|
INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$4,801.97
|
|
|
Service Code
|
APR-DRG 0441
|
| Min. Negotiated Rate |
$4,573.31 |
| Max. Negotiated Rate |
$4,801.97 |
| Rate for Payer: BCBS Complete |
$4,801.97
|
| Rate for Payer: Mclaren Medicaid |
$4,573.31
|
| Rate for Payer: Meridian Medicaid |
$4,801.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,573.31
|
| Rate for Payer: UHC Medicaid |
$4,573.31
|
| Rate for Payer: UHCCP Medicaid |
$4,573.31
|
|
|
INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$7,396.47
|
|
|
Service Code
|
APR-DRG 0442
|
| Min. Negotiated Rate |
$7,044.25 |
| Max. Negotiated Rate |
$7,396.47 |
| Rate for Payer: BCBS Complete |
$7,396.47
|
| Rate for Payer: Mclaren Medicaid |
$7,044.25
|
| Rate for Payer: Meridian Medicaid |
$7,396.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,044.25
|
| Rate for Payer: UHC Medicaid |
$7,044.25
|
| Rate for Payer: UHCCP Medicaid |
$7,044.25
|
|
|
INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$11,317.13
|
|
|
Service Code
|
APR-DRG 0443
|
| Min. Negotiated Rate |
$10,778.22 |
| Max. Negotiated Rate |
$11,317.13 |
| Rate for Payer: BCBS Complete |
$11,317.13
|
| Rate for Payer: Mclaren Medicaid |
$10,778.22
|
| Rate for Payer: Meridian Medicaid |
$11,317.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,778.22
|
| Rate for Payer: UHC Medicaid |
$10,778.22
|
| Rate for Payer: UHCCP Medicaid |
$10,778.22
|
|
|
INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$14,314.42
|
|
|
Service Code
|
APR-DRG 0444
|
| Min. Negotiated Rate |
$13,632.78 |
| Max. Negotiated Rate |
$14,314.42 |
| Rate for Payer: BCBS Complete |
$14,314.42
|
| Rate for Payer: Mclaren Medicaid |
$13,632.78
|
| Rate for Payer: Meridian Medicaid |
$14,314.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,632.78
|
| Rate for Payer: UHC Medicaid |
$13,632.78
|
| Rate for Payer: UHCCP Medicaid |
$13,632.78
|
|
|
IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION
|
Facility
|
OP
|
$128.05
|
|
|
Service Code
|
NDC 48433023015
|
| Hospital Charge Code |
108150
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$22.58 |
| Max. Negotiated Rate |
$115.25 |
| Rate for Payer: Aetna Commercial |
$108.84
|
| Rate for Payer: Aetna Medicare |
$33.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40.02
|
| Rate for Payer: BCBS Complete |
$23.70
|
| Rate for Payer: BCBS MAPPO |
$32.01
|
| Rate for Payer: BCBS Trust/PPO |
$105.27
|
| Rate for Payer: BCN Commercial |
$105.27
|
| Rate for Payer: BCN Medicare Advantage |
$32.01
|
| Rate for Payer: Cash Price |
$102.44
|
| Rate for Payer: Cofinity Commercial |
$110.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$102.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.01
|
| Rate for Payer: Healthscope Commercial |
$115.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$96.04
|
| Rate for Payer: Mclaren Medicaid |
$22.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.61
|
| Rate for Payer: Meridian Medicaid |
$23.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$35.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$108.84
|
| Rate for Payer: Nomi Health Commercial |
$105.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$96.04
|
| Rate for Payer: PACE Senior Care Partners |
$30.41
|
| Rate for Payer: PACE SWMI |
$32.01
|
| Rate for Payer: PHP Commercial |
$108.84
|
| Rate for Payer: PHP Medicare Advantage |
$32.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$111.40
|
| Rate for Payer: Priority Health Medicare |
$32.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$89.12
|
| Rate for Payer: Railroad Medicare Medicare |
$32.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$112.68
|
| Rate for Payer: UHC Core |
$106.92
|
| Rate for Payer: UHC Exchange |
$32.01
|
| Rate for Payer: UHC Medicaid |
$22.58
|
| Rate for Payer: UHC Medicare Advantage |
$32.01
|
| Rate for Payer: UHCCP Medicaid |
$22.58
|
| Rate for Payer: VA VA |
$32.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$96.04
|
|
|
IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION
|
Facility
|
IP
|
$128.05
|
|
|
Service Code
|
NDC 48433023015
|
| Hospital Charge Code |
108150
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$89.12 |
| Max. Negotiated Rate |
$115.25 |
| Rate for Payer: Aetna Commercial |
$108.84
|
| Rate for Payer: BCBS Trust/PPO |
$105.76
|
| Rate for Payer: BCN Commercial |
$105.76
|
| Rate for Payer: Cash Price |
$102.44
|
| Rate for Payer: Cofinity Commercial |
$110.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$102.44
|
| Rate for Payer: Healthscope Commercial |
$115.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$96.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$108.84
|
| Rate for Payer: Nomi Health Commercial |
$105.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$96.04
|
| Rate for Payer: PHP Commercial |
$108.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$111.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$89.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$112.68
|
| Rate for Payer: UHC Core |
$106.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$96.04
|
|
|
IPL CHEEKS FIRST
|
Professional
|
Both
|
$132.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$52.80 |
| Max. Negotiated Rate |
$99.00 |
| Rate for Payer: Aetna Medicare |
$66.00
|
| Rate for Payer: BCBS Complete |
$52.80
|
| Rate for Payer: Cash Price |
$105.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$99.00
|
|
|
IPL CHEST FIRST
|
Professional
|
Both
|
$315.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$126.00 |
| Max. Negotiated Rate |
$236.25 |
| Rate for Payer: Aetna Medicare |
$157.50
|
| Rate for Payer: BCBS Complete |
$126.00
|
| Rate for Payer: Cash Price |
$252.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$236.25
|
|
|
IPL CHEST SECOND
|
Professional
|
Both
|
$210.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$84.00 |
| Max. Negotiated Rate |
$157.50 |
| Rate for Payer: Aetna Medicare |
$105.00
|
| Rate for Payer: BCBS Complete |
$84.00
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$157.50
|
|
|
IPL FACE FIRST
|
Professional
|
Both
|
$237.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$94.80 |
| Max. Negotiated Rate |
$177.75 |
| Rate for Payer: Aetna Medicare |
$118.50
|
| Rate for Payer: BCBS Complete |
$94.80
|
| Rate for Payer: Cash Price |
$189.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$177.75
|
|
|
IPL FACE, NECK, CHEST FIRST
|
Professional
|
Both
|
$420.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$168.00 |
| Max. Negotiated Rate |
$315.00 |
| Rate for Payer: Aetna Medicare |
$210.00
|
| Rate for Payer: BCBS Complete |
$168.00
|
| Rate for Payer: Cash Price |
$336.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$315.00
|
|
|
IPL FACE, NECK, CHEST SECOND
|
Professional
|
Both
|
$289.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$115.60 |
| Max. Negotiated Rate |
$216.75 |
| Rate for Payer: Aetna Medicare |
$144.50
|
| Rate for Payer: BCBS Complete |
$115.60
|
| Rate for Payer: Cash Price |
$231.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$216.75
|
|
|
IPL FACE & NECK FIRST
|
Professional
|
Both
|
$263.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$105.20 |
| Max. Negotiated Rate |
$197.25 |
| Rate for Payer: Aetna Medicare |
$131.50
|
| Rate for Payer: BCBS Complete |
$105.20
|
| Rate for Payer: Cash Price |
$210.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$197.25
|
|
|
IPL FACE & NECK SECOND
|
Professional
|
Both
|
$184.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$73.60 |
| Max. Negotiated Rate |
$138.00 |
| Rate for Payer: Aetna Medicare |
$92.00
|
| Rate for Payer: BCBS Complete |
$73.60
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$138.00
|
|
|
IPL FACE SECOND
|
Professional
|
Both
|
$105.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$42.00 |
| Max. Negotiated Rate |
$78.75 |
| Rate for Payer: Aetna Medicare |
$52.50
|
| Rate for Payer: BCBS Complete |
$42.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.75
|
|
|
IPL HANDS & ARMS FIRST
|
Professional
|
Both
|
$368.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$147.20 |
| Max. Negotiated Rate |
$276.00 |
| Rate for Payer: Aetna Medicare |
$184.00
|
| Rate for Payer: BCBS Complete |
$147.20
|
| Rate for Payer: Cash Price |
$294.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$276.00
|
|
|
IPL HANDS & ARMS SECOND
|
Professional
|
Both
|
$237.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$94.80 |
| Max. Negotiated Rate |
$177.75 |
| Rate for Payer: Aetna Medicare |
$118.50
|
| Rate for Payer: BCBS Complete |
$94.80
|
| Rate for Payer: Cash Price |
$189.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$177.75
|
|
|
IPL NECK
|
Professional
|
Both
|
$105.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$42.00 |
| Max. Negotiated Rate |
$78.75 |
| Rate for Payer: Aetna Medicare |
$52.50
|
| Rate for Payer: BCBS Complete |
$42.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.75
|
|
|
IPL NOSE & CHEEKS FIRST
|
Professional
|
Both
|
$158.00
|
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$63.20 |
| Max. Negotiated Rate |
$118.50 |
| Rate for Payer: Aetna Medicare |
$79.00
|
| Rate for Payer: BCBS Complete |
$63.20
|
| Rate for Payer: Cash Price |
$126.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$118.50
|
|
|
IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN
|
Facility
|
OP
|
$2.66
|
|
|
Service Code
|
HCPCS J7620
|
| Hospital Charge Code |
30510
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.47 |
| Max. Negotiated Rate |
$2.39 |
| Rate for Payer: Aetna Commercial |
$2.26
|
| Rate for Payer: Aetna Commercial |
$2.75
|
| Rate for Payer: Aetna Commercial |
$3.76
|
| Rate for Payer: Aetna Commercial |
$2.46
|
| Rate for Payer: Aetna Medicare |
$0.75
|
| Rate for Payer: Aetna Medicare |
$0.69
|
| Rate for Payer: Aetna Medicare |
$0.84
|
| Rate for Payer: Aetna Medicare |
$1.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.83
|
| Rate for Payer: BCBS Complete |
$0.82
|
| Rate for Payer: BCBS Complete |
$0.54
|
| Rate for Payer: BCBS Complete |
$0.49
|
| Rate for Payer: BCBS Complete |
$0.60
|
| Rate for Payer: BCBS MAPPO |
$0.67
|
| Rate for Payer: BCBS MAPPO |
$0.73
|
| Rate for Payer: BCBS MAPPO |
$1.10
|
| Rate for Payer: BCBS MAPPO |
$0.81
|
| Rate for Payer: BCBS Trust/PPO |
$2.66
|
| Rate for Payer: BCBS Trust/PPO |
$2.19
|
| Rate for Payer: BCBS Trust/PPO |
$3.63
|
| Rate for Payer: BCBS Trust/PPO |
$2.38
|
| Rate for Payer: BCN Commercial |
$2.66
|
| Rate for Payer: BCN Commercial |
$3.63
|
| Rate for Payer: BCN Commercial |
$2.38
|
| Rate for Payer: BCN Commercial |
$2.19
|
| Rate for Payer: BCN Medicare Advantage |
$0.81
|
| Rate for Payer: BCN Medicare Advantage |
$0.73
|
| Rate for Payer: BCN Medicare Advantage |
$1.10
|
| Rate for Payer: BCN Medicare Advantage |
$0.67
|
| Rate for Payer: Cash Price |
$3.54
|
| Rate for Payer: Cash Price |
$2.58
|
| Rate for Payer: Cash Price |
$2.13
|
| Rate for Payer: Cash Price |
$2.32
|
| Rate for Payer: Cofinity Commercial |
$2.49
|
| Rate for Payer: Cofinity Commercial |
$2.29
|
| Rate for Payer: Cofinity Commercial |
$2.78
|
| Rate for Payer: Cofinity Commercial |
$3.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.81
|
| Rate for Payer: Healthscope Commercial |
$2.39
|
| Rate for Payer: Healthscope Commercial |
$3.98
|
| Rate for Payer: Healthscope Commercial |
$2.91
|
| Rate for Payer: Healthscope Commercial |
$2.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.00
|
| Rate for Payer: Mclaren Medicaid |
$0.57
|
| Rate for Payer: Mclaren Medicaid |
$0.51
|
| Rate for Payer: Mclaren Medicaid |
$0.47
|
| Rate for Payer: Mclaren Medicaid |
$0.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.70
|
| Rate for Payer: Meridian Medicaid |
$0.49
|
| Rate for Payer: Meridian Medicaid |
$0.60
|
| Rate for Payer: Meridian Medicaid |
$0.82
|
| Rate for Payer: Meridian Medicaid |
$0.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$1.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.76
|
| Rate for Payer: Nomi Health Commercial |
$2.65
|
| Rate for Payer: Nomi Health Commercial |
$2.18
|
| Rate for Payer: Nomi Health Commercial |
$2.38
|
| Rate for Payer: Nomi Health Commercial |
$3.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.00
|
| Rate for Payer: PACE Senior Care Partners |
$0.77
|
| Rate for Payer: PACE Senior Care Partners |
$1.05
|
| Rate for Payer: PACE Senior Care Partners |
$0.63
|
| Rate for Payer: PACE Senior Care Partners |
$0.69
|
| Rate for Payer: PACE SWMI |
$0.67
|
| Rate for Payer: PACE SWMI |
$1.10
|
| Rate for Payer: PACE SWMI |
$0.73
|
| Rate for Payer: PACE SWMI |
$0.81
|
| Rate for Payer: PHP Commercial |
$2.26
|
| Rate for Payer: PHP Commercial |
$2.46
|
| Rate for Payer: PHP Commercial |
$2.75
|
| Rate for Payer: PHP Commercial |
$3.76
|
| Rate for Payer: PHP Medicare Advantage |
$0.67
|
| Rate for Payer: PHP Medicare Advantage |
$1.10
|
| Rate for Payer: PHP Medicare Advantage |
$0.73
|
| Rate for Payer: PHP Medicare Advantage |
$0.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2.31
|
| Rate for Payer: Priority Health Medicare |
$0.73
|
| Rate for Payer: Priority Health Medicare |
$0.67
|
| Rate for Payer: Priority Health Medicare |
$0.82
|
| Rate for Payer: Priority Health Medicare |
$1.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1.85
|
| Rate for Payer: Railroad Medicare Medicare |
$0.81
|
| Rate for Payer: Railroad Medicare Medicare |
$0.67
|
| Rate for Payer: Railroad Medicare Medicare |
$1.10
|
| Rate for Payer: Railroad Medicare Medicare |
$0.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.89
|
| Rate for Payer: UHC Core |
$2.22
|
| Rate for Payer: UHC Core |
$2.70
|
| Rate for Payer: UHC Core |
$2.42
|
| Rate for Payer: UHC Core |
$3.69
|
| Rate for Payer: UHC Exchange |
$0.81
|
| Rate for Payer: UHC Exchange |
$0.73
|
| Rate for Payer: UHC Exchange |
$1.10
|
| Rate for Payer: UHC Exchange |
$0.67
|
| Rate for Payer: UHC Medicaid |
$0.47
|
| Rate for Payer: UHC Medicaid |
$0.51
|
| Rate for Payer: UHC Medicaid |
$0.57
|
| Rate for Payer: UHC Medicaid |
$0.78
|
| Rate for Payer: UHC Medicare Advantage |
$0.73
|
| Rate for Payer: UHC Medicare Advantage |
$0.67
|
| Rate for Payer: UHC Medicare Advantage |
$1.10
|
| Rate for Payer: UHC Medicare Advantage |
$0.81
|
| Rate for Payer: UHCCP Medicaid |
$0.57
|
| Rate for Payer: UHCCP Medicaid |
$0.78
|
| Rate for Payer: UHCCP Medicaid |
$0.51
|
| Rate for Payer: UHCCP Medicaid |
$0.47
|
| Rate for Payer: VA VA |
$0.67
|
| Rate for Payer: VA VA |
$1.10
|
| Rate for Payer: VA VA |
$0.81
|
| Rate for Payer: VA VA |
$0.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.31
|
|
|
IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN
|
Facility
|
IP
|
$3.23
|
|
|
Service Code
|
HCPCS J7620
|
| Hospital Charge Code |
30510
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$2.25 |
| Max. Negotiated Rate |
$2.91 |
| Rate for Payer: Aetna Commercial |
$2.75
|
| Rate for Payer: Aetna Commercial |
$2.46
|
| Rate for Payer: Aetna Commercial |
$2.26
|
| Rate for Payer: Aetna Commercial |
$3.76
|
| Rate for Payer: BCBS Trust/PPO |
$2.67
|
| Rate for Payer: BCBS Trust/PPO |
$3.65
|
| Rate for Payer: BCBS Trust/PPO |
$2.40
|
| Rate for Payer: BCBS Trust/PPO |
$2.20
|
| Rate for Payer: BCN Commercial |
$2.67
|
| Rate for Payer: BCN Commercial |
$2.20
|
| Rate for Payer: BCN Commercial |
$3.65
|
| Rate for Payer: BCN Commercial |
$2.40
|
| Rate for Payer: Cash Price |
$2.32
|
| Rate for Payer: Cash Price |
$2.58
|
| Rate for Payer: Cash Price |
$3.54
|
| Rate for Payer: Cash Price |
$2.13
|
| Rate for Payer: Cofinity Commercial |
$2.29
|
| Rate for Payer: Cofinity Commercial |
$3.80
|
| Rate for Payer: Cofinity Commercial |
$2.78
|
| Rate for Payer: Cofinity Commercial |
$2.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.54
|
| Rate for Payer: Healthscope Commercial |
$3.98
|
| Rate for Payer: Healthscope Commercial |
$2.61
|
| Rate for Payer: Healthscope Commercial |
$2.91
|
| Rate for Payer: Healthscope Commercial |
$2.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.76
|
| Rate for Payer: Nomi Health Commercial |
$2.18
|
| Rate for Payer: Nomi Health Commercial |
$2.38
|
| Rate for Payer: Nomi Health Commercial |
$3.62
|
| Rate for Payer: Nomi Health Commercial |
$2.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.31
|
| Rate for Payer: PHP Commercial |
$3.76
|
| Rate for Payer: PHP Commercial |
$2.26
|
| Rate for Payer: PHP Commercial |
$2.46
|
| Rate for Payer: PHP Commercial |
$2.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.84
|
| Rate for Payer: UHC Core |
$2.70
|
| Rate for Payer: UHC Core |
$3.69
|
| Rate for Payer: UHC Core |
$2.42
|
| Rate for Payer: UHC Core |
$2.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.42
|
|
|
IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION
|
Facility
|
IP
|
$4.59
|
|
|
Service Code
|
HCPCS J7644
|
| Hospital Charge Code |
12580
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$3.19 |
| Max. Negotiated Rate |
$4.13 |
| Rate for Payer: Aetna Commercial |
$3.90
|
| Rate for Payer: Aetna Commercial |
$5.45
|
| Rate for Payer: Aetna Commercial |
$7.45
|
| Rate for Payer: BCBS Trust/PPO |
$5.29
|
| Rate for Payer: BCBS Trust/PPO |
$3.79
|
| Rate for Payer: BCBS Trust/PPO |
$7.23
|
| Rate for Payer: BCN Commercial |
$5.29
|
| Rate for Payer: BCN Commercial |
$3.79
|
| Rate for Payer: BCN Commercial |
$7.23
|
| Rate for Payer: Cash Price |
$3.67
|
| Rate for Payer: Cash Price |
$7.01
|
| Rate for Payer: Cash Price |
$5.13
|
| Rate for Payer: Cofinity Commercial |
$7.53
|
| Rate for Payer: Cofinity Commercial |
$5.51
|
| Rate for Payer: Cofinity Commercial |
$3.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.01
|
| Rate for Payer: Healthscope Commercial |
$5.77
|
| Rate for Payer: Healthscope Commercial |
$4.13
|
| Rate for Payer: Healthscope Commercial |
$7.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.45
|
| Rate for Payer: Nomi Health Commercial |
$3.76
|
| Rate for Payer: Nomi Health Commercial |
$5.26
|
| Rate for Payer: Nomi Health Commercial |
$7.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.57
|
| Rate for Payer: PHP Commercial |
$3.90
|
| Rate for Payer: PHP Commercial |
$7.45
|
| Rate for Payer: PHP Commercial |
$5.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.04
|
| Rate for Payer: UHC Core |
$3.83
|
| Rate for Payer: UHC Core |
$7.31
|
| Rate for Payer: UHC Core |
$5.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.81
|
|
|
IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION
|
Facility
|
OP
|
$4.59
|
|
|
Service Code
|
HCPCS J7644
|
| Hospital Charge Code |
12580
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.81 |
| Max. Negotiated Rate |
$4.13 |
| Rate for Payer: Aetna Commercial |
$3.90
|
| Rate for Payer: Aetna Commercial |
$7.45
|
| Rate for Payer: Aetna Commercial |
$5.45
|
| Rate for Payer: Aetna Medicare |
$2.28
|
| Rate for Payer: Aetna Medicare |
$1.19
|
| Rate for Payer: Aetna Medicare |
$1.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2.74
|
| Rate for Payer: BCBS Complete |
$1.19
|
| Rate for Payer: BCBS Complete |
$0.85
|
| Rate for Payer: BCBS Complete |
$1.62
|
| Rate for Payer: BCBS MAPPO |
$2.19
|
| Rate for Payer: BCBS MAPPO |
$1.15
|
| Rate for Payer: BCBS MAPPO |
$1.60
|
| Rate for Payer: BCBS Trust/PPO |
$3.77
|
| Rate for Payer: BCBS Trust/PPO |
$5.27
|
| Rate for Payer: BCBS Trust/PPO |
$7.20
|
| Rate for Payer: BCN Commercial |
$5.27
|
| Rate for Payer: BCN Commercial |
$7.20
|
| Rate for Payer: BCN Commercial |
$3.77
|
| Rate for Payer: BCN Medicare Advantage |
$2.19
|
| Rate for Payer: BCN Medicare Advantage |
$1.60
|
| Rate for Payer: BCN Medicare Advantage |
$1.15
|
| Rate for Payer: Cash Price |
$7.01
|
| Rate for Payer: Cash Price |
$5.13
|
| Rate for Payer: Cash Price |
$3.67
|
| Rate for Payer: Cofinity Commercial |
$3.95
|
| Rate for Payer: Cofinity Commercial |
$5.51
|
| Rate for Payer: Cofinity Commercial |
$7.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1.15
|
| Rate for Payer: Healthscope Commercial |
$5.77
|
| Rate for Payer: Healthscope Commercial |
$4.13
|
| Rate for Payer: Healthscope Commercial |
$7.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.81
|
| Rate for Payer: Mclaren Medicaid |
$0.81
|
| Rate for Payer: Mclaren Medicaid |
$1.54
|
| Rate for Payer: Mclaren Medicaid |
$1.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.30
|
| Rate for Payer: Meridian Medicaid |
$1.62
|
| Rate for Payer: Meridian Medicaid |
$0.85
|
| Rate for Payer: Meridian Medicaid |
$1.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.52
|
| Rate for Payer: Molina Medicare/Medicaid |
$2.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$1.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$1.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.45
|
| Rate for Payer: Nomi Health Commercial |
$7.18
|
| Rate for Payer: Nomi Health Commercial |
$5.26
|
| Rate for Payer: Nomi Health Commercial |
$3.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.44
|
| Rate for Payer: PACE Senior Care Partners |
$1.52
|
| Rate for Payer: PACE Senior Care Partners |
$1.09
|
| Rate for Payer: PACE Senior Care Partners |
$2.08
|
| Rate for Payer: PACE SWMI |
$2.19
|
| Rate for Payer: PACE SWMI |
$1.60
|
| Rate for Payer: PACE SWMI |
$1.15
|
| Rate for Payer: PHP Commercial |
$3.90
|
| Rate for Payer: PHP Commercial |
$7.45
|
| Rate for Payer: PHP Commercial |
$5.45
|
| Rate for Payer: PHP Medicare Advantage |
$1.60
|
| Rate for Payer: PHP Medicare Advantage |
$1.15
|
| Rate for Payer: PHP Medicare Advantage |
$2.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7.62
|
| Rate for Payer: Priority Health Medicare |
$2.21
|
| Rate for Payer: Priority Health Medicare |
$1.62
|
| Rate for Payer: Priority Health Medicare |
$1.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3.19
|
| Rate for Payer: Railroad Medicare Medicare |
$1.60
|
| Rate for Payer: Railroad Medicare Medicare |
$2.19
|
| Rate for Payer: Railroad Medicare Medicare |
$1.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.04
|
| Rate for Payer: UHC Core |
$3.83
|
| Rate for Payer: UHC Core |
$7.31
|
| Rate for Payer: UHC Core |
$5.35
|
| Rate for Payer: UHC Exchange |
$2.19
|
| Rate for Payer: UHC Exchange |
$1.60
|
| Rate for Payer: UHC Exchange |
$1.15
|
| Rate for Payer: UHC Medicaid |
$0.81
|
| Rate for Payer: UHC Medicaid |
$1.54
|
| Rate for Payer: UHC Medicaid |
$1.13
|
| Rate for Payer: UHC Medicare Advantage |
$1.60
|
| Rate for Payer: UHC Medicare Advantage |
$1.15
|
| Rate for Payer: UHC Medicare Advantage |
$2.19
|
| Rate for Payer: UHCCP Medicaid |
$1.13
|
| Rate for Payer: UHCCP Medicaid |
$0.81
|
| Rate for Payer: UHCCP Medicaid |
$1.54
|
| Rate for Payer: VA VA |
$1.15
|
| Rate for Payer: VA VA |
$2.19
|
| Rate for Payer: VA VA |
$1.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.57
|
|
|
IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY
|
Facility
|
IP
|
$111.30
|
|
|
Service Code
|
NDC 69238201603
|
| Hospital Charge Code |
16070
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$77.46 |
| Max. Negotiated Rate |
$100.17 |
| Rate for Payer: Aetna Commercial |
$94.61
|
| Rate for Payer: BCBS Trust/PPO |
$91.92
|
| Rate for Payer: BCN Commercial |
$91.92
|
| Rate for Payer: Cash Price |
$89.04
|
| Rate for Payer: Cofinity Commercial |
$95.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.04
|
| Rate for Payer: Healthscope Commercial |
$100.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$83.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$94.61
|
| Rate for Payer: Nomi Health Commercial |
$91.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$83.47
|
| Rate for Payer: PHP Commercial |
$94.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$96.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$77.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.94
|
| Rate for Payer: UHC Core |
$92.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$83.47
|
|
|
IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY
|
Facility
|
OP
|
$117.18
|
|
|
Service Code
|
NDC 00054004544
|
| Hospital Charge Code |
16070
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$20.66 |
| Max. Negotiated Rate |
$105.46 |
| Rate for Payer: Aetna Commercial |
$99.60
|
| Rate for Payer: Aetna Medicare |
$30.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.62
|
| Rate for Payer: BCBS Complete |
$21.69
|
| Rate for Payer: BCBS MAPPO |
$29.30
|
| Rate for Payer: BCBS Trust/PPO |
$96.33
|
| Rate for Payer: BCN Commercial |
$96.33
|
| Rate for Payer: BCN Medicare Advantage |
$29.30
|
| Rate for Payer: Cash Price |
$93.74
|
| Rate for Payer: Cofinity Commercial |
$100.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$93.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.30
|
| Rate for Payer: Healthscope Commercial |
$105.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$87.89
|
| Rate for Payer: Mclaren Medicaid |
$20.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.76
|
| Rate for Payer: Meridian Medicaid |
$21.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.69
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$99.60
|
| Rate for Payer: Nomi Health Commercial |
$96.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$87.89
|
| Rate for Payer: PACE Senior Care Partners |
$27.83
|
| Rate for Payer: PACE SWMI |
$29.30
|
| Rate for Payer: PHP Commercial |
$99.60
|
| Rate for Payer: PHP Medicare Advantage |
$29.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$101.95
|
| Rate for Payer: Priority Health Medicare |
$29.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$81.56
|
| Rate for Payer: Railroad Medicare Medicare |
$29.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$103.12
|
| Rate for Payer: UHC Core |
$97.85
|
| Rate for Payer: UHC Exchange |
$29.30
|
| Rate for Payer: UHC Medicaid |
$20.66
|
| Rate for Payer: UHC Medicare Advantage |
$29.30
|
| Rate for Payer: UHCCP Medicaid |
$20.66
|
| Rate for Payer: VA VA |
$29.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$87.89
|
|
