Audit Tariff List
PRODUCT NAME
AMOUNT
ORTHO KPI
6,600
Hospital Tier 6
74,982
Hospital Tier 6 with Self-Pay
76,508
Hospital Tier 6 with Dental
77,870
Hospital Tier 6 with Self-Pay & Dental
80,427
Hospital Tier 5
68,836
Hospital Tier 5 with Self-pay
69,950
Hospital Tier 5 with Dental
72,136
Hospital Tier 5 with Self-pay & Dental
74,487
Hospital Tier 4
60,844
Hospital Tier 4 with Self-pay
61,958
Hospital Tier 4 with Dental
63,663
Hospital Tier 4 with Self-pay & Dental
62,893
Hospital Tier 3
50,758
Hospital Tier 3 with Self-pay
52,284
Hospital Tier 3 with Dental
54,471
Hospital Tier 3 with Self-pay & Dental
57,647
Hospital Tier 2
44,241
Hospital Tier 2 with Self-pay
45,354
Hospital Tier 2 with Dental
47,953
