the dispute or claim without formal litigation. It is not arbitration. Either party may initiate mediation by notifying the other party, and the other party must attend at least one mediation session, and attempt, in good faith, to resolve the matter. The mediation shall occur within ten (10) days of the request for mediation. The parties shall share equally in the cost of mediation. This paragraph shall not apply to discussions between the parties held in conjunction with contract renewal or renegotiation. 12 PPO17/PAR-WE-UR/CrrY OF FT COLLINS/11.20.98/jg 12.2 Disputes under $10,000. In the event the parties are unable to resolve any dispute or claim arising out of or relating to this Agreement by the procedure outlined in Section 12.1, above, the parties agree that, if the reasonable value of the claim is $10,000 or less, and a party wishes to proceed with formal litigation, the claim must be filed in the nearest County Court which can assert jurisdiction and all simplified civil procedure rules shall apply. The parties hereto waive any right to a jury trial to which they may have otherwise been entitled. 12.3 Disputes in excess of $10,000. In the event the parties are unable to resolve any dispute or claim arising out of or relating to this Agreement by the procedure outlined in Section 12.1, above, and the reasonable value of the claim is in excess of $10,000, either party may elect to proceed to binding arbitration, which election shall be binding on the other party. Such arbitration shall occur within the County of Denver, State of Colorado, unless the parties mutually agree to have such proceeding in some other locale. The arbitration shall be conducted by one arbitrator, appropriately experienced with the issues presented by the dispute. The arbitrator shall have no power to award punitive or exemplary damages or to ignore or vary the terms of this Agreement and shall be bound by Governing Law as set forth in this Agreement. The arbitration shall be conducted in accordance with the Colorado Uniform Arbitration Act, or, in the alternative, other procedural rules if such rules are mutually agreed to by the parties. The decision of the arbitrator shall be final and binding upon both parties and enforceable in any court having jurisdiction thereof. In the event neither party elects to utilize arbitration, the dispute shall proceed to formal litigation in the appropriate District Court. The non -prevailing party in such arbitration or litigation shall be liable to the other party for reasonable attorneys' fees and reasonable costs to the prevailing party. ARTICLE XIH MISCELLANEOUS PROVISIONS 13.1 Notices. Any notice required to be given pursuant to the terms and provisions hereof shall be in writing and shall be personally delivered or sent by certified mail, return receipt requested, postage prepaid, or by generally recognized overnight delivery services who keep records of such deliveries, to the following addresses: Participating Plan: City of Ft. Collins 200 W. Mountain, Suite A Fort Collins, CO 80522 SLMC: Sloan Lake Managed Care, Inc. 1355 S. Colorado Blvd., Ste. 902 Denver, CO 80222 Attn: Contracts/Marketing 13 PPOMPAR-WE-UR/CITY OF FT COLLINS/11.20.981Jg 13.2 Assignment. No party shall assign or otherwise transfer this Agreement or any interest herein without obtaining the prior written consent of the other party. Notwithstanding the foregoing, each party shall have the right to assign the Agreement and to delegate all rights, duties and obligations hereunder, whether in whole or in part to any parent, affiliate, successor, subsidiary organization or company of the parties. SLMC may from time to time subcontract with other parties for various services provided under this Agreement without the written consent of the Participating Plan. 13.3 Governing Law. This Agreement shall be construed and governed in all respects by the laws of the State of Colorado. 13.4 Waivers and Amendments. No term or provision hereof shall be deemed waived and no breach excused, unless such waiver or consent shall be in writing and signed by the party claiming to have waived or consented. No waiver of any rights under this Agreement by any party shall operate as a waiver of any other rights, or of the same right with respect to any subsequent occasion for its exercise. No waiver by any party of any breach of this Agreement shall be held to constitute a waiver of any other breach or continuation of the same breach. This Agreement may not be amended except in writing signed by each of the parties to the Agreement. 13.5 Headings. The headings of the articles and paragraphs in this Agreement are used as a matter of convenience and for reference only, and they in no way define, limit or describe the scope of this Agreement or the intent of any of its provisions. 13.6 Severability. If any term or provision of this Agreement shall, to any extent, be held invalid or unenforceable, the remainder of this Agreement shall not be affected. Such remaining portion shall be valid, enforceable and of full force and effect. 13.7 Third Party Beneficiary. The parties to this Agreement do not intend to create or confer any benefits under this Agreement to any other person or legal entity other than the parties. The rights and obligations of each party to this Agreement shall inure solely to the benefit of the parties hereto, and no person or entity, including any Covered Individual or Participating Provider, shall be considered a third party beneficiary of this Agreement. 13.8 Trade Name Trade Mark and Copyright. Nothing contained in this Agreement shall confer upon either party a license to use or ownership of : (i) the name of the other party or any other name under which a party operates, or (ii) any trademark, service mark or trade name owned by such party. Upon termination of this Agreement, all use of names, trademarks, service marks or trade names owned by one party as described above by the other party shall cease, except as may be otherwise expressly authorized in writing. Each of the parties to this Agreement warrant that neither this Agreement nor the tangible or intangible products produced as a result of it will infringe upon or violate any patent, copyright, trade secret or other proprietary right of any third party, and each party will ^ indemnify and hold the other harmless from and against any loss, cost, liability or 14 PPO171PAR-WE-UR/CITY OF FT COLLINS/11.20.98/k expense (including reasonable attorney fees) arising out of any breach, or claimed breach of this warranty. 13.9 Legal Action. In the event of legal action by a person not a party to this Agreement against a party to this Agreement, related to the obligations or performance outlined herein, the other party shall cooperate to the extent that no conflict of interest exists between the parties. Such cooperation may include providing appropriate individuals for depositions and/or testimony in court. 13.10 Advertising Restraints. Each party agrees that, without the other party's written consent, it will not use the name, service marks, or trademarks of the other party or of any of its affiliated companies or reveal the existence of this Agreement or the terms or conditions thereof in any written advertising, publicity release, or sales representation. 13.11 Acknowledgment. Each party acknowledges that it has read this Agreement, understands it and agrees to be bound by its terms and further agrees that it is the complete and exclusive statement of the Agreement between the parties, and supersedes all proposals, oral or written and all other communications between SLMC and Participating Plan relating to the subject matter of this Agreement. 13.12 Counterparts. This Agreement may be executed in one or more counterparts, each of which shall be deemed an original and all of which together constitute one and the same instrument, notwithstanding that all of the parties are not signatory to any one counterpart. IN WITNESS WHEREOF, the undersigned have executed this Agreement as of the day and year first written above. Sloan Lake Managed Care, City of Ft. Collins BY: U 4 . �Q �/it I'Z TITLE: TITLE:`'` o i3 �7L1 VV.7��D� �U2G H�-✓��'�� DATE: s��� DATE: j11z tE v o/ BY: BY:. r Q , TITLE: TITLE: C♦ DATE: DATE: 15 PP017/PAR-WE-UR/CrrY OF FT COLLINS/11.20.98/jg No Text EXHIBIT A The following time frame for payment of claims shall apply to all Participating Providers listed on the following Exhibit A pages. Any time frame language which may appear on a specific Participating Provider's Exhibit A shall supersede this language. TIME FRAME FOR PAYMENT OF CLAIMS: The Participating Plan agrees that claims submitted on behalf of Covered Individuals shall be considered for payment within the time frames listed below by their claim administrator. If claims are not paid or applied to Deductible, Copayment and out-of-pocket amounts within the time frame described below, the claim shall not be eligible for the Participating Provider's -Negotiated Rate and no discount will be taken on the claim by the Participating Plan's claim administrator. If a claim is denied, the Participating Plan agrees that its claim administrator shall notify the Participating Provider within the time frames described below. A claim shall be considered received by the Participating Plan's claim administrator the day it is physically and electronically delivered to their place of business. If the Participating Plan's claim administrator does not record the actual day the claim is physically received at its place of business, the received date shall be five (5) days from the date the claim was mailed to the Participating Plan's claim administrator based on either the Participating Provider's or SLMC's record of mailing. 1. For claims not requiring additional information the time frame shall be within thirty (30) days of receipt of the claim by the Participating Plan's claim administrator. 2. For claims that require additional information to determine if they are reimbursable according to the Participating Plan's benefit provisions, the time frame shall be within thirty (30) days of receipt of the information by the Participating Plan's claim administrator. -- Participating Plan agrees that its claim administrator will acknowledge receipt of a pending claim and notify the Participating Provider of its pending status within thirty (30) days of receipt of the claim. — 3. The Participating Plan agrees that all claim appeals properly submitted to SLMC for consideration of the Participating Provider's allowable amount, which is based on Exhibits A, shall be adjusted by the Participating Plan's claim administrator, if applicable, within thirty (30) days of receipt of the claim appeal by the Participating Plan's claim administrator. Participating Plan agrees that its claim administrator shall maintain a Repricing quality of no less than ninety percent (98%). If claims are not Repriced in accordance with Exhibits A and it results in an incorrect claim payment to the Participating Provider, the Negotiated Rate shall not apply. PPOMPAR-WE-UR/CITY OF FT COLLINS/10.13.98/ig EXHIBIT A Ambulatory Surgery Center of the Colorado Springs Health Partners, P.C. (Formerly Colorado Springs Medical Center, P.C.) Tax ID #84-1129000 Ambulatory Surgery Center of -the Colorado Springs Medical Center, P.C. agrees to a discount of seven percent (7%) off total billed charges. Sloans Lake Managed Care, Inc. PARTICIPATION AND MEDICAL MANAGEMENT AGREEMENT This Participation Agreement is effective the 1st day of January, 1999, by and between City of Ft. Collins (hereinafter referred to as "Participating Plan") and Sloans Lake Managed Care, Inc., a Colorado corporation, (hereinafter referred to as "SLMC "). PREMISES 1. SLMC has been formed for the purpose of entering into agreements with third parties (such as insurance companies, self -insured multi -employer plans and governmental entities) for the delivery of healthcare by SLMC Participating Providers to the employees, members or other constituents of such third parties, as well as their dependents, hereinafter referred to as "Covered Individuals". 2. SLMC maintains a network of contracted physicians, hospitals and providers of ancillary services available for use by Covered Individuals of Participating Plan. SLMC can provide, utilization review and case management services for Covered Individuals enrolled in a health benefit plan offered by the Participating Plan, and 3. Whereas, SLMC shall establish, operate and continuously maintain utilization review and case management programs acceptable to the Participating Plan and in accord with protocols agreed upon by SLMC and the Participating Plan, and 4. Participating Providers will accept as full payment SLMC Negotiated Rates and cooperate with SLMC policies. 5. Participating Plan is a self -insured plan and wishes to secure for its Covered Individuals the SLMC network of physicians, hospitals and ancillary service providers and to secure for itself the benefits of SLMC network system. Therefore in consideration of mutual promises contained herein, the parties agree as follows: ARTICLE I DEFINITIONS 1.1 "Agreement" means this Participation Agreement between the parties. 1.2 "Coinsurance", "Copal" and "Deductible" mean the portion of payment due to the Participating Provider from the Covered Individual for Covered Services under the terms of the Participating Plan. PPOMPAR-WE-UR/C rY OF FT COLLINS/11.20.98/jg EXHIBIT A Arkansas Valley Regional Medical Center Tax ID #84-0393987 Arkansas Valley Regional Medical Center agrees to an eight percent (8 %) discount off of billed charges for all inpatient and outpatient charges. EXHIBIT A ASPEN HEALTH PLUS, INC. Aspen Valley Hospital District Tax ID #84-0720309 . Aspen Valley Hospital agrees to a ten percent (10%) discount off total billed charges for all inpatient. and outpatient care - NOTE: If the Participating Plan's ID card does not clearly show the SLMC name and/or logo, the Aspen Valley Hospital is not obligated to accept the above Negotiated Rate. EXHIBIT A Avista Hospital (PorterCare Hospital - Avista) Tax ID #84-0438224 Avista Hospital commits to the following discounts: 1. Inpatient Services - An eight (8) percent discount from billed charges shall apply to all inpatient services rendered. 2. Outpatient Services - An eight (8) percent discount from billed charges shall apply to all outpatient services rendered. The Hospital will discount total billed charges by the above percentage when the Participating Plan is primary carrier on a claim. When the Participating Plan is not primary carrier on a claim the Hospital will discount, by the above percentage, the remaining balance after subtraction of the primary carrier's payment. EXHIBIT A Boulder Community Hospital Tax ID #84-0175870 The Following Discount Includes Services At: Boulder Community Hospital Community Medical Center 1100 Balsam Avenue 2000 W. South Boulder Road P.O. Box 0019 Lafayette; -CO--80026-_ Boulder, CO 80301-9019 Mapleton Center -Behavioral Health Services Miriam R. Hart Regional Radiation Therapy Center 311 Mapleton Avenue 905 Alpine Avenue P.O. Box 9130 Boulder, CO 80304 Boulder, CO 80301-9130 Note: Billed under Boulder Community Hosp-MPL Hospital agrees to a discount of ten percent (10%) off total billed charges for services rendered both inpatient and outpatient at the above facilities. The Following Discounts Include Services At: Mapleton Center -Rehabilitation Services 311 Mapleton Avenue P.O. Box 9130 Boulder, CO 80301-9130 Note: Billed under Boulder Community Hosp- MYL Rehabilitation: Inpatient $850.00 per diem Outpatient 12°lo off total billed charges The Following Discounts Include Services From: Boulder Community HomeCare 311 Mapleton Avenue P.O. Box 9130 Boulder, CO 80301-9130 Service: Rate Per Visit: Skilled Nursing $63.50 Physical Therapy $70.00 Occupational Therapy- $70.00 Speech Therapy $70.00 Social Worker $85.00 Home Health Aide $10.00 hour High Tech Skilled Nursing (IV) $65.00 Certified Nurse Assistant (CNA) $44.00 1 0 EXHIBIT A Boulder Medical Center Ambulatory Surgery Unit Tax ID #84-0834835 Negotiated Rates Boulder Medical Center commits to a ten percent (10%) discount off billed facili charges for services rendered in Boulder Medical Center's Ambulatory Surgery Unit. ENHIBIT A Breckenridge Medical Center Tax ID #84-1206844 Negotiated Rates Breckenridge Medical Center agrees to a five percent (5 %) discount off total billed charges. EXHIBIT A Centura Home Care and Hospice This contract includes the following providers: Centura Home Care Mercy Home Health & Hospice Centura Home Infusion - 2420 W. 26th Avenue, Suite 200D 3801 N. Main Street North State Denver, CO 80211 _ Durango, CO 81301 2420 W. 26th Avenue, Suite 200D Phone: 303.561.5000 Phone: 970.382.2000 Denver, CU Tl — Fax: 303.561.5050 Fax: 970.382.2069 Phone: 303.561.5000 TIN: 84-0438224 TIN: 84-0405515 Fax: 303.561.5050 TIN: 84-0405257 Centura Home Care - Avista 333 S. Boulder Road, Suite 5 Louisville, CO 80027 Phone: 303.665.3228 Fax: 303.665.2223 TIN:84-0418224 Centura Home Care - Brighton 1295 Bridge Street, Suite 102 Brighton, CO 80601 Phone: 303,659.5798 Fax: 303.659.6247 TIN: 84-0438224 Centura Home Health 4815 List Drive, Suite 102 Colorado Springs, CO 80919 Phone: 719.528.6991 Fax: 719.528.5324 TIN: 84-0405257 St. Mary Corwin Home Health 3921 Outlook Boulevard Pueblo, CO 81008 Phone: 719.543.9680 Fax: 719.543.8136 TIN: 84-0405257 St. Thomas More Home Health 1338 Phay Avenue Canon City, CO 81212 Phone: 719.269.2286 Fax: 719.269.2161 TIN: 84-0405257 Mercy Home Health & Hospice 95 S. Pagosa Boulevard Pagosa Springs, CO 8I147 Phone: 970.731.9190 Fax: 970.731.9196 TIN:84-0405515 Porter Hospice 2420 W. 26`h Avenue, Suite 200D Denver, CO 80211 Phone: 303.561.5000 Fax: 303.561.5050 TIN: 84-0438224 Porter Hospice - Avista 333 S. Boulder Road, Suite 5 Louisville, CO 80027 Phone: 303.665.3228 Fax: 303.665.2223 TIN: 84-0438224 Porter Hospice at The Johnson Center 5020 E. Arapahoe Road Littleton, CO 80122 Phone: 303.694.3545 Fax: 303.694.5103 TIN: 84-0438224 Porter Hospice at High Street 2379 S. High Street Denver, CO 80210 Phone:303.871.0502 — Fax: 303.698.1851 TIN: 84-0438224 Centura Home Infusion - South State 4815 List Drive, Suite 102 Colorado Springs, CO 80919 Phone: 719.260-4507 Fax: 719.260-4522 TIN: 84-0405257 Centura/American Home Patient 2422 S. Trenton Way, Suite H Denver, CO 80231 _ Phone: 303.306.9055 Fax: 303.306.0818 TIN: 84-1420928 Centura Home Oxygen 4815 List Drive, Suite 102 Colorado Springs, CO 80919 Phone: 719.599.0202 Fax: 719 535.0158 TIN: 84-0405257 TINE FRAME FOR CLAIMS PAYMENT: Participating Plan agrees to remit payments due from them within ninety (90) days of receipt of Participating Provider's billing by the Participating Plan's claims administrator for claims not requiring additional information for processing of the claim or claims not involving coordination of benefits. For processing of a claim when the Participating Plan is the secondary carrier, or when additional information is required, the Participating Plan agrees to remit payments due from them within ninety (90) days of receipt of the information by the Participating Plan's claims administrator required to process the claim. If claims are not paid within the time frame described above. Centura Home Care and Hospices' Negotiated Rates shall not apply and no discount will be taken on the claim by the Participating Plan's claim administrator. EXHIBIT A Centura Home Care and Hospice Page 2 HOME HEALTH VISITS DAILY CARE Up to 2 hrs. Additional hrs. Skilled Nursing, PT, OT, ST. MSW $ 73.00 $ 37.00 Home Health Aide 32.00 15.00 SERVICE PER DIEM ROUTINE HOME CARE $110.00 INPATIENT CARE 480.00 CONTINUOUS CARE 635.00 RESPITE CARE 110.00 i.i Y.. f10ME Rim V V`�Rn A 1 41�4u.' nr �.tll • ""i' 1 ek .. . A. Aerosol Pentamidine Per Diem AWP 45.00 100% B. Antibiotic Therapy Based upon the dosage schedule: Single Drug Regimens Per Diem AWP Single Antibiotic Q24 115.00 100% Single Antibiotic Q12 122.00 100% Single Antibiotic Q8 127.00 100% Single Antibiotic Q6 139.00 100% Single Antibiotic Q4 144.00 100% Multiple Drug Regimens Per Diem AWP Muit. Antibiotic Q24 122.00 100% Mult. Antibiotic — Q12 127.00 100% Mult. Antibiotic Q8 139.00 100% Mult. Antibiotic Q6 144.00 100% Mult. Antibiotic — Q4 149.00 100% C. Catheter Care: Central Line Maintenance - The daily rates for central line catheter maintenance shall be in whenever a patient requires no other therapy except dressing changes and maintaining potency of the _effect catheter. The monthly charges shall include all dressing supplies, syringes, needles, heparin hush, saline flush, and injection caps. Per Diem Single Lumen 9.00 Multiple Lumen 9.00 D. Chemotherapy Per Diem AWP _ - - — 82.00 — 100% E. Enteral Therapy Per Diem AWP Syringe 19.00 100% Pump 19.00 100% _ Gravity 19.00 100% _ F. Hydration Therapy Per Diem 1 Liter per Day 57.00 2 Liter per Day 70•00 3 Liter per Day 82.00 4 Liter per Day 84.00 EXHIBIT A Centura Home Care and Hospice Page 3 HOME INFUSION continued G. Miscellaneous Therapies and/or Drugs - Any therapy not covered above, or other additives to hydration therapy. Per Diem AWP Dobutamine 79.00 100% Continuous Heparin Infusion 79.00 100% IVIG _79.00 1007 -- Prolasdn 79.00 100% Erythropoietin 13.00 100% Neupogen -- 21.00 100% Anti -Hemophiliac 27.00 100% Leuprolide 13.00 100% Growth Hormone 13.00 100% Iron Dexttan 79.00 100% Methylprednisolone 79.00 100% Other intramuscular/ . subcutaneous drugs 48.00 100% Other miscellaneous therapies &/or drugs 79.00 100% H. Pain Management Per Diem AWP 82.00 100% I. Total Parenteral Nutrition Per Diem Standard 1 Liter per Day 158.00 Standard 2 Liter per Day 202.00 Standard 3 Liter per Day 233.00 Additive drugs: AWP J. Line Insertion Per Diem PICC Supplies with insertion 315.00 Midline Supplies with insertion 189.00 DURABLE MEDICAL EQUIPMENT - HCPC CODE EQUIPMENT TYPE RENTAL PURCHASE CRUTCHES, WALKERS, & ACCESSORIES E0100 Cane - (all materials) adjustable or fixed - 18.00 E0105 Cane - quad or three prong with tip -- 36.00 E0110 Crutch forearm - adj or fixed, pair whip & handgrip 18.00 80.00 E0111 Crutch, forearm Incl. various materials, adj or fixed w/tips & handgrip --- 40.00 E0112 Crutches - underarm, wood, adj or fix pr w/pads, tips, grips 12.00 20.00 - E0113 Crutches - underarm, wood, adj or fix, w/pad tip grip - -- _ 15.00 E0114 Crutches - underarm, alum, adj or fix, w/ pad/tips/hdgrips --- 28.00 E0116 Crutches - underarm, alum, adj or fix, w/pad/tip/grip -- 18.00 E0130 Walker - rigid (pick up) adjustable or fixed height --- 65.00 _ E0135 Walker - folding (pick up) adjustable or fixed height 20.00 55.00 E0141 Walker - wheeled without seat 25.00 84.00 E0142 Walker - rigid and wheeled with seat -- 135.00 E0143 Walker - folding wheeled without seat --- 100.00 E0145 Walker - wheeled with seat/crutch attachment - 110.00 E0146 Walker - wheeled with seat --- 110.00 E0147 Walker - variable wheel resistance --- 286.00 EXHIBIT A Centura Home Care and Hospice Page 4 HCPc CODE EQUIPMENT TYPE' CRUTCHES, WALKERS, & ACC E0153 Platform attachment forearm crutch E0154 Platform attachment walker E0155 Wheel attachment - rigid (pick up) walker E0156 Seat attachment walker E0157 Crutch attachment walker E0158 Leg extensions: walker BATHROOM ASSISTANCE DEVICES E0160 Sitz type bath, portable, fits over commode seat E0161 Sitz type bath, port fit over commode seat w/faucet attachment E0163 Commode chair - stationary with fixed arms E0164 Commode chair - mobile with fixed arms E0165 Commode chair - stationary with detachable arms E0166 Commode chair - mobile with detachable arms E0167 Commode chair - pail or pan E0175 Commode chair - foot rest E0224 Commode seat (raised) E0245 Tub stool or bench ALTERNATING PRESSURE PADS & ACCESSORIES E0180 Alternating pressure pad with pump E0181 Heavy duty alternating pressure pad with pump E0182 Pump for alternating pressure pad _ A4640 - Replacement pads MISCELLANEOUS PRODUCTS E0607 Home blood glucose monitor E0720 TENS - two lead EM30 TENS - four lead E0776 IV pole E0935 Continuous passive motion machine, including setup COMPRESSED GAS -STATIONARY E0424 Oxygen regulator - stationary -system E0441 Oxygen refill - stationary cylinder _ COMPRESSED GAS -PORTABLE E0432 Oxygen regulator - portable system with cart E0443 Oxygen refill - portable cylinder OXYGEN CONCENTRATORS E1375 Oxygen suppl nebulizer portable E1400 Oxygen concentrator less than 2 liters per minute E1401 Oxygen concentrator 2-3 liters per minute E1402 Oxygen concentrator 34 liters per minute E1403 Oxygen concentrator 4-5 liters per minute E1404 Oxygen conc - mfg spec flow rate > 5 liters per min at 85 % RENTAL 32.00 42.00 24.00 30.00 38.00 13.00 46.00 36.00 39.00 32.00 180.00 180.00 180.00 180.00 180.00 1I' r'Iz_• Y� 81.00 97.00 28.00 23.00 53.00 23.00 17.00 15.00 69.00 119.00 132.00 205.00 5.00 57.00 30.00 49.00 259.00 302.00 178.00 30.00 96.00 325.00 360.00 97.00 30.00 6c 178.00 2403.00 2403.00 2403.00 2403.00 2403.00 1.3 "Covered Individuals" means those eligible employees, members or other constituents of the Participating Plan as well as their eligible dependents. 1.4 "Covered Services" means Healthcare Services which are provided to Covered Individuals for which health benefits are reimbursable by the Participating Plan. Covered Services includes the portion of the fee not reimbursed due to applicable Coinsurance, Copayments, and Deductibles for which payment is the responsibility of the Covered Individual. 1.5 "Healthcare Services" means those services, supplies and facilities normally provided by the Participating Provider and that are within the scope of the Participating Provider's license and accreditation. 1.6 "Hospital" means any hospital (or hospitals) which is (are) duly licensed in the State of Colorado and accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) (the JCAHO accreditation requirement may be waived at the discretion of SLMC if the Hospital is Medicare certified) and which contracts with SLMC to provide Healthcare Services. 1.7 Negotiated Rate(s) refers to the amount the Participating Provider must accept as full payment for Covered Services rendered to Covered Individuals pursuant to the terms and conditions of the provider agreement in effect between SLMC and each Participating Provider at the time Covered Services are provided. 1.8 "Non -Covered Services" means Healthcare Services provided to Covered Individuals which are not covered as part of the Participating Plan or, if covered, are not payable because of the Participating Plan's applicable penalty provisions, benefit maximums, and utilization review standards for which payment is the responsibility of the Covered Individual. 1.9 "SLMC" means the integrated system of a Participating Provider network, cost management programs, Negotiated Rates, provider communications expertise, and management information systems offered by SLMC. 1.10 "Participating Provider" means any Physician, Hospital, Provider of Ancillary Services, or preferred provider organization which has contracted with SLMC to provide Healthcare Services to Covered Individuals and who are specifically included in this Agreement. 1.11 "Physician" means a duly licensed medical doctor or doctor of osteopathy who is legally permitted to practice medicine and who has contracted with SLMC to provide Healthcare Services to Covered Individuals. 1.12 "Provider of Ancillary Services" means any properly licensed and/or credentialed provider of healthcare or other allied or related products or services which do not fit 2 PPO17/PAR-WE-UR/CrrY OF Fr COLLINS/11.20.98/jg EXHBIIT A Centura Home Care and Hospice Page 5 HCPC CODE EQUIPMENT TYPE RENTAL OXYGEN CONCENTRATORS continued ;vlaint Concentrator maintenance when purchased _ LIQUID OXYGEN SYSTEMS E0439 - Liquid oxygen stationary reservoir E0434 Liquid oxygen portable system 30.00 E0442 Liquid oxygen per pound _ RESPIRATORY PRODUCTS E0450 Volume ventilator - stationary or portable 700.00 E0452 Intermittent assist device with CPAPBIPAP 230.00 E0453 Therapeutic ventilator - BIPAP - ST 432.00 E0460 Negative pressure ventilator - portable/stationary 513.00 E0480 Percussor, electric or pneumatic, home model 38.00 E0500 IPPB machine - all types, with built-in nebulizer 76.00 E0565 Compressor air power source 48.00 E0570 Nebulizer - with compressor 25.00 E0575 Nebulizer - ultrasonic 75.00 E0660 Suction pump - portable home model 38.00 E0601 CPAP device with set-up 100.00 (includes initial head gear, tubing, mask,etc) E0608 Apnea monitor - recording 205.00 - E0608 Apnea monitor - non -recording 135.00 Pulse oximeter 243.00 CPAPBIPAP REPLACEMENT SUPPLIES - K0183 CPAP mask ___ K0185 CPAP head gear _ _ K0187 Hose _-_ K0188 CPAP filters -__ K0184 Nasal pillows _ WHEELCHAIRS & ACCESSORIES E1070 Fully recline w/c, desk or full length, swing detach footrests 65.00 E1084 -Hemi w/c, detach arms, desk/full len arms, swing detach elev legrests 49.00 E1085 Hemi w/c, fix full length arms, swing away, detach footrests 43.00 E1088 H/S Igtwgt w/c detach arms, desk/f ill len, swing detach elev leg 49.00 E 1090 H/S Igtwgt w/c detach arms, desk or full len swing detach footrests 49.00 E1130 Sid w/c fix full length arms, fix or swing detach footrests - 32.00 E1140 W/c, detach arms, desk or full length swing detach footrests 38.00 El 150 W/c detach arms, desk or full length swing detach elev legrests 49.00 E1160 W/c fix full-length arms, swing away, detach, elev legrests 43.00 E1170 Amputee w/c fix full-length arms, swing detach elev legrests 65.00 El172 Amputee w/c detach arms, desk or full len w/o foot or leg rest 81.00 E1260 Lgtwgt w/c detach arms, desk/full len, swing detach footrest 59.00 K00 8 Elevating legrest, complete assembly li-OU Amputee w/c anti -tipping device 5.00 PURCHASE 38.00 1008.00 0.85 470.00 110.00 450.00 286.00 850.00 50.00 33.00 28.00 5.00 29.00 729.00 675.00 578.00 675.00 626.00 351.00 389.00 626.00 578.00 826.00 848.00 589.00 130.00 EXHIBIT A Children's Home Care Tax ID Number: #84-0166760 Children's Home Care agrees to the following pricing schedule I. HOME HEALTH SERVICES Home Health Services include the following: * Nursing Care: RN, LPN * Physical Therapy * Occupational Therapy * Speech and Audiology Therapy * Palliative Care/Hospice Services * Clinical Social Work A. Intermittent Nursing (price per visit) $70.00 Each nursing visit constitutes up to 2.5 hours per visit and includes assessments, infusion, teaching, wound care, post -operative care, etc. . B. Home Phototherapy (price per diem) $115.00 Includes nursing, phototherapy lights, or wallaby blanket and bilirubin level. C. Rehabilitation Therapies $69.00 * Physical Therapy * Occupational Therapy * Speech & Audiology Therapy D. Clinical Social Work $89.00 Includes a three (3) hour visit II. HOURLY NURSING CHARGES Nursing charges are based upon day time hours of 7:00 a.m. to 7:00 p.m. and night time hours from 7:00 p.m. until 7:00 a.m. Holidays include the following: * Christmas Day * New Years Day * Independence Day * Memorial Day * Labor Day * Thanksgiving Day RN (all shifts) $34.00 LPN (all shifts) $24.00 III. KIDSTREET (Center -Based Care for Medically Fragile Children) The KidStreet Center is open 5 days per week from 6:00 am. to 6:00 p.m. Transportation is available to and from the center via a specially equipped van with a lift gate for wheelchair dependent children. A nurse provides care during transport. _ Note: Children's Home Care utilizes strict admission criteria for access to these services. Center -Based Nursing Rate: $24.00/hour (Includes hours at the center and nurse transport time) Rehabilitation Therapies $65.00/visit (Includes physical, occupational and speech/audiology therapies. Respiratory therapy is included in the hourly rates for the center.) -� EXHIBIT A Children's Home Care Page 2 Arena Testing $234.00/visit (Includes periodic testing of the child's physical, occupational, speech and audiology skills and abilities in a group test with parent, physician, nursing staff and therapists to chart and report progress and revise the care plan for the child's rehabilitative development.) IV. INFUSION THERAPY RATES- --- Medications administration IV, Intramuscular of Subcutaneous are priced using either a per diem price or a fee plus average wholesale price (AWP.) AWP reflects the rate quoted monthly in the First Data Bank drug formulary. Supplies included are listed with each therapy. Any additional supplies will be charged at the Ancillary Supply rate quoted. All medications include an EpiPen or Epinephrine Administration Kit for emergencies in the event of an anaphylactic reaction. Benadryl is not included in the supplies unless specifically ordered by the physician and will be charged separately. Children's Home Care Return Goods Policy states that no credit will be given for supplies or medications returned due to Federal reeulations which prohibit the use of any returned medical supply or medications. Supplies are carefully monitored with one week or less of supplies as indicated being provided at one time with the exception of enteral supplies. The close monitoring will minimize the amount of supplies that may go unused. The rates quoted for infusion include Pharmacy with Limited Nursing. This includes two intermittent nursing visits to teach the family/caregivers the administration and maintenance of the medication/enteral therapy, supplies, infusion pump and pole, and delivery. Any additional nursing visits will be charged at a rate of S70.00 per visit. Infusion Therapies include, but are not limited to: • Antibiotic/ Antifungal/ Antiviral/ Antiemetic/ Antirejection/ Colony Stimulating/ IV Steroids • Antihemophiliac Factor • _ Blood Transfusions • Chemotherapy • Enteral Nutrition _ Growth Hormone/ Leuprolide • Hydration • Immune Globulin • Pain Management • Total Parenteral Nutrition • Multiple Drugs • Other • Ancillary Supplies — Specific supplies are included in the per diem of fee rates quoted in this list for infusion therapies. Following is a list of those typical supplies according to the type of line of administration. Parenteral Supplies: Central Line Dressing Kit Administration Kit w/Filter Syringes Needles Alcohol Wipes Tape Gloves Clamp Huber Needles w/Extension Tubing Povidine (Iodine) Sharps Container Sodium Chloride Flush Teeaderm Heparin Flush EpiPen or Epinephrine Kit Injection Cap Interlink Needleless System Cassette/tiled Bag if Chemo EXHIBIT A Children's Home Care Page 3 Peripheral Line Supplies: IV Start Kits Sharps Container Sodium Chloride Flush Alcohol Wipes Tape Gloves Interlink Needleless System Intramuscular/Subcutaneous Alcohol Wipes Gloves Needles Immune Globulin Supplies Syringes Needles Swabs Tape Tubing Catheters Extension Tubing V. INFUSION THERAPIES Administration Kit w/ Filter Syringes Needles Herapin Flush EpiPen orEpinephrine-Kit Injection Cap Catheter Sharps Container Syringes EpiPen or Epinephrine Kit Sharps Container Povidone(Iodine) Injection Ports Herapin Flush Saline Flush Tourniquet EpiPen or Epinephrine Kit A. Antibiotic/ Antifungal/ Antiviral/ Antiemetic/ Antirejection/ Colony Stimulating/ IV Steroids (Peripheral and Central Lines) _ Per Diem Includes compounding fee, supplies, ambulatory or stationary pump, pole, delivery and Limited Nursing. _ AWP = Price of drug according to First Data Bank formulary Single Antbx _ $95.00 plus Drug at AWP minus 10% Double Antbx $145.00 plus two Drugs at AWP minus 10% Triple Antbx $153.00 plus all three Drugs at AWP minus 10% $15.00 per diem Intramuscular or Subcutaneous Injections plus drug at AWP minus 10% Includes Limited Nursing Parenteral or Peripheral or Intramuscular/Subcutaneous supplies. (See supply lists above). Supplies not included in infusion rates = 20%off billed charges. B. BLOOD AND BLOOD PRODUCTS (Per Diem) $75.00 Transfusion - Pharmacy only delivery of blood products plus current procurement rate of whole supplies, administration supplies and set-up. blood, PRBCs, Platelets, Cyroprecipitate $190.00 Transfusion - Pharmacy and 4 hours of Nursing includes: plus current procurement rate of whole first visit for lab draw to type and cross -match, a follow - blood, PRBC's, Platelets. Cyroprecipitate up visit for CBC and travel time to obtain blood products, patient training and assessment, education and clinical management. EXHIBIT A Children's Home Care Page 4 $300.00 Transfusion - Pharmacy and 7 hours of Nursing includes: plus current procurement rate of whole first visit for lab draw to type and cross -match, a follow - blood, PRBC's, Platelets, Cyroprecipitate up visit for CBC and travel time to obtain blood products, patient training and assessment, education and clinical management. Blood Transfusion Supplies (Included in per diem rate) Tourniquet Sharps Container Gloves Herapin Flush Dressings Tubing Alcohol Wipes Povidine (Iodine) Tape . IV Start Kit EpiPen or Epinephrine Kit Pump and Pole C. CHEMOTHERAPY (Per Diem) (Infused) 580.00 Chemotherapy - Pharmacy and Limited Nursing plus drug at AWP minus 10% — (IV Push) $45.00 Chemotherapy - Pharmacy and Limited Nursing plus drug at AWP minus 10% Parenteral Supplies (listed above) included in per diem rate. D. ENTERAL NUTRITION (Per Diem) (pump feed or gravity feed) $31.00 plus drug at AWP minus 10% Gravity Feed Supplies Gauze Irrigation Supplies Gravity Bags and Tubing -Anti-reflex Valves Pump Feed Supplies Ambulatory or Nonambulatory Pump Pump Supplies Tape Syringe Irrigation Supplies Syringe Feed Supplies Irrigation Supplies Syringes Tubes Enteral Nutrition - Pharmacy and Limited Nursing Tape Adapters and Caps - 3 Nasogastric Tubes per month Enteral Bag and Tubing Feeding Tube Supplies Adapters and Caps Gauze Anti -reflex Valves Gauze Tape EXHIBIT A Children's Home Care Page 5 E. GROWTH HORMONE/ LEUPROLIDE (Per Delivery) (Includes but is not limited to Humatrope, Protropin, Neutropin & Leuprolide) $15.00 per delivery Growth Hormone - Intramuscular Injection or plus drug at AWP minus 10% SubQ. Includes pharmacy and limited nursing Growth Hormone Supplies ( Included in per diem) Syringes Needles Swabs Sharps Container EpiPen of Epinephrine Kit F. HYDRATION (Per Diem) (Includes Pharmacy and Limited Nursing) $30.00 Up to I Liter Solution and Electrolytes $35.00 Up to 2 Liters Solution and Electrolytes $37.00 Up to 3 Liters Solution and Electrolytes $40.00 Up to 4 Liters Solution and Electrolytes Parenteral Supplies (listed above) G. IMMUNE GLOBULIN (Per Diem) Includes compounding fee, supplies, ambulatory or stationary pump, pole and delivery. Price of drug _ according to First Data Bank formulary. $75.00 Immunoglobulin - Pharmacy only plus drug at AWP minus 10% H. PAIN MANAGEMENT (Per Diem) (Central Line, Subcutaneous, Epidural, Intrathecal) $85.00 Pain Management - IV or Epidural _ plus drug at AWP minus 10% _ Includes Pharmacy and Limited Nursing — $15.00 Pain Management - Intramuscular or Subcutaneous plus drug at AWP minus 10% Includes Pharmacy and Limited Nursing Parenteral Supplies or Intramuscular/Subcutaneous Supplies (listed above) _ Included in per diem rate. I. TOTAL PARENTERAL NUTRITION (TPN) (Per Diem) (Includes Lipids and Additives) Includes drug, compounding fee, supplies, ambulatory or stationary pump, pole and delivery and Limited Nursing. $135.00 Up to I liter TPN solution, nutritional combinations of dextrose, lipids, electrolytes, vitamins. proteins, amino acids and heparin EXHIBIT A Children's Home Care Page 6 $145.00 Up to 2 liters TPN solution, nutritional combinations of dextrose, lipids, electrolytes, vitamins, proteins, amino acids and heparin $175.00 Up to 3 liters TPN solution, nutritional combinations of dextrose, lipids, electrolytes, vitamins, proteins, amino acids and heparin $195.00 Up to 4 liters TPN solution, nutritional combinations of dextrose, lipids. electrolytes, vitamins, proteins, amino acids and heparin Parenteral Supplies (listed above) included in per diem rate J. DESFERAL (Per Diem) $45.00 plus drug at AWP minus 10% Includes drug and nursing Parenteral Supplies (listed above) K. MULTIPLE THERAPIES 1. 100% of the most expensive per diem drug at AWP minus 10% 2. 50% of the second most expensive per diem plus drug at AWP minus 10%. 3. No charge on remaining per diems, plus drug at AWP minus 10%. L. ANCILLARY SUPPLIES Other supplies not included in the supply lists will be allowed at 20% off billed charges. EXHIBIT A The Children's Hospital Tax ID #84-0166760 Inpatient Service Rates: A ten percent (10%) discount from billed charges shall apply to all inpatient services except for those listed below. Outpatient Services: A ten percent (10%) discount from billed charges shall apply to all outpatient services except for those listed below. Inpatient and Partial Day Treatment Child and Adolescent Psychiatry Child Psychiatry Inpatient - $494.00 per day Adolescent Psychiatry Inpatient - $515.00 per day Child and Adolescent Partial Day (8 hours) - $247.00 Child and Adolescent Partial Day (4 hours) - $137.00 Child Resident Program - $315.00 per day Transplant Services*: Heart Transplant - $62,000 per case (Covers from day of transplant to 30 days beyond transplant.) Inpatient days 31 and beyond and any pre -transplant inpatient hospital days shall be paid at a per diem rate of $2,500. Liver Transplant - $110,000 per case (Covers from day of transplant to 30 days after day of transplant.) Inpatient hospital days 31 and beyond and any pre - transplant inpatient days shall paid at a per diem rate of $2,500. Lung Transplant - $110,000 per case (Covers from day of transplant to 30 days beyond transplant.) Inpatient hospital days 31 and beyond and any pre - transplant inpatient hospital days shall be paid at a per diem of $2,500. Kidney Transplant - $36,000 per case (Covers from day of transplant to 30 days beyond day _ of transplant.) Inpatient hospital days 31 and beyond and any pre - transplant inpatient hospital days shall be paid at a per diem of $2,500. Bone Marrow - All bone marrow transplant services shall be paid at an eighteen Transplant percent (18%) discount from billed charges. Day Sureery Dental Procedures RequirinP Anesthesia (Effective 11/1/98): The day surgery case rate for dental procedures requiring general anesthesia is $1,100.00 per case. This rate covers hospital services only and does not include fees for dentists, oral surgeons, pediatric anesthesiologists or other professional fees. EXHIBIT A Clagett Memorial Hospital Tax ID #84-0513889 Clagett Memorial Hospital agrees to a three percent (3%) discount off total billed charges for both inpatient and outpatient services NOTE: If the Participating Plan's ID card does not clearly show the SLMC name and/or logo, Clagett Memorial Hospital is not obligated to accept the above Negotiated Rate. EXHIBIT A Cleo Wallace Center Tax ID #84-0406820 To include services at: Cleo Wallace Center Cleo Wallace Center 8405 West 100th Avenue 2525 S. Hwy. 115 Westminster,-00-.-80221-._ _- _._-Colorado-Springsrn Rn9nF Adolescent Inpatient $475.00 Children Inpatient $475,00 Adolescent and Child Residential Care $235.00 Adolescent and Child Partial Hospitalization $225.00 The above quoted rates exclude the following: Individual psychotherapy performed by a physician or licensed member of the medical staff. Neuropsychological testing or other special procedures. Cost of medication ordered by the attending physician. Any and all necessary physical medicine, dental, and optical treatment. Payment of -claims when per diem rates apply will be based on the lesser of (a) per diem rates, or (b) billed charges. within the definition of a Hospital or Physician, and which contracts with SLMC to provide Healthcare Services to Covered Individuals. 1.13 "Repricing or Reprice" means the recalculation of a claim based on the rates outlined in Exhibits A and B. ARTICLE II NETWORK MANAGEMENT 2.1 SLMC shall contract with a network of Participating Providers to provide Healthcare Services to Covered Individuals and shall require Participating Providers to accept as full payment for Covered Services the SLMC Negotiated Rates as outlined in Exhibits A and B, which are attached hereto and incorporated by reference herein. SLMC may add or delete Participating Providers to or from this Agreement with written notice to the Participating Plan or the Participating Plan's claim administrator. Such written notice, for the addition of Participating Providers, shall include the Participating Provider's Exhibit A or B. Further, SLMC may, from time to time, negotiate and provide to Participating Plan or its claim administrator updated Exhibits A and B for Participating Providers. Participating Plan shall pay claims in accordance with and otherwise abide by such new and updated Exhibits A and B. 2.2 Participating Providers will collect from responsible Covered Individuals, in accordance with their usual collection practices, amounts that are owed for Non -Covered Services and portions of a Negotiated Rate not paid by the Participating Plan as a result of the Participating Plan's Copayment, Coinsurance or Deductible provisions. 2.3 SLMC agrees to ensure that all new Participating Providers undergo a credential' L process before participation in SLMC and shall provide peer review services with respect to Physician Healthcare Services that are provided under this Agreement. The conduct of the peer review functions under this Agreement shall be the sole responsibility of SLMC. The rights of the Participating Plan or its Covered Individuals are not limited by this function. 2.4 SLMC agrees to require all Participating Providers to maintain a current license or certificate authorizing them to deliver Healthcare Services in the State of Colorado. Hospitals must be properly licensed in the State of Colorado and accredited by the Joint Commission on Accreditation of Healthcare Organizations (unless granted a waiver by SLMC). Physicians must maintain staff privileges with at least one Hospital subject to this Agreement, unless the Physician's practice does not require hospital usage. 2.5 SLMC agrees to require all Physicians to carry malpractice liability insurance in the minimum amount required by Colorado State law. SLMC agrees to require all Hospitals to carry malpractice liability insurance, or maintain a program of self funding of 3 PPO17/PAR-WE-UR/CITY OF Fr COLLINS/11.20.98/jg EXHIBIT A Colorado Orthopedic Services Provided by Donald R. Hardin 1,0100 Cerv, Cmnio, Helmet Molded/Patient Model L0110 Cerv, Craniostenosis, Helmet, Non -Molded L0120 Cerv, Flexible, Non -Adjustable (foam collar) L0130 Cerv, Flexible, Thermo Collar, Molded/Patient L0140 Cerv, Semi -Rigid, Adjustable (plastic collar) L0150 Cerv, Semi -Rigid, Adjustable Molded Chin Cup L0160 Cerv, Semi -Rigid, Wire Frame Occ'v'Mand Support L0170 Cerv, Collar, Molded to Patient Model L0172 Cerv, Collar, Semi -Rigid Thermo Foam- 2 pc L0174 Cerv, Collar, Semi -Rigid Thermo Foam- 2 pc w/thor L0180 Cerv, Mult Post Collar, OccifMand Supports L0190 Cerv, Mult Post Collar, Oeci/Mand Supports L0200 Cerv, Mult Post Collar, Occi/Mand Supports L0210 Thoracic, Rib Belt, Custom Fitted L0220 Thoracic, Rib Belt, Custom Fabricated L0300 Thoracic, Lumbar-Sacral-Orthosis (TLSO) Flexible L0310 TLSO, Flexible, Custom Fabricated L0315 TLSO, Flexible, Elastic type L0317 TLSO, Flexible, Hyperextension, Elastic type L0320 TLSO, Anterior -Posterior Control, w/apron front L0330 TLSO, Ant -Post -Lateral Control, w/apron front L0340 TLSO, Anterior -Posterior -Lateral- Rotary Control L0350 TLSO, Ant-Post-Lat-Rot Control, Flex Comp Jacket L0360 TLSO, Ant-Post-Lat-Rot Control, Flex Comp Jacket L0370 TLSO, Ant-Post-Lat-Rot Control, Hyperextension L0380 TLSO, Ant-Post-Lat-Rot Control, w/Extensions L0390 TLSO, Ant-Post-Lat Control (Body Jacket) L0400 TLSO, Ant-Post-Lat Control (Body Jacket -molded) L0410 TLSO, Ant-Post-Lat Control Body Jacket-2 pc) L0420 TLSO, Ant-Post-Lat Control (Body Jacket-2 pc) L0430 TLSO, Ant-Post-Lat Cont(Body Jacket-w/interface) L0440 TLSO, Ant-Post-Lat Cont (Body Jacket-w/overlap) L0500 Lumbar-Sacral-Orthosis (LSO)- Flexible L0510 LSO, Flexible, Custom Fabricated L0515 LSO, -Flexible, Elastic Type w/Rigid Posterior L0520 LSO, Ant-Post-Lat Control (Knight, Wilcox types) L0530 LSO, Am -Post Control (Macausland type) L0540 LSO, Lumbar Flexion (Williams Flexion type) L0550 LSO, Ant -Post -Lateral Control (Body Jacket) L0560 LSO, Ant-Post-Lat Control (Body Jacket -molded) L0565 " LSO, Ant-Post-Lat Cont (Body Jacket -custom fit) L0600 Sacroiliac, Flexible- Cusmm Fitted - L0610 Sacroiliac, Flexible- Custom Fabricated L0620 Sacroiliac, Semi -Rigid- w/apron front L0700 Cervical-Thomcic-Lumbar-Sacral-Orthoses (CTLSO) L0710 CTLSO, Anterior -Posterior -Lateral Control L0810 Halo Procedure-Cery Halo incorp into Jacket L0820 Halo Proc-Cery Halo incorp/plaster body jacket L0830 Halo Proc-Cery Halo incotp into Milwaukee type L0860 Addition to Halo Proc-Magnetic Reasonance Image L0900 Torso Support- Ptosis Support- Custom Fitted L0910 Torso Support- Ptosis Support- Custom Fabricated L0920 Torso Support -Pendulous Abdomen Support- Fitted L0930 Torso Support -Pend Abdomen Support -Fabricated L0940 Torso Support -Post Surgical Support -Custom Fitted L0950 Torso Support -Post Surgical Support- Fabricated L0960 Torso Support -Post Surgical Support- Pads Tax ID #84-1160260 424.63 L0972 LSO- Corset Front 72.55 93.52 __. ___.L0974- _TLSO= atteorser--- 18.10 L0976 LSO- Full Corset 138.49 105.44 L0978 Axillary Crutch Extension 125.66 51.21 L0980 Peroneal Straps- Pair 11.33 71.71 L0982 Stocking Supporter Grips- Set of four 11.00 100.02 L1000 CTLSO (Milwaukee) 1609.74 415.45 L1010 Addition to CTLSO 44.88 97.40 L1020 Add to CTLSO or Scoliosis Orthosis (Kyphosis pad) 57.59 233.73 L1025 Add to CTLSO/Scoliosis Orth- Kyphosis pad -floating 84.51 241.23 L1030 Add to CTLSO/Scoliosis Orth- Lumbar Bolster Pad 41.90 374.13 L1040 Add to CTLSO/Scoliosis Orthosis- Lumbar 50.53 372.95 L1050 Add to CTLSO/Scoliosis Orthosis- Sternal Pad 55.61 29.25 L1060 Add to CTLSO/Scoliosis Orthosis- Thoracic Pad 63.14 77.44 L1070 Add to CTLSO/Scoliosis Orthosis- Trapezius Sling 59.58 115.64 1_1080 Add to CTLSO/Scoliosis Orthosis- Outrigger 47.22 218.01 L1085 Add to CTLSO/Scoliosis Orthosis- Outrigger- Bilat 100.00 172.49 L1090 Add to CTLSO/Sciolosis Orthosis- Lumbar Sling 61.87 272.69 1.1100 Add to CTLSO/Sciolosis Orthosis- Ring_Flange 104.83 251.78 L1110 Add to CTLSO/Scoliosis Orthosis- Ring Flange 168.90 301.50 L1120 Add to CTLSO/Scoliosis Orthosis- Cover for Upright 26.05 437.58 L1200 TLSO- Inclusive of Furnishing Initial 1296.15 703.05 L1210 Addition to TLSO- Lateral Thoracic Extension 240.59 1183.13 L1220 Addition to TLSO- Anterior Thoracic Extension 145.24 265.15 L1230 Addition to TLSO- Milwaukee Type Superstructure 485.95 425.92 L1240 Addition to TLSO- Lumbar Derotation Pad 50.02 1222.63 LI250 Addition to TLSO- Anterior Asis Pad 46.29 1358.32 L1260 Addition to TLSO- Anterior Thomcic Derotation Pad 48.76 1529.15 L1270 Addition to TLSO- Abdominal Pad 49.57 1582.30 L1290 Addition to TLSO- RIB Gusset- Elastic- each 55.57 1145.00 L1290 Addition to TLSO- Laterial Trochanreric Pad 50.12 744.85 L1300 Other Scol Proc-Body Jacket Molded/Patient Model 1444.11 88.44 L1310 Other Scol Proc- Post -Operative Body Jacket 1491.36 177.80 L1500 Thor -Hip -Knee -Ankle Orth(THIG�kO)-Mobility Frame 1355.97 138.56 L1510 THKAO- Standing Frame 1027.70 274.16 L1520 THKAO-Swivel Walker 1487.44 356.67 L1600 Hip Orthosis (HO)- Abduction Controll Hip Its 89.33 370.62 L1610 HO- Abduction Control/Hip Jts-Flex-Frejka Cover _ 28.62 1070.27 L1620 HO- Abduction Control/Hip Jts-Flex-Pavlik Harness 88.26 1190.63 L1630 HO- Abduction Control/Hip Jts-Semi-Flex (VonRosen) 111.31 748.77 L1640 HO- Abduct.Control/Hip Jts-Pelvic Band/Spread Bar) 358.34 79.10 L1650 HO- Abduction Control/Hip Jts- Adj- Custom Fitted 167.24 169.90 L1660 -HO- Abduction Control/Hip Jts-Plastic- Custom Fit 109.07 274.75 L1680 HO- Abduction Control/Hip Jts-Dynamic-Pelvic Cont 802.72 1323.25 L1685 HO- Abd Control/Hip Jts-Post Op Hip Abd Type 757.26 1557.28 L1686 HO- Abduction Control/Hip Its -Post Op Custom 685.74 1677.11 L1700 Legg Perthes Orthosis- Toronto Type 996.07 1423.34 L1710 Legg Perthes Orthosis- Newington Type 1159.26 2053.61 1.1720 Legg Perthes Orthosis- Trilateral (Tachoijan type) 902.99 1093.09 L1730 Legg Perthes Orthosis- Scottish Rite type 739.21 107.89 L1750 Legg Perthes Orthosis- Sling (Sam Brown type) 127.42 220.33 L1755 Legg Perthes Orthosis- Patten Bottom type 1070.23 126.46 1.1800 Knee Orthosis (KO)- Elastic w/stays 42.51 246.04 L1810 KO- Elastic w/joints 68.89 101.33 L 1815 KO- Elastic w/Condylar Pads 63.19 221.54 L1820 KO- Elastic w/Condylar Pads & Joints 97.93 44.95 L0970 TLSO- Corset Front 99.60 EXHIBIT A Colorado Page 2 Orthopedic L2260 Add/Lower Extremity -Reinforced Solid Stirrup 169.83 L2265 Add/Lower Extremity -Long Tongue Stirrup 78.57 L1825 KO- Elastic Knee Cap 35.78 L2270 Add/Lower Extremity-VamsNalgus Correct 41.36 L1930 KO- Immobilizer- Canvas Longitudinal 63.60 L2280 Add/Lower Extremity -Molded Inner Boot 326.69 L1832 KO- Adjustable Knee Jts- Rigid Support- Custom Fit 387.49 L2300 Add/Lower Extremity -Abduction Bar-Bilat Hip 172.07 L1834 KO- w/o Knee Jt- Rigid- Molded to Patient Model 534.33 L2310 Add/Lower Extremity -Abduction Bar -Straight 102.94 L1840 KO- Derotation- Medial -Lateral -Ant Cruc Lig-Fitted 602.30 L2320 Add/Lower Extremity -Non Molded Lacer 136.31 L1845 KO- Double Upright -Thigh & Calf- Adj Flexion 555.74 12330 Add/Lower Extremity -Lacer Molded(Patient Model 282.23 L1846 KO- Double Upright-Thigh/Calf-wladjust Flexion 688.11 L2335 Add/Lower Extremity -Anterior Swing Band 161.11 L1850 KO -Swedish type_ ____ _-.. .232.05_... L2340___.--Add/Lower Extremity -Pre Tibial.Sbn't-Mnl ed- 9RR RR L1855 KO- Molded Plastic -Thigh & Calf- doub upr knee it 721.09 L2350 Add/Lower Extremity -Prosthetic Type -Molded 612.42 L1858 KO- Molded Plastic-Polycentric Knee It (knee pads) 893.78 L2360 Add/Lower Extremity-Etended Steel Shank 38.75 L1860 KO- Modification/Supracotdylar Prosthetic Socket 749.04 L2370 Add to Lower Extremity- Patten Bottom 167.25 L1870 KO- Double Upright- Thigh & Calf Lacers- Molded 697.45 L2375 Add/Lower Extremity -Torsion Control -Ankle It 72.58 L1880 KO- Double Upright- Non -molded Thigh/Calf Lacers 483.55 L2380 Add/Lower Extrem-Tors Control -Straight Knee A 104.67 L1900 Ankle -Foot Orthosis (AFO)- Spring Wire 231.15 L2385 Add/Lower Extrem-Straight Knee A -Heavy Duty 119.60 L1902 AFO- Ankle Gauntlet- Custom Fitted 51.82 L2390 Add/Lower Extremity -Offset Knee Jt-ea it 94.57 L1904 AFO- Molded Ankle Gauntlet- Mokled/Padent Model 327.83 12395 Add/Lower Extremity -Offset Knee Jt-Heavy Duty 134.73 L1906 AFO- Multiligamentus Ankle Support 102.67 L2405 Add to Knee Jt/Drop Lock- ea it 43.07 L1910 AFO- Post- Single Bar- Clasp Attach/Shoe Counter 201.07 L2415 Add to Knee Jt- Cam Lock (Swiss, French, Bail) 119.17 L1920 AFO- Single Upright w/Static or Adjus Stop 303.44 L2425 Add/Knee Jt- Disc or Dial Lock-Adj Knee Flexion 119.74 L1930 AFO- Custom Fitted - Plastic 164.43 L2435 Add/Knee Jt- Polycentric It- ea jt 108.03 L1940 AFO- Molded to Patient Model- Plastic 321.82 L2492 Add/Knee It- Lift Loop for Drop Lock Ring 79.66 L1945 AFO- Mold/Patient Model -Plastic -Rigid Ant Fib Sect 620.69 L2500 Add/Lower Extremity -Thigh/ Weight Bearing 219.41 L1950 AFO- Spiral- Molded to Patient Model (IRM type) 548.35 L2510 Add/Lower Extremity-Thigh/Wt Bearing -Moiled 476.91 L1960 AFO- Posterior Solid Ankle- Molded/Padem Model 362.99 L2520 Add/Lower Extremity-Thigh/Wt Bearing -Custom 328.35 L1970 AFO- Plastic Moded to Patient Model- Ankle Joint 498.06 L2525 Add/Lower Extremity-Thigh/Wt Bearing -Ischia] 898.17 L1980 AFO- Single Upright Free Plantar Dorsiflexion 267.38 L2526 Add/Lower Extremity-Thigh/Wt Bearing-Ischial 573.89 L1990 AFO- Double Upright Free Plantar Dorsiflexion 286.98 L2530 Add/Lower Extremity-Thigh/Wt Bear -Non Molded 1917.62 L2000 Knee-Ankle-Foot-Orthoses (KAFO)- Single Upright 746.65 L2540 Add/Lower Extremity-Thigb/Wt Bear -Molded 305.52 L2010 KAFO- Single Upright- Thigh & Calf Bands 703.18 L2550 Add/Lower Extremity-Thigh/Wt Bear -High Roll Cuff 255.65 L2020 KAFO- Double Upright- Thigh & Calf Bands 754.91 L2570 Add/Lower Extremity -Pelvic Control -Hip A 301.55 12030 KAFO-Doub Upright -Solid Stirrup-Thigh/Calf Bands 665.13 L2580 Add/Lower Extremity -Pelvic Control -Pelvic Sling 360.10 L2036 KAFO- Full Plastic-Doub Upright- Free Knee -Mold 1530.34 L2600 Add/Lower Extrem-Pelvic Com-Hip It-Clevis type 175.90 L2037 KAFO- Full Plastic -Single Upright -Free Knee -Mold 1078.23 L2610 Add/Lower Extrem-Pelvic Cont-Hip Jt-Thrust 191.11 L2038 KAFO- Full Plastc-w/o Knee Jt-Molded to Patient 939.78 L2620 Add/Lower Extrem-Pelvic Conn Hip Jt-Heavy Duty 191.75 L2040 Hip -Knee -Ankle -Ft Orthosis(HKAFO)-Torsion Cont 152.41 L2622 Add/Lower Extrem-Pelvic Cont4hp Jt-Adjust Flex 203.61 L2050 HKAFO- Torsion Control- Bilateral Cables- Hip 386.22 L2624 AddlLower Extrem-Pelvic Cont-Hip It -Adjust Flex 212.62 - 1.2060 HKAFO- Tors Cont- Bilat Cables-Ballbear Hip Jt 438.41 L2627 Add/Lower Extrem-Pelvic Cont-Plastic-Molded 1358.21 L2070 HKAFO- Torsion Control- Unilateral Rotation Straps 87.38 L2628 Add/Lower Extrem-Pelvic Cont-Metal Frame 1301.74 L2080 HKAFO- Torsion Control- Unilat Torsion Cable -Hip 256.35 L2630 Add(Lower Extrem-Pelvic Cant-Band/Belt-Unilat 217.89 12090 HKAFO- Torsion Control- Unilat Torsion Cable -Ball 345.37 L2640 Add/Lower Extrem-Pelvic Cont-Band(Belt-Bilat 234.95 L2102 Ankle-Foot-Orthosis (AFO)- FX Ortlwsis-Tibial IX- 310.89 12650 Add/Lower Extrem-Pelvic/Thoracic Cont-Oluteal Pad 78.57 L2104 AFO- FX Orthosis-Tibial FX Cast Orthosis 327.12 L2660 Add/Lower Extrem-Thoracic Cont-Thoracic Band 155.07 L2106 AFO- FX Orthosis-Tibial FX Cast Orthosis-Thermo 437.27 L2670 Add/Low Extrem-Thoracic Cont-Paraspinal Upright 145.10 L2108 AFO- FX Orthosis-Tibial FX Cast Orthosis-Molded 908.35 L2680 Add/Low Extrem-Thoracic Cont-L.at Support Upright 133.50 L2112 AFO- FX Orthosis-Tibial FX OrthSoft Custom Fit 316.89 L2750 Add/Lower Extrem-Orthosis-Plating Chrome -per bar 53.06 L2114 AFO- FX Orthosis-Tibial FX OrthSemi-Rigid Fit 410.24 L2760 Add/Lower Extrem-Orthosis-Extension-per bar 52.33 L2116 AFO- FX Orthosis-Tibial FX Orth-Rigid Custom Fit 458.69 L2770 Add/Lower Extrem-OrthosisSrainless Steel -per bar 50.15 L2122 Knee -A -ale -Foot- Orthosis (KAFO) FX Orthosis 531.33 L2780 AddlLower Extrem-Orthosis-Nan Corrosive Finish 43.50 _ L2124 KAFO- FX Orthosis-Femoral FX Cast Orth-Synth 658.65 12785 Add/Lower Extrem-Orthosis-Drop Lock Retainer, ea 20.62 L2126 KAFO- FX Orthosis-Femoral FX Cast Orth-Thermo 865.34 L2795 Add/Low Extrem-Orthosis-Knee Cont-Full Kneecap 55.74 L2128 KAFO- FX Orthosis-Femoral FX Cast Orth-Molded 1170.10 L2800 Add(Low Extrem-Orthosis-Knee Cont-Medial 69.89 L2132 KAFO- FX Orthosis-Fem FX Cast Orth-Soft Fitted 621.98 L2810 Add/Low Extrem-Orthosis-Knee Cont-Condylar Pad 49.53 L2134 KAFO- FX Orth-Fem FX Cast Orth-Semi Rigid Fit 649.12 L2820 Add/Low Extrem-OrthosisSoft Interface -Mold Plast 67.24 - L2136 KAFO- FX Orth-Fem FX Cast Orth-Rigid Custom 847.96 L2830 Add/Low Extrem-Orthosis-Soft Interface -Mold Plast 82.27 L2180 Add to Lower Extremity FX Orthosis-Plastic Shoe 90.87 L28Q Add/Low Extrem-Orthosis-Tibial Length Sock-FX 27.71 L2182 Add/Lower Extremity FX Orth-Drop Lock Knee A 60.62 L2850 Add/Low Extrem-Orthosis-Femoral Length Sock-FX 51.81 L2184 Add/Lower Extremity FX Orth-Limit Motion Knee Jt 85.39 L3215 Orthopedic Footwear -Ladies Shoes -Oxford 82.65 L2186 Add/Lower Extrem FX Orth-Adjust Motion Knee A 111.43 L3219 Orthopedic Footwear -Mena Shoes -Oxford 105.32 L2188 Add/Lower Extrem FX Orth-Quadrilaterial Brim 191.42 L3650 Shoulder Orthosis (SO). Figure of "8" Design 38.53 68.68 12190 Add/Lower Extremity FX Otth-Waist Belt 59.66 L3660 SO -Figure of "8" Design-Abd Restrainer -Canvas 72.68 L2192 Add/Lower Extremity FX Orth-Hip Jt-Pelvic Band 236.71 L3670 SO-Acromio/Clavicular-Canvas & Webbing type 45.77 L2200 Add/Lower Extremity -Limited Akle Motion -ea it 39.09 L3700 Elbow Orthosis (EO)- Elastic w/stays 78.89 L2210 Add/Lower Extremity-Dorsiflexion Assist 56.93 63.44 L3710 L3720 EO- Elastic w/Metal Joints EO- Double Upright/Forearm/Arm Cuffs 428.92 L2220 Add/Lower Extremity-Dorsiflexion & Plantar Flex 55.59 L3730 EO- Double Upright w/Forearm/Arm Cuffs-Exten 574.61 L2230 L2240 Add/Lower Extremity -Split Flat Caliper Stirrups Add/Lower Extremity -Round Caliper & Plate Attach 57.69 L3740 EO- Double Uptight w/Foreatm/Arm Cuffs -Adjust 676.38 L2250 Add/Lower Extremity -Foot Plate, Molded to Patient 286.96 EXHIBIT A Colorado Orthopedic Page 3 L3800 L3805 L3810 L3815 L3920 L3825 L3830 L3835 L3840 L3845 L3850 L3855 L3860 L3900 L3901 L3902 L3904 L3906 L3907 L3908 L3910 L3912 L3914 L3916 L3918 L3920 L3922 L3924 L3926 L3928 L3930 L3932 L3934 L3936 L3938 L3940 L3942 L3944 L3946 L3948 L3950 L3952 L3954 L3960 L3962 L3963 L3964 L3965 L3966 L3968 L3969 L3970 L3972 L3974 L3990 L3982 L3984 L3985 L3986 L3995 L4010 L4020 L4030 L4040 L4045 L4050 L4055 Replace Non -Molded Calf lacer L4060 Replace High Roll Cuff - Wrist-Hand-Finger-Orthoses-(WHFO)Short Opponens 165.70 L4070 Replace Proximal/Distal Upright for KAFO WHFO- Long Opponens- No Attachment 268.48 L4080 Replace Metal Bands KAFO- Proximal Thigh WHFO- Add to Short/Long Opponens-Thumb Abd 55.78 L4090 Replace Metal Bands KAFO-AFO-Calf/Distal Thigh WHFO- Add to Short/Long Opponens-2nd M P 51.58 L4100 Replace Leather Cuff KAFO- Proximal Thigh WHFO- Add to Short/Long Opponens- I P Exten 83.78 L4110 Replace Leather Cuff KAFO- Calf/Distal Thigh WHFO-Add to Short/Long Opponens-MP Exten-Stop 53.80 1A130 Replace Pretibial Shell WHFO-Add to, Short/Long Oppon- MP Exten-Assist 65.68 LA310 Multi-Podus/Equal Orthotic Preparatory Mgmt WHFO-Add to Short/Long Oppon- MP Spring 69.56 L4320 Add to AFO-Multi-Podus Orthotic Prep Mgmt WHFO-Add to Short/L6ng Oppon= Spruig wive 45.03-- neumauc a cont-m Splint-Aircast or Equal WHFO-Add to Short/Long Oppon-Thumb IP Exten 65.99 L4360 Pneumatic Walking Splint- Aircast or Equal WHFO-Add to Short/Long Oppon-Action Wrist 80.29 L4370 Pneumatic Full Leg Splint-Aircast or Equal WHFO-Add w Short/Long Oppon-Adjust MP -Flex 83.43 L4380 Pneumatic Knee Splint- Aircast or Equal WHFO-Add to Short/Long Oppon-Adjust MP 116.44 L5000 Partial Foot -Shoe Insert w/Longitudinal Arch WHFO- Dynamic Flexor Hinge-Rec Wrist Exten 873.49 L5010 Partial Foot -Molded Socket- Ankle Height WHFO- Dynamic Flexor Hinge-Rec Wrist Exten 1156.64 L5020 Partial Foot -Molded Socket- Tibial Tubercle Ht WHFO- External Powered- Compressed Gas 1851.16 L5050 Ankle- Symes- Molded Socket- sach foot WHFO- External Powered- Electric 2202.58 L5060 Ankle- Symes-Metal Frame -Molded Leather Socket WHFO- Wrist Gauntlet- Molded to Patient Model 1_69.24 L5100 Below Knee- Molded Socket- Skin- sach foot 1 WHFO- Composite Elastic 57.63 L5460 Immed Post Surg/Early Fitting -Application 491.89 WHFO- Finger Knuckle Bender 35.45 L5500 Initial -Below Knee PTB type Socket 1198.96 WHFO- Comb Oppenheimer w/Knuckle Bender 97.85 L5505 Initial -Above Knee- Ischial Level Socket 1491.50 WHFO- Comb Oppenheimer w/Rev Knuckle Bender 109.09 L5510 Preparatory Below Knee PTB type Socket-USMC 1253.35 WHFO- Spreading Hand 67.81 L5520 Preparatory Below Knee PM type Socket-USMC 1086.42 Shoulder -Elbow -Wrist Hand Orthosis (SEWHO) 486.65 L5530 Preparatory Below Knee PTB type Socket-USMC 1516.23 SEWHO- Abduction Position- ERBS Palsey Design 450.96 L5535 -Preparatory Below Knee PTB type Socket-USMC -1-168.91 SEWHO- Molded w/Articulating Elbow Joint 1059.62 L5540 Preparatory Below Knee PTB type Socket-USMC 1589.96 SEWHO- Mobile Arm Support-Attach/wheelchair 479.22 L5560 _Preparatory Above Knee-Ischial Level Socket 1783.27 SEWHO- Radial Arm Support-Attach/wheelchair - -759.66 L5570 Preparatory Above Knee-Ischial Level Socket 1878.97 SEWHO- Mobile Arm Support-Attach/wheelchair 596.57 L5580 Preparatory Above Knee-Ischial Level Socket 2173.47 SEWHO- Mobile Arm Support-Adach/wbeelchair 675.64 L5585 Preparatory Above Knee-Ischial Level Socket 2166.80 SEWHO- Mobile Arm Supp-Monosuspen-Arm/Hand 493.67 L5590 Preparatory Above Knee-Ischial Level Socket 2225.66 SEWHO- Addition/Mobile Arm Supp-Elevate Arm 208.72 L5595 Preparatory- Hip Disarticulation-Hemipelvectomy- 2766.69 SEWHO- Addition/Mobile Arm Supp-Offset/Lad 167.42 L5600 Prep -Hip Disarticulation-Hemipelvectomy-Pylon 3077.96 SEWHO- Addition/Mobile Arm Supp-Supinator 106.27 L5610 Add to Lower Extremity -Above Knee-Hydracadence 1734.10 Upper Extremity FX Orthosis- Humeral 198.15 L5611 Add to Lower Extremity -Above Knee-Disarticulation 1353.08 Upper Extremity FX Orthosis- Radius/Ulnar 279.57 L5613 Add to Lower Extremity -Above Knee-Disarticulation 1930.75 Upper Extremiry FX Orthosis- Wrist 266.73 L5616 Add to Lower Extremity -Above Knee-Univ Multiplex 1255.43 Upper Extremity FX Orthosis- Forearm/Hand 389.60 L5618 Add to Lower Extremity -Test Socket-Symes 194.53 Upper Extremity FX Orthosis- Combination 361.48 L5620 Add to Lower Extremity -Test Socket -Below Knee 195.62 Add/Upper Extrem Orthosis- Sock FX or Equal 21.06 L5622 Add to Lower Extremity -Test Socket-Disarticulation 251.36 Replace Girdle for Milwaukee Orthosis 862.45 L5624 Add to Lower Extremity -Test Socket -Above Knee 273.61 Replace Trilateral Socket Brim 444.59 L5626 Add/Lower Extrem-Test Socket -Hip Disarticulation 329.89 Replace Quadrilateral Socket Brim- Molded 569.88 L5628 Add/Lower Extremity -Test Socket-Hemipelvectomy 333.44 Replace Quadrilateral Socket Brim- Custom Fit 330.13 L5629 Add/Lower Extremity -Below Knee :acrylic Socket 216.80 Replace Molded Thigh Lacer 284.18 L5630 Add/Low Extrem-Symes type -Expand Wall Socket 313.13 Replace Non -Molded Thigh Lacer 238.94 L5631 Add/Low Extrem-Above Knee -Acrylic Sock 299.97 Replace Molded Calf Lacer 274.39 EXHIBIT A Colorado Orthopedic Page 4 L5812 Add -Endo Knee -Shin Syst-Sing Axis -Friction Swing 515.01 L5816 Add -Endo Knee -Shin Syst-poly-Mech Stance 772.53 L5632 Add/Low Extrem-Symes type-PTB Brim Design 201.47 L5818 Add -Endo Knee -Shin Syst-Poly-Friction Swing 889.99 L5634 Add/Low Extrem-Symes type -Canadian Socket 278.90 L5822 Add -Endo Knee -Shin Syst-Sing Axis-Pneumat Swing 1492.30 L5636 Add/Low ExtremSymes type -Medial Open Socket 233.22 L5824 Add -Endo Knee -Shin Syst-Single Axis -Fluid Swing 1430.30 L 5637 Add/Low Extrem-Below Knee -Total Contact 208.49 L5828 Add -Endo Knee -Shin Syst-Single Axis -Fluid Swing 2249.72 0638 Add/Low Extrem-Below Knee -Leather Socket 447.02 L5830 Add -Endo Knee -Shin Syst-Single Axis -Pneumatic 1340.43 L5639 Add/Low Extrem-Below Knee -Wood Socket 1006.71 L5850 Add-Endoskeletal Syst-Above Knee or Hip Disart 114.60 L.5640 Add/Low Extrem-Knee Disarticul-Leather Socket 585.25 L5910 Add -Endo Syst-Below Knee- Alignable system 328.41 1.5642 - Add/Low Extrem-Above KneL-Laaftr_SockeL---- _-. __.._ 578.16 - T 1920 Arid -Emir gytat-AMve Knee or Hip Disarticulation 482.75 L5643 Add/Low Extrem-Hip Disazticul-Flex Inter Socket 1346.53 L5940 Add-Endoskeletal Syst-Below Knee -Ultra Lt Mat 466.64 L5644 AddfLow Extrem-Above Knee -Wood Socket 548.63 L5950 Add-Endoskeletal Syst-Above Knee -Ultra Lt Mat 535.38 L5645 Add/Low Extrem-Below Knee -Flex Inner Socket 721.60 L5960 Add -Endo Syst-Hip Disatticulation-Ultra Lt Mat 679.53 L-5646 Add/Low Extrem-Below, Knee -Air Cushion Socket 418.04 IS970 All Lower Extremity Prostheses-Foot/Sach Foot 171.43 L5647 Add/Low Extrem-Below Knee Suction Cup 725.05 L5972 All Lower Extremity Prostheses -Flex Keel Foot 292.80 L5648 Add/Low Extrem-Above Knee- Air Cushion Socket 617.28 L5974 All Lower Extremity Prostheses -Footling Axis 174.62 L5649 Add/Low Extrem-Ischial Containment 1383.16 L5976 All Lower Extrem Prostheses -Energy Storing Foot 445.28 L5650 Add/Low Extrem-Total Contact -Above Knee - 465.11 L5978 All Lower Extrem Prostheses -Foot -Multiaxial 211.26 L5651 Add/Low Extrem-Above Knee -Flex Inner Socket 1120.34 L5980 All Lower Extrem Prostheses -Flex Foot System 3404.20 L5652 Add/Low Extrem-Suction Suspension -Above Knee 414.04 L5982 All Exo Lower Extrem Prostheses -Axial Rotation 550.45 L5653 Add/Low Extrem-Knee Disarticul-Expand Socket 545.28 L5984 All Endo Lower Extrem Prostheses -Axial Rotation 419.49 L 5654 Add/Low Extrem-Socket Insert-Symes 257.36 L5986 All Lower Extrem Prostheses -Multi Axial Rotation 557.97 L5655 Add/Low Extrem-Socket Insert -Below Knee 205.39 L6000 Partial Hand -Robin Aids -Thumb Retraining 930.08 L5656 Add/Low Extrem-Socket Insert -Knee Disarticulation 275.23 L6010 Partial Hand -Robin Aids -Little Wor Ring Finger 1081.72 L-5658 Add/Low Extrem-Socket Insert -Above Knee 306.59 L6020 Partial Hand -Robin Aids -No Finger Remaining 994.73 L5660 Add/Low Extrem-Socket Insert-Symes-Silicone Get 406.44 L6050 Wrist Disart-Molded Socket -Flex Elbow Hinges 1483.57 L5661 Add/Low Extrem-Socket Ins-Multi-Durometer Symes 418.07 L6055 Wrist Disart-Molded Socket w/Expand Interface 1982.76 L5662 Add/Low Extrem-Socket Ins -Below KneeSil Gel 431.71 L6100 Below Elbow -Molded Socket -Flex Elbow Hinge 1453.79 L5663 Add/Low Extrem-Socket Ins-Disarticl-Sil Gel 494.32 L6110 Below Elbow -Molded Ski(Muenster/Northwestem) 1540.63 L5664 Add/Low Extrem-Socket Ins -Above Knee-Sil Gel 467.20 L6120 Below Elbow -Molded Double Wall Split Socket 1737.63 L5665 Add/Low Extrem-Socket Ins-Multi-Duro-Below Knee 353.93 L6130 Below Elbow -Molded Dbl Wall Spt Skt-Stump Act 1921.58 L5666 Add/Low Extrem-Below Knee -Cuff Suspension 46.97 L6200 Elbow Disarticulation-Outside Locking Hinge 2076.53 L5668 Add/Low Extrem-Below Knee -Mold Distal Cushion 68.08 L6205 Elbow Disarticulation-Expandable Interface 2533.01 L5670 Add/Low Extrem-Below Knee -Molded Supracondylar 246.02 L6250 Above Elbow -Molded Dbl Wall Skt-Int Lock Elbow 1960.48 M672 Add/Low Extrem-Below Knee -Rem Med Brim Susp 285.16 L6300 Shoulder Disatticulation-Molded Socket 2732.90 L5674 Add/Low Extrem-Below Knee -Latex Sleeve Susp 49.73 L6310 Shoulder Disarticulation-Passive Restor-Complete 2099.66 L5675 Add/Low Extrem-Below Knee -Latex Sleeve Susp 65.58 L6320 Shoulder Disarticulation-Passive Restor-Cap only 1272.74 L5676 Add/Low Extrem-Below Knee -Knee Its -Single Axis 327.47 L6350 interscapularThoracic-Molded Socket 3378.91 L5677 Add/Low Extrem-Below Knee -Knee Js-Polycentric 344.72 L6360 Interseapular Thoracic -Passive Restor-Complete 2184.59 L5678 Add/Low Extrem-Below Knee-Jt Covers -Pair 35.76 L6370 Interscapular Thoracic -Passive Restor-Cap only 1435.74 L 5680 Add/Low Extrem-Below Knee -Thigh Lacer 278.13 L6380 Immediate Post Surg/Early Fitting -Rigid 845.53 L5692 Add/Low Extrem-Below Knee -Thigh Lacer-Gluteal 458.68 L6382 Immediate Post Surg/Early Fitting -Rigid 1137.81 1,5684- Add/Low Extrem-Below Knee -Fork Strap 36.10 L6384 Immediate Post Surg/Early Fitting -Rigid 1526.79 L5686 Add/Low Extrem-Below Knee -Back Check 40.02 L6386 Immed Post Surg/Eady Fitting -ea add cast change 300.82 L5688 Add/Low Extrem-Below Knee -Waist Belt -Webbing 42.15 L6388 Immed Post Surg/Early Fitting -Rigid Dressing only 396.17 L5690 Add/Low Extrem-Below Knee -Waist Belt -Padded 67.39 L6400 Below Elbow -Molded Socket-Exookkeletal Syst 2147.03 L5692 Add/Low Ext-Above Knee -Pelt' Cont Belt -Light 101.93 L6450 Elbow Disarticulation-Molded Socket -Endo Syst 27W.38 L5694 Add/Low Ext-Above Knee -Pelt' Cont Belt -Padded 147.86 L6500 Above Elbow -Molded Socket -Endo Syst-Soft Prosdi 2845.92 L5695 Add/Low Extrem-Above Knee -Pelvic Control 137.63 L6550 Shoulder Disarticulation-Molded Socket -Endo Syst 3418.45 L 5696 Add/Low Extrem=Above Knee-Disart-Pelvic It 126.98 L6570 Interscapular thoracic -Molded Socket -Endo Syst 3624.73 L5697 Add/Low Extrem-Above Knee-Disart-Pelvic Band 55.46 -1,6580 Prep -Wrist DisantBelow Elbow -Plastic Socket 1344.38 L5698 Add/Low Extrem-Above Knee-Disart-Silesian 72.77 L6582 Prep -Wrist Disarr/Below Elbow -Single Wall Ski 1285.45 L5699 All Lower Extremity Prostheses -Shoulder Harness 127.73 L6584 Prep -Elbow Disart/Below Elbow -Plastic Socket 1426.56 L5710 Add- Exoskeletal Knee -Shin System -Single Axis 302.80 L6586 Prep -Elbow Disart/Above Elbow -Single Wall Ski 1392.76 L 5711 Add-Exoskeletal Knee -Skin System -Single Axis 363.12 L6588 Prep -Shoulder Disart/lnterscapular Thoracic 1964.22 L5712 Add-Exoskeleal Knee -Shin System -Friction Swing 320.23 L6590 Prep -Shoulder Disart/Inerscapular Thoracic 1862.28 L5714 Add-Exoskeleal Knee -Shin System -Variable Friction 352.66 L6600 Upper Extremity Additions-Polycentric Hinge 128.68 L5716 Add-Exoskeletal Knee -Shin System-Polycentric-Mech 672.20 L6605 Upper Extremity Additions -Side Pivot Hinge 128.88 L5718 Add-Fxoske-letal Knee -Shin System-Poly-Frict Swing 845.01 L6610 Upper Extremity Additions -Flexible Meal Hinge 131.19 L5722 Add-Exo Knee -Shin Syst-Single Axis-Pneumat Swing 765.22 L6615 Upper Extremity Add -Disconnect Locking Wrist Unit 126.99 L5724 Add-Exo Knee -Shin Syst-Single Axis -Fluid Swing 1141.59 L6616 Upper Extremity Add -Disconnect Insert 44.92 L.5726 Add-Exo Knee -Shin Syst-Single Axis-Ext Its 1224.21 L6620 Upper Extremity Add -Flexion Friction Wrist Unit 247.64 L5728 Add-Exo Knee -Shin Syst-Single Axis -Fluid Swing 2193.36 L6623 Upper Extremity Add -Spring Asst Rotational Unit 445.01 L5780 Add-Exo Knee -Shin Syst-Single Axis -Pneumatic 839.89 L6625 Up Extrem Add -Rotation Wrist Union w/Cable Luck 357.07 L5785 Add-Exoskeletal Syst-Below Knee -Ultra Lt Mat 357.87 L6628 Upper Extrem Add -Quick Disconnect Hook Adapter 440.11 L.5790 Add-Exoskeletal Syst-Above Knee -Ultra Lt Mat 498.66 L6629 Upper Extrem Add -Quick Discon Lamination Collar 133.80 L5795 Add-Exoskeletal Syst-Hip Disart-Ultra Lt Mat 721.12 L6630 Upper Extrem Add -Stainless Steel -any Wrist 150.44 L 5810 Add -Endo Knee-Shin-Syst-Single Axis-Mamial Lock 399.46 L6632 Upper Extrem Add -Latex Suspension Sleeve 60.83 L 5811 Add -Endo Knee -Shin Syst-Single Axis -Ultra Light 596.89 EXHIBIT A Colorado Orthopedic Page 5 L6900 Hand Restor fCasts, shading included) Partial Hand 1043.33 L6905 Hand Restor (Casts, shading, measurements inc) 1020.05 L6635 Upper Extremity Addition -Lift Assist for Elbow 152.29 L6910 Hand Restor (Casts, shading, measurements inc) 1021.62 L6637 Upper Extremity Add -Nudge Control Elbow Lock 251.68 L6915 Hand Restor (Shading & Measurements inc) 431.58 L6640 Upper Extrem Add -Shoulder Abduction It -Pair 221.13 L6920 Wrist Disarticulation-Self Susp Inner Socket 5199.61 L6641 Upper Extrem Add -Excursion Amplifier -Pulley type 129.60 L6925 Wrist Disarticulation-Self Susp Inner Socket 5605.75 L6642 Upper Extrem Add -Excursion Amplifier -Lever type 149.96 L6930 Below Elbow-Ext Power -Self Susp Inner Socket 5593.49 L6645 Upper Extrem Add -Shoulder Flexion -Abduction It 219.93 L6935 Below Elbow-Ext Power -Self Susp Inner Socket 6140.66 L6650 Upper Extrem Add -Shoulder Universal It 232.37 L6940 Elbow Disart-Ext Power -Molded Inner Socket 8112.35 L6655 Upper Extrem Add -Standard Control Cable 53.35 L6945 Elbow Disart-Ext Power -Molded Inner Socket 8962.66 L6660 Upper Extrem Add -Heavy Duty Control Cable 6477-7 L6950 Above Elbow-Ext Power -Molded Inner Socket 9601.98 L6665 Upper Extrem Add -Teflon or Equal Cable Lining 31.14 L6955 Above Elbow-Ext Power -Molded Inner Socket 11418.15 L6670 Upper Extrem Add -Hook to Hand -Cable Adapter 32.56 L6960 Shoulder Disart-Ext Power -Molded Inner Socket 9897.06 L6672 Upper Extrem Add-Harness-ChesttShoulder-Saddle 153.88 L6965 Shoulder Disart-Ext Power -Molded Inner Socket 11005.94 L6675 Upper Extrem Add -Harness -Figure "8" type -Single 80.42 L6970 Interscap-Thomc-Ext Power -Molded Inner Socket 10969.32 L6676 Upper Extrem Add-Hamess-Figure "8" type -Dual 103.69 L6975 Interscap-Thorac-Ext Power -Molded Inner Socket 11945.66 L6680 Upper Extrem Add -Test Socket -Wrist Disarticulation 180.23 L7010 Electronic Hand -Otto Bock-Steeper/EgtW-Switch 2478.00 1.6682 Upper Extrem Add -Test Socket -Elbow Disarticulation 194.74 L7015 Electronic Hand -System Teknik-Switch Controlled 4082.78 L6684 Upper Extrem Add -Test Socket -Shoulder Disart 255.74 L7020 Electronic Greifer-Otto Bock -Switch Controlled 2483.42 L6686 Upper Extremity Addition -Suction Socket 405.04 L7025 Electronic Hand -Otto Bock-Myoelectronucally Cont 2435.18 L6687 Upper Extrem Add -Frame Skt-Below Elbow/Wrist 528.07 L7030 Electronic Hand -System Teknik-Myoelectron Cora 3994.80 L66M Upper Extrem Add -Frame Skt-Above Elbow/Wrist 372.98 L7035 Electronic Greifer-Otto Bock-Myoelectron Cont 2515.33 L6689 Upper Extrem Add -Frame Sid -Shoulder Disart 571.14 L7040 Prehensile Actuaror-HosmerSwitch Controlled 1926.27 L6690 Upper Extrem Add -Frame Skt-Interscapular-Thoracic 475.27 L7045 Electronic Hook -Child -Michigan -Switch Controlled 1067.51 L6691 Upper Extrem Add -Removable Insert- each 234.49 L7160 Electronic Elbow -Boston -Switch Controlled 10328.77 L6692 tipper Extrem Add -Silicone Gel Insert 485.76 L7165 Electronic Elbow-Boston-Myoelectronicall-v Cont 12500.36 I-6700 Terminal Device-Hook-Dorrance/Bqual-Model #3 477.58 L7170 Electronic Elbow-Hosmer-Switch Controlled 4254.35 L6705 Terminal Device-Hook-Dorran ce/Equal-Model #5 275.14 L7180 Electronic Elbow-Utah-Myoelectronically Coot 25018.55 L6710 Terminal Device-Hook-Dormrce/Equal-Model #5X 315.55 L7185 Electron Elbow-Adol- Variety Village -Switch Cont 4411.22 L6715 Terminal Device-Hook-Dortance/Equal-Model #5XA 321.32 L7186 Electronic Elbow -Child -Variety ViB-Switch Cont 8031.16 1.6720 Terminal Device-Hook-Dorrance/Equal-Model #6 788.30 L7190 Electronic Elbow -Adolescent -Variety Village 5547.72 L6725 Terminal Device-Hook-Dotrance/Fqual-Model #7 369.09 L7191 Electronic Elbow -Child -Variety Vdl-Myo Cont 7803.50 L6730 Terminal Device-Hook-Dorrance/Equal-Model #7LO 535.16 L7260 Electronic Wrist Rotator -Otto Bock/Equal 1636.47 L6735 Terminal Device-Hook-Dormrice/Equal-Model #8 277.36 L7261 Electronic Wrist Rotator for Utal Arm 3073.58 _ L6740 Terminal Device-Hook-Dorrance/Equal-Model #8X 359.47 L7266 Servo Control- Steeper or Equal 693.62 L6745 Terminal Device-Hook-Dormnce/Equal-Model #88X 329.00 L7272 Analogue Control- UNB or Equal 1540.26 L6750 Terminal Device-Hoak-Dorrance/Equal-Model #10P 321.21 L7274 Proportional Control-12 Volt-Uiah/Equal 4556.58 L6755 Terminal Device-Hook-Dorrance/Equal-Model #10X 314.31 L7360 Six Volt Battery- Otto Bock or Equal -each 157.41 L6765 Terminal Device-Hook-Doaance/Equal-Model #12P 302.23 L7362 Battery Charger- Six Volt- Otto Bock or Equal 231.15 L6770 Terminal Device-Hoak-Dorrance/Equal-Model #99X 324.04 L7364 Twelve Volt Battery -Utah or Equal- each 278.20 L6775 Terminal Device-Hook-Dorrance/Equal-Model #555 355.94 L7366 Battery Charger -Twelve Volt- Utah or Equal 381.15 L6780 Term Device-Hook-Dor artce/Equal-Model #SS555 380.43 L8000 Breast Prosthesis- Mastectomy Bra 25.41 _ L6790 Terminal Device-Hook-Accu Hook/Equal 340.29 1,8010 Breast Prosthesis- Mastectomy Sleeve 54.07 L6795 Terminal Device-Hook-2 Load or Equal 901.30 L8020 Breast Prosthesis- Mastectomy Fornt 140.48 L6800 Terminal Device-Hook-APRL VC or Equal 864.90 L8030 Breast Prosthesis- Silicone or Equal 239.79 L6805 Terminal Device -Modifier Wrist Flexion Unit 263.66 L8300 Truss- Single w/Sardard Pad 69.41 L6806 Terminal Device-Hook-TRS Grip -VC 914.34 L8310 Truss- Double w/Standard Pads - 113.43 L6807 Terminal Device-Hoak-TRS Adept -Child -VC 906.72 L8320 Truss- Addition to Standard Pad- Water Pad 37.39 L6808 Terminal Device-Hook-TRS Adept-Infant-FC 798.19 L8330 Truss- Addition to Standard Pad -Scrotal Pad 33 65 L6809 Terminal Device-Hook-TRS Super Sport -Passive 340.80 L8400 Prosthetic Sheath- Below Knee- each 11.08 L6810 Terminal Device -Pincher Tbol�Otto Bock/Equal 172,45_ L8410 Prosthetic Sheath- Above Knee- each 16.90 L6825 Terminal Device -Hard- Dorrance-VO 854.33 L8415 Prosthetic Sheath- Upper Limb- each 15.90 L6830 Terminal Device -Hand- APRL-VC 1246.31 L8420 Prosthetic Sock- Wool- Below Knee- each 13.56 L6835 Terminal Device -Hand- Sierra-VO 1072.57 L8430 Prosthetic Sock- Wool- Above Knee- each 15.76 L68Q Terminal Device -Hand- Becker Imperial 685.03 L8435 Prosthetic Sock- Wool- Upper Limb- each 14.76 L6945 Terminal Device -Hand- Becker Lock Grip 600.32 L8440 Prosthetic Shrinker- Below Knee- each 28.86 L6850 Terminal Device -Hand- Becker Plylire 543.94 L3460 Prosthetic Shrinker- Above Knee- each 45.65 L6855 Terminal Device -Hand- Robin Aids- VO 744.81 L8465 Prosthetic Shrinker- Upper Limb- each 35.33 L6860 Terminal Device -Hand- Robin Aids- VO Soft 618.71 L8470 Stump Sock- Single Ply- Fitting- Below Knee -each 6.33 L6865 Terminal Device -Hand- Passive Hand 288.22 L8480 Stump Sock- Single Ply 8.51 L6867 Terminal Device -Hand- Detroit Infant Hand 662.80 L8500 Artificial Larynx- any type 460.35 L6868 Terminal Device -Hand- Passive Infant Hand 171.21 L8501 Tmeheostomy Speaking Valve 81.61 L6870 Terminal Device -Hand- Child Mitt 197.62 L6872 Terminal Device -Hand- NW Child Hand 846.36 L6873 Terminal Device -Hand- Mechanical Infant Hand 321.87 L6875 Terminal Device -Hard- Bock- VC 586.13 L6880 Terminal Device -Hand- Bock- VO 398.97 L6890 Terminal Device -Glove for above Hands -Production 133.22 L6895 Terminal Device -Glove for above Hands -Custom 445.66 Exhibit A Colorado Orthopedic & Rehabilitation Equipment, Inc. (C.O.R.E.) Tax ID #84-1039270 Equipment Pricing • All Rental Charges Include Standard Supplies Two Months Rental May Be Applied To Purchase • Monthly Rental Price Includes 30-Day Standard Pack of Electrodes (Does not include specialized electrodes for pulsed galvanic stimulation, multiple site -use for special conditions). �� x p yp MONTH. v' 1 r BONE GROWTH STIMULATOR Orthologic Open Custom N/A N/A E0747AP $3,515.00 Standard N/A N/A E0747BP $3,080.00 Soft Pack Custom N/A N/A E0747CP $4,180.00 EBI N/A N/A E0747DP $2,700.00 THERMAL THERAPY Henley International Fluidotherapy - FLUIDOR $195.00 FLUIDOP $1,650.00 Paraffin Bath E0235R $30.00 E0235P $235.00 Paraffin#6-Wax N/A N/A A4265P $30.00 Cryocuff(knee) includes pad N/A N/A A9270P $150.00 Cryocuff (shoulder) includes pad N/A N/A A9270EP $150.00 Danninger T.T.U. Pump A9270FR $400.00 A9270FP N/A Pad(TTU). N/A - N/A E0249TP $160.00 Danninger Surcool Pump/OTI Pump N/A N/A E0237AP $265.00 Pad (SURCOOL) N/A N/A E0249SP $60.00 Breg Polar Cub Pump - includes pad N/A N/A E0237AP $265.00 Seabrook Cool Aid - includes pad (knee or shoulder) N/A N/A E0237AP $265.00 House Call Fee, if applicable (One time only) N/A N/A A9270CP $35.00 EXHIBIT A C.O.R.E. Page 2 -u CODE Hx RENTAL PER MONTH CODE PURCHASE SPECIALIZED FORM -FITTED - ELECTRODES (Purchase Only) Knit Silver Fabric Sleeve N/A N/A E0731AP $120.00 Knit Silver Fabric Glove N/A N/A E0731BP $144.00 Knit Silver Fabric Sock N/A N/A E0731CP $160.00 Garment Kit (combination sock/glove w/wrap) N/A N/A E0731DP S300.00 CERVICAL TRACTION Lossing E0948AR $125.00 E0948AP $880.00 Lossing NecStep E0948BR $75.00 E0948BP S495.00 Cervitrak E0948CR $75.00 E0948CP 5495.00 Saunders Hometrack E0948DR $125.00 E0948DP S847.00 Pronex E0948ER $85.00 E0948EP $500.00 Halter (if applicable) N/A N/A E0942P S42.35 LUMBAR TRACTION Lossing 90/90 - — E0947AR $125.00 E0947AP $980.00 Action Traction E0947BR $75.00 E0947BP $625.00 Pelvic Belts N/A N/A E0944P $50.80 Bucks Traction E088OR $44.00 E0880P S275.00 House Call Fee, if applicable (one time only) N/A N/A N/A $35.00 DYNAMIC SPLINTS & ORTHOTICS Many types and brands available - LMB Products L3965R $200.00 L3965P $1,200.00 Knee Orthosis (Post Acl) Breg N/A N/A N/A $834.00 EXMIT A Colorado Plains Medical Center, Inc. Tax ID #93-0880990 Colorado Plains Medical Center agrees to a discount of three percent (3 %) off billed charges for both inpatient and outpatient services. EXHIBIT A Colorado Professional Medical, Inc. Tax ID #84-1189608 DEVICE MANUFACTURER PRICE SET UP/PATIENT KIT Hand CPM Toronto H-2 Toronto H-3 - - ---Richards 8080 Richards 8091 $22.00 daily $45.00 $22.00 daily $45.00 --$22 00 rIn y $45.00 _ $22.00 daily $45.00 Wrist CPM Toronto W-1 $22.00 daily $45.00 Knee CPM Danninger 400i $22.00 daily $45.00 Danninger 450 $22.00 daily $45.00 Danninger 460 $22.00 daily $45.00 Danninger 500 $22.00 daily $45.00 Shoulder CPb1 Artromot $35.00 daily $45.00 Invacare $35.00 daily $45.00 Richards 7081 $35.00 daily $45.00 Elbow CPM Richards 6080 $22.00 daily $45.00 Ankle CPM Artromot sp-2 $22.00 daily $45.o0 Toe CPM Jace $22.00 daily $45.00 DEVICE TYPE PRICE SET UP/PATIENT KIT Dynamic Splints Ankle $115.00 monthly $25.00 Elbow Extension $115.00 monthly $25.00 Elbow Flexion $115.00 monthly-- $25.00 Knee Extension $115.00 monthly $25.00 Knee Flexion $115.00 monthly $25.00 Wrist Extension $115.00 monthly $25.00 Wrist Flexion $115.00 monthly $25.00 LNM Splints $115.00 monthly $25.00 A twenty five percent (25%) discount off billed charges shall be applied to the purchase of the above splints. Full rental cost shall be applied to the purchase of the splint. Rental shall not exceed purchase price. Jobst Pumps Int. Comp. $76.50 monthly_ $25.00 - Seq. Int. Comp. $121.50 monthly $25.00 - Int. Comp. - $598.50 purchase N/A Seq. Int. Comp. $895.50 purchase N/A Full rental cost shall be applied to the purchase of the pump. Rental shall not exceed purchase price. Garments Int. Comp. youth leg $136.80 purchase N/A (sale only on garments) Int. Comp. full leg $144.00 purchase N/A Int. Comp. full arm $144.00 purchase N/A Int. Comp. Hand/Wrist $125.75 purchase N/A Seq. Comp. Arm $197.90 purchase N/A Seq. Comp. Leg $223.60 purchase N/A Circ Aid Ready Fit Legging $200.00 purchase N/A EJIIBBIT A Colorado Professional Medical, Inc. Page 2 SERVICE CODES DESCRIPTION CHARGE L05.00 ._ _ Lumbar -Sacral-Orthosis (LSO) -Flexible._._ __. $ 88.44 L0515 LSO, Flexible, Elastic Type w/Rigid Posterior $ 138.56 L1686 HO-Abduction Control/Hip Jts-Post Op Custom $ 685.74 L1800 Knee Orthosis (KO) -Elastic w/Stays $ 42.51 L1810 KO -Elastic w/Joints $ 68.89 L1815 KO -Elastic W/Condylar Pads $ 63.19 L1820 KO -Elastic w/Condylar Pads & Joints $ 97.93 L1825 KO -Elastic Knee Cap $ 35.78 L1830 KO -Immobilizer -Canvas Longitudinal $ 63.60 L1832 KO -Adjustable Knee Its. -Rigid Support -Custom Fit $ 387.49 L1840 KO-Derotation - Medial -Lateral -Ant Cruc. Lig. Fitted $ 602.30 L1845 KO- Double Upright -Thigh & Calf- Adj. Flexion $ 555.74 L1846 KO- Double Upright-Thigh/Calf-w/Adjust Flexion $ 688.11 L1858 KO- Molded Plastic-Polycentric Knee It. (knee pads) $ 893.78 L1902 AFO- Ankle Gauntlet- Custom Fitted $ 51.82 L1906 AFO-Multiligamentus Ankle Support $ 102.67 L2425 Add/Knee It. -Disc or Dial Lock-Adj Knee Flexion $ 119.74 — L2435 Add/Knee Jt.-Polycentric A - ea It $ 108.03 L2810 Add/Low Extrem-Orthosis-Knee Cont-Condylar Pad $ 49.53 L2840 Add/Low Extrem-Orthosis-Tibial Length Sock-FX $ 27.71 L3670 SO-Acromio/Clavicular-Canvas & Webbing Type $ 72.68 L3700 Elbow Orthosis (EO)-Elastic w/Stays $ 45.77 `. L3740 EO-Double Upright w/Forearm/Arm Cuffs -Adjust $ 676.38 _ L3914 WHFO-Wrist Extension Cock -Up $ 55.24 L3936 WHFO-Palmer $ 57.47 L3938 WHFO-Dorsal Wrist $ 59.35 — _ L3960 — Shoulder -Elbow -Wrist Hand Orthosis (SEWHO) $ 486.65. L3963 SEWHO - Molded w/Articulating Elbow Joint $1,059.62 1.3980 Upper Extremity FX Orthosis - Humeral $ 198.15 Participating Healthcare Provider agrees to bill the above items using the appropriate Medicare code listed. Effective February 1, 1998, Colorado Professional Medical, Inc. agrees to accept a twenty percent (29%) discount off billed charges for services provided directly by them, that currently are not listed on this Exhibit A. — insurance for malpractice liability insurance, in an amount deemed adequate by SLMC. SLMC will require all other Participating Providers to carry professional liability insurance in an amount determined adequate by SLMC to insure Participating Provider and provider's employees against liability for damages directly or indirectly related to the performance of Participating Provider's professional activities. 2.6 SLMC shall maintain an appropriate geographic and specialty distribution of Participating Providers which have agreed to cooperate with the SLMC system. 2.7 SLMC agrees to periodically provide information to all Participating Providers and their staff regarding Participating Plan and policies and procedures with respect to the Participating Plan. 2.8 SLMC will publish annually a directory of the names of all Participating Providers, their respective specialties and area of practice. Upon request and at no cost to the Participating Plan, SLMC will provide sufficient copies of the directory to the Participating Plan, for distribution to all eligible employees, on an annual basis. Listings of additions, deletions, and other changes to Physicians and certain Providers of Ancillary Services will be communicated to . the Participating Plan's claim administrator in writing every thirty (30) days by SLMC. Listings of additions and deletions to Hospitals and certain Providers of Ancillary Services will be communicated to the Participating Plan or their claim administrator with a thirty (30) day advance written notice. 2.9 The Participating Plan's claim administrator is authorized to Reprice claims. SLMC shall provide the Participating Plan with Negotiated Rates that are listed in Exhibits A and B, guidelines for repricing RNE, BR cpt codes, and unlisted procedures in the St. Anthony Publishing Relative Value for physicians (RVP) so that the Participating Plan's claim administrator can assume Repricing. Participating Plan acknowledges that in order to Reprice Participating Provider claims according to Exhibit B, either the Participating Plan or its claim administrator will need to purchase and maintain the St. Anthony Publishing Relative Value for Physicians (RVP). SLMC reserves the right and shall have sole authority to make all final determinations on Negotiated Rates. SLMC shall have the right to audit the Participating Plan's or its claim administrator's records, pertinent books, documents and papers as they relate to its Repricing capabilities and accuracy. SLMC shall provide a fifteen (15) day advance written notice to the Participating Plan or.its claim administrator prior to the start of such audit. All individuals conducting such audits shall be required to treat all information made available as a result of the audit confidential according to the terms of Section 9.1. 4 PPOMPAR-WE-UR/CITY OF FT COLLINS/11.20.98/ig I. 1I. EXHIBIT A Colorado Sports and Spine - Pain Program Tax ID #84-0845658 Rates Colorado Sports and Spine - Pain Program will accept from Participating Plan, for authorized services, the following agreed upon Negotiated Rate, less any applicable Deductible, Copayment or Coinsurance: Description Code* Case Rate Pain Program - Daily PAIND $ 600 Pain Program - Weekly PAINW $ 3,000 Scope of Service The all inclusive rate includes all routine and specialized services provided by and -performed by Colorado Sports and Spine - Pain Program staff, including physical therapy, occupational therapy, psychological groups and individual sessions, biofeedback and pool/water exercise, and weekly team staffing with all providers. The rate does not include the initial evaluation to determine whether the Pain Program is appropriate for the Covered Individual, nor does it include physician _ visits. For proper processing of claims, this code must be used on HCFA 1500 claim forms submitted for Colorado Sports and Spine - Pain Program services. EXHIBIT A Colorado Springs Eye Surgery Center Tax ID #84-1069459 Colorado Springs Eye Surgery Center agrees to a discount of 10% off of billed charges. EXHIBIT A Colorado Springs Surgery Center dba HealthSouth Surgery Center of Colorado Springs Tax ID #84-1160450 When Covered Services are provided to a Covered Individual, the following discounts apply: OUTPATIENT SERVICES: Sterilization Procedures (Only): Twenty-five percent (25%) discount off of billed charges to a maximum of $1,350.00 per date of service. OTHER RELATED SURGERIES (those related procedures done at the time of sterilization procedure): Other Related Surgeries: Twenty-five percent (25%) discount off of billed charges to a maximum of $400.00 per date of service included in the maximum of $1350.00 per date of service. EXIIIBIT A Columbia Ambulatory Surgery Centers See Tax ID numbers below Columbia Ambulatory Surgery Centers include the following locations: Columbia Centrum Surgical Center Columbia Lakewood Surgical Center 8200 E. Belleview, #300E 2201 Wadsworth Blvd. Englewood, CO 80111 Lakewood, CO 80215 Tax ID # 75-2546712 Tax ID # 84-0887394 Columbia Midtown Surgical Center 1919 18th Ave. Denver, CO 80206 Tax ID # 75-2548180 When Covered Services are provided to a Covered Individual, the following discount applies: OUTPATIENT SERVICES: Outpatient Surgery: Twenty percent (20%) discount off of billed charges to a maximum of $1,200.00 per date of service. EXHIBIT A Columbia Homecare (formerly Home HealthONE) Tax ID #84-1321373 HOME HEALTH General Nursing Visit Pediatric Nursing Visit IV RN Visit Initial Start-up Visit Follow-up Care Extended Hour RN Visits General Nursing Visits in excess of two (2) hours RN Pediatric visits in excess of two (2) hours Home Health Aide HHA Private Duty visits in excess of two (2) hours Rehabilitation Physical Therapy - Occupational Therapy Speech Therapy Medical Social Worker Discount Rates $ 72.00 per visit (2 hours) $ 72.00 per visit (2 hours) $ 75.00 first visit $ 76-00 per visit $ 36.00 per hour $36.00 per hour $ 34.00 per visit (2 hours) $ 16.00 per hour $ 75.00 per visit $ 75.00 per visit $ 75.00 per visit $ 80.00 per visit EXHIBIT A Columbia Medical Center of Aurora and Centennial Healthcare Plaza (formerly Aurora Presbyterian Hospital & Aurora Regional Medical Center) Tax ID #84-1321373 INPATIENT: Includes services at Columbia Medical Center of Aurora Medical Surgical ICU/CCU Pediatrics OB-Normal Delivery (Incl Level 1) B-C/Section (Incl Level I) OB-One Day Stay (Incl Level n Level I Nursery (Boarder Baby) Level 11 NICU Psychiatric Cardiovascular Surgery/Cardiac Cath/ Athrectomy/PTCA or any other Cardiac Cath Lab procedure that results in admission. Spinal Procedures (DRG's 496 through 500) PER DEEMS $1,015.00 $1,273.00 $2,045.00 $1,286.00 $1,427.00 $1,555.00 $1,946.00 $ 301.00 $1,365.00 $ 538.00 30% discount off billed charges 30 % discount off billed charges STOPLOSS: In the event that total billed charges exceed $30,000.00, reimbursement will be calculated at a thirty percent (30%) discount off total billed charges. Payment of claims when per diem rates apply will be based on the lesser of (a) per diem rates, or (b) billed charges. OUTPATIENT: Includes services at Columbial Medical Center of Aurora and Centennial Healthcare Plaza. Ambulatory Surgery 25 % discount off billed charges (EXCEPT for procedures with Ambulatory Surgery Case Rates - listed on page two) 23 Hour Observation $51 per hour up to the Medical per diem rate All Other Outpatient 25 % discount off billed charges EXHIBIT A Columbia Medical Center of Aurora and Centennial Healthcare Plaza Page 2 AMBULATORY SURGERY CASE RATES ICD.9 CODE PRINCIPAL PROCEDURE CASE RATE 04.43 Carpel Tunnel $1,347.00 13.41 Cataract/ASP $1,812.00 13.59 Extracap Lens Extraction $2,314.00 20.01 Myringotomy w/Tubes $ 992.00 21.88 Septoplasty $1,396.00 22.20 Intranasal Antrotomy $2,327.00 22.63 Ethmoidectomy $1,709.00 28.20 Tonsillectomy $1,432.00 28.30 Tonsillectomy/Adnoidectomy $1,506.00 28.60 Adnoidectomy $1,500.00 53.01-53.05 Unilateral Hernia $1,531.00 53.10-53.17 Bilateral Hernia $2,669.00 54.21 Laparoscopy $1,763.00 57.32 Cystoscopy $1,531.00 67.39 Cervical Lesion Removal $1,837.00 69:01-69.09 D & C $1,102.00 80.26 Knee Arthroscopy $2,137.00 80.60 Knee Cartilage Removal $2,572.00 82.21 Excision of Tendon Sheath $1,378.00 (Lesion Hand) 85.12 Breast Biopsy $ 992.00 85.21 Breast Lesion Removal - $1,017.00 86.30 Skin Lesion Removal $ 735.00 Payment of claims when ambulatory surgery case rates apply will be based on the lesser of (a) ambulatory surgery case rates, or (b) billed charges. MULTIPLE PROCEDURES:_ If any Ambulatory Surgery Procedure is performed in conjunction with one of the above principal procedures, payment will be at 125% of the case rate -listed above. STOPL-OSS: Payment will never be less than 50 % of billed charges or greater than 100 % of billed charges. EXHIBIT A Community Hospital Grand Junction Tax ID #84-0469270 Negotiated Rate Community Hospital agrees to a 7.5 percent (7.5 %) discount off of total billed charges if a clean claim is paid within thirty days. EXHIBIT A Conejos County Hospital Tax ID #84-0522464 Conejos County Hospital agrees to a discount of fifteen percent (15%) off billed charges for services rendered inpatient and outpatient hospital. EXHIBIT A Craig Hospital Tax ID #84-0404233 Hospital agrees to the following discounts: INPATIENT: Twelve percent (12%) discount off total billed charges for services rendered inpatient OUTPATIENT: Ten percent (10%) discount off total billed charges for services rendered outpatient ARTICLE III SLMC RESPONSIBILITIES 3.1 SLMC shall institute and maintain during the term of this Agreement the following programs: A. Precertification In 1. Pre -Admission Review: prospective review for elective hospital admissions involving a determination of whether admissions are medically necessary through a review of the admitting diagnosis, applicable secondary diagnoses, medical history and factual circumstances. 2. Review of Urgent/Emergent Admissions: medical review of indications for urgent/emergent admissions. 3. Concurrent Review: determination of the continued need for hospital stay based on review of patient status, including complications, by licensed professionals at designated intervals per SLMC policy; discuss for less intensive, alternate means of care. B. Case Management: If the Participating Plan, their claims administrator or SLMC through the utilization review process identifies a case which may benefit by case management a request for evaluation to the case management manager can be made. The final determination for case activation remains with SLMC. 1. Case Management: systematic approach to identifying high cost claim situations, assessing potential opportunities to coordinate care, and formulating cost effective quality care programs. 2. Criteria: criteria used to determine case appropriate referral includes diagnosis, severity of illness and ability to negotiate alternative treatment options. 3. Evaluation: an indepth assessment of the patient's condition which includes dialogue with the physician, family and other health care providers. 4. Review: case management program is reviewed monthly by the Medical Director for quality assurance. Significant developments are discussed with the Medical Director and the Participating Plan or its claims administrator. 5 PPOMPAR-WE-UR/CTTY OF FT COLLINS/11.20.98/jg EXHIBIT A Delta County Memorial Hospital Tax ID #84-0428757 Negotiated Rates Delta County Memorial Hospital commits to the following discounts: 1. Inpatient Services - A two percent (2 %) discount from billed charges shall apply to all inpatient services rendered. 2. Outpatient Services - A two percent (2 %) discount from billed charges shall apply to all outpatient services rendered. The Hospital will discount total billed charges by the above percentage when the Participating Plan is primary carrier on a claim. When the Participating Plan is not primary carrier on a claim the Hospital will discount, by the above percentage, the remaining balance after subtraction of the primary carrier's payment. EXHIBIT A Flatirons Osteoporosis Center Tax ID ##84-0926552 _ Flatirons Osteoporosis Center agrees to the following rates for the professional and technical component for the services listed below: SERVICES Single Beam Photon Scan CPT 783.50 $104.00 Dual Photon Beam Scan CPT 78351 $125.00 These rates include both the professional and technical components. Effective 1/1/99 Exhibit A Gambro Healthcare Patient Services, Inc. See Tax ID numbers below Columbia Ambulatory Surgery Centers include the following loactions: Gambro Healthcare Colorado Springs 2361 E Platte Place Colorado Springs, CO 80909 (719) 471 - 7273 TIN: 95-2977916 Gambro Healthcare Denver Central One Broadway, Bldg. A 100 Denver, CO 80203 (303) 765 - 1699 TIN: 62-1606070 Gambro Healthcare Rocky Mountain Center 4600 Hale Parkway, Suite 120 Denver, CO 80220 (303) 320 - 6894 TIN:62-1606070 Service Description Revenue Code MCR CPT or HCPC Code Contracted Rate Hemodialysis-In center 821 90935 $366.00 Hemodialysis, Home Training _ 841 90993 $283.00 CAPD, Home Training/Session 841 90993 $283.00 CCPD, Home Training/Session 851 90993 $283.00 CCPD, Incenter Backup Dialysis 821 90945 $235.00 Hemodialysis, In Center Home Back- up _ 821 90935 $235.00 - CAPD, In -Center Back-up Dialysis 821 90945 $235.00 Home CCPD, Per Day 851 90945 $235.00 Home CAPD, Per day 841 90945 $1,35.00 • Kates mcfuae au woorazory services a,►u rouuuc Paiaia,aaay as uca�a.u'. • All non -routine pharmacy will be billed and allowed at AWP. - Rlnnd and Blood Related Services Description Revenue Code MCR CPT or HCPC Code _ Contracted Rate* Blood, Spin -Cooled -Filtered 380 P9022 $331.18 Blood, Lekopoor Red Blood Cells 385 P9016 $331.18 Blood, Platelets 384 P9019 $405.45 Blood, Packed Cells 381 P9021 $331.18 Blood, Other, Frozen RBCS 390 P9021 $344.18 * All blood charges include the following: blood products, type and crossmatch, AB antibody ID, syphillis testing, blood typing, HIV/HTLV antibody, and supplies. Exhibit A -Effective l/l/99 Gambro Healthcare Patient Services, Inc. Page 2 Included Laboratory Testing Frenuenev in Center TEST_ HEMODIALYSIS & CCPD CAPD Heinatocrit Per TX Monthly Clotting Time Tests Per TX _ No Prothrombin Time Weekly No Serum Creatinine Weekly Monthly BUN Weekly Monthly CBC Monthly No Serum Calcium Monthly Monthly Serum Chloride Monthly No Serum Bicarbonate Monthly No Serum Phospuorous Monthly Monthly Serum Potassium Monthly Monthly Serum Albumin Monthly Monthly Serum Iron Semi -Annual Semi -Annual Iron Binding Capacity Semi -Annual Semi -Annual Total Protein Monthly Monthly Alkaline Phosphatase Monthly Monthly SGOT Monthly Monthly LDH Monthly Monthly Hemoglobin (HGB) No Monthly Serum Magnesium No Monthly Dialysate Protein No Monthly - Serum sodium No Monthly Carbon Dioxide No Monthly Hepatitis B Antigen & Antibody Quarterly Quarterly Included Pharmacy Pharmaceuticals Albumin Benadryl Dextrose Glucose Heparin Mannitol Plasminate Saline Sodium Chloride Categories Pharmaceutical Categories Anti-Arithymics Anti -Hypertensives Pressure Drugs (i.e. High Blood Pressure) All Antihistamines All Topical Anesthetics Self -Administered Drugs (e.g. Aspirin) EXHIBIT A Goodland Regional Medical Center Goodland, Kansas Tax ID #48-0725111 Goodland Regional Medical Center agrees to a six percent (6%) discount off total billed charges for services rendered inpatient and outpatient. EXHIBIT A HealthSouth Surgery Centers HealthSouth Surgery Centers include the following locations: HEALTHSOUTH AURORA SURGERY CENTER 13701 E. Mississippi Ave., #200 Aurora, CO 80012 303-363-8646 Tax ID #62-1488744 HEALTHSOUTH DENVER WEST SURGERY CENTER 13952 Denver W. Parkway Building 53, Ste. 100 Golden, CO 80401 303-271-1112 - — Tax ID #62-1514638 HEALTHSOUTH PUEBLO SURGERY CENTER 25 Montebello Road Pueblo, CO 81001 719-544-1600 Tax ID #62-1488737 HEALTHSOUTH SURGERY CENTER OF FORT COLLINS 1100 E. Prospect Road Ft. Collins, CO 80525 970-493-7200 Tax ID #84-1183185 When Covered Services are provided to a Covered Individual, the following discount applies: RATES: Twenty percent (20%) discount off billed charges to a maximum of $1,200.00 allowable per date of service. SCOPE OF SERVICES: The discounted rate includes all routine and specialized services provided by and performed by the _ facility's staff while at the facility. EXCEPTIONS: The surgery center (facility) will accept as payment from Participating Plan, for any orthotic/prosthetic case that exceeds $200.00, invoice cost plus five percent (5 %). EXHIBIT A Heart of the Rockies Regional Medical Center Tax ED #84-0631509 The allowable amount shall be billed charges. Heart of the Rockies Regional Medical Center has agreed to establish the level of charges for their services at the beginning of each contract year (based on the contract between SLMC and Heart of the Rockies Regional Medical Center) and guarantee such charge levels for the remainder of that year. EXHIBIT A Hospice of Metro Denver, Inc. Tax ID #84-0743121 --, Provider shall accept reimbursement for Covered Services rendered to Covered Individuals in accordance with the following guidelines: ALL-INCLUSIVE HOSPICE HOME OR RESIDENTIAL CARE $115.00 per diem Includes all core staff services including bereavement, medical supplies, laboratory tests, DME, medications, respiratory therapy, infusion services related to the terminal illness and ambulance transportation for acute care, if needed. ADDITIONAL SERVICES WITH PRE -AUTHORIZATION ONLY: 1. Room and Board - HMD Care Center $ 90.00 per diem Nursing Home $ 90.00 per diem (In addition to rate for all-inclusive or core services Hospice or Special Services care) To provide respite or residential hospice care in inpatient hospice or in contract beds within the nursing home setting for patients who can no longer remain at home. 2. All -Inclusive END Acute Inpatient Hospice Care $530.00 per diem * (In lieu of hospitalization, if appropriate, for symptom control) Includes inpatient staff services, terminal illness related supplies, equipment, tests and medications. 3. Supplemental Professional Nursing Care $ 31.00 per hour (In lieu of hospitalization) Limited extended hours of professional care at home for symptom control. — 4. Supplemental Caregiver- Assistance _ $18.00 per hour (In lieu of institutional care) Certified Nurse Aide (CNA) to supplement caregiver in the home when patient does not have family or friends available Co meet all caregiving needs. SPECIAL SERVICES HOME OR RESIDENTIAL CARE $99.00 per diem * Includes all core staff services, bereavement and DME related to the terminal illness. Does not include medical supplies, tests, medications, oxygen and respiratory equipment or ambulance transportation. * Per Diem rate is applicable every day that patient is in the program except for days that patient is hospitalized. EXHIBIT A Hospice of St. John Tax ID #74-2254709 Per Diem Rates Hospice of St. John Schedule of Per Diem Rates. All Inclusive Inpatient Hospice Care $200.00 * All Inclusive Home Care Hospice $ 95.00 * Includes terminal illness related services, supplies, equipment, tests, medications and ambulance transportation. The above per Diem rates exclude physician services. Hospice Care services do not include medications, treatments, equipment, transportation, hospitalization or any type of care provided for a condition not related to the terminal illness for which they are receiving hospice care. Any portion of a claim due from a Covered Individual when per diem rates apply will be based on the lesser of (a) per diem rates, or (b) billed charges. * Per Diem rate is applicable every day that patient is in the program from admission to discharge. Exception: Per Diem charge is waived for days that patients hospitalized. EXIT A Huerfano Medical Center --b Tax ID #84-6027322 Huerfano Medical Center agrees to the following discounts: Inpatient - An eight percent (8%)_discount off billed charges shall apply to all - inpatient services rendered. Outpatient - An eight percent (8 %) discount off billed charges shall apply to all outpatient services rendered. 5. SLMC shall determine which cases will be managed under the 'case management program. Typical medical conditions that frequently result in but are not limited to case management are: AIDS/HIV + Malignant Neoplasm Burns (Full Thickness) Organ Transplantation CVA, Severe, Complicated Preterm Labor Cystic Fibrosis Progressive Neurological Diseases High -Risk Infant Spinal Cord Injury Major Head Trauma Traumatic Amputation 3.2 SLMC shall perform utilization review services for Covered Individuals who receive care outside and within its service area. 3.3 SLMC shall monitor the practice and utilization patterns, including specialty referrals, of the providers. 3.4 SLMC shall provide the Participating Plan with utilization reports for utilization review services performed. Such reports shall be provided quarterly. SLMC further agrees to comply, within a reasonable time, with Participating Plan's reasonable request for changes in the frequency of such reports. 3.5 When an adverse decision is made through the SLMC utilization review or case management processes as defined above, SLMC will establish and provide a mechanism for reconsideration, expediated appeal and standard appeal of that decision. This procedure will meet applicable Colorado statute. The next level of appeal will be the responsibility of the Participating Plan. ARTICLE IV COMMUNICATIONS 4.1 SLMC agrees to notify all Participating Providers of this Agreement's effective date. SLMC agrees to make reasonable efforts to answer questions regarding directory and network information which arise from Covered Individuals. All questions from Covered Individuals regarding eligibility and Covered Services shall be directed to the Participating Plan's claim administrator. ARTICLE V PARTICIPATING PLAN' S OBLIGATIONS 5.1 The Participating Plan agrees to pay SLMC one hundred dollars ($100.00) per hour for case management services as described in Section 3.1 (B). These services shall be billed on a monthly basis. The Participating Plan shall remit such fees no later than 30 days following the receipt of the billing statement. Each billing statement shall explain the 6 PPOMPAR-R'E-UR/CITY OF FT COLLINS/11.20.98/jg EXHIBIT A Learning Services Corporation Tax I.D. # 03-0297705 Neurorehabilitation Per Diem: $ 576.00 Includes: Clinical case manager, physiatry consults, physical therapy, neuropsychology, speech/language pathology, clinical psychology, occupational therapy_, on campus training/educational support groups, nursing services, life skills training, avocational services, family support services, written monthly status report by case manager, verbal status reports by case manager as requested, up to 24 hours LST staffing (7 days/week), semi -private room, bedding, linen, laundry, consumable hygiene and grooming materials, balanced diet monitored by a nutritional specialist, first aid supplies, all non-prescription/ over-the-counter medications, including vitamins, therapeutic recreation, transportation to follow-up appointments and to program activities. Not included: Admission Physical, CBC, Urinalysis, Dental and Vision exams, wheelchairs, adaptive and assistive devices and equipment, any one-on-one Attendant care, Physician charges and any outside medical treatment or consultations, laboratory services, x-rays, prescription medications, prescription _ medical supplies, special education, off campus classes, drivers' education, transportation for therapeutic leaves from the Learning Services campus. Dav Treatment Neurorehabilitation Per Diem: $ 531.00 Includes: Clinical case manager, physical therapy, neuropsychology, speech/language pathology, clinical psychology, occupational therapy, on campus training/educational support groups, nursing services, life skills training, avocational services, family support services, written monthly status report by case manager, verbal_ status reports by case manager as requested, up to 10_hours LST staffing (7 days/week), balanced diet monitored by a Nutritional Specialist, customary first aid supplies (on campus), all non-prescription/ over-the-counter medications, including vitamins (on campus), therapeutic recreation, transportation to program activities. Not included: Admission Physical, CBC, Urinalysis, Dental and Vision exams, wheelchairs, adaptive and assistive devices and equipment, any one-on-one Attendant care, Physician charges and any outside medical treatment or consultations, laboratory services, x-rays, prescription medications, prescription medical- supplies, special education, off campus classes, drivers' education, transportation for therapeutic leaves from the Learning Services campus, or from home to campus, including the return trip. Partial Day Treatment Neurorehabilitation Per Diem: $ 350.00 Partial Day Treatment Neurorehabilitation represents up to one half day of campus directed programming per day and includes and excludes the same services as listed in "Day Treatment Neurorehabilitation". Basic Transportation is not included in this program, and is subject to daily charges. EXHIBIT A Life Care Centers of America This exhibit sets forth the payment methodology and rate for Covered Services, as authorized by applicable Participating Plan and rendered by Life Care Centers to Covered Individuals. The fees listed below shall be reduced by the amount of any applicable Copayment, Coinsurance or Deductible charges which are billed directly to the Covered Individual._ Services Available: • Semi -private room • Meals (including specialized dietary orders) • Skilled nursing care (up to 3 hours of nursing care per 24 hour period) • Routine respiratory care • Radiology services • Laboratory services- — • In-house medical supplies • Standard medical equipment (walker, wheelchair, trapeze, commode, feeding pumps) • Social services • Wound care (stages 1 & 2) • Insulin dependent diabetic care • Colostomy care • Traction & positioning • NG or G tube feeding • Discharge planning assistance • Other services as mutually agreed upon between Sloans Lake Managed Care and facility LEVEL TWO Per Diem: $325 Services available include those offered in Level One, plus the following: • More intense nursing services (up to 4 hours of nursing care per 24 hour period) • Oxygen or respiratory treatment that is intermittent • Pharyngeal aspiration • One physical therapy evaluation, one occupational therapy evaluation and one speech therapy evaluation per admission • Up to one hour of total therapy each day (PT, OT or Speech) • Tracheostomy supplies and treatment not to exceed more than 3 treatments per 24 hour period • Whirlpool treatments (lower extremity or full body) for any skin problems • Other services as mutually agreed between Sloans Lake Managed Care and facility EXMBIT A Life Care Centers of America Page 2 LEVEL THREE Per Diem: $425 Services available include those offered in Level Two, plus the following: • More intense nursing services (5 hours of nursing care per 24 hour period) • Wound care (necrotic, including debridement) • Up to two hours of total therapy each day (PT, OT or Speech) • Tracheostomy supplies & treatments exceeding 3 treatments per day • Other services as mutually agreed between Sloans Lake Managed Care and facility LEVEL FOUR Per Diem: $500 Services available include those offered in Level Three, plus the following: • More intense nursing services (6 hours or more of nursing care per 24 hour period) • Patient controlled anesthesia pumps (SQ or IV) • Traumatic brain & spinal cord care • Up to three hours of total therapy each day (PT, OT or Speech) • Other services as mutually agreed between Sloans Lake Managed Care and facility LEVEL FIVE Per Diem: $675 Services include those offered in Level Four, plus the following: • Ventilator care SERVICES NOT INCLUDED IN PER DIEM AMOUNTS: _ • -Additional therapy (OT, PT or Speech) as authorized, at $85.00per hour • Total Parenteral Nutrition at an all inclusive per diem of $160.00 (Includes: All additives common to TPN formulations, solutions, pharmacy compounding fees, standard medical supplies, stationary pump, delivery, hazardous waste disposal and pharmacy management services) EXHIBIT A Life Care Centers of America Page 3 PARTICIPATING FACILITIES Alamosa Evergreen Nursing Home 60 beds 1991 Carroll Avenue Alamosa, CO 81101 (719) 589-4951 (Office) (719)589-5651 (Fax) Tax ID #62-1644855 San Luis Care Center 60 beds 240 Craft Drive Alamosa, CO 81101 (719) 589-9081 (Office) (719) 589-9083 (Fax) Tax ID #62-1644855 Aurora Garden Terrace 120 beds Alzheimer's Center of Excellence 1600 South Potomac Street Aurora, CO 80012 (303) 750-8418 (Office) (303) 750-0021 (Fax) Tax ID #62-1263545 Life Care Center of Aurora 94 beds 14101 East Evans Avenue Aurora, CO 80014 (303) 751-2000 (Office) (304) 751-0026 (Fax) Tax ID #62-1542993 Canon City Canon Lodge Care Center 78 beds 905 Harding Avenue Canon City, CO 81212 (719) 275-4106 (Office) (719) 275-2895 (Fax) Tax ID #62-1644855 Carbondale Heritage Park Care Center 118 beds 1200 Village Road Carbondale, CO 81623 (970) 963-1500 (Office) (970) 963-9507 (Fax) Tax ID #62-1644855 Denver Berkley Manor Care Center 118 beds 735 South Locust Street Denver, CO 80224 (303) 320-4377 (Office) (303)355-6289 (Fax) Tax ID #62-0963862 Briarwood Health Care Center 201 beds 1440 Vine Street Denver, CO 80206 - (303) 399-0350 (Office) (303) 399-4276 (Fax) Tax ID #62-0963862 - Hallmark Nursing Center 145 beds 3701 W. Radcliff Avenue Denver, CO 80236 (303) 794-6484 (Office) (303) 797-8781 (Fax) Tax ID #62-1246424 - Evergreen Life Care Center of Evergreen 118 beds 2987 Evergreen Parkway Evergreen, CO 80439 (303) 674-4500 (Office) (303) 674-8436 (Fax) Tax ID #84-1147138 EXHIBIT A Life Care Centers of America Page 4 Pueblo Fort Morgan Life Care Center of Pueblo 180 beds Valley View Villa 120 beds 2118 Chatalet Lane .815 Fremont Avenue Pueblo, CO 81005 Fort Morgan, CO 80701 (719) 564-2000 (Office) (970) 867-8261 (Office) (719) 564-7741 (Fax) (970)867-8192 (Fax) Tax ID #62-1354006 Tax ID #62-1624822 University Park Care Center 180 beds Tr Greeley, 945 Desert Flower Blvd. Pueblo, CO 81001 Life Care Center of Greeley 120 beds (719) 545-5321 (Office) 4800 25 h Street (719) 545-0096 (Fax) Greeley, CO 80632 Tax ID #62-1246424 (970) 330-6400 (Office) (970) 506-1370 (Fax) Salida Tax ID #84-1349423 Columbine Manor Care Center 112 beds Lakewood 530 West 16' Street Salida, CO 81201 Villa Manor Care Center 240 beds (719) 539-6112 (Office) 7950 W. Mississippi Avenue (719) 539-6510 (Fax) Lakewood, CO 80226 Tax ID #62-0-963862 — (303) 986-4511 (Office) (303) 914-9427 (Fax) - Westminster Tax ID #84-0921561 Life Care Center of Westminster 120 beds Western Hills Healthcare Center 140 beds 7751 Zenobia Court 1625 Carr Street Westminster, CO 80030 Lakewood, CO 80215 _ (303) 412_9121 (Office) (303) 232-6881 (Office) - (303) 412-9187 (Fax) (303) 232-1927 (Fax) Tax ID #62-1605722 Tax ID #62-0963862 - Longmont Life Care Center of Longmont 187 beds 2451 Pratt Street Longmont, CO 80501 (303) 776-5000 (Office) (303) 776-7661 (Fax) Tax ID #62-1381523 EXHIBIT A Keefe Memorial Hospital Tax ID #84-1071323 Hospital agrees to a five percent (5%) discount off total billed charges. EXHIBIT A Kidney Stone Center of the Rocky Mountains Tax ID #84-1013285 _ Negotiated Rates Kidney Stone Center of the Rocky Mountains commits to a fifteen percent (15%) discount off billed charges: EXHIBIT A Kit Carson County Memorial Hospital Tax ID #84-6002430 The allowable amount shall be billed charges. Kit Carson County Memorial Hospital has agreed to establish the level of charges for their services at the beginning of each contract year (based on the act b Carson County Memorial Hospital) and guarantee -such- charge -levels ----------- for the remainder of that year. EXHIBIT A Kremmiing Memorial Hospital Tax ID #84-0676212 Kremmling Memorial Hospital agrees to a discount of six percent (6%) off billed charges for both inpatient and outpatient services. EXHIBIT A Lincoln Community Hospital Tax ID #84-0484566 _-Lincoln Community ---- Otal agrees five percent (5 %a) -off -billed--charges -for -services -- ----- rendered inpatient and outpatient. basis of calculation of this fee. The Participating Plan agrees to pay SLMC a fee of four dollars and sixty-five cents ($4.65) per employee per month for all other services provided pursuant to this Agreement. Such fees shall be based on the number of employees covered under this Agreement on the first day of each month and due no later than the last day of the month. Participating Plan shall provide SLMC with a statement listing the number of employees covered under this Agreement no later than forty-five (45) days following the execution of this Agreement and, thereafter on a monthly basis. This statement shall accompany each payment of the above fee. Participating Plan shall remit the fees directly to Sloans Lake Managed Care at: Sloan Lake Managed Care, Inc. 1355 South Colorado Blvd., Ste. 902 Denver, CO 80222 Attn: Finance Dept. Late payment charges will be computed at the rate of one and one half percent (1.5%) of the overdue amount per month or the maximum lawful amount, whichever is less. Participating Plan will also be liable for all costs to collect any past due amounts, including any collection agency or attorneys' fees.. Each payment shall include a statement explaining the basis of calculations of this fee in a format mutually agreed upon by the parties. SLMC retains the right to request independent verification of the number of employees covered under this Agreement for any given month. Participating Plan shall respond to a request for independent verification of covered employee lives within thirty (30) days of the request 5.2 The Participating Plan agrees to remit payments due to Participating Providers, for Covered Services rendered to Covered Individuals, within the time frames and in the amounts specified in Exhibits A and B, less any applicable Deductible, Copayment, Coinsurance, or Non -Covered Services. Participating Plan, or its claim administrator, shall submit to SLMC, no later than the fifteenth (15') of each month a claims report, to include total claims received, paid and denied and the time frame for turning around such claims for the prior month, in a format mutually agreeable to the parties. 5.3 The Participating Plan agrees to remit payments directly to the Participating Provider, without the necessity of the Participating Provider obtaining a signature from the Covered Individual for the assignment of benefits. 5.4 The administration of all claims is solely the responsibility of the Participating Plan. The Participating Plan shall be solely responsible for determination of all question concerning claims, payment, and the eligibility of any individual who benefits from the Participating Plan. 5.5 Payment or denial of payments to a Participating Provider shall be accompanied by an explanation of benefit (EOB). A copy of the EOB shall be sent to the Participating Provider whether a payment is issued or not. The EOB shall list separately each dollar 7 PP017/PAR-WE-UR/CITY OF Fr COLLINS/11.20.95/jg I X.4111: Littleton Day Surgery Center Tax ID #23-2731319 Littleton Day Surgery Center has agreed to the following discounts for Covered Services rendered to Covered Individuals: PROCEDURE Outpatient Surgical Facility Fees CPT Code 29826 Description ALLOWABLE 15 % off each billed cpt code to maximum allowable of: $1,200 for the primary procedure and $600 for each subsequent procedure. The two exceptions are: Arthroscopy w/partial acromioplasty Arthroscopy aided anterior cruciate ligament repair Discount 20 % off billed charges 20% off billed charges The maximum allowables listed above do not apply to these procedures. All outliers do apply to these procedures. OUTLIERS: Multiple Procedures: Primary procedure allowed at 100% of the discounted amount. (i.e. billed charge x discount = primary procedure allowable) Any and —all subsequent procedures allowed at 50% of the discounted amount. (i.e. billed charge x discount = allowable x 50% = any and all subsequent procedures' allowable) Implants: Implants and/or devices will be allowed at 20% off billed charges. Flouroscopy: Flouroscopy services will be allowed at 20% off billed charges. EXHIBIT A Longmont Surgery Center, LCC Tax ID #84-1295365 When the Covered Services_ are provided to a Covered. Individual, the following discounts apply: OUTPATIENT SERVICES: Outpatient Surgery: Twenty-five percent (25 %) discount off of billed charges to a maximum of $1,300.00 per date of service. CONVALESCENT SERVICES: Convalescent Services: $300.00 per diem up to twenty-four (24) hours of stay (incorporated into the outpatient services maximum listed above). IMPLANTS ORTHOTICS, PROSTHETICS Ten percent (10%) discount off of billed charges (to allow no less than 110% of invoice - charges). EXHIBIT A Longmont United Hospital Tax ID #84-0460697 Negotiated Rates Longmont United Hospital agrees to the following discounts: 1. Inpatient Services - A ten percent (10%) discount from billed charges shall apply to all inpatient services rendered. 2. Outpatient Services - A fifteen percent (15 %) discount from billed charges shall apply to the following list of outpatient services: Phvsical Medicine Physical Therapy Occupational Therapy Speech Therapy Cancer Care Center Therapeutic Other Outpatient Services Including but not limited to: Emergency Services_ Laboratory Surgery Radiology Home Health Registered Nurse Physical Therapy Speech Therapy Occupational Therapy Medical Social Services Home Health Aides Other Services Psychiatry Adult Adolescent Detox The Hospital will discount total billed charges by the above percentage when the Participating Plan is primary carrier on -a claim—.- When the Participating Plan is not primary carrier on -a claim the Hospital will discount, by the - above percentage, the remaining balance after subtraction of the primary carrier's payment. EXHIBIT A Loveland Ambulatory Surgery Center, LLC dba Mountain View Surgery Center Tax ID #84-1389436 I. Rates: Mountain View Surory Center has _agreed to_ accept the following agreed .upon _ discounted rate, less any applicable Deductible, Copayment or Coinsurance: 15% discount to a maximum allowable of $1,300 per date of service II. Scope of Service: The all inclusive rate includes all routine and specialized services provided by and performed by Mountain View Surgery Center staff while at Mountain View Surgery Center. III. Exceptions: • Mountain View Surgery Center will accept as payment from Participating Plan, for any orthotic/prosthetic device not already included in a given procedure, invoice cost plus five percent (5 %). • Mountain View Surgery Center will accept as payment from Participating Plan, for any implant not already included in a given procedure, invoice cost plus five percent (5 %). • The following procedures will be allowed at the lesser of billed charges or the listed case rate: Description - CPT Code Case Rate Laparoscopic chole 56340 $2,000 with cholelangiogram 56341 $2,500 Shoulder Reconstruction 23455 $2,000 including Bankart procedures 23420 $2,000 Anterior Cervical Fusion (ACF) - 22554 $3,000 _ 22845 - $3,000 — -_ 20938 $3,000 Knee Arthroscopy with ACL reconstruction 29888 $2,000 29889 $2,000 Mastectomy (with or without reconstruction) 19160 $2,000 19162 $2,000 19180 $2,000 19240 $2,000 EXHIBIT A Matria Healthcare, Inc. (Formerly. Healthdyne Maternity Management) Tax ID #58-2205984 OBSTETRICAL HOME CARE SERVICES Fee Schedule _ Price PRETERM LABOR MANAGEMENT SERVICES Fetal Fibronectin - Patient Reportable Result $203.00 per test Fetal Fibronectin - Service Program - Initial 12 Days $185.00 per patient/test Preterm Labor Program Preterm Labor Program - With Oral Tocolytics Pretem Labor Program - With Multiple Transmissions Subcutaneous Tocolytic Therapy OBSTETRICAL HYPERTENSION MANAGEMENT Preeclampsia Critical Pathway Blood Pressure Monitoring DIABETES IN PREGNANCY MANAGEMENT Perinatal Clinician Diabetic Home Visit ANTICOAGULATION THERAPY Heparin Therapy Subcutaneous Administration Heparin Therapy IV Administration HYPEREMESIS THERAPY _ Hyperemesis Metoclopramide Therapy OTHER OBSTETRICAL HOME CARE SERVICES Skilled Nursing Visit - Follow Up Dietary Analysis FETAL ASSESSMENTS Non -Stress Test - One Fetus Non -Stress Test - Two Fetuses Self Administered Non -Stress Test (SAFHR) Skilled Nursing Visit - NST's Only HOME INFUSION THERAPY Hydration Therapy - 1 Liter Hydration Therapy - 2 Liters Hydration Therapy - 3 Liters Hydration Therapy - 4 Liters Betamethasone Injection Nurse Visit for Betamethasone Injection $ 70.00 per diem $ 81.00 per diem $ 81.00 per diem $287.00 per diem $135.00 per diem $ 35.00 per diem $150,00 per diem $125.00 per diem $125.00 per diem $155.00 per diem $ 80.00 per visit $ 90.00 per analysis $ 75.00 per test $105.00 per test $100.00 per test $ 45.00 per visit $ 65.00 per diem $ 70.00 per diem $ 75.00 per diem $ 80.00 per diem $ 40.00 per injection $ 45.00 per visit EXHIBIT A Mediplex Rehab Per Diem Rates �N inRgfiot Services - Tax ID #85-0370802: General Rehabilitation $700 per day Traumatic Brain Injury $800 per day Ventilator/Pulmonary $950 per day Extended Rehab Unit $500 per day Acute Coma $900 per day Behavioral Rehab $875 per day Spinal Cord $950 per day Bridge Recovery Unit $600 per day Exclusions - The following items are specifically excluded from the per diem rate: - Non -Routine Lab Work - Physician Charges - Special Orthopedics, Prosthetic or Other External Adaptive or Durable Medical Equipment, Including Ventilator Rental ^' - Behavior Management Sitter - - Out -of -Facility Services - Specialized Treatment, such as: IV Antibiotics, and Hyperalimentation- Any portion of a claim due from a Covered Individual when per diem rates apply will be based on the lesser of (a) per diem rates, or (b) billed charges. — EXHIBIT A The Memorial Hospital Tax ID #84-0399269 The Memorial Hospital agrees to a five percent (5 %) discount off total billed charges for both inpatient and outpatient care. EXHIBIT A Mercy Medical Center, Durango Tax ID #84-0405515 Me ry Medical Center -of -Durango- agree& to a. fifteen. percent (15%) -discount.. off total billed -charges. for all inpatient and outpatient care. - ANCILLARY HOSPITAL SERVICES: Home Health: IV RN Visits $ 85.00 General Nursing Visits $ 85.00 HHA Visit $ 50.00 Rehabilitation: - -PT $ 85.00 OT $ 85.00 ST $ 85.00 Medical Social Worker $ 100.00 ID Cards. If the Participating Plan's ID card does not clearly show the SLMC name and/or logo, the Hospital is not obligated to accept the Negotiated Rates. The above discounts shall not be taken by the Participating Plan's claims administrator, if the Participating Plan's benefit design does not offer _a financial incentive to use a Participating Provider. (i.e. differential in benefit reimbursement between an in network and out of network provider) - - _ Effective 1/1/99 EXHIBIT A MidValley Ambulatory Surgery Center, LLC Tax ID #84-1454222 When Covered Services are provided to a Covered Individual, the following discounts apply: OUTPATIENT SERVICES: Outpatient Surgery: Ten percent (10%) discount off of billed charges to a maximum of $4,000.00 per date of service. EXCEPTIONS: Codes listed below to be paid at a Ten percent (10%) discount not to exceed the following rates. CPT Code Description Reimbursement 20680 Hardware Removal $2,250 23420 Shoulder Rotator Cuff Repair $5,400 23455 Shoulder Dislocation $4,500 29822 Arth. Shoulder — $4,700 29881 Arth. Knee Menisectomy $3,500 29877 Arth. Knee Debridment $3,500 29882 Arth. Men. Repair $4,000 29826 Arth. Shoulder Dec. $4,000 29888 Arth. ACL _ $6,100 29909 Arth. Unlisted $4,300 64721 Carpal Tunnel $2,500 SCOPE OF SERVICES: The discounted rate includes all routine and specialized services provided by and performed 5y the facility's staff while at the facility. EXHIBIT A Montrose Memorial Hospital Tax ID #84-6002707 Negotiated Rates.._._ Montrose Memorial Hospital commits to the following discounts: 1. Inpatient Services - A 4.75 % discount from billed charges shall apply to all inpatient services rendered. 2. Outpatient Services - A 4.75 % discount from billed charges shall apply to all outpatient services rendered. NOTE: If the Participating Plan's ID card does not clearly show the SLMC name and/or logo, Montrose Memorial Hospital is not obligated to accept the above Negotiated Rates. I amount for Copayment, Coinsurance, Deductible, and Non -Covered Service amounts taken or applied on each claim, and shall explain the reason for each exclusion. The EOB shall also list separately the discount amounts taken based on the Negotiated Rates specified in Exhibits A and B. 5.6 Participating Plan agrees to cooperate and assist all parties in the coordination of benefits. 5.7 SLMC acknowledges that Covered Individuals are responsible for Non -Covered Services, Copayments, Coinsurance, and Deductibles as defined by Participating Plan and are ultimately responsible for payment to the Participating Provider for such items. Participating Plan acknowledges if Covered Services are not paid by the Participating Plan's claim administrator within the time frames specified in Exhibits A and B, then a discount based on the Participating Provider's Negotiated Rate may not apply and payment of Covered Services is ultimately the responsibility of the Covered Individual. The Covered Individual will then need to seek reimbursement from the Participating Plan. 5.8 In the event a Participating Provider seeks oral or written verification of a Covered Individual's eligibility or information regarding the level of benefits of the Participating Plan, the Participating Plan shall require its claim administrator to confirm such eligibility or provide the information requested by the provider. 5.9 The parties agree that if a participating Physician believes the amount paid is in error, he/she shall have ninety (90) days after receipt of payment to question the accuracy of such amount. After such time, the amount paid shall be binding on the participating Physician as the full amount due to Physician. 5.10 Upon request, Participating Plan agrees to provide SLMC with a copy of their plan document. Participating Plan shall immediately notify SLMC in writing of any amendments or material changes in its schedule of benefits payable to Participating Providers. Participating Plan agrees that it will provide SLMC with at least thirty (30) days advance notice of benefit revisions affecting reimbursement to Participating Providers. 5.11 The Participating Plan shall be responsible for the printing and distribution of identification cards to all Covered Individuals participating in this health benefit option. The identification cards shall include both SLMC's and the Participating Plan's name and/or logo. The identification card shall also include the group number SLMC assigns to the Participating Plan. Participating Plan is obligated to provide Covered Individuals with information and/or material on the appropriate use of the identification card. 5.12 The Participating Plan agrees to exclusively use the SLMC preferred provider network in the State of Colorado. The Participating Plan shall not contract directly with any hospital or other healthcare provider in the State of Colorado without SLMC's written consent. 8 PP0171PAR-WE-UR/CITY OF FT COLLINS/11.20.98/jg EXHIBIT A Mount San Rafael Hospital Tax ID #84-0586742 1. The following discounts apply as long as the total number of SLMC participating Covered Individuals in the Las Animas County are less than 500 lives: Inpatient and Outoatient Services: - - - Hospital has agreed to establish the level of charges for their services at the beginning of each fiscal year and guarantee such charge levels for the remainder of that year. Allowable charges for Inpatient and Outpatient services shall be actual billed charges except for those services listed below. Physical Therapy and Home Health Services: Hospital agrees to a discount of three percent Q %) off total billed charges. NIRI: MRI - $850.00 case rate (all inclusive) The above mentioned case rate shall be paid at the lesser of the Negotiated Rate or billed charges. 2. Once the total number of SLMC participating Covered Individuals reaches five hundred (500) lives in Las Animas County the Hospital agrees to the following discounts: Inpatient and Outpatient: A discount of two percent (2%) off total billed charges for services rendered Inpatient and Outpatient except for those services listed below. Physical Therapy and Home Health Services: Hospital agrees to a discount of three percent (3 %) off total billed charges. NMI: MRI - $850.00 case rate (all inclusive) The above mentioned case rate shall be paid at the lesser of the Negotiated Rate or billed charges. NOTE: Currently there are less than 500 SLMC participating Covered Individuals in Las Animas County therefore, the Participating Plan MUST follow the discounts outlined in #1 above. SLMC will notify the Participating Plan's claims administrator when the number of SLMC participating Covered Individuals in Las Animas County reach 500 lives and the discounts outlined in #2 can be applied. EXHIBIT A Mountain Crest Hospital Tax ID #84-1275549 Rate Schedule by Service 1. PSYCHIATRIC - Adult Inpatient - Adolescent Inpatient - Adult Day Treatment (> =4 hrs) - Adolescent Day Treatment (> =4 hrs) - Child Day Treatment (> =4 hrs) . - Adult Afternoon/Evening Treatment (< 4 hrs) - Adolescent Afternoon/Evening Treatment (<4 hrs) - Child Afternoon/Evening Treatment (< 4 hrs) - Adolescent Intensive Outpatient Dual Diagnosis IL SUBSTANCE ABUSE Per Diem/Fee (1) $490 $515 $245 $255 $255 $145 $155 $155 $ 30/hr - Adult/Adolescent Detoxification $500 - Adult Inpatient $425 - Adolescent Inpatient $515 - Adult Day Treatment (> = 4 hrs) $245 - Adolescent Day Treatment (> = 4 hrs) $255 - Adult Afternoon/Evening Treatment (<4 hrs) $145 - Adolescent Afternoon/Evening Treatment (<4 hrs) $155 - Adult Intensive Outpatient * - — $ 30/group - Adult Intensive Outpatient Family Program $125/session - Adult Intensive Outpatient Relapse Track * $ 30/group - Adolescent Intensive Outpatient Dual Diagnosis $ 30/hr * Relapse guarantee: If any patient has completed the entire Adult Intensive Outpatient or Adult Intensive Outpatient Relapse Track program, and if that patient relapses within one year of completing treatment, then the adult can complete the Adult Intensive Outpatient Relapse Track at no cost. This guarantee is valid as long as HHG of Colorado is operating out of Mountain Crest Hospital. EXHIBIT A Mountain Crest Hospital Page 2 (1) The per diem for treatment is inclusive and includes the following treatment components when required by the attending physician and provided by Mountain Crest Hospital employees: - Room and Board Charges -Adjunctive Therapy - Nursing - Art Therapy - Lab - Group Therapy - Psych000cial Therapy - Family Therapy performed by MCH staff - Recreational/Occupational Therapy - Medications - Rope Therapy - Patient Supplies and Materials - Adolescent Schooling - Aftercare Groups. for one year (provided at Hospital) The per diem for treatment does not include the following components: Attending physician fees are billed by the attending physician. Services performed that are physical rather than psychological in nature, including, but not limited to: (1) CAT Scans (2) - X-rays (3) MRi's (4) ECT - (5) History & Physical Psychological testing that has been ordered by the attending physician and is crucial to diagnosis and treatment planning. Psychological testing may be provided by a Sloans Lake clinician/provider if they have applied for and have been granted privileges at Mountain Crest Hospital. Biofeedback when ordered by the attending physician and is crucial to the patient's treatment. - -. ECT when ordered by the attending physician and is crucial to the patient's treatment. 1 *4_'.11311 W.1 National Jewish Medical & Research Center Tax ID #74-2044647 OUTPATIENT SERVICES: Time out for Asthma Outpatient Clinic: Adults & Pediatrics' _ $900.00 Per Diem' This is a multi -day outpatient program of evaluation, observation and therapy tailored for patients with moderate to severe asthma. The results are an optimal management regimen that improves patient quality of life, reduces the frequency and severity of -exacerbations and reduces long-term costs.. The package prices are all inclusive (all facility and professional fees, billed on a UB92 claim form). Time Out for Asthma Day Treatment Program: Adults & Pediatrics" $1,100.00 Per Diem' - Day Treatment is an evaluation and treatment program that provides an intermediate level of care for difficult to manage patients that are refractory to outpatient management, yet do not meet criteria for inpatient hospitalization. This is an eight to twelve hour per day outpatient pediatric and adult program with a facility component. Patients are those who do not require inpatient supervision yet need a more intensive evaluation and treatment period than can be provided in outpatient clinic appointments. The package prices are all inclusive (all facility and professional fees, billed on a UB92 claim form). Outpatient Sleep Studv Codes CPT 95805 95807 95808 95810 PPO Allowable $ 292.00 413.00 450.00 613.00 Other Outpatient Clinic/Day Treatment Programs: 20% discount off Billed Charges Evaluation and treatment of chronic respiratory and immune disease in a clinic or day treatment setting. National Jewish provides successful programs for a broad range of chronic illnesses such as, COPD/Emphysema, Tuberculosis, Allergies, Interstitial lung disease, Occupational/Environmental lung and skin diseases, Autoimmune diseases such as Lupus, Sleep disorders, Chronic fatigue syndrome, and Juvenile rheumatoid arthritis. Outpatient Ancillary Services: 20% Discount off Billed Charges Diagnostic and therapeutic procedures (bronchoscopy,-laryngoscopy, pulmonary physiology) and radiology. INPATIENT SERVICES: Inpatient Care: $1,500.00 Per Diem' Charges cover inpatient diagnostic and therapeutic procedures including pharmacy, inhalation therapy, discharge planning, PT, OT, ST, rehab services, radiology testing, laboratory testing, health education, and inpatient psychiatric services. Reimbursement includes professional and technical services. 1 Case Management Review as requested. 2 Case Management Review as requested. 3 Reimbursement is based on the lesser of billed charges or the per diem EXHIBIT A The Network Alliance Tax ID #84-1278733 Healthcare Services Fee Schedule Intermittent Visits: (0-2 Hours) Code: - - Discount Rates - Registered Nurse (hi -tech) SRHV $ 74.00 Registered Nurse (primary nursing) RNHV $ 69.00 Licensed Practical Nurse LPHV $ 40.00 Mental Health Worker MHWV $ 34.50 Home Health Aide HHAV $ 28.00 Physical Therapy SRHH $ 72.00 Occupational Therapist OTHV $ 72.00 Speech Pathologist STHV $ 72.00 Medical Social Worker MSWV $ 85.00 PICC Line Placement (including supplies) PICC $225.00 Midline Placement (including supplies) MIDL $175.00 Hourly Visits Registered Nurse (hi -tech) SRH $ 36.00 Registered Nurse (primary nursing) RNH $ 32.00 Licensed Practical Nurse - LPH $ 18.00 Mental Health Worker MHW $ 15.00 Home Health Aide _ HHA $ 12.00 Personal Care Giver PCHP $ 10.00 Companion COMP $ 10.00 Holidav Rates All rates will be billed at time and one-half for the following recognized holidays: New Years Day Labor Day Memorial Day Thanksgiving Day Independence Day Christmas Day Holiday rates are in effect from 7:00 p.m. on the eve of the holiday through 11:00 p.m. on the actual date of the holiday. EXHIBIT A The Network Alliance Page 2 For products not listed on pages 2 through 5 under the following headings, "Respiratory Services", "Rehabilitation Equipment & Wheelchairs Rental and Retail", "Miscellaneous" and "Enteral Therapy Service and Supplies", The Network Alliance offers a 20% discount off of the customary rate for supply and 25% discount off the customary rate for rentals. Respiratory. Services HCPC Codes Oxygen Stationary Liquid Oxygen H Cylinders E Cylinders Oximetry E0492 E1399A E2399B E1399B HCPC CODES Cylinder & Regulator E0431 Concentrators E 1400 CPAP E0601 CPAP supplies subsequent to inital set up respronic head gear K0185 tubing 6R. K0187 soft series mask E1399 respironic mask E1399 gel mask E1399 Service maintence every 6 months E0601MS BiPAP E0450 Compressor Nebulizer _ E0570 Nebulizer Kits (month. supplies) E0580 Ultrasonic Nebulizer E0575A Portable Nebulizers E0575B Environmental/Purif/Humid. E0550 Suction Machine E0600A Gastric Intermittent Suction E0600B W/C Oxygen Cylinder Holder K0104 Cylinder Portable Cart E1355A Phototherapy Units E0202 Ventilator _ E0450 H Stand E1355B $ 0.85 $ 11.00 ea. $ 7.00 ea. Rental Per Month $ 40.00 $185.00 $110.00 Included in Rental Price Included in Rental Price Included in Rental Price Included in Rental Price Included in Rental Price Included in Rental Price $240.00 $ 25.00 $110.00 - $ 3.75 $85.00 per month w/portable $50.00/test Purchase $1700.00 $800.00 $ 75.00 $ 75.00 $ 50.00 $ 65.00 $ 49.50 $ 10.00 $ 55.00 (daily) $700.00 $ 10.00 $35.00 $30.00 $35.00 $55.00 $70.00 $50.00 $450.00 $250.00 A complimentary supply of cannulas, masks, humidifiers and oxygen tubing is provided to all oxygen patients. All oxygen/respiratory patients are set up by a trained respiratory personnel. Routine follow-ups by trained respiratory personnel are performed every 60-75 days; more frequently if needed or requested by a physician. Respiratory personnel are available 24 hours per day. EXHIBIT A The Network Alliance Page 3 Rehabilitation Equipment & Wheelchairs - Rental and Purchase HCPC Codes Alter. Press. Pump w/Matt E0182 Blood Pressure Monitor (Automatic) Automatic digital blood pressure kit A4670 Digital wrist monitor -automatic blood pressure E1399 Blood Pressure Monitor (Manual) Sphygmomanometer no stop -adult blood pressure A4660A Blood pressure monitor manual child w/cuff A4660B Canes Standard adjustable cane E0100A Aluminum adjustable cane round handle E0100B Black wood adult cane E0100C Quad Canes E0105 Cervical Pillows Cervical neck roll pillow E0943A Cervical pillow -standard E0943B Stress -Ease support pillow E0943C Commode Pail E0167 Compression Hosiery Compression hose -thigh LOTSA Compression hose -calf closed toe LOTSB CPM (all joints except TMJ) E0935 Crutches E0114 Crutches -Forearm Half calf forearm adult crutches E0110A Aluminum forearm adult crutches (pair) E0110B -Forearm crutches royal bronze finish adult E0110C Eggcrate Mattresses Twin eggcrate pad 2" E0179 Twin eggcrate pad 3" E0179 Queen eggcrate pad 4" E0199B Gerri Chairs K0002A Glucose Monitor One -touch 11 glucometer E0607 Glucose Strips (per box) A4253 Grab Bars 12" grab bar chrome E0241A 16" grab bar chrome E0241A 24" grab bar chrome E0241C Hospital Beds Manual hospital bed w/matt. (side rails included) E0250 Semi -elect. hosp. bed w/matt. (side rails included) E0260A Full elect. hosp. bed w/matt. (side rails included) E0260B Hoyer Type Patient Lift E0630 Inflatable Basin w/Shampoo E1399 Lancets (per box) A4259 Rental Per Month Purchase $ 45.00 $ 18.00 $ 107.00 $140.00 $ 25.00 $ 25.00 $ 10.50 $ 10.50 $ 20.00 $ 8.70 $ 8.70 $ 26.50 $ 4.25 $ 39.50 $ 22.00 $ 30.00 per day plus a $ 50.00 one time set up fee $ 20.00 $ 85.00 $ 14.50 $100.00 $145.00 $170.00 $180.00 $ 58.83 $ 99.92 $ 80.00 $ 12.47 $ 12.47 $ 41.25 $ 500.00 $ 185.00 $ 42.50 $ 14.50 $ 17.00 $ 19.50 $ 20.00 EXHIBIT A The Network Alliance Page 4 Rehabilitation Equipment & Wheelchairs - Rental and Purchase - Continued HCPC Codes Rental Per Month Purchase Lift Chairs 2-position lift chair E0627A $ 600.00 3-position lift chair E0627B $ 708.00 Luxury 3-position lift chair E0627C $ 817.00 Overbed Table E0274 $ 30.00 Parabath, Oil and Wax A4265 $ 37.50 Platform Attach. E0153 $ 20.00 Scooters Standard 3-wheel, rear drive scooter E 1230A $1980.00 Carrette 3-wheel, rear drive scooter with charger E 1230B $3019.00 Side Rails E0310 $ 20.00 Toilet Seats Raised toilet seat molded plastic E0244A $ 15.00 EZ-lock elevated toilet seat E0244B $ 36.00 EZ-lock elevated toilet seat with arm E0244C $ 55.00 Traction Units (over door) E0860 $ 17.50 Transfer Boards Plastic transfer board K0103A $ 29.00 Wood transfer board K0103B S 38.00 Wood transfer board (thicker) K0103C $ 56.00 Trapeze Trapeze E0910 $ 25.00 Free standing trapeze bar E0190 $ 45.00 Walkers Walkers E0135 $ 20.00 Walkers (w/wheels) _ E0155 $ 25.00 Wheelchairs _ Standard K0001 $ 70.00 Hemi K0002B $ 80.00 Lt. Weight K0003 $ 90.00 Heavy Duty K0006 $125.00 Pediatric Custom Equipment 15% off billed charges - Wheelchair Cushions Foam wheelchair cushion E0192A $ 10.00 Jay basic wheelchair cushion E0192B $ 50.00 Jay 2 pressure relief wheelchair cushion E0192C $375.00 Stimulite pressure relief wheelchair cushion E0192D $350.00 Roho pressure relief wheelchair cushion E0192E $385.00 Wheelchair Maintenance & Repair -Labor Charge $ 40.00/per hour EXHIBIT A The Network Alliance Page 5 Miscellaneous HCPC Codes Price Bed pan (each) E0275 $ 4.64 Bed pan -fractured (each) - E1399- - -$ 4.44 Gloves -non -sterile (100) A4927A $10.00 Gloves-powderless latex (100) A4927B $10.00 Gloves-safeskin non -sterile (100) A4927C $ 6.25 Gloves -Sterile (50 pr.) A4927D $20.00 Sphygmomanometer -adult cotton cuff A4660A $24.87 Sphygmomanometer -infant cotton cuff A4660B $22.55 Staple removal kit E1399A $ 7.63 Stethoscope (each) E1399B $ 5.40 Stethoscope-sprague rappaport type El' 99C $11.38 Suture removal kit E1399D $ 1.08 Thermometer covers -digital (50) E1399E $ 1.23 Thermometer covers -oral (50) E1399F $ 3.53 Thermometer covers -rectal (50) E1399G $ 5.01 Thermometers -digital A9270 $ 5.02 Thermometers -oral (each) E1399H $ 2.00 Thermometers -rectal (each) E1399I $ 2.00 Enteral Therapy. Service and Supplies Oral Supplements HCPC Codes Price per Case Oral Supplements HCPC Codes Price per Case Attain B4150A $23.25 Jevity B4150E $32.45 Citrisource B4155A $35.55 Osmolite B415OF $30.00 Fibersource B41-53 $50.10 Advera B4155B $93.25 Isosource B4152 $4130 Isocal* B415OG $26.00 Comply* B4150B $23.25 Nepro B4154 $75.50 Ensure* B4150C $28.38 Promote B4150H $35.85 Ensure w/Fiber* B4151A $35.00 UltraCal B4155C $29.50 Ensure Plus* B4150D $32.40 Pediasure B4156 $35.86 Ensure Puddings B4100 $56.46 Pediasure w/Fiber B4151B $37.66 * Available in flavors Enteral Pumps: B9002 $75.00 rental per month Total Parenteral Nutrition (TPN) Amount Code I liter of TPN solution $140 per day TPN01 I.1 - 2.0 liters of TPN solution $160 per day TPN02 2.1 - 3.0 liters of TPN solution $175 per day TPN03 Lipids $20.00 per day LIPID Non -Standard Additive Therapy AWP minus 10%. ADDI TPN CONTINUED ON NEXT PAGE... EXHIBIT A The Network Alliance Page 6 Infusion - Continued Total Parenteral Nutrition (TPN) - Continued: Included in the per diem rate for total parenteral nutrition: All additives common to TPN formulations, solutions, pharmacy compounding fees, standard medical supplies,. stationary pump, delivery,_ hazardous waste._.disposal._and _pharmacy_.. _ management services. - Antibiotic, Antiviral, Antifuneal Therapy One dose every 24 hours One dose every 12 hours One dose every 8 hours One dose every 6 hours Amount Code $ 75.00 + AWP - 10% AN124 $ 87.00 + AWP - 10% ANT12 $ 92.00 + AWP - 10% ANT8 $110.00 + AWP - 10% ANT6 Included in the per diem rate for antibiotic, antiviral and antifungal therapy: Solutions, pharmacy compounding fees, standard medical supplies and equipment, delivery, hazardous waste disposal and pharmacy management services. For multiple drugs, each additional drug will be charged at $20.00 per drug + AWP minus 5%. Hydration Therapy Amount Code Up to 3000 ml/day $ 70.00 per diem HYD3 Included in the per diem rate for hydration therapy: Solutions, pharmacy compounding fees, standard medical supplies and equipment, delivery, hazardous waste disposal and pharmacy management services. Pain Management Pain Management Amount Code $ 70.00 + AWP-- 10% — PMGT Included in the per diem rate for pain management: Solutions, pharmacy compounding fees, standard medical supplies, PCA pump, delivery, hazardous waste disposal and pharmacy management services. Chemotherapy Amount Code Chemotherapy $ 80.00 + AWP CHEMO Included in the per diem rate for chemotherapy: Solutions, pharmacy compounding fees, standard medical supplies and equipment, delivery, hazardous waste disposal and pharmacy management services. Immunoelobulins Immunoglobulin Amount Code $ 70.00 + AWP IMMU Included in the per diem rate for immunoglobulins: Solutions, pharmacy compounding fees, standard medical supplies and equipment, delivery, hazardous waste disposal and pharmacy management services.