|
HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR
|
Facility
|
OP
|
$25.94
|
|
|
Service Code
|
NDC 64980032430
|
| Hospital Charge Code |
28824
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$10.19 |
| Max. Negotiated Rate |
$23.35 |
| Rate for Payer: Aetna Commercial |
$22.05
|
| Rate for Payer: Aetna Medicare |
$12.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.86
|
| Rate for Payer: BCBS Complete |
$10.38
|
| Rate for Payer: Cash Price |
$20.75
|
| Rate for Payer: Cofinity Advantage |
$18.16
|
| Rate for Payer: Cofinity Commercial |
$22.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.75
|
| Rate for Payer: Healthscope Commercial |
$23.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.45
|
| Rate for Payer: PHP Commercial |
$22.05
|
| Rate for Payer: Priority Health SBD |
$16.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16.86
|
| Rate for Payer: UHC Core |
$13.51
|
| Rate for Payer: UHC Exchange |
$10.19
|
|
|
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY
|
Facility
|
IP
|
$39.57
|
|
|
Service Code
|
NDC 00713050306
|
| Hospital Charge Code |
3738
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$24.93 |
| Max. Negotiated Rate |
$35.61 |
| Rate for Payer: Aetna Commercial |
$33.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$25.72
|
| Rate for Payer: Cash Price |
$31.66
|
| Rate for Payer: Cofinity Advantage |
$27.70
|
| Rate for Payer: Cofinity Commercial |
$34.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.66
|
| Rate for Payer: Healthscope Commercial |
$35.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.68
|
| Rate for Payer: PHP Commercial |
$33.63
|
| Rate for Payer: Priority Health SBD |
$24.93
|
|
|
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY
|
Facility
|
IP
|
$89.23
|
|
|
Service Code
|
NDC 16571067621
|
| Hospital Charge Code |
3738
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$56.21 |
| Max. Negotiated Rate |
$80.31 |
| Rate for Payer: Aetna Commercial |
$75.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.00
|
| Rate for Payer: Cash Price |
$71.38
|
| Rate for Payer: Cofinity Advantage |
$62.46
|
| Rate for Payer: Cofinity Commercial |
$76.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$71.38
|
| Rate for Payer: Healthscope Commercial |
$80.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.92
|
| Rate for Payer: PHP Commercial |
$75.85
|
| Rate for Payer: Priority Health SBD |
$56.21
|
|
|
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY
|
Facility
|
IP
|
$7.44
|
|
|
Service Code
|
NDC 16571067616
|
| Hospital Charge Code |
3738
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$4.69 |
| Max. Negotiated Rate |
$6.70 |
| Rate for Payer: Aetna Commercial |
$6.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4.84
|
| Rate for Payer: Cash Price |
$5.95
|
| Rate for Payer: Cofinity Advantage |
$5.21
|
| Rate for Payer: Cofinity Commercial |
$6.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.95
|
| Rate for Payer: Healthscope Commercial |
$6.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.58
|
| Rate for Payer: PHP Commercial |
$6.32
|
| Rate for Payer: Priority Health SBD |
$4.69
|
|
|
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY
|
Facility
|
IP
|
$902.21
|
|
|
Service Code
|
NDC 00713050324
|
| Hospital Charge Code |
3738
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$568.39 |
| Max. Negotiated Rate |
$811.99 |
| Rate for Payer: Aetna Commercial |
$766.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$586.44
|
| Rate for Payer: Cash Price |
$721.77
|
| Rate for Payer: Cofinity Advantage |
$631.55
|
| Rate for Payer: Cofinity Commercial |
$775.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$721.77
|
| Rate for Payer: Healthscope Commercial |
$811.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$766.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$676.66
|
| Rate for Payer: PHP Commercial |
$766.88
|
| Rate for Payer: Priority Health SBD |
$568.39
|
|
|
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY
|
Facility
|
OP
|
$39.57
|
|
|
Service Code
|
NDC 00713050306
|
| Hospital Charge Code |
3738
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$15.55 |
| Max. Negotiated Rate |
$35.61 |
| Rate for Payer: Aetna Commercial |
$33.63
|
| Rate for Payer: Aetna Medicare |
$19.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$25.72
|
| Rate for Payer: BCBS Complete |
$15.83
|
| Rate for Payer: Cash Price |
$31.66
|
| Rate for Payer: Cofinity Advantage |
$27.70
|
| Rate for Payer: Cofinity Commercial |
$34.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.66
|
| Rate for Payer: Healthscope Commercial |
$35.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.68
|
| Rate for Payer: PHP Commercial |
$33.63
|
| Rate for Payer: Priority Health SBD |
$24.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.72
|
| Rate for Payer: UHC Core |
$20.62
|
| Rate for Payer: UHC Exchange |
$15.55
|
|
|
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY
|
Facility
|
OP
|
$7.44
|
|
|
Service Code
|
NDC 16571067616
|
| Hospital Charge Code |
3738
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.92 |
| Max. Negotiated Rate |
$6.70 |
| Rate for Payer: Aetna Commercial |
$6.32
|
| Rate for Payer: Aetna Medicare |
$3.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4.84
|
| Rate for Payer: BCBS Complete |
$2.98
|
| Rate for Payer: Cash Price |
$5.95
|
| Rate for Payer: Cofinity Advantage |
$5.21
|
| Rate for Payer: Cofinity Commercial |
$6.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.95
|
| Rate for Payer: Healthscope Commercial |
$6.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.58
|
| Rate for Payer: PHP Commercial |
$6.32
|
| Rate for Payer: Priority Health SBD |
$4.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.84
|
| Rate for Payer: UHC Core |
$3.88
|
| Rate for Payer: UHC Exchange |
$2.92
|
|
|
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY
|
Facility
|
OP
|
$116.73
|
|
|
Service Code
|
NDC 59741030112
|
| Hospital Charge Code |
3738
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$45.87 |
| Max. Negotiated Rate |
$105.06 |
| Rate for Payer: Aetna Commercial |
$99.22
|
| Rate for Payer: Aetna Medicare |
$58.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$75.87
|
| Rate for Payer: BCBS Complete |
$46.69
|
| Rate for Payer: Cash Price |
$93.38
|
| Rate for Payer: Cofinity Advantage |
$81.71
|
| Rate for Payer: Cofinity Commercial |
$100.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$93.38
|
| Rate for Payer: Healthscope Commercial |
$105.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$93.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$99.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$87.55
|
| Rate for Payer: PHP Commercial |
$99.22
|
| Rate for Payer: Priority Health SBD |
$73.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$75.87
|
| Rate for Payer: UHC Core |
$60.82
|
| Rate for Payer: UHC Exchange |
$45.87
|
|
|
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY
|
Facility
|
OP
|
$902.21
|
|
|
Service Code
|
NDC 00713050324
|
| Hospital Charge Code |
3738
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$354.57 |
| Max. Negotiated Rate |
$811.99 |
| Rate for Payer: Aetna Commercial |
$766.88
|
| Rate for Payer: Aetna Medicare |
$451.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$586.44
|
| Rate for Payer: BCBS Complete |
$360.88
|
| Rate for Payer: Cash Price |
$721.77
|
| Rate for Payer: Cofinity Advantage |
$631.55
|
| Rate for Payer: Cofinity Commercial |
$775.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$721.77
|
| Rate for Payer: Healthscope Commercial |
$811.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$721.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$766.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$676.66
|
| Rate for Payer: PHP Commercial |
$766.88
|
| Rate for Payer: Priority Health SBD |
$568.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$586.44
|
| Rate for Payer: UHC Core |
$470.05
|
| Rate for Payer: UHC Exchange |
$354.57
|
|
|
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY
|
Facility
|
IP
|
$116.73
|
|
|
Service Code
|
NDC 59741030112
|
| Hospital Charge Code |
3738
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$73.54 |
| Max. Negotiated Rate |
$105.06 |
| Rate for Payer: Aetna Commercial |
$99.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$75.87
|
| Rate for Payer: Cash Price |
$93.38
|
| Rate for Payer: Cofinity Advantage |
$81.71
|
| Rate for Payer: Cofinity Commercial |
$100.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$93.38
|
| Rate for Payer: Healthscope Commercial |
$105.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$99.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$87.55
|
| Rate for Payer: PHP Commercial |
$99.22
|
| Rate for Payer: Priority Health SBD |
$73.54
|
|
|
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY
|
Facility
|
OP
|
$474.82
|
|
|
Service Code
|
NDC 00713050312
|
| Hospital Charge Code |
3738
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$186.60 |
| Max. Negotiated Rate |
$427.34 |
| Rate for Payer: Aetna Commercial |
$403.60
|
| Rate for Payer: Aetna Medicare |
$237.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$308.63
|
| Rate for Payer: BCBS Complete |
$189.93
|
| Rate for Payer: Cash Price |
$379.86
|
| Rate for Payer: Cofinity Advantage |
$332.37
|
| Rate for Payer: Cofinity Commercial |
$408.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$379.86
|
| Rate for Payer: Healthscope Commercial |
$427.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$379.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$403.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$356.12
|
| Rate for Payer: PHP Commercial |
$403.60
|
| Rate for Payer: Priority Health SBD |
$299.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$308.63
|
| Rate for Payer: UHC Core |
$247.38
|
| Rate for Payer: UHC Exchange |
$186.60
|
|
|
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY
|
Facility
|
OP
|
$89.23
|
|
|
Service Code
|
NDC 16571067621
|
| Hospital Charge Code |
3738
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$35.07 |
| Max. Negotiated Rate |
$80.31 |
| Rate for Payer: Aetna Commercial |
$75.85
|
| Rate for Payer: Aetna Medicare |
$44.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.00
|
| Rate for Payer: BCBS Complete |
$35.69
|
| Rate for Payer: Cash Price |
$71.38
|
| Rate for Payer: Cofinity Advantage |
$62.46
|
| Rate for Payer: Cofinity Commercial |
$76.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$71.38
|
| Rate for Payer: Healthscope Commercial |
$80.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$71.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.92
|
| Rate for Payer: PHP Commercial |
$75.85
|
| Rate for Payer: Priority Health SBD |
$56.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.00
|
| Rate for Payer: UHC Core |
$46.49
|
| Rate for Payer: UHC Exchange |
$35.07
|
|
|
HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY
|
Facility
|
IP
|
$474.82
|
|
|
Service Code
|
NDC 00713050312
|
| Hospital Charge Code |
3738
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$299.14 |
| Max. Negotiated Rate |
$427.34 |
| Rate for Payer: Aetna Commercial |
$403.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$308.63
|
| Rate for Payer: Cash Price |
$379.86
|
| Rate for Payer: Cofinity Advantage |
$332.37
|
| Rate for Payer: Cofinity Commercial |
$408.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$379.86
|
| Rate for Payer: Healthscope Commercial |
$427.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$403.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$356.12
|
| Rate for Payer: PHP Commercial |
$403.60
|
| Rate for Payer: Priority Health SBD |
$299.14
|
|
|
HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION
|
Facility
|
IP
|
$86.16
|
|
|
Service Code
|
HCPCS J1720
|
| Hospital Charge Code |
108970
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$54.28 |
| Max. Negotiated Rate |
$77.54 |
| Rate for Payer: Aetna Commercial |
$73.24
|
| Rate for Payer: Aetna Commercial |
$56.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.00
|
| Rate for Payer: Cash Price |
$52.73
|
| Rate for Payer: Cash Price |
$68.93
|
| Rate for Payer: Cofinity Advantage |
$46.14
|
| Rate for Payer: Cofinity Advantage |
$60.31
|
| Rate for Payer: Cofinity Commercial |
$74.10
|
| Rate for Payer: Cofinity Commercial |
$56.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.73
|
| Rate for Payer: Healthscope Commercial |
$77.54
|
| Rate for Payer: Healthscope Commercial |
$59.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$64.62
|
| Rate for Payer: PHP Commercial |
$56.02
|
| Rate for Payer: PHP Commercial |
$73.24
|
| Rate for Payer: Priority Health SBD |
$54.28
|
| Rate for Payer: Priority Health SBD |
$41.52
|
|
|
HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION
|
Facility
|
OP
|
$86.16
|
|
|
Service Code
|
HCPCS J1720
|
| Hospital Charge Code |
108970
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$34.46 |
| Max. Negotiated Rate |
$77.54 |
| Rate for Payer: Aetna Commercial |
$73.24
|
| Rate for Payer: Aetna Commercial |
$56.02
|
| Rate for Payer: Aetna Medicare |
$32.95
|
| Rate for Payer: Aetna Medicare |
$43.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.84
|
| Rate for Payer: BCBS Complete |
$26.36
|
| Rate for Payer: BCBS Complete |
$34.46
|
| Rate for Payer: BCBS Trust/PPO |
$55.33
|
| Rate for Payer: BCBS Trust/PPO |
$55.33
|
| Rate for Payer: BCN Commercial |
$55.33
|
| Rate for Payer: BCN Commercial |
$55.33
|
| Rate for Payer: Cash Price |
$68.93
|
| Rate for Payer: Cash Price |
$52.73
|
| Rate for Payer: Cash Price |
$68.93
|
| Rate for Payer: Cash Price |
$52.73
|
| Rate for Payer: Cofinity Advantage |
$60.31
|
| Rate for Payer: Cofinity Advantage |
$46.14
|
| Rate for Payer: Cofinity Commercial |
$74.10
|
| Rate for Payer: Cofinity Commercial |
$56.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.93
|
| Rate for Payer: Healthscope Commercial |
$59.32
|
| Rate for Payer: Healthscope Commercial |
$77.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$52.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$68.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$64.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.43
|
| Rate for Payer: PHP Commercial |
$73.24
|
| Rate for Payer: PHP Commercial |
$56.02
|
| Rate for Payer: Priority Health SBD |
$54.28
|
| Rate for Payer: Priority Health SBD |
$41.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.40
|
| Rate for Payer: UHC Core |
$36.40
|
| Rate for Payer: UHC Core |
$36.40
|
| Rate for Payer: UHC Exchange |
$36.40
|
| Rate for Payer: UHC Exchange |
$36.40
|
|
|
HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION
|
Facility
|
IP
|
$107.59
|
|
|
Service Code
|
HCPCS J1720
|
| Hospital Charge Code |
119665
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$67.78 |
| Max. Negotiated Rate |
$96.83 |
| Rate for Payer: Aetna Commercial |
$91.45
|
| Rate for Payer: Aetna Commercial |
$92.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$69.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$70.55
|
| Rate for Payer: Cash Price |
$86.07
|
| Rate for Payer: Cash Price |
$86.83
|
| Rate for Payer: Cofinity Advantage |
$75.31
|
| Rate for Payer: Cofinity Advantage |
$75.98
|
| Rate for Payer: Cofinity Commercial |
$92.53
|
| Rate for Payer: Cofinity Commercial |
$93.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$86.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$86.07
|
| Rate for Payer: Healthscope Commercial |
$97.69
|
| Rate for Payer: Healthscope Commercial |
$96.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$91.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$92.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$80.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$81.41
|
| Rate for Payer: PHP Commercial |
$91.45
|
| Rate for Payer: PHP Commercial |
$92.26
|
| Rate for Payer: Priority Health SBD |
$67.78
|
| Rate for Payer: Priority Health SBD |
$68.38
|
|
|
HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION
|
Facility
|
OP
|
$108.54
|
|
|
Service Code
|
HCPCS J1720
|
| Hospital Charge Code |
119665
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$36.40 |
| Max. Negotiated Rate |
$97.69 |
| Rate for Payer: Aetna Commercial |
$92.26
|
| Rate for Payer: Aetna Commercial |
$91.45
|
| Rate for Payer: Aetna Medicare |
$54.27
|
| Rate for Payer: Aetna Medicare |
$53.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$69.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$70.55
|
| Rate for Payer: BCBS Complete |
$43.42
|
| Rate for Payer: BCBS Complete |
$43.04
|
| Rate for Payer: BCBS Trust/PPO |
$55.33
|
| Rate for Payer: BCBS Trust/PPO |
$55.33
|
| Rate for Payer: BCN Commercial |
$55.33
|
| Rate for Payer: BCN Commercial |
$55.33
|
| Rate for Payer: Cash Price |
$86.07
|
| Rate for Payer: Cash Price |
$86.07
|
| Rate for Payer: Cash Price |
$86.83
|
| Rate for Payer: Cash Price |
$86.83
|
| Rate for Payer: Cofinity Advantage |
$75.31
|
| Rate for Payer: Cofinity Advantage |
$75.98
|
| Rate for Payer: Cofinity Commercial |
$93.34
|
| Rate for Payer: Cofinity Commercial |
$92.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$86.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$86.07
|
| Rate for Payer: Healthscope Commercial |
$96.83
|
| Rate for Payer: Healthscope Commercial |
$97.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$86.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$86.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$91.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$92.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$80.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$81.41
|
| Rate for Payer: PHP Commercial |
$92.26
|
| Rate for Payer: PHP Commercial |
$91.45
|
| Rate for Payer: Priority Health SBD |
$67.78
|
| Rate for Payer: Priority Health SBD |
$68.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.40
|
| Rate for Payer: UHC Core |
$36.40
|
| Rate for Payer: UHC Core |
$36.40
|
| Rate for Payer: UHC Exchange |
$36.40
|
| Rate for Payer: UHC Exchange |
$36.40
|
|
|
HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION
|
Facility
|
OP
|
$221.13
|
|
|
Service Code
|
HCPCS J1720
|
| Hospital Charge Code |
119664
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$36.40 |
| Max. Negotiated Rate |
$199.02 |
| Rate for Payer: Aetna Commercial |
$187.96
|
| Rate for Payer: Aetna Commercial |
$177.23
|
| Rate for Payer: Aetna Medicare |
$110.56
|
| Rate for Payer: Aetna Medicare |
$104.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$135.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$143.73
|
| Rate for Payer: BCBS Complete |
$88.45
|
| Rate for Payer: BCBS Complete |
$83.40
|
| Rate for Payer: BCBS Trust/PPO |
$55.33
|
| Rate for Payer: BCBS Trust/PPO |
$55.33
|
| Rate for Payer: BCN Commercial |
$55.33
|
| Rate for Payer: BCN Commercial |
$55.33
|
| Rate for Payer: Cash Price |
$166.81
|
| Rate for Payer: Cash Price |
$166.81
|
| Rate for Payer: Cash Price |
$176.90
|
| Rate for Payer: Cash Price |
$176.90
|
| Rate for Payer: Cofinity Advantage |
$145.96
|
| Rate for Payer: Cofinity Advantage |
$154.79
|
| Rate for Payer: Cofinity Commercial |
$190.17
|
| Rate for Payer: Cofinity Commercial |
$179.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$176.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$166.81
|
| Rate for Payer: Healthscope Commercial |
$187.66
|
| Rate for Payer: Healthscope Commercial |
$199.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$176.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$166.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$177.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$156.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$165.85
|
| Rate for Payer: PHP Commercial |
$187.96
|
| Rate for Payer: PHP Commercial |
$177.23
|
| Rate for Payer: Priority Health SBD |
$131.36
|
| Rate for Payer: Priority Health SBD |
$139.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.40
|
| Rate for Payer: UHC Core |
$36.40
|
| Rate for Payer: UHC Core |
$36.40
|
| Rate for Payer: UHC Exchange |
$36.40
|
| Rate for Payer: UHC Exchange |
$36.40
|
|
|
HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION
|
Facility
|
IP
|
$208.51
|
|
|
Service Code
|
HCPCS J1720
|
| Hospital Charge Code |
119664
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$131.36 |
| Max. Negotiated Rate |
$187.66 |
| Rate for Payer: Aetna Commercial |
$177.23
|
| Rate for Payer: Aetna Commercial |
$187.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$135.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$143.73
|
| Rate for Payer: Cash Price |
$166.81
|
| Rate for Payer: Cash Price |
$176.90
|
| Rate for Payer: Cofinity Advantage |
$145.96
|
| Rate for Payer: Cofinity Advantage |
$154.79
|
| Rate for Payer: Cofinity Commercial |
$179.32
|
| Rate for Payer: Cofinity Commercial |
$190.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$176.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$166.81
|
| Rate for Payer: Healthscope Commercial |
$199.02
|
| Rate for Payer: Healthscope Commercial |
$187.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$177.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$156.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$165.85
|
| Rate for Payer: PHP Commercial |
$177.23
|
| Rate for Payer: PHP Commercial |
$187.96
|
| Rate for Payer: Priority Health SBD |
$131.36
|
| Rate for Payer: Priority Health SBD |
$139.31
|
|
|
HYDROGEN PEROXIDE 3 % SOLUTION
|
Facility
|
OP
|
$22.71
|
|
|
Service Code
|
NDC 00363087143
|
| Hospital Charge Code |
3752
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$8.93 |
| Max. Negotiated Rate |
$20.44 |
| Rate for Payer: Aetna Commercial |
$19.30
|
| Rate for Payer: Aetna Medicare |
$11.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.76
|
| Rate for Payer: BCBS Complete |
$9.08
|
| Rate for Payer: Cash Price |
$18.17
|
| Rate for Payer: Cofinity Advantage |
$15.90
|
| Rate for Payer: Cofinity Commercial |
$19.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.17
|
| Rate for Payer: Healthscope Commercial |
$20.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.03
|
| Rate for Payer: PHP Commercial |
$19.30
|
| Rate for Payer: Priority Health SBD |
$14.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.76
|
| Rate for Payer: UHC Core |
$11.83
|
| Rate for Payer: UHC Exchange |
$8.93
|
|
|
HYDROGEN PEROXIDE 3 % SOLUTION
|
Facility
|
IP
|
$22.71
|
|
|
Service Code
|
NDC 00363087143
|
| Hospital Charge Code |
3752
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$14.31 |
| Max. Negotiated Rate |
$20.44 |
| Rate for Payer: Aetna Commercial |
$19.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.76
|
| Rate for Payer: Cash Price |
$18.17
|
| Rate for Payer: Cofinity Advantage |
$15.90
|
| Rate for Payer: Cofinity Commercial |
$19.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.17
|
| Rate for Payer: Healthscope Commercial |
$20.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.03
|
| Rate for Payer: PHP Commercial |
$19.30
|
| Rate for Payer: Priority Health SBD |
$14.31
|
|
|
HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE
|
Facility
|
OP
|
$14.07
|
|
|
Service Code
|
HCPCS J1171
|
| Hospital Charge Code |
166819
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.23 |
| Max. Negotiated Rate |
$12.66 |
| Rate for Payer: Aetna Commercial |
$11.96
|
| Rate for Payer: Aetna Commercial |
$14.01
|
| Rate for Payer: Aetna Commercial |
$18.20
|
| Rate for Payer: Aetna Medicare |
$7.04
|
| Rate for Payer: Aetna Medicare |
$8.24
|
| Rate for Payer: Aetna Medicare |
$10.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.92
|
| Rate for Payer: BCBS Complete |
$8.56
|
| Rate for Payer: BCBS Complete |
$5.63
|
| Rate for Payer: BCBS Complete |
$6.59
|
| Rate for Payer: BCBS Trust/PPO |
$0.34
|
| Rate for Payer: BCBS Trust/PPO |
$0.34
|
| Rate for Payer: BCBS Trust/PPO |
$0.34
|
| Rate for Payer: BCN Commercial |
$0.34
|
| Rate for Payer: BCN Commercial |
$0.34
|
| Rate for Payer: BCN Commercial |
$0.34
|
| Rate for Payer: Cash Price |
$17.13
|
| Rate for Payer: Cash Price |
$11.26
|
| Rate for Payer: Cash Price |
$11.26
|
| Rate for Payer: Cash Price |
$13.18
|
| Rate for Payer: Cash Price |
$17.13
|
| Rate for Payer: Cash Price |
$13.18
|
| Rate for Payer: Cofinity Advantage |
$11.54
|
| Rate for Payer: Cofinity Advantage |
$9.85
|
| Rate for Payer: Cofinity Advantage |
$14.99
|
| Rate for Payer: Cofinity Commercial |
$12.10
|
| Rate for Payer: Cofinity Commercial |
$14.17
|
| Rate for Payer: Cofinity Commercial |
$18.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.26
|
| Rate for Payer: Healthscope Commercial |
$19.27
|
| Rate for Payer: Healthscope Commercial |
$14.83
|
| Rate for Payer: Healthscope Commercial |
$12.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.06
|
| Rate for Payer: PHP Commercial |
$11.96
|
| Rate for Payer: PHP Commercial |
$14.01
|
| Rate for Payer: PHP Commercial |
$18.20
|
| Rate for Payer: Priority Health SBD |
$8.86
|
| Rate for Payer: Priority Health SBD |
$13.49
|
| Rate for Payer: Priority Health SBD |
$10.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.23
|
| Rate for Payer: UHC Core |
$0.23
|
| Rate for Payer: UHC Core |
$0.23
|
| Rate for Payer: UHC Core |
$0.23
|
| Rate for Payer: UHC Exchange |
$0.23
|
| Rate for Payer: UHC Exchange |
$0.23
|
| Rate for Payer: UHC Exchange |
$0.23
|
|
|
HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE
|
Facility
|
IP
|
$14.07
|
|
|
Service Code
|
HCPCS J1171
|
| Hospital Charge Code |
166819
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$8.86 |
| Max. Negotiated Rate |
$12.66 |
| Rate for Payer: Aetna Commercial |
$11.96
|
| Rate for Payer: Aetna Commercial |
$14.01
|
| Rate for Payer: Aetna Commercial |
$18.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.92
|
| Rate for Payer: Cash Price |
$17.13
|
| Rate for Payer: Cash Price |
$11.26
|
| Rate for Payer: Cash Price |
$13.18
|
| Rate for Payer: Cofinity Advantage |
$11.54
|
| Rate for Payer: Cofinity Advantage |
$9.85
|
| Rate for Payer: Cofinity Advantage |
$14.99
|
| Rate for Payer: Cofinity Commercial |
$14.17
|
| Rate for Payer: Cofinity Commercial |
$18.41
|
| Rate for Payer: Cofinity Commercial |
$12.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.26
|
| Rate for Payer: Healthscope Commercial |
$14.83
|
| Rate for Payer: Healthscope Commercial |
$12.66
|
| Rate for Payer: Healthscope Commercial |
$19.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.55
|
| Rate for Payer: PHP Commercial |
$11.96
|
| Rate for Payer: PHP Commercial |
$14.01
|
| Rate for Payer: PHP Commercial |
$18.20
|
| Rate for Payer: Priority Health SBD |
$10.38
|
| Rate for Payer: Priority Health SBD |
$8.86
|
| Rate for Payer: Priority Health SBD |
$13.49
|
|
|
HYDROMORPHONE 1 MG/ML INJECTION SYRINGE
|
Facility
|
IP
|
$31.97
|
|
|
Service Code
|
HCPCS J1171
|
| Hospital Charge Code |
112193
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$20.14 |
| Max. Negotiated Rate |
$28.77 |
| Rate for Payer: Aetna Commercial |
$27.17
|
| Rate for Payer: Aetna Commercial |
$23.85
|
| Rate for Payer: Aetna Commercial |
$15.83
|
| Rate for Payer: Aetna Commercial |
$18.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.78
|
| Rate for Payer: Cash Price |
$14.90
|
| Rate for Payer: Cash Price |
$17.50
|
| Rate for Payer: Cash Price |
$22.45
|
| Rate for Payer: Cash Price |
$25.58
|
| Rate for Payer: Cofinity Advantage |
$15.31
|
| Rate for Payer: Cofinity Advantage |
$19.64
|
| Rate for Payer: Cofinity Advantage |
$22.38
|
| Rate for Payer: Cofinity Advantage |
$13.03
|
| Rate for Payer: Cofinity Commercial |
$24.13
|
| Rate for Payer: Cofinity Commercial |
$18.81
|
| Rate for Payer: Cofinity Commercial |
$27.49
|
| Rate for Payer: Cofinity Commercial |
$16.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.58
|
| Rate for Payer: Healthscope Commercial |
$16.76
|
| Rate for Payer: Healthscope Commercial |
$25.25
|
| Rate for Payer: Healthscope Commercial |
$19.68
|
| Rate for Payer: Healthscope Commercial |
$28.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.98
|
| Rate for Payer: PHP Commercial |
$18.59
|
| Rate for Payer: PHP Commercial |
$15.83
|
| Rate for Payer: PHP Commercial |
$27.17
|
| Rate for Payer: PHP Commercial |
$23.85
|
| Rate for Payer: Priority Health SBD |
$17.68
|
| Rate for Payer: Priority Health SBD |
$13.78
|
| Rate for Payer: Priority Health SBD |
$20.14
|
| Rate for Payer: Priority Health SBD |
$11.73
|
|
|
HYDROMORPHONE 1 MG/ML INJECTION SYRINGE
|
Facility
|
OP
|
$21.87
|
|
|
Service Code
|
HCPCS J1171
|
| Hospital Charge Code |
112193
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.23 |
| Max. Negotiated Rate |
$19.68 |
| Rate for Payer: Aetna Commercial |
$18.59
|
| Rate for Payer: Aetna Commercial |
$27.17
|
| Rate for Payer: Aetna Commercial |
$23.85
|
| Rate for Payer: Aetna Commercial |
$15.83
|
| Rate for Payer: Aetna Medicare |
$10.94
|
| Rate for Payer: Aetna Medicare |
$15.98
|
| Rate for Payer: Aetna Medicare |
$14.03
|
| Rate for Payer: Aetna Medicare |
$9.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.22
|
| Rate for Payer: BCBS Complete |
$12.79
|
| Rate for Payer: BCBS Complete |
$8.75
|
| Rate for Payer: BCBS Complete |
$7.45
|
| Rate for Payer: BCBS Complete |
$11.22
|
| Rate for Payer: BCBS Trust/PPO |
$0.34
|
| Rate for Payer: BCBS Trust/PPO |
$0.34
|
| Rate for Payer: BCBS Trust/PPO |
$0.34
|
| Rate for Payer: BCBS Trust/PPO |
$0.34
|
| Rate for Payer: BCN Commercial |
$0.34
|
| Rate for Payer: BCN Commercial |
$0.34
|
| Rate for Payer: BCN Commercial |
$0.34
|
| Rate for Payer: BCN Commercial |
$0.34
|
| Rate for Payer: Cash Price |
$17.50
|
| Rate for Payer: Cash Price |
$22.45
|
| Rate for Payer: Cash Price |
$25.58
|
| Rate for Payer: Cash Price |
$22.45
|
| Rate for Payer: Cash Price |
$14.90
|
| Rate for Payer: Cash Price |
$14.90
|
| Rate for Payer: Cash Price |
$25.58
|
| Rate for Payer: Cash Price |
$17.50
|
| Rate for Payer: Cofinity Advantage |
$22.38
|
| Rate for Payer: Cofinity Advantage |
$13.03
|
| Rate for Payer: Cofinity Advantage |
$19.64
|
| Rate for Payer: Cofinity Advantage |
$15.31
|
| Rate for Payer: Cofinity Commercial |
$16.01
|
| Rate for Payer: Cofinity Commercial |
$27.49
|
| Rate for Payer: Cofinity Commercial |
$18.81
|
| Rate for Payer: Cofinity Commercial |
$24.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.50
|
| Rate for Payer: Healthscope Commercial |
$25.25
|
| Rate for Payer: Healthscope Commercial |
$16.76
|
| Rate for Payer: Healthscope Commercial |
$28.77
|
| Rate for Payer: Healthscope Commercial |
$19.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.98
|
| Rate for Payer: PHP Commercial |
$23.85
|
| Rate for Payer: PHP Commercial |
$18.59
|
| Rate for Payer: PHP Commercial |
$27.17
|
| Rate for Payer: PHP Commercial |
$15.83
|
| Rate for Payer: Priority Health SBD |
$11.73
|
| Rate for Payer: Priority Health SBD |
$17.68
|
| Rate for Payer: Priority Health SBD |
$20.14
|
| Rate for Payer: Priority Health SBD |
$13.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.23
|
| Rate for Payer: UHC Core |
$0.23
|
| Rate for Payer: UHC Core |
$0.23
|
| Rate for Payer: UHC Core |
$0.23
|
| Rate for Payer: UHC Core |
$0.23
|
| Rate for Payer: UHC Exchange |
$0.23
|
| Rate for Payer: UHC Exchange |
$0.23
|
| Rate for Payer: UHC Exchange |
$0.23
|
| Rate for Payer: UHC Exchange |
$0.23
|
|
