|
ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
|
Facility
|
OP
|
$144.01
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18194
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$57.60 |
| Max. Negotiated Rate |
$129.61 |
| Rate for Payer: Aetna Commercial |
$122.41
|
| Rate for Payer: Aetna Commercial |
$34.17
|
| Rate for Payer: Aetna Commercial |
$62.36
|
| Rate for Payer: Aetna Commercial |
$62.90
|
| Rate for Payer: Aetna Commercial |
$81.34
|
| Rate for Payer: Aetna Commercial |
$63.84
|
| Rate for Payer: Aetna Commercial |
$68.88
|
| Rate for Payer: Aetna Medicare |
$37.00
|
| Rate for Payer: Aetna Medicare |
$36.69
|
| Rate for Payer: Aetna Medicare |
$47.85
|
| Rate for Payer: Aetna Medicare |
$37.55
|
| Rate for Payer: Aetna Medicare |
$20.10
|
| Rate for Payer: Aetna Medicare |
$72.00
|
| Rate for Payer: Aetna Medicare |
$40.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.61
|
| Rate for Payer: BCBS Complete |
$32.41
|
| Rate for Payer: BCBS Complete |
$16.08
|
| Rate for Payer: BCBS Complete |
$29.60
|
| Rate for Payer: BCBS Complete |
$29.35
|
| Rate for Payer: BCBS Complete |
$57.60
|
| Rate for Payer: BCBS Complete |
$30.04
|
| Rate for Payer: BCBS Complete |
$38.28
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cash Price |
$76.56
|
| Rate for Payer: Cash Price |
$115.21
|
| Rate for Payer: Cash Price |
$58.70
|
| Rate for Payer: Cash Price |
$60.08
|
| Rate for Payer: Cash Price |
$32.16
|
| Rate for Payer: Cash Price |
$64.82
|
| Rate for Payer: Cofinity Commercial |
$51.36
|
| Rate for Payer: Cofinity Commercial |
$63.10
|
| Rate for Payer: Cofinity Commercial |
$51.80
|
| Rate for Payer: Cofinity Commercial |
$123.85
|
| Rate for Payer: Cofinity Commercial |
$82.30
|
| Rate for Payer: Cofinity Commercial |
$66.99
|
| Rate for Payer: Cofinity Commercial |
$69.69
|
| Rate for Payer: Cofinity Commercial |
$56.72
|
| Rate for Payer: Cofinity Commercial |
$63.64
|
| Rate for Payer: Cofinity Commercial |
$100.81
|
| Rate for Payer: Cofinity Commercial |
$52.57
|
| Rate for Payer: Cofinity Commercial |
$64.59
|
| Rate for Payer: Cofinity Commercial |
$34.57
|
| Rate for Payer: Cofinity Commercial |
$28.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$28.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$51.36
|
| Rate for Payer: Cofinity Medicare Advantage |
$51.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$100.81
|
| Rate for Payer: Cofinity Medicare Advantage |
$52.57
|
| Rate for Payer: Cofinity Medicare Advantage |
$56.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$66.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$76.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$115.21
|
| Rate for Payer: Healthscope Commercial |
$66.60
|
| Rate for Payer: Healthscope Commercial |
$129.61
|
| Rate for Payer: Healthscope Commercial |
$36.18
|
| Rate for Payer: Healthscope Commercial |
$67.59
|
| Rate for Payer: Healthscope Commercial |
$72.93
|
| Rate for Payer: Healthscope Commercial |
$66.03
|
| Rate for Payer: Healthscope Commercial |
$86.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$81.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$122.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.90
|
| Rate for Payer: PHP Commercial |
$122.41
|
| Rate for Payer: PHP Commercial |
$63.84
|
| Rate for Payer: PHP Commercial |
$62.36
|
| Rate for Payer: PHP Commercial |
$68.88
|
| Rate for Payer: PHP Commercial |
$81.34
|
| Rate for Payer: PHP Commercial |
$34.17
|
| Rate for Payer: PHP Commercial |
$62.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$62.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$93.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.81
|
| Rate for Payer: Priority Health SBD |
$51.05
|
| Rate for Payer: Priority Health SBD |
$46.22
|
| Rate for Payer: Priority Health SBD |
$60.29
|
| Rate for Payer: Priority Health SBD |
$46.62
|
| Rate for Payer: Priority Health SBD |
$25.33
|
| Rate for Payer: Priority Health SBD |
$90.73
|
| Rate for Payer: Priority Health SBD |
$47.31
|
|
|
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION
|
Facility
|
IP
|
$130.85
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18192
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$82.44 |
| Max. Negotiated Rate |
$117.77 |
| Rate for Payer: Aetna Commercial |
$111.22
|
| Rate for Payer: Aetna Commercial |
$101.43
|
| Rate for Payer: Aetna Commercial |
$103.73
|
| Rate for Payer: Aetna Commercial |
$139.62
|
| Rate for Payer: Aetna Commercial |
$43.66
|
| Rate for Payer: Aetna Commercial |
$41.22
|
| Rate for Payer: Aetna Commercial |
$263.47
|
| Rate for Payer: Aetna Commercial |
$93.28
|
| Rate for Payer: Aetna Commercial |
$259.52
|
| Rate for Payer: Aetna Commercial |
$144.36
|
| Rate for Payer: Aetna Commercial |
$47.18
|
| Rate for Payer: Aetna Commercial |
$47.55
|
| Rate for Payer: Aetna Commercial |
$70.70
|
| Rate for Payer: Aetna Commercial |
$74.30
|
| Rate for Payer: Aetna Commercial |
$82.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$106.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$201.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.52
|
| Rate for Payer: Cash Price |
$135.86
|
| Rate for Payer: Cash Price |
$87.79
|
| Rate for Payer: Cash Price |
$44.75
|
| Rate for Payer: Cash Price |
$38.79
|
| Rate for Payer: Cash Price |
$95.46
|
| Rate for Payer: Cash Price |
$44.41
|
| Rate for Payer: Cash Price |
$247.97
|
| Rate for Payer: Cash Price |
$97.63
|
| Rate for Payer: Cash Price |
$77.58
|
| Rate for Payer: Cash Price |
$41.09
|
| Rate for Payer: Cash Price |
$104.68
|
| Rate for Payer: Cash Price |
$69.93
|
| Rate for Payer: Cash Price |
$244.26
|
| Rate for Payer: Cash Price |
$131.41
|
| Rate for Payer: Cash Price |
$66.54
|
| Rate for Payer: Cofinity Commercial |
$76.82
|
| Rate for Payer: Cofinity Commercial |
$91.59
|
| Rate for Payer: Cofinity Commercial |
$112.53
|
| Rate for Payer: Cofinity Commercial |
$94.38
|
| Rate for Payer: Cofinity Commercial |
$85.43
|
| Rate for Payer: Cofinity Commercial |
$102.62
|
| Rate for Payer: Cofinity Commercial |
$83.53
|
| Rate for Payer: Cofinity Commercial |
$104.95
|
| Rate for Payer: Cofinity Commercial |
$114.98
|
| Rate for Payer: Cofinity Commercial |
$141.26
|
| Rate for Payer: Cofinity Commercial |
$118.88
|
| Rate for Payer: Cofinity Commercial |
$146.05
|
| Rate for Payer: Cofinity Commercial |
$213.72
|
| Rate for Payer: Cofinity Commercial |
$262.58
|
| Rate for Payer: Cofinity Commercial |
$216.97
|
| Rate for Payer: Cofinity Commercial |
$266.57
|
| Rate for Payer: Cofinity Commercial |
$33.94
|
| Rate for Payer: Cofinity Commercial |
$41.70
|
| Rate for Payer: Cofinity Commercial |
$35.95
|
| Rate for Payer: Cofinity Commercial |
$44.17
|
| Rate for Payer: Cofinity Commercial |
$38.86
|
| Rate for Payer: Cofinity Commercial |
$47.74
|
| Rate for Payer: Cofinity Commercial |
$39.16
|
| Rate for Payer: Cofinity Commercial |
$48.11
|
| Rate for Payer: Cofinity Commercial |
$58.23
|
| Rate for Payer: Cofinity Commercial |
$71.53
|
| Rate for Payer: Cofinity Commercial |
$61.19
|
| Rate for Payer: Cofinity Commercial |
$75.17
|
| Rate for Payer: Cofinity Commercial |
$67.89
|
| Rate for Payer: Cofinity Commercial |
$83.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$76.82
|
| Rate for Payer: Cofinity Medicare Advantage |
$35.95
|
| Rate for Payer: Cofinity Medicare Advantage |
$91.59
|
| Rate for Payer: Cofinity Medicare Advantage |
$85.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$118.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$61.19
|
| Rate for Payer: Cofinity Medicare Advantage |
$114.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$83.53
|
| Rate for Payer: Cofinity Medicare Advantage |
$216.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$58.23
|
| Rate for Payer: Cofinity Medicare Advantage |
$39.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$67.89
|
| Rate for Payer: Cofinity Medicare Advantage |
$33.94
|
| Rate for Payer: Cofinity Medicare Advantage |
$213.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$38.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$244.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$135.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$131.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$104.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$66.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.79
|
| Rate for Payer: Healthscope Commercial |
$49.96
|
| Rate for Payer: Healthscope Commercial |
$78.67
|
| Rate for Payer: Healthscope Commercial |
$274.79
|
| Rate for Payer: Healthscope Commercial |
$278.96
|
| Rate for Payer: Healthscope Commercial |
$43.64
|
| Rate for Payer: Healthscope Commercial |
$46.22
|
| Rate for Payer: Healthscope Commercial |
$98.77
|
| Rate for Payer: Healthscope Commercial |
$117.77
|
| Rate for Payer: Healthscope Commercial |
$107.40
|
| Rate for Payer: Healthscope Commercial |
$50.35
|
| Rate for Payer: Healthscope Commercial |
$109.84
|
| Rate for Payer: Healthscope Commercial |
$87.28
|
| Rate for Payer: Healthscope Commercial |
$74.86
|
| Rate for Payer: Healthscope Commercial |
$147.83
|
| Rate for Payer: Healthscope Commercial |
$152.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$139.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$259.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$70.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$144.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$263.47
|
| Rate for Payer: PHP Commercial |
$93.28
|
| Rate for Payer: PHP Commercial |
$70.70
|
| Rate for Payer: PHP Commercial |
$139.62
|
| Rate for Payer: PHP Commercial |
$47.18
|
| Rate for Payer: PHP Commercial |
$41.22
|
| Rate for Payer: PHP Commercial |
$259.52
|
| Rate for Payer: PHP Commercial |
$74.30
|
| Rate for Payer: PHP Commercial |
$111.22
|
| Rate for Payer: PHP Commercial |
$101.43
|
| Rate for Payer: PHP Commercial |
$144.36
|
| Rate for Payer: PHP Commercial |
$47.55
|
| Rate for Payer: PHP Commercial |
$103.73
|
| Rate for Payer: PHP Commercial |
$43.66
|
| Rate for Payer: PHP Commercial |
$263.47
|
| Rate for Payer: PHP Commercial |
$82.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$85.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$110.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$201.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$54.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$77.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$71.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$106.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.38
|
| Rate for Payer: Priority Health SBD |
$75.18
|
| Rate for Payer: Priority Health SBD |
$192.35
|
| Rate for Payer: Priority Health SBD |
$76.89
|
| Rate for Payer: Priority Health SBD |
$106.99
|
| Rate for Payer: Priority Health SBD |
$55.07
|
| Rate for Payer: Priority Health SBD |
$195.27
|
| Rate for Payer: Priority Health SBD |
$35.24
|
| Rate for Payer: Priority Health SBD |
$61.10
|
| Rate for Payer: Priority Health SBD |
$30.55
|
| Rate for Payer: Priority Health SBD |
$32.36
|
| Rate for Payer: Priority Health SBD |
$82.44
|
| Rate for Payer: Priority Health SBD |
$69.14
|
| Rate for Payer: Priority Health SBD |
$52.40
|
| Rate for Payer: Priority Health SBD |
$34.97
|
| Rate for Payer: Priority Health SBD |
$103.48
|
|
|
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION
|
Facility
|
OP
|
$119.33
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18192
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$47.73 |
| Max. Negotiated Rate |
$107.40 |
| Rate for Payer: Aetna Commercial |
$101.43
|
| Rate for Payer: Aetna Commercial |
$82.43
|
| Rate for Payer: Aetna Commercial |
$41.22
|
| Rate for Payer: Aetna Commercial |
$259.52
|
| Rate for Payer: Aetna Commercial |
$144.36
|
| Rate for Payer: Aetna Commercial |
$263.47
|
| Rate for Payer: Aetna Commercial |
$43.66
|
| Rate for Payer: Aetna Commercial |
$47.18
|
| Rate for Payer: Aetna Commercial |
$47.55
|
| Rate for Payer: Aetna Commercial |
$70.70
|
| Rate for Payer: Aetna Commercial |
$74.30
|
| Rate for Payer: Aetna Commercial |
$103.73
|
| Rate for Payer: Aetna Commercial |
$111.22
|
| Rate for Payer: Aetna Commercial |
$139.62
|
| Rate for Payer: Aetna Commercial |
$93.28
|
| Rate for Payer: Aetna Medicare |
$43.70
|
| Rate for Payer: Aetna Medicare |
$82.13
|
| Rate for Payer: Aetna Medicare |
$65.42
|
| Rate for Payer: Aetna Medicare |
$59.66
|
| Rate for Payer: Aetna Medicare |
$54.87
|
| Rate for Payer: Aetna Medicare |
$25.68
|
| Rate for Payer: Aetna Medicare |
$48.49
|
| Rate for Payer: Aetna Medicare |
$41.59
|
| Rate for Payer: Aetna Medicare |
$24.25
|
| Rate for Payer: Aetna Medicare |
$27.75
|
| Rate for Payer: Aetna Medicare |
$152.66
|
| Rate for Payer: Aetna Medicare |
$61.02
|
| Rate for Payer: Aetna Medicare |
$84.92
|
| Rate for Payer: Aetna Medicare |
$154.98
|
| Rate for Payer: Aetna Medicare |
$27.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$201.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$106.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.39
|
| Rate for Payer: BCBS Complete |
$33.27
|
| Rate for Payer: BCBS Complete |
$20.54
|
| Rate for Payer: BCBS Complete |
$65.70
|
| Rate for Payer: BCBS Complete |
$52.34
|
| Rate for Payer: BCBS Complete |
$47.73
|
| Rate for Payer: BCBS Complete |
$22.38
|
| Rate for Payer: BCBS Complete |
$19.40
|
| Rate for Payer: BCBS Complete |
$67.93
|
| Rate for Payer: BCBS Complete |
$38.79
|
| Rate for Payer: BCBS Complete |
$22.20
|
| Rate for Payer: BCBS Complete |
$123.98
|
| Rate for Payer: BCBS Complete |
$34.96
|
| Rate for Payer: BCBS Complete |
$122.13
|
| Rate for Payer: BCBS Complete |
$43.90
|
| Rate for Payer: BCBS Complete |
$48.82
|
| Rate for Payer: Cash Price |
$95.46
|
| Rate for Payer: Cash Price |
$244.26
|
| Rate for Payer: Cash Price |
$131.41
|
| Rate for Payer: Cash Price |
$97.63
|
| Rate for Payer: Cash Price |
$44.75
|
| Rate for Payer: Cash Price |
$87.79
|
| Rate for Payer: Cash Price |
$44.41
|
| Rate for Payer: Cash Price |
$247.97
|
| Rate for Payer: Cash Price |
$41.09
|
| Rate for Payer: Cash Price |
$135.86
|
| Rate for Payer: Cash Price |
$38.79
|
| Rate for Payer: Cash Price |
$77.58
|
| Rate for Payer: Cash Price |
$69.93
|
| Rate for Payer: Cash Price |
$104.68
|
| Rate for Payer: Cash Price |
$66.54
|
| Rate for Payer: Cofinity Commercial |
$76.82
|
| Rate for Payer: Cofinity Commercial |
$91.59
|
| Rate for Payer: Cofinity Commercial |
$94.38
|
| Rate for Payer: Cofinity Commercial |
$102.62
|
| Rate for Payer: Cofinity Commercial |
$83.53
|
| Rate for Payer: Cofinity Commercial |
$104.95
|
| Rate for Payer: Cofinity Commercial |
$85.43
|
| Rate for Payer: Cofinity Commercial |
$112.53
|
| Rate for Payer: Cofinity Commercial |
$114.98
|
| Rate for Payer: Cofinity Commercial |
$141.26
|
| Rate for Payer: Cofinity Commercial |
$118.88
|
| Rate for Payer: Cofinity Commercial |
$146.05
|
| Rate for Payer: Cofinity Commercial |
$213.72
|
| Rate for Payer: Cofinity Commercial |
$262.58
|
| Rate for Payer: Cofinity Commercial |
$216.97
|
| Rate for Payer: Cofinity Commercial |
$266.57
|
| Rate for Payer: Cofinity Commercial |
$33.94
|
| Rate for Payer: Cofinity Commercial |
$41.70
|
| Rate for Payer: Cofinity Commercial |
$35.95
|
| Rate for Payer: Cofinity Commercial |
$44.17
|
| Rate for Payer: Cofinity Commercial |
$38.86
|
| Rate for Payer: Cofinity Commercial |
$47.74
|
| Rate for Payer: Cofinity Commercial |
$39.16
|
| Rate for Payer: Cofinity Commercial |
$48.11
|
| Rate for Payer: Cofinity Commercial |
$58.23
|
| Rate for Payer: Cofinity Commercial |
$71.53
|
| Rate for Payer: Cofinity Commercial |
$61.19
|
| Rate for Payer: Cofinity Commercial |
$75.17
|
| Rate for Payer: Cofinity Commercial |
$67.89
|
| Rate for Payer: Cofinity Commercial |
$83.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$118.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$83.53
|
| Rate for Payer: Cofinity Medicare Advantage |
$91.59
|
| Rate for Payer: Cofinity Medicare Advantage |
$213.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$61.19
|
| Rate for Payer: Cofinity Medicare Advantage |
$216.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$58.23
|
| Rate for Payer: Cofinity Medicare Advantage |
$39.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$67.89
|
| Rate for Payer: Cofinity Medicare Advantage |
$38.86
|
| Rate for Payer: Cofinity Medicare Advantage |
$85.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$35.95
|
| Rate for Payer: Cofinity Medicare Advantage |
$114.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$76.82
|
| Rate for Payer: Cofinity Medicare Advantage |
$33.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$66.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$131.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$104.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$244.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$135.86
|
| Rate for Payer: Healthscope Commercial |
$78.67
|
| Rate for Payer: Healthscope Commercial |
$49.96
|
| Rate for Payer: Healthscope Commercial |
$50.35
|
| Rate for Payer: Healthscope Commercial |
$98.77
|
| Rate for Payer: Healthscope Commercial |
$107.40
|
| Rate for Payer: Healthscope Commercial |
$117.77
|
| Rate for Payer: Healthscope Commercial |
$109.84
|
| Rate for Payer: Healthscope Commercial |
$87.28
|
| Rate for Payer: Healthscope Commercial |
$74.86
|
| Rate for Payer: Healthscope Commercial |
$152.85
|
| Rate for Payer: Healthscope Commercial |
$278.96
|
| Rate for Payer: Healthscope Commercial |
$46.22
|
| Rate for Payer: Healthscope Commercial |
$43.64
|
| Rate for Payer: Healthscope Commercial |
$147.83
|
| Rate for Payer: Healthscope Commercial |
$274.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$259.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$144.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$70.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$139.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$263.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.55
|
| Rate for Payer: PHP Commercial |
$74.30
|
| Rate for Payer: PHP Commercial |
$47.18
|
| Rate for Payer: PHP Commercial |
$101.43
|
| Rate for Payer: PHP Commercial |
$103.73
|
| Rate for Payer: PHP Commercial |
$259.52
|
| Rate for Payer: PHP Commercial |
$47.55
|
| Rate for Payer: PHP Commercial |
$41.22
|
| Rate for Payer: PHP Commercial |
$70.70
|
| Rate for Payer: PHP Commercial |
$144.36
|
| Rate for Payer: PHP Commercial |
$82.43
|
| Rate for Payer: PHP Commercial |
$263.47
|
| Rate for Payer: PHP Commercial |
$43.66
|
| Rate for Payer: PHP Commercial |
$93.28
|
| Rate for Payer: PHP Commercial |
$111.22
|
| Rate for Payer: PHP Commercial |
$139.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$54.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$201.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$110.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$106.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$85.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$77.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$71.33
|
| Rate for Payer: Priority Health SBD |
$103.48
|
| Rate for Payer: Priority Health SBD |
$52.40
|
| Rate for Payer: Priority Health SBD |
$30.55
|
| Rate for Payer: Priority Health SBD |
$82.44
|
| Rate for Payer: Priority Health SBD |
$195.27
|
| Rate for Payer: Priority Health SBD |
$69.14
|
| Rate for Payer: Priority Health SBD |
$55.07
|
| Rate for Payer: Priority Health SBD |
$35.24
|
| Rate for Payer: Priority Health SBD |
$34.97
|
| Rate for Payer: Priority Health SBD |
$61.10
|
| Rate for Payer: Priority Health SBD |
$32.36
|
| Rate for Payer: Priority Health SBD |
$192.35
|
| Rate for Payer: Priority Health SBD |
$106.99
|
| Rate for Payer: Priority Health SBD |
$75.18
|
| Rate for Payer: Priority Health SBD |
$76.89
|
|
|
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION
|
Facility
|
IP
|
$305.32
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
169800
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$192.35 |
| Max. Negotiated Rate |
$274.79 |
| Rate for Payer: Aetna Commercial |
$259.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.46
|
| Rate for Payer: Cash Price |
$244.26
|
| Rate for Payer: Cofinity Commercial |
$213.72
|
| Rate for Payer: Cofinity Commercial |
$262.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$213.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$244.26
|
| Rate for Payer: Healthscope Commercial |
$274.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$259.52
|
| Rate for Payer: PHP Commercial |
$259.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.46
|
| Rate for Payer: Priority Health SBD |
$192.35
|
|
|
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION
|
Facility
|
OP
|
$305.32
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
169800
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$122.13 |
| Max. Negotiated Rate |
$274.79 |
| Rate for Payer: Aetna Commercial |
$259.52
|
| Rate for Payer: Aetna Medicare |
$152.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.46
|
| Rate for Payer: BCBS Complete |
$122.13
|
| Rate for Payer: Cash Price |
$244.26
|
| Rate for Payer: Cofinity Commercial |
$213.72
|
| Rate for Payer: Cofinity Commercial |
$262.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$213.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$244.26
|
| Rate for Payer: Healthscope Commercial |
$274.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$259.52
|
| Rate for Payer: PHP Commercial |
$259.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.46
|
| Rate for Payer: Priority Health SBD |
$192.35
|
|
|
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
|
Facility
|
IP
|
$28.44
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
153276
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$17.92 |
| Max. Negotiated Rate |
$25.60 |
| Rate for Payer: Aetna Commercial |
$24.17
|
| Rate for Payer: Aetna Commercial |
$17.37
|
| Rate for Payer: Aetna Commercial |
$24.91
|
| Rate for Payer: Aetna Commercial |
$21.14
|
| Rate for Payer: Aetna Commercial |
$17.48
|
| Rate for Payer: Aetna Commercial |
$28.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.05
|
| Rate for Payer: Cash Price |
$23.45
|
| Rate for Payer: Cash Price |
$16.45
|
| Rate for Payer: Cash Price |
$16.34
|
| Rate for Payer: Cash Price |
$19.90
|
| Rate for Payer: Cash Price |
$22.75
|
| Rate for Payer: Cash Price |
$26.92
|
| Rate for Payer: Cofinity Commercial |
$17.68
|
| Rate for Payer: Cofinity Commercial |
$14.39
|
| Rate for Payer: Cofinity Commercial |
$21.39
|
| Rate for Payer: Cofinity Commercial |
$28.94
|
| Rate for Payer: Cofinity Commercial |
$23.55
|
| Rate for Payer: Cofinity Commercial |
$24.46
|
| Rate for Payer: Cofinity Commercial |
$17.57
|
| Rate for Payer: Cofinity Commercial |
$14.30
|
| Rate for Payer: Cofinity Commercial |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$25.21
|
| Rate for Payer: Cofinity Commercial |
$20.52
|
| Rate for Payer: Cofinity Commercial |
$17.41
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.52
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.41
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.39
|
| Rate for Payer: Cofinity Medicare Advantage |
$19.91
|
| Rate for Payer: Cofinity Medicare Advantage |
$23.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.92
|
| Rate for Payer: Healthscope Commercial |
$18.50
|
| Rate for Payer: Healthscope Commercial |
$22.38
|
| Rate for Payer: Healthscope Commercial |
$25.60
|
| Rate for Payer: Healthscope Commercial |
$30.29
|
| Rate for Payer: Healthscope Commercial |
$18.39
|
| Rate for Payer: Healthscope Commercial |
$26.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.14
|
| Rate for Payer: PHP Commercial |
$24.91
|
| Rate for Payer: PHP Commercial |
$17.37
|
| Rate for Payer: PHP Commercial |
$21.14
|
| Rate for Payer: PHP Commercial |
$24.17
|
| Rate for Payer: PHP Commercial |
$28.60
|
| Rate for Payer: PHP Commercial |
$17.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.36
|
| Rate for Payer: Priority Health SBD |
$18.47
|
| Rate for Payer: Priority Health SBD |
$17.92
|
| Rate for Payer: Priority Health SBD |
$12.95
|
| Rate for Payer: Priority Health SBD |
$15.67
|
| Rate for Payer: Priority Health SBD |
$12.87
|
| Rate for Payer: Priority Health SBD |
$21.20
|
|
|
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
|
Facility
|
OP
|
$20.56
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
153276
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$8.22 |
| Max. Negotiated Rate |
$18.50 |
| Rate for Payer: Aetna Commercial |
$17.48
|
| Rate for Payer: Aetna Commercial |
$17.37
|
| Rate for Payer: Aetna Commercial |
$24.17
|
| Rate for Payer: Aetna Commercial |
$24.91
|
| Rate for Payer: Aetna Commercial |
$28.60
|
| Rate for Payer: Aetna Commercial |
$21.14
|
| Rate for Payer: Aetna Medicare |
$12.44
|
| Rate for Payer: Aetna Medicare |
$14.65
|
| Rate for Payer: Aetna Medicare |
$14.22
|
| Rate for Payer: Aetna Medicare |
$10.28
|
| Rate for Payer: Aetna Medicare |
$10.21
|
| Rate for Payer: Aetna Medicare |
$16.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.36
|
| Rate for Payer: BCBS Complete |
$8.17
|
| Rate for Payer: BCBS Complete |
$11.72
|
| Rate for Payer: BCBS Complete |
$13.46
|
| Rate for Payer: BCBS Complete |
$8.22
|
| Rate for Payer: BCBS Complete |
$11.38
|
| Rate for Payer: BCBS Complete |
$9.95
|
| Rate for Payer: Cash Price |
$22.75
|
| Rate for Payer: Cash Price |
$16.34
|
| Rate for Payer: Cash Price |
$19.90
|
| Rate for Payer: Cash Price |
$23.45
|
| Rate for Payer: Cash Price |
$16.45
|
| Rate for Payer: Cash Price |
$26.92
|
| Rate for Payer: Cofinity Commercial |
$17.41
|
| Rate for Payer: Cofinity Commercial |
$21.39
|
| Rate for Payer: Cofinity Commercial |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$20.52
|
| Rate for Payer: Cofinity Commercial |
$25.21
|
| Rate for Payer: Cofinity Commercial |
$14.39
|
| Rate for Payer: Cofinity Commercial |
$17.57
|
| Rate for Payer: Cofinity Commercial |
$14.30
|
| Rate for Payer: Cofinity Commercial |
$24.46
|
| Rate for Payer: Cofinity Commercial |
$28.94
|
| Rate for Payer: Cofinity Commercial |
$23.55
|
| Rate for Payer: Cofinity Commercial |
$17.68
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.41
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.39
|
| Rate for Payer: Cofinity Medicare Advantage |
$19.91
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.52
|
| Rate for Payer: Cofinity Medicare Advantage |
$23.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.92
|
| Rate for Payer: Healthscope Commercial |
$26.38
|
| Rate for Payer: Healthscope Commercial |
$30.29
|
| Rate for Payer: Healthscope Commercial |
$22.38
|
| Rate for Payer: Healthscope Commercial |
$25.60
|
| Rate for Payer: Healthscope Commercial |
$18.50
|
| Rate for Payer: Healthscope Commercial |
$18.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.91
|
| Rate for Payer: PHP Commercial |
$17.48
|
| Rate for Payer: PHP Commercial |
$24.17
|
| Rate for Payer: PHP Commercial |
$17.37
|
| Rate for Payer: PHP Commercial |
$24.91
|
| Rate for Payer: PHP Commercial |
$28.60
|
| Rate for Payer: PHP Commercial |
$21.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.05
|
| Rate for Payer: Priority Health SBD |
$21.20
|
| Rate for Payer: Priority Health SBD |
$17.92
|
| Rate for Payer: Priority Health SBD |
$12.95
|
| Rate for Payer: Priority Health SBD |
$12.87
|
| Rate for Payer: Priority Health SBD |
$15.67
|
| Rate for Payer: Priority Health SBD |
$18.47
|
|
|
ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION
|
Facility
|
OP
|
$26.79
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18193
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$10.72 |
| Max. Negotiated Rate |
$24.11 |
| Rate for Payer: Aetna Commercial |
$22.77
|
| Rate for Payer: Aetna Commercial |
$16.04
|
| Rate for Payer: Aetna Medicare |
$9.44
|
| Rate for Payer: Aetna Medicare |
$13.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.41
|
| Rate for Payer: BCBS Complete |
$10.72
|
| Rate for Payer: BCBS Complete |
$7.55
|
| Rate for Payer: Cash Price |
$15.10
|
| Rate for Payer: Cash Price |
$21.43
|
| Rate for Payer: Cofinity Commercial |
$13.21
|
| Rate for Payer: Cofinity Commercial |
$18.75
|
| Rate for Payer: Cofinity Commercial |
$23.04
|
| Rate for Payer: Cofinity Commercial |
$16.23
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.75
|
| Rate for Payer: Cofinity Medicare Advantage |
$13.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.43
|
| Rate for Payer: Healthscope Commercial |
$16.98
|
| Rate for Payer: Healthscope Commercial |
$24.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.77
|
| Rate for Payer: PHP Commercial |
$22.77
|
| Rate for Payer: PHP Commercial |
$16.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.41
|
| Rate for Payer: Priority Health SBD |
$16.88
|
| Rate for Payer: Priority Health SBD |
$11.89
|
|
|
ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION
|
Facility
|
IP
|
$26.79
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18193
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$16.88 |
| Max. Negotiated Rate |
$24.11 |
| Rate for Payer: Aetna Commercial |
$22.77
|
| Rate for Payer: Aetna Commercial |
$16.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.41
|
| Rate for Payer: Cash Price |
$15.10
|
| Rate for Payer: Cash Price |
$21.43
|
| Rate for Payer: Cofinity Commercial |
$13.21
|
| Rate for Payer: Cofinity Commercial |
$18.75
|
| Rate for Payer: Cofinity Commercial |
$23.04
|
| Rate for Payer: Cofinity Commercial |
$16.23
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.75
|
| Rate for Payer: Cofinity Medicare Advantage |
$13.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.43
|
| Rate for Payer: Healthscope Commercial |
$16.98
|
| Rate for Payer: Healthscope Commercial |
$24.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.77
|
| Rate for Payer: PHP Commercial |
$16.04
|
| Rate for Payer: PHP Commercial |
$22.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.27
|
| Rate for Payer: Priority Health SBD |
$16.88
|
| Rate for Payer: Priority Health SBD |
$11.89
|
|
|
ROSUVASTATIN 10 MG TABLET
|
Facility
|
IP
|
$493.44
|
|
|
Service Code
|
NDC 00904677961
|
| Hospital Charge Code |
35134
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$310.87 |
| Max. Negotiated Rate |
$444.10 |
| Rate for Payer: Aetna Commercial |
$419.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$320.74
|
| Rate for Payer: Cash Price |
$394.75
|
| Rate for Payer: Cofinity Commercial |
$345.41
|
| Rate for Payer: Cofinity Commercial |
$424.36
|
| Rate for Payer: Cofinity Medicare Advantage |
$345.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$394.75
|
| Rate for Payer: Healthscope Commercial |
$444.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$419.42
|
| Rate for Payer: PHP Commercial |
$419.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$320.74
|
| Rate for Payer: Priority Health SBD |
$310.87
|
|
|
ROSUVASTATIN 10 MG TABLET
|
Facility
|
OP
|
$493.44
|
|
|
Service Code
|
NDC 00904677961
|
| Hospital Charge Code |
35134
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$197.38 |
| Max. Negotiated Rate |
$444.10 |
| Rate for Payer: Aetna Commercial |
$419.42
|
| Rate for Payer: Aetna Medicare |
$246.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$320.74
|
| Rate for Payer: BCBS Complete |
$197.38
|
| Rate for Payer: Cash Price |
$394.75
|
| Rate for Payer: Cofinity Commercial |
$345.41
|
| Rate for Payer: Cofinity Commercial |
$424.36
|
| Rate for Payer: Cofinity Medicare Advantage |
$345.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$394.75
|
| Rate for Payer: Healthscope Commercial |
$444.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$419.42
|
| Rate for Payer: PHP Commercial |
$419.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$320.74
|
| Rate for Payer: Priority Health SBD |
$310.87
|
|
|
ROSUVASTATIN 40 MG TABLET
|
Facility
|
IP
|
$3.60
|
|
|
Service Code
|
NDC 50268071111
|
| Hospital Charge Code |
35136
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.27 |
| Max. Negotiated Rate |
$3.24 |
| Rate for Payer: Aetna Commercial |
$3.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.34
|
| Rate for Payer: Cash Price |
$2.88
|
| Rate for Payer: Cofinity Commercial |
$2.52
|
| Rate for Payer: Cofinity Commercial |
$3.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.88
|
| Rate for Payer: Healthscope Commercial |
$3.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.06
|
| Rate for Payer: PHP Commercial |
$3.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.34
|
| Rate for Payer: Priority Health SBD |
$2.27
|
|
|
ROSUVASTATIN 40 MG TABLET
|
Facility
|
IP
|
$179.76
|
|
|
Service Code
|
NDC 50268071115
|
| Hospital Charge Code |
35136
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$113.25 |
| Max. Negotiated Rate |
$161.78 |
| Rate for Payer: Aetna Commercial |
$152.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.84
|
| Rate for Payer: Cash Price |
$143.81
|
| Rate for Payer: Cofinity Commercial |
$125.83
|
| Rate for Payer: Cofinity Commercial |
$154.59
|
| Rate for Payer: Cofinity Medicare Advantage |
$125.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$143.81
|
| Rate for Payer: Healthscope Commercial |
$161.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$152.80
|
| Rate for Payer: PHP Commercial |
$152.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$116.84
|
| Rate for Payer: Priority Health SBD |
$113.25
|
|
|
ROSUVASTATIN 40 MG TABLET
|
Facility
|
OP
|
$3.60
|
|
|
Service Code
|
NDC 50268071111
|
| Hospital Charge Code |
35136
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.44 |
| Max. Negotiated Rate |
$3.24 |
| Rate for Payer: Aetna Commercial |
$3.06
|
| Rate for Payer: Aetna Medicare |
$1.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.34
|
| Rate for Payer: BCBS Complete |
$1.44
|
| Rate for Payer: Cash Price |
$2.88
|
| Rate for Payer: Cofinity Commercial |
$2.52
|
| Rate for Payer: Cofinity Commercial |
$3.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.88
|
| Rate for Payer: Healthscope Commercial |
$3.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.06
|
| Rate for Payer: PHP Commercial |
$3.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.34
|
| Rate for Payer: Priority Health SBD |
$2.27
|
|
|
ROSUVASTATIN 40 MG TABLET
|
Facility
|
OP
|
$179.76
|
|
|
Service Code
|
NDC 50268071115
|
| Hospital Charge Code |
35136
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$71.90 |
| Max. Negotiated Rate |
$161.78 |
| Rate for Payer: Aetna Commercial |
$152.80
|
| Rate for Payer: Aetna Medicare |
$89.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.84
|
| Rate for Payer: BCBS Complete |
$71.90
|
| Rate for Payer: Cash Price |
$143.81
|
| Rate for Payer: Cofinity Commercial |
$125.83
|
| Rate for Payer: Cofinity Commercial |
$154.59
|
| Rate for Payer: Cofinity Medicare Advantage |
$125.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$143.81
|
| Rate for Payer: Healthscope Commercial |
$161.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$152.80
|
| Rate for Payer: PHP Commercial |
$152.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$116.84
|
| Rate for Payer: Priority Health SBD |
$113.25
|
|
|
ROSUVASTATIN 5 MG TABLET
|
Facility
|
OP
|
$395.04
|
|
|
Service Code
|
NDC 00904677861
|
| Hospital Charge Code |
36612
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$158.02 |
| Max. Negotiated Rate |
$355.54 |
| Rate for Payer: Aetna Commercial |
$335.78
|
| Rate for Payer: Aetna Medicare |
$197.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$256.78
|
| Rate for Payer: BCBS Complete |
$158.02
|
| Rate for Payer: Cash Price |
$316.03
|
| Rate for Payer: Cofinity Commercial |
$276.53
|
| Rate for Payer: Cofinity Commercial |
$339.73
|
| Rate for Payer: Cofinity Medicare Advantage |
$276.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$316.03
|
| Rate for Payer: Healthscope Commercial |
$355.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$335.78
|
| Rate for Payer: PHP Commercial |
$335.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$256.78
|
| Rate for Payer: Priority Health SBD |
$248.88
|
|
|
ROSUVASTATIN 5 MG TABLET
|
Facility
|
OP
|
$222.30
|
|
|
Service Code
|
NDC 00781540092
|
| Hospital Charge Code |
36612
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$88.92 |
| Max. Negotiated Rate |
$200.07 |
| Rate for Payer: Aetna Commercial |
$188.96
|
| Rate for Payer: Aetna Medicare |
$111.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$144.50
|
| Rate for Payer: BCBS Complete |
$88.92
|
| Rate for Payer: Cash Price |
$177.84
|
| Rate for Payer: Cofinity Commercial |
$155.61
|
| Rate for Payer: Cofinity Commercial |
$191.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$155.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$177.84
|
| Rate for Payer: Healthscope Commercial |
$200.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$188.96
|
| Rate for Payer: PHP Commercial |
$188.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$144.50
|
| Rate for Payer: Priority Health SBD |
$140.05
|
|
|
ROSUVASTATIN 5 MG TABLET
|
Facility
|
IP
|
$395.04
|
|
|
Service Code
|
NDC 00904677861
|
| Hospital Charge Code |
36612
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$248.88 |
| Max. Negotiated Rate |
$355.54 |
| Rate for Payer: Aetna Commercial |
$335.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$256.78
|
| Rate for Payer: Cash Price |
$316.03
|
| Rate for Payer: Cofinity Commercial |
$276.53
|
| Rate for Payer: Cofinity Commercial |
$339.73
|
| Rate for Payer: Cofinity Medicare Advantage |
$276.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$316.03
|
| Rate for Payer: Healthscope Commercial |
$355.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$335.78
|
| Rate for Payer: PHP Commercial |
$335.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$256.78
|
| Rate for Payer: Priority Health SBD |
$248.88
|
|
|
ROSUVASTATIN 5 MG TABLET
|
Facility
|
OP
|
$2,813.52
|
|
|
Service Code
|
NDC 00310075590
|
| Hospital Charge Code |
36612
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1,125.41 |
| Max. Negotiated Rate |
$2,532.17 |
| Rate for Payer: Aetna Commercial |
$2,391.49
|
| Rate for Payer: Aetna Medicare |
$1,406.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,828.79
|
| Rate for Payer: BCBS Complete |
$1,125.41
|
| Rate for Payer: Cash Price |
$2,250.82
|
| Rate for Payer: Cofinity Commercial |
$1,969.46
|
| Rate for Payer: Cofinity Commercial |
$2,419.63
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,969.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,250.82
|
| Rate for Payer: Healthscope Commercial |
$2,532.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,391.49
|
| Rate for Payer: PHP Commercial |
$2,391.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,828.79
|
| Rate for Payer: Priority Health SBD |
$1,772.52
|
|
|
ROSUVASTATIN 5 MG TABLET
|
Facility
|
IP
|
$222.30
|
|
|
Service Code
|
NDC 00781540092
|
| Hospital Charge Code |
36612
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$140.05 |
| Max. Negotiated Rate |
$200.07 |
| Rate for Payer: Aetna Commercial |
$188.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$144.50
|
| Rate for Payer: Cash Price |
$177.84
|
| Rate for Payer: Cofinity Commercial |
$155.61
|
| Rate for Payer: Cofinity Commercial |
$191.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$155.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$177.84
|
| Rate for Payer: Healthscope Commercial |
$200.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$188.96
|
| Rate for Payer: PHP Commercial |
$188.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$144.50
|
| Rate for Payer: Priority Health SBD |
$140.05
|
|
|
ROSUVASTATIN 5 MG TABLET
|
Facility
|
IP
|
$2,813.52
|
|
|
Service Code
|
NDC 00310075590
|
| Hospital Charge Code |
36612
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1,772.52 |
| Max. Negotiated Rate |
$2,532.17 |
| Rate for Payer: Aetna Commercial |
$2,391.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,828.79
|
| Rate for Payer: Cash Price |
$2,250.82
|
| Rate for Payer: Cofinity Commercial |
$1,969.46
|
| Rate for Payer: Cofinity Commercial |
$2,419.63
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,969.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,250.82
|
| Rate for Payer: Healthscope Commercial |
$2,532.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,391.49
|
| Rate for Payer: PHP Commercial |
$2,391.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,828.79
|
| Rate for Payer: Priority Health SBD |
$1,772.52
|
|
|
ROTIGOTINE 2 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH
|
Facility
|
IP
|
$2,972.81
|
|
|
Service Code
|
NDC 50474080203
|
| Hospital Charge Code |
82100
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1,872.87 |
| Max. Negotiated Rate |
$2,675.53 |
| Rate for Payer: Aetna Commercial |
$2,526.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,932.33
|
| Rate for Payer: Cash Price |
$2,378.25
|
| Rate for Payer: Cofinity Commercial |
$2,080.97
|
| Rate for Payer: Cofinity Commercial |
$2,556.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,080.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,378.25
|
| Rate for Payer: Healthscope Commercial |
$2,675.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,526.89
|
| Rate for Payer: PHP Commercial |
$2,526.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,932.33
|
| Rate for Payer: Priority Health SBD |
$1,872.87
|
|
|
ROTIGOTINE 2 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH
|
Facility
|
OP
|
$2,972.81
|
|
|
Service Code
|
NDC 50474080203
|
| Hospital Charge Code |
82100
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1,189.12 |
| Max. Negotiated Rate |
$2,675.53 |
| Rate for Payer: Aetna Commercial |
$2,526.89
|
| Rate for Payer: Aetna Medicare |
$1,486.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,932.33
|
| Rate for Payer: BCBS Complete |
$1,189.12
|
| Rate for Payer: Cash Price |
$2,378.25
|
| Rate for Payer: Cofinity Commercial |
$2,080.97
|
| Rate for Payer: Cofinity Commercial |
$2,556.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,080.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,378.25
|
| Rate for Payer: Healthscope Commercial |
$2,675.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,526.89
|
| Rate for Payer: PHP Commercial |
$2,526.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,932.33
|
| Rate for Payer: Priority Health SBD |
$1,872.87
|
|
|
SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$11,284.45
|
|
|
Service Code
|
HCPCS J9317
|
| Hospital Charge Code |
193479
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7,109.20 |
| Max. Negotiated Rate |
$10,156.00 |
| Rate for Payer: Aetna Commercial |
$9,591.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,334.89
|
| Rate for Payer: Cash Price |
$9,027.56
|
| Rate for Payer: Cofinity Commercial |
$7,899.11
|
| Rate for Payer: Cofinity Commercial |
$9,704.63
|
| Rate for Payer: Cofinity Medicare Advantage |
$7,899.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,027.56
|
| Rate for Payer: Healthscope Commercial |
$10,156.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,591.78
|
| Rate for Payer: PHP Commercial |
$9,591.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,334.89
|
| Rate for Payer: Priority Health SBD |
$7,109.20
|
|
|
SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$11,284.45
|
|
|
Service Code
|
HCPCS J9317
|
| Hospital Charge Code |
193479
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$19.45 |
| Max. Negotiated Rate |
$10,156.00 |
| Rate for Payer: Aetna Commercial |
$9,591.78
|
| Rate for Payer: Aetna Medicare |
$37.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,334.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45.35
|
| Rate for Payer: BCBS Complete |
$20.42
|
| Rate for Payer: BCBS MAPPO |
$36.28
|
| Rate for Payer: BCN Medicare Advantage |
$36.28
|
| Rate for Payer: Cash Price |
$9,027.56
|
| Rate for Payer: Cash Price |
$9,027.56
|
| Rate for Payer: Cofinity Commercial |
$7,899.11
|
| Rate for Payer: Cofinity Commercial |
$9,704.63
|
| Rate for Payer: Cofinity Medicare Advantage |
$7,899.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,027.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.28
|
| Rate for Payer: Healthscope Commercial |
$10,156.00
|
| Rate for Payer: Mclaren Medicaid |
$19.45
|
| Rate for Payer: Mclaren Medicare |
$36.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.09
|
| Rate for Payer: Meridian Medicaid |
$20.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,591.78
|
| Rate for Payer: PACE Medicare |
$34.47
|
| Rate for Payer: PACE SWMI |
$36.28
|
| Rate for Payer: PHP Commercial |
$9,591.78
|
| Rate for Payer: PHP Medicare Advantage |
$36.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,334.89
|
| Rate for Payer: Priority Health Medicare |
$36.28
|
| Rate for Payer: Priority Health SBD |
$7,109.20
|
| Rate for Payer: Railroad Medicare Medicare |
$36.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$102.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$36.28
|
| Rate for Payer: UHC Medicare Advantage |
$36.28
|
| Rate for Payer: UHCCP Medicaid |
$20.43
|
| Rate for Payer: VA VA |
$36.28
|
|
