|
PR EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM
|
Professional
|
Both
|
$1,028.00
|
|
|
Service Code
|
HCPCS 43259
|
| Min. Negotiated Rate |
$126.74 |
| Max. Negotiated Rate |
$771.00 |
| Rate for Payer: Aetna Commercial |
$262.64
|
| Rate for Payer: Aetna Medicare |
$203.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$262.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$282.24
|
| Rate for Payer: BCBS Complete |
$133.08
|
| Rate for Payer: BCBS MAPPO |
$196.00
|
| Rate for Payer: BCN Commercial |
$333.15
|
| Rate for Payer: BCN Medicare Advantage |
$196.00
|
| Rate for Payer: Cash Price |
$822.40
|
| Rate for Payer: Cash Price |
$822.40
|
| Rate for Payer: Cofinity Commercial |
$282.24
|
| Rate for Payer: Cofinity Commercial |
$262.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$196.00
|
| Rate for Payer: Healthscope Commercial |
$362.60
|
| Rate for Payer: Healthscope Commercial |
$313.60
|
| Rate for Payer: Mclaren Medicaid |
$126.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$205.80
|
| Rate for Payer: Meridian Medicaid |
$133.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$215.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$393.10
|
| Rate for Payer: Nomi Health Commercial |
$235.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$771.00
|
| Rate for Payer: PACE SWMI |
$196.00
|
| Rate for Payer: PHP Medicare Advantage |
$196.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$405.92
|
| Rate for Payer: Priority Health Medicare |
$196.00
|
| Rate for Payer: Priority Health SBD |
$405.92
|
| Rate for Payer: Priority Health Tiered Network |
$405.92
|
| Rate for Payer: Railroad Medicare Medicare |
$196.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$399.03
|
| Rate for Payer: UHC Core |
$399.03
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$196.00
|
| Rate for Payer: UHC Exchange |
$399.03
|
| Rate for Payer: UHC Medicaid |
$126.74
|
| Rate for Payer: UHCCP Medicaid |
$126.74
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
OP
|
$105.67
|
|
|
Service Code
|
NDC 61314063705
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$41.53 |
| Max. Negotiated Rate |
$95.10 |
| Rate for Payer: Aetna Commercial |
$89.82
|
| Rate for Payer: Aetna Medicare |
$52.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.69
|
| Rate for Payer: BCBS Complete |
$42.27
|
| Rate for Payer: Cash Price |
$84.54
|
| Rate for Payer: Cofinity Advantage |
$73.97
|
| Rate for Payer: Cofinity Commercial |
$90.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.54
|
| Rate for Payer: Healthscope Commercial |
$95.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$84.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$79.25
|
| Rate for Payer: PHP Commercial |
$89.82
|
| Rate for Payer: Priority Health SBD |
$66.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.69
|
| Rate for Payer: UHC Core |
$55.05
|
| Rate for Payer: UHC Exchange |
$41.53
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
IP
|
$423.71
|
|
|
Service Code
|
NDC 11980018005
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$266.94 |
| Max. Negotiated Rate |
$381.34 |
| Rate for Payer: Aetna Commercial |
$360.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$275.41
|
| Rate for Payer: Cash Price |
$338.97
|
| Rate for Payer: Cofinity Advantage |
$296.60
|
| Rate for Payer: Cofinity Commercial |
$364.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$338.97
|
| Rate for Payer: Healthscope Commercial |
$381.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$360.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$317.78
|
| Rate for Payer: PHP Commercial |
$360.15
|
| Rate for Payer: Priority Health SBD |
$266.94
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
OP
|
$423.71
|
|
|
Service Code
|
NDC 11980018005
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$166.52 |
| Max. Negotiated Rate |
$381.34 |
| Rate for Payer: Aetna Commercial |
$360.15
|
| Rate for Payer: Aetna Medicare |
$211.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$275.41
|
| Rate for Payer: BCBS Complete |
$169.48
|
| Rate for Payer: Cash Price |
$338.97
|
| Rate for Payer: Cofinity Advantage |
$296.60
|
| Rate for Payer: Cofinity Commercial |
$364.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$338.97
|
| Rate for Payer: Healthscope Commercial |
$381.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$338.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$360.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$317.78
|
| Rate for Payer: PHP Commercial |
$360.15
|
| Rate for Payer: Priority Health SBD |
$266.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$275.41
|
| Rate for Payer: UHC Core |
$220.75
|
| Rate for Payer: UHC Exchange |
$166.52
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
IP
|
$105.67
|
|
|
Service Code
|
NDC 61314063705
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$66.57 |
| Max. Negotiated Rate |
$95.10 |
| Rate for Payer: Aetna Commercial |
$89.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.69
|
| Rate for Payer: Cash Price |
$84.54
|
| Rate for Payer: Cofinity Advantage |
$73.97
|
| Rate for Payer: Cofinity Commercial |
$90.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.54
|
| Rate for Payer: Healthscope Commercial |
$95.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$79.25
|
| Rate for Payer: PHP Commercial |
$89.82
|
| Rate for Payer: Priority Health SBD |
$66.57
|
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION
|
Facility
|
OP
|
$813.15
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
29302
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.57 |
| Max. Negotiated Rate |
$731.84 |
| Rate for Payer: Aetna Commercial |
$691.18
|
| Rate for Payer: Aetna Commercial |
$6.79
|
| Rate for Payer: Aetna Medicare |
$4.00
|
| Rate for Payer: Aetna Medicare |
$406.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$528.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.19
|
| Rate for Payer: BCBS Complete |
$3.20
|
| Rate for Payer: BCBS Complete |
$325.26
|
| Rate for Payer: BCBS Trust/PPO |
$0.57
|
| Rate for Payer: BCBS Trust/PPO |
$0.57
|
| Rate for Payer: BCN Commercial |
$0.57
|
| Rate for Payer: BCN Commercial |
$0.57
|
| Rate for Payer: Cash Price |
$650.52
|
| Rate for Payer: Cash Price |
$6.39
|
| Rate for Payer: Cash Price |
$650.52
|
| Rate for Payer: Cash Price |
$6.39
|
| Rate for Payer: Cofinity Advantage |
$569.21
|
| Rate for Payer: Cofinity Advantage |
$5.59
|
| Rate for Payer: Cofinity Commercial |
$699.31
|
| Rate for Payer: Cofinity Commercial |
$6.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$650.52
|
| Rate for Payer: Healthscope Commercial |
$7.19
|
| Rate for Payer: Healthscope Commercial |
$731.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$650.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$691.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$609.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.99
|
| Rate for Payer: PHP Commercial |
$691.18
|
| Rate for Payer: PHP Commercial |
$6.79
|
| Rate for Payer: Priority Health SBD |
$512.28
|
| Rate for Payer: Priority Health SBD |
$5.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.52
|
| Rate for Payer: UHC Core |
$1.52
|
| Rate for Payer: UHC Core |
$1.52
|
| Rate for Payer: UHC Exchange |
$1.52
|
| Rate for Payer: UHC Exchange |
$1.52
|
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION
|
Facility
|
IP
|
$813.15
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
29302
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$512.28 |
| Max. Negotiated Rate |
$731.84 |
| Rate for Payer: Aetna Commercial |
$691.18
|
| Rate for Payer: Aetna Commercial |
$6.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$528.55
|
| Rate for Payer: Cash Price |
$6.39
|
| Rate for Payer: Cash Price |
$650.52
|
| Rate for Payer: Cofinity Advantage |
$5.59
|
| Rate for Payer: Cofinity Advantage |
$569.21
|
| Rate for Payer: Cofinity Commercial |
$6.87
|
| Rate for Payer: Cofinity Commercial |
$699.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$650.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.39
|
| Rate for Payer: Healthscope Commercial |
$731.84
|
| Rate for Payer: Healthscope Commercial |
$7.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$691.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$609.86
|
| Rate for Payer: PHP Commercial |
$6.79
|
| Rate for Payer: PHP Commercial |
$691.18
|
| Rate for Payer: Priority Health SBD |
$5.03
|
| Rate for Payer: Priority Health SBD |
$512.28
|
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (5 ML) ORAL SOLUTION
|
Facility
|
IP
|
$30.53
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
162294
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$19.23 |
| Max. Negotiated Rate |
$27.48 |
| Rate for Payer: Aetna Commercial |
$25.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.84
|
| Rate for Payer: Cash Price |
$24.42
|
| Rate for Payer: Cofinity Advantage |
$21.37
|
| Rate for Payer: Cofinity Commercial |
$26.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.42
|
| Rate for Payer: Healthscope Commercial |
$27.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.90
|
| Rate for Payer: PHP Commercial |
$25.95
|
| Rate for Payer: Priority Health SBD |
$19.23
|
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (5 ML) ORAL SOLUTION
|
Facility
|
OP
|
$30.53
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
162294
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.57 |
| Max. Negotiated Rate |
$27.48 |
| Rate for Payer: Aetna Commercial |
$25.95
|
| Rate for Payer: Aetna Medicare |
$15.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.84
|
| Rate for Payer: BCBS Complete |
$12.21
|
| Rate for Payer: BCBS Trust/PPO |
$0.57
|
| Rate for Payer: BCN Commercial |
$0.57
|
| Rate for Payer: Cash Price |
$24.42
|
| Rate for Payer: Cash Price |
$24.42
|
| Rate for Payer: Cofinity Advantage |
$21.37
|
| Rate for Payer: Cofinity Commercial |
$26.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.42
|
| Rate for Payer: Healthscope Commercial |
$27.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.90
|
| Rate for Payer: PHP Commercial |
$25.95
|
| Rate for Payer: Priority Health SBD |
$19.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.52
|
| Rate for Payer: UHC Core |
$1.52
|
| Rate for Payer: UHC Exchange |
$1.52
|
|
|
PREDNISONE 10 MG TABLET
|
Facility
|
OP
|
$46.77
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6494
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$42.09 |
| Rate for Payer: Aetna Commercial |
$39.75
|
| Rate for Payer: Aetna Commercial |
$323.60
|
| Rate for Payer: Aetna Commercial |
$273.66
|
| Rate for Payer: Aetna Commercial |
$361.55
|
| Rate for Payer: Aetna Commercial |
$185.77
|
| Rate for Payer: Aetna Medicare |
$109.28
|
| Rate for Payer: Aetna Medicare |
$160.97
|
| Rate for Payer: Aetna Medicare |
$190.35
|
| Rate for Payer: Aetna Medicare |
$23.39
|
| Rate for Payer: Aetna Medicare |
$212.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$276.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$209.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$247.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$142.06
|
| Rate for Payer: BCBS Complete |
$18.71
|
| Rate for Payer: BCBS Complete |
$128.78
|
| Rate for Payer: BCBS Complete |
$152.28
|
| Rate for Payer: BCBS Complete |
$87.42
|
| Rate for Payer: BCBS Complete |
$170.14
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: Cash Price |
$340.28
|
| Rate for Payer: Cash Price |
$257.56
|
| Rate for Payer: Cash Price |
$174.84
|
| Rate for Payer: Cash Price |
$174.84
|
| Rate for Payer: Cash Price |
$304.56
|
| Rate for Payer: Cash Price |
$257.56
|
| Rate for Payer: Cash Price |
$304.56
|
| Rate for Payer: Cash Price |
$340.28
|
| Rate for Payer: Cash Price |
$37.42
|
| Rate for Payer: Cash Price |
$37.42
|
| Rate for Payer: Cofinity Advantage |
$32.74
|
| Rate for Payer: Cofinity Advantage |
$297.75
|
| Rate for Payer: Cofinity Advantage |
$225.37
|
| Rate for Payer: Cofinity Advantage |
$152.99
|
| Rate for Payer: Cofinity Advantage |
$266.49
|
| Rate for Payer: Cofinity Commercial |
$327.40
|
| Rate for Payer: Cofinity Commercial |
$276.88
|
| Rate for Payer: Cofinity Commercial |
$365.80
|
| Rate for Payer: Cofinity Commercial |
$40.22
|
| Rate for Payer: Cofinity Commercial |
$187.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$304.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$340.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$174.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$257.56
|
| Rate for Payer: Healthscope Commercial |
$289.75
|
| Rate for Payer: Healthscope Commercial |
$42.09
|
| Rate for Payer: Healthscope Commercial |
$382.81
|
| Rate for Payer: Healthscope Commercial |
$342.63
|
| Rate for Payer: Healthscope Commercial |
$196.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$340.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$174.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$257.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$304.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$273.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$185.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$361.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$323.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$285.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$241.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$163.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$319.01
|
| Rate for Payer: PHP Commercial |
$323.60
|
| Rate for Payer: PHP Commercial |
$273.66
|
| Rate for Payer: PHP Commercial |
$185.77
|
| Rate for Payer: PHP Commercial |
$39.75
|
| Rate for Payer: PHP Commercial |
$361.55
|
| Rate for Payer: Priority Health SBD |
$239.84
|
| Rate for Payer: Priority Health SBD |
$267.97
|
| Rate for Payer: Priority Health SBD |
$29.47
|
| Rate for Payer: Priority Health SBD |
$202.83
|
| Rate for Payer: Priority Health SBD |
$137.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
|
|
PREDNISONE 10 MG TABLET
|
Facility
|
IP
|
$46.77
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6494
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$29.47 |
| Max. Negotiated Rate |
$42.09 |
| Rate for Payer: Aetna Commercial |
$39.75
|
| Rate for Payer: Aetna Commercial |
$273.66
|
| Rate for Payer: Aetna Commercial |
$185.77
|
| Rate for Payer: Aetna Commercial |
$323.60
|
| Rate for Payer: Aetna Commercial |
$361.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$142.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$276.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$209.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$247.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.40
|
| Rate for Payer: Cash Price |
$304.56
|
| Rate for Payer: Cash Price |
$37.42
|
| Rate for Payer: Cash Price |
$257.56
|
| Rate for Payer: Cash Price |
$174.84
|
| Rate for Payer: Cash Price |
$340.28
|
| Rate for Payer: Cofinity Advantage |
$297.75
|
| Rate for Payer: Cofinity Advantage |
$266.49
|
| Rate for Payer: Cofinity Advantage |
$32.74
|
| Rate for Payer: Cofinity Advantage |
$152.99
|
| Rate for Payer: Cofinity Advantage |
$225.37
|
| Rate for Payer: Cofinity Commercial |
$40.22
|
| Rate for Payer: Cofinity Commercial |
$327.40
|
| Rate for Payer: Cofinity Commercial |
$365.80
|
| Rate for Payer: Cofinity Commercial |
$276.88
|
| Rate for Payer: Cofinity Commercial |
$187.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$304.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$174.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$257.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$340.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.42
|
| Rate for Payer: Healthscope Commercial |
$342.63
|
| Rate for Payer: Healthscope Commercial |
$42.09
|
| Rate for Payer: Healthscope Commercial |
$289.75
|
| Rate for Payer: Healthscope Commercial |
$196.69
|
| Rate for Payer: Healthscope Commercial |
$382.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$323.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$185.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$361.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$273.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$285.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$241.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$319.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$163.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.08
|
| Rate for Payer: PHP Commercial |
$185.77
|
| Rate for Payer: PHP Commercial |
$361.55
|
| Rate for Payer: PHP Commercial |
$39.75
|
| Rate for Payer: PHP Commercial |
$273.66
|
| Rate for Payer: PHP Commercial |
$323.60
|
| Rate for Payer: Priority Health SBD |
$267.97
|
| Rate for Payer: Priority Health SBD |
$239.84
|
| Rate for Payer: Priority Health SBD |
$202.83
|
| Rate for Payer: Priority Health SBD |
$137.69
|
| Rate for Payer: Priority Health SBD |
$29.47
|
|
|
PREDNISONE 10 MG TABLETS IN A DOSE PACK
|
Facility
|
IP
|
$104.03
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
15853
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$65.54 |
| Max. Negotiated Rate |
$93.63 |
| Rate for Payer: Aetna Commercial |
$88.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.62
|
| Rate for Payer: Cash Price |
$83.22
|
| Rate for Payer: Cofinity Advantage |
$72.82
|
| Rate for Payer: Cofinity Commercial |
$89.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.22
|
| Rate for Payer: Healthscope Commercial |
$93.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.02
|
| Rate for Payer: PHP Commercial |
$88.43
|
| Rate for Payer: Priority Health SBD |
$65.54
|
|
|
PREDNISONE 10 MG TABLETS IN A DOSE PACK
|
Facility
|
OP
|
$104.03
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
15853
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$93.63 |
| Rate for Payer: Aetna Commercial |
$88.43
|
| Rate for Payer: Aetna Medicare |
$52.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.62
|
| Rate for Payer: BCBS Complete |
$41.61
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: Cash Price |
$83.22
|
| Rate for Payer: Cash Price |
$83.22
|
| Rate for Payer: Cofinity Advantage |
$72.82
|
| Rate for Payer: Cofinity Commercial |
$89.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.22
|
| Rate for Payer: Healthscope Commercial |
$93.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$83.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.02
|
| Rate for Payer: PHP Commercial |
$88.43
|
| Rate for Payer: Priority Health SBD |
$65.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
|
|
PREDNISONE 1 MG TABLET
|
Facility
|
OP
|
$196.65
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6493
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$176.99 |
| Rate for Payer: Aetna Commercial |
$167.15
|
| Rate for Payer: Aetna Commercial |
$375.53
|
| Rate for Payer: Aetna Commercial |
$187.76
|
| Rate for Payer: Aetna Commercial |
$135.83
|
| Rate for Payer: Aetna Medicare |
$98.33
|
| Rate for Payer: Aetna Medicare |
$220.90
|
| Rate for Payer: Aetna Medicare |
$110.45
|
| Rate for Payer: Aetna Medicare |
$79.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$103.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$287.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$143.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$127.82
|
| Rate for Payer: BCBS Complete |
$176.72
|
| Rate for Payer: BCBS Complete |
$78.66
|
| Rate for Payer: BCBS Complete |
$63.92
|
| Rate for Payer: BCBS Complete |
$88.36
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: Cash Price |
$157.32
|
| Rate for Payer: Cash Price |
$176.72
|
| Rate for Payer: Cash Price |
$353.44
|
| Rate for Payer: Cash Price |
$176.72
|
| Rate for Payer: Cash Price |
$127.84
|
| Rate for Payer: Cash Price |
$127.84
|
| Rate for Payer: Cash Price |
$353.44
|
| Rate for Payer: Cash Price |
$157.32
|
| Rate for Payer: Cofinity Advantage |
$309.26
|
| Rate for Payer: Cofinity Advantage |
$111.86
|
| Rate for Payer: Cofinity Advantage |
$154.63
|
| Rate for Payer: Cofinity Advantage |
$137.66
|
| Rate for Payer: Cofinity Commercial |
$137.43
|
| Rate for Payer: Cofinity Commercial |
$379.95
|
| Rate for Payer: Cofinity Commercial |
$169.12
|
| Rate for Payer: Cofinity Commercial |
$189.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$353.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$127.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$176.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$157.32
|
| Rate for Payer: Healthscope Commercial |
$198.81
|
| Rate for Payer: Healthscope Commercial |
$143.82
|
| Rate for Payer: Healthscope Commercial |
$397.62
|
| Rate for Payer: Healthscope Commercial |
$176.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$157.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$127.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$176.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$353.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$375.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$135.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$167.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$165.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$147.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$119.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$331.35
|
| Rate for Payer: PHP Commercial |
$187.76
|
| Rate for Payer: PHP Commercial |
$167.15
|
| Rate for Payer: PHP Commercial |
$375.53
|
| Rate for Payer: PHP Commercial |
$135.83
|
| Rate for Payer: Priority Health SBD |
$100.67
|
| Rate for Payer: Priority Health SBD |
$139.17
|
| Rate for Payer: Priority Health SBD |
$278.33
|
| Rate for Payer: Priority Health SBD |
$123.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
|
|
PREDNISONE 1 MG TABLET
|
Facility
|
IP
|
$159.80
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6493
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$100.67 |
| Max. Negotiated Rate |
$143.82 |
| Rate for Payer: Aetna Commercial |
$135.83
|
| Rate for Payer: Aetna Commercial |
$187.76
|
| Rate for Payer: Aetna Commercial |
$375.53
|
| Rate for Payer: Aetna Commercial |
$167.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$143.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$103.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$127.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$287.17
|
| Rate for Payer: Cash Price |
$353.44
|
| Rate for Payer: Cash Price |
$157.32
|
| Rate for Payer: Cash Price |
$176.72
|
| Rate for Payer: Cash Price |
$127.84
|
| Rate for Payer: Cofinity Advantage |
$154.63
|
| Rate for Payer: Cofinity Advantage |
$111.86
|
| Rate for Payer: Cofinity Advantage |
$137.66
|
| Rate for Payer: Cofinity Advantage |
$309.26
|
| Rate for Payer: Cofinity Commercial |
$379.95
|
| Rate for Payer: Cofinity Commercial |
$189.97
|
| Rate for Payer: Cofinity Commercial |
$137.43
|
| Rate for Payer: Cofinity Commercial |
$169.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$353.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$157.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$176.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$127.84
|
| Rate for Payer: Healthscope Commercial |
$143.82
|
| Rate for Payer: Healthscope Commercial |
$176.99
|
| Rate for Payer: Healthscope Commercial |
$198.81
|
| Rate for Payer: Healthscope Commercial |
$397.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$135.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$167.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$375.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$331.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$119.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$165.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$147.49
|
| Rate for Payer: PHP Commercial |
$167.15
|
| Rate for Payer: PHP Commercial |
$187.76
|
| Rate for Payer: PHP Commercial |
$135.83
|
| Rate for Payer: PHP Commercial |
$375.53
|
| Rate for Payer: Priority Health SBD |
$100.67
|
| Rate for Payer: Priority Health SBD |
$139.17
|
| Rate for Payer: Priority Health SBD |
$123.89
|
| Rate for Payer: Priority Health SBD |
$278.33
|
|
|
PREDNISONE 20 MG TABLET
|
Facility
|
IP
|
$20.14
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6496
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$12.69 |
| Max. Negotiated Rate |
$18.13 |
| Rate for Payer: Aetna Commercial |
$17.12
|
| Rate for Payer: Aetna Commercial |
$363.55
|
| Rate for Payer: Aetna Commercial |
$385.52
|
| Rate for Payer: Aetna Commercial |
$3.64
|
| Rate for Payer: Aetna Commercial |
$1,717.85
|
| Rate for Payer: Aetna Commercial |
$159.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,313.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$122.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$294.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$278.00
|
| Rate for Payer: Cash Price |
$3.42
|
| Rate for Payer: Cash Price |
$16.11
|
| Rate for Payer: Cash Price |
$342.16
|
| Rate for Payer: Cash Price |
$1,616.80
|
| Rate for Payer: Cash Price |
$362.84
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cofinity Advantage |
$299.39
|
| Rate for Payer: Cofinity Advantage |
$131.60
|
| Rate for Payer: Cofinity Advantage |
$317.49
|
| Rate for Payer: Cofinity Advantage |
$14.10
|
| Rate for Payer: Cofinity Advantage |
$3.00
|
| Rate for Payer: Cofinity Advantage |
$1,414.70
|
| Rate for Payer: Cofinity Commercial |
$17.32
|
| Rate for Payer: Cofinity Commercial |
$161.68
|
| Rate for Payer: Cofinity Commercial |
$1,738.06
|
| Rate for Payer: Cofinity Commercial |
$390.05
|
| Rate for Payer: Cofinity Commercial |
$367.82
|
| Rate for Payer: Cofinity Commercial |
$3.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$150.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,616.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$342.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$362.84
|
| Rate for Payer: Healthscope Commercial |
$169.20
|
| Rate for Payer: Healthscope Commercial |
$3.85
|
| Rate for Payer: Healthscope Commercial |
$18.13
|
| Rate for Payer: Healthscope Commercial |
$384.93
|
| Rate for Payer: Healthscope Commercial |
$1,818.90
|
| Rate for Payer: Healthscope Commercial |
$408.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,717.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$385.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$363.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$340.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$141.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,515.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$320.77
|
| Rate for Payer: PHP Commercial |
$363.55
|
| Rate for Payer: PHP Commercial |
$17.12
|
| Rate for Payer: PHP Commercial |
$3.64
|
| Rate for Payer: PHP Commercial |
$1,717.85
|
| Rate for Payer: PHP Commercial |
$159.80
|
| Rate for Payer: PHP Commercial |
$385.52
|
| Rate for Payer: Priority Health SBD |
$1,273.23
|
| Rate for Payer: Priority Health SBD |
$269.45
|
| Rate for Payer: Priority Health SBD |
$2.70
|
| Rate for Payer: Priority Health SBD |
$118.44
|
| Rate for Payer: Priority Health SBD |
$12.69
|
| Rate for Payer: Priority Health SBD |
$285.74
|
|
|
PREDNISONE 20 MG TABLET
|
Facility
|
OP
|
$20.14
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6496
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$18.13 |
| Rate for Payer: Aetna Commercial |
$17.12
|
| Rate for Payer: Aetna Commercial |
$1,717.85
|
| Rate for Payer: Aetna Commercial |
$385.52
|
| Rate for Payer: Aetna Commercial |
$159.80
|
| Rate for Payer: Aetna Commercial |
$363.55
|
| Rate for Payer: Aetna Commercial |
$3.64
|
| Rate for Payer: Aetna Medicare |
$94.00
|
| Rate for Payer: Aetna Medicare |
$10.07
|
| Rate for Payer: Aetna Medicare |
$1,010.50
|
| Rate for Payer: Aetna Medicare |
$2.14
|
| Rate for Payer: Aetna Medicare |
$226.78
|
| Rate for Payer: Aetna Medicare |
$213.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$122.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$294.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$278.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,313.65
|
| Rate for Payer: BCBS Complete |
$808.40
|
| Rate for Payer: BCBS Complete |
$181.42
|
| Rate for Payer: BCBS Complete |
$1.71
|
| Rate for Payer: BCBS Complete |
$8.06
|
| Rate for Payer: BCBS Complete |
$75.20
|
| Rate for Payer: BCBS Complete |
$171.08
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: Cash Price |
$3.42
|
| Rate for Payer: Cash Price |
$342.16
|
| Rate for Payer: Cash Price |
$1,616.80
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cash Price |
$16.11
|
| Rate for Payer: Cash Price |
$1,616.80
|
| Rate for Payer: Cash Price |
$362.84
|
| Rate for Payer: Cash Price |
$3.42
|
| Rate for Payer: Cash Price |
$362.84
|
| Rate for Payer: Cash Price |
$342.16
|
| Rate for Payer: Cash Price |
$16.11
|
| Rate for Payer: Cofinity Advantage |
$131.60
|
| Rate for Payer: Cofinity Advantage |
$3.00
|
| Rate for Payer: Cofinity Advantage |
$299.39
|
| Rate for Payer: Cofinity Advantage |
$317.49
|
| Rate for Payer: Cofinity Advantage |
$1,414.70
|
| Rate for Payer: Cofinity Advantage |
$14.10
|
| Rate for Payer: Cofinity Commercial |
$1,738.06
|
| Rate for Payer: Cofinity Commercial |
$17.32
|
| Rate for Payer: Cofinity Commercial |
$161.68
|
| Rate for Payer: Cofinity Commercial |
$390.05
|
| Rate for Payer: Cofinity Commercial |
$367.82
|
| Rate for Payer: Cofinity Commercial |
$3.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$342.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,616.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$150.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$362.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.42
|
| Rate for Payer: Healthscope Commercial |
$408.19
|
| Rate for Payer: Healthscope Commercial |
$3.85
|
| Rate for Payer: Healthscope Commercial |
$384.93
|
| Rate for Payer: Healthscope Commercial |
$1,818.90
|
| Rate for Payer: Healthscope Commercial |
$18.13
|
| Rate for Payer: Healthscope Commercial |
$169.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$150.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$362.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$342.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,616.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,717.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$385.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$363.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,515.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$141.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$320.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$340.16
|
| Rate for Payer: PHP Commercial |
$363.55
|
| Rate for Payer: PHP Commercial |
$17.12
|
| Rate for Payer: PHP Commercial |
$1,717.85
|
| Rate for Payer: PHP Commercial |
$159.80
|
| Rate for Payer: PHP Commercial |
$385.52
|
| Rate for Payer: PHP Commercial |
$3.64
|
| Rate for Payer: Priority Health SBD |
$2.70
|
| Rate for Payer: Priority Health SBD |
$12.69
|
| Rate for Payer: Priority Health SBD |
$285.74
|
| Rate for Payer: Priority Health SBD |
$269.45
|
| Rate for Payer: Priority Health SBD |
$1,273.23
|
| Rate for Payer: Priority Health SBD |
$118.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
|
|
PREDNISONE 50 MG TABLET
|
Facility
|
OP
|
$3.83
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6498
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$3.45 |
| Rate for Payer: Aetna Commercial |
$3.26
|
| Rate for Payer: Aetna Commercial |
$251.94
|
| Rate for Payer: Aetna Commercial |
$244.67
|
| Rate for Payer: Aetna Commercial |
$325.42
|
| Rate for Payer: Aetna Commercial |
$182.50
|
| Rate for Payer: Aetna Medicare |
$107.35
|
| Rate for Payer: Aetna Medicare |
$143.93
|
| Rate for Payer: Aetna Medicare |
$148.20
|
| Rate for Payer: Aetna Medicare |
$1.92
|
| Rate for Payer: Aetna Medicare |
$191.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$248.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$187.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$192.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$139.56
|
| Rate for Payer: BCBS Complete |
$1.53
|
| Rate for Payer: BCBS Complete |
$115.14
|
| Rate for Payer: BCBS Complete |
$118.56
|
| Rate for Payer: BCBS Complete |
$85.88
|
| Rate for Payer: BCBS Complete |
$153.14
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: Cash Price |
$306.28
|
| Rate for Payer: Cash Price |
$230.28
|
| Rate for Payer: Cash Price |
$171.76
|
| Rate for Payer: Cash Price |
$171.76
|
| Rate for Payer: Cash Price |
$237.12
|
| Rate for Payer: Cash Price |
$230.28
|
| Rate for Payer: Cash Price |
$237.12
|
| Rate for Payer: Cash Price |
$306.28
|
| Rate for Payer: Cash Price |
$3.06
|
| Rate for Payer: Cash Price |
$3.06
|
| Rate for Payer: Cofinity Advantage |
$2.68
|
| Rate for Payer: Cofinity Advantage |
$268.00
|
| Rate for Payer: Cofinity Advantage |
$201.50
|
| Rate for Payer: Cofinity Advantage |
$150.29
|
| Rate for Payer: Cofinity Advantage |
$207.48
|
| Rate for Payer: Cofinity Commercial |
$254.90
|
| Rate for Payer: Cofinity Commercial |
$247.55
|
| Rate for Payer: Cofinity Commercial |
$329.25
|
| Rate for Payer: Cofinity Commercial |
$3.29
|
| Rate for Payer: Cofinity Commercial |
$184.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$237.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$171.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$230.28
|
| Rate for Payer: Healthscope Commercial |
$259.06
|
| Rate for Payer: Healthscope Commercial |
$3.45
|
| Rate for Payer: Healthscope Commercial |
$344.56
|
| Rate for Payer: Healthscope Commercial |
$266.76
|
| Rate for Payer: Healthscope Commercial |
$193.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$306.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$171.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$230.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$237.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$244.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$182.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$222.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$215.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$161.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$287.14
|
| Rate for Payer: PHP Commercial |
$251.94
|
| Rate for Payer: PHP Commercial |
$244.67
|
| Rate for Payer: PHP Commercial |
$182.50
|
| Rate for Payer: PHP Commercial |
$3.26
|
| Rate for Payer: PHP Commercial |
$325.42
|
| Rate for Payer: Priority Health SBD |
$186.73
|
| Rate for Payer: Priority Health SBD |
$241.20
|
| Rate for Payer: Priority Health SBD |
$2.41
|
| Rate for Payer: Priority Health SBD |
$181.35
|
| Rate for Payer: Priority Health SBD |
$135.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
|
|
PREDNISONE 50 MG TABLET
|
Facility
|
IP
|
$3.83
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6498
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.41 |
| Max. Negotiated Rate |
$3.45 |
| Rate for Payer: Aetna Commercial |
$3.26
|
| Rate for Payer: Aetna Commercial |
$244.67
|
| Rate for Payer: Aetna Commercial |
$182.50
|
| Rate for Payer: Aetna Commercial |
$251.94
|
| Rate for Payer: Aetna Commercial |
$325.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$139.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$248.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$187.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$192.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.49
|
| Rate for Payer: Cash Price |
$237.12
|
| Rate for Payer: Cash Price |
$3.06
|
| Rate for Payer: Cash Price |
$230.28
|
| Rate for Payer: Cash Price |
$171.76
|
| Rate for Payer: Cash Price |
$306.28
|
| Rate for Payer: Cofinity Advantage |
$268.00
|
| Rate for Payer: Cofinity Advantage |
$207.48
|
| Rate for Payer: Cofinity Advantage |
$2.68
|
| Rate for Payer: Cofinity Advantage |
$150.29
|
| Rate for Payer: Cofinity Advantage |
$201.50
|
| Rate for Payer: Cofinity Commercial |
$3.29
|
| Rate for Payer: Cofinity Commercial |
$254.90
|
| Rate for Payer: Cofinity Commercial |
$329.25
|
| Rate for Payer: Cofinity Commercial |
$247.55
|
| Rate for Payer: Cofinity Commercial |
$184.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$237.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$171.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$230.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.06
|
| Rate for Payer: Healthscope Commercial |
$266.76
|
| Rate for Payer: Healthscope Commercial |
$3.45
|
| Rate for Payer: Healthscope Commercial |
$259.06
|
| Rate for Payer: Healthscope Commercial |
$193.23
|
| Rate for Payer: Healthscope Commercial |
$344.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$182.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$244.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$222.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$215.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$287.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$161.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.87
|
| Rate for Payer: PHP Commercial |
$182.50
|
| Rate for Payer: PHP Commercial |
$325.42
|
| Rate for Payer: PHP Commercial |
$3.26
|
| Rate for Payer: PHP Commercial |
$244.67
|
| Rate for Payer: PHP Commercial |
$251.94
|
| Rate for Payer: Priority Health SBD |
$241.20
|
| Rate for Payer: Priority Health SBD |
$186.73
|
| Rate for Payer: Priority Health SBD |
$181.35
|
| Rate for Payer: Priority Health SBD |
$135.26
|
| Rate for Payer: Priority Health SBD |
$2.41
|
|
|
PREDNISONE 5 MG TABLET
|
Facility
|
OP
|
$366.60
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6497
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$329.94 |
| Rate for Payer: Aetna Commercial |
$311.61
|
| Rate for Payer: Aetna Commercial |
$3.12
|
| Rate for Payer: Aetna Commercial |
$36.96
|
| Rate for Payer: Aetna Medicare |
$183.30
|
| Rate for Payer: Aetna Medicare |
$1.83
|
| Rate for Payer: Aetna Medicare |
$21.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$238.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.26
|
| Rate for Payer: BCBS Complete |
$17.39
|
| Rate for Payer: BCBS Complete |
$146.64
|
| Rate for Payer: BCBS Complete |
$1.47
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCBS Trust/PPO |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: BCN Commercial |
$0.02
|
| Rate for Payer: Cash Price |
$34.78
|
| Rate for Payer: Cash Price |
$293.28
|
| Rate for Payer: Cash Price |
$293.28
|
| Rate for Payer: Cash Price |
$2.94
|
| Rate for Payer: Cash Price |
$34.78
|
| Rate for Payer: Cash Price |
$2.94
|
| Rate for Payer: Cofinity Advantage |
$2.57
|
| Rate for Payer: Cofinity Advantage |
$256.62
|
| Rate for Payer: Cofinity Advantage |
$30.44
|
| Rate for Payer: Cofinity Commercial |
$315.28
|
| Rate for Payer: Cofinity Commercial |
$3.16
|
| Rate for Payer: Cofinity Commercial |
$37.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.28
|
| Rate for Payer: Healthscope Commercial |
$39.13
|
| Rate for Payer: Healthscope Commercial |
$3.30
|
| Rate for Payer: Healthscope Commercial |
$329.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$293.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$274.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.61
|
| Rate for Payer: PHP Commercial |
$311.61
|
| Rate for Payer: PHP Commercial |
$3.12
|
| Rate for Payer: PHP Commercial |
$36.96
|
| Rate for Payer: Priority Health SBD |
$230.96
|
| Rate for Payer: Priority Health SBD |
$27.39
|
| Rate for Payer: Priority Health SBD |
$2.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
|
|
PREDNISONE 5 MG TABLET
|
Facility
|
IP
|
$3.67
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6497
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.31 |
| Max. Negotiated Rate |
$3.30 |
| Rate for Payer: Aetna Commercial |
$3.12
|
| Rate for Payer: Aetna Commercial |
$311.61
|
| Rate for Payer: Aetna Commercial |
$36.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$238.29
|
| Rate for Payer: Cash Price |
$34.78
|
| Rate for Payer: Cash Price |
$2.94
|
| Rate for Payer: Cash Price |
$293.28
|
| Rate for Payer: Cofinity Advantage |
$2.57
|
| Rate for Payer: Cofinity Advantage |
$256.62
|
| Rate for Payer: Cofinity Advantage |
$30.44
|
| Rate for Payer: Cofinity Commercial |
$37.39
|
| Rate for Payer: Cofinity Commercial |
$315.28
|
| Rate for Payer: Cofinity Commercial |
$3.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.78
|
| Rate for Payer: Healthscope Commercial |
$329.94
|
| Rate for Payer: Healthscope Commercial |
$3.30
|
| Rate for Payer: Healthscope Commercial |
$39.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$274.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.75
|
| Rate for Payer: PHP Commercial |
$311.61
|
| Rate for Payer: PHP Commercial |
$36.96
|
| Rate for Payer: PHP Commercial |
$3.12
|
| Rate for Payer: Priority Health SBD |
$27.39
|
| Rate for Payer: Priority Health SBD |
$230.96
|
| Rate for Payer: Priority Health SBD |
$2.31
|
|
|
PR EDUCATION&TRAINING PT SELF-MGMT NQHP 2-4 PTS
|
Professional
|
Both
|
$24.00
|
|
|
Service Code
|
HCPCS 98961
|
| Min. Negotiated Rate |
$9.60 |
| Max. Negotiated Rate |
$20.67 |
| Rate for Payer: Aetna Commercial |
$13.91
|
| Rate for Payer: Aetna Medicare |
$12.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.91
|
| Rate for Payer: BCBS Complete |
$9.60
|
| Rate for Payer: BCN Commercial |
$14.34
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$20.67
|
| Rate for Payer: Priority Health SBD |
$20.67
|
| Rate for Payer: Priority Health Tiered Network |
$20.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.72
|
| Rate for Payer: UHC Core |
$19.72
|
| Rate for Payer: UHC Exchange |
$19.72
|
|
|
PR EDUCATION&TRAINING PT SELF-MGMT NQHP 5-8 PTS
|
Professional
|
Both
|
$18.00
|
|
|
Service Code
|
HCPCS 98962
|
| Min. Negotiated Rate |
$7.20 |
| Max. Negotiated Rate |
$15.15 |
| Rate for Payer: Aetna Commercial |
$10.35
|
| Rate for Payer: Aetna Medicare |
$9.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.35
|
| Rate for Payer: BCBS Complete |
$7.20
|
| Rate for Payer: BCN Commercial |
$10.66
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$15.15
|
| Rate for Payer: Priority Health SBD |
$15.15
|
| Rate for Payer: Priority Health Tiered Network |
$15.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.41
|
| Rate for Payer: UHC Core |
$14.41
|
| Rate for Payer: UHC Exchange |
$14.41
|
|
|
PR EDUCATION&TRAINING PT SELF-MGMT NQHP INDIV PT
|
Professional
|
Both
|
$49.00
|
|
|
Service Code
|
HCPCS 98960
|
| Min. Negotiated Rate |
$19.60 |
| Max. Negotiated Rate |
$46.81 |
| Rate for Payer: Aetna Commercial |
$28.53
|
| Rate for Payer: Aetna Medicare |
$24.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.53
|
| Rate for Payer: BCBS Complete |
$19.60
|
| Rate for Payer: BCN Commercial |
$46.81
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$43.18
|
| Rate for Payer: Priority Health SBD |
$43.18
|
| Rate for Payer: Priority Health Tiered Network |
$43.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.04
|
| Rate for Payer: UHC Core |
$41.04
|
| Rate for Payer: UHC Exchange |
$41.04
|
|
|
PR EEG,ALL NIGHT RECORD
|
Professional
|
Both
|
$1,385.00
|
|
|
Service Code
|
HCPCS 95827
|
| Min. Negotiated Rate |
$554.00 |
| Max. Negotiated Rate |
$1,038.75 |
| Rate for Payer: Aetna Medicare |
$692.50
|
| Rate for Payer: BCBS Complete |
$554.00
|
| Rate for Payer: Cash Price |
$1,108.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$900.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,038.75
|
|
