|
MICONAZOLE NITRATE 2 % TOPICAL POWDER
|
Facility
|
OP
|
$21.81
|
|
|
Service Code
|
NDC 00316022530
|
| Hospital Charge Code |
10599
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$3.85 |
| Max. Negotiated Rate |
$19.63 |
| Rate for Payer: Aetna Commercial |
$18.54
|
| Rate for Payer: Aetna Medicare |
$5.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.82
|
| Rate for Payer: BCBS Complete |
$4.04
|
| Rate for Payer: BCBS MAPPO |
$5.45
|
| Rate for Payer: BCBS Trust/PPO |
$17.93
|
| Rate for Payer: BCN Commercial |
$17.93
|
| Rate for Payer: BCN Medicare Advantage |
$5.45
|
| Rate for Payer: Cash Price |
$17.45
|
| Rate for Payer: Cofinity Commercial |
$18.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.45
|
| Rate for Payer: Healthscope Commercial |
$19.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.36
|
| Rate for Payer: Mclaren Medicaid |
$3.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.73
|
| Rate for Payer: Meridian Medicaid |
$4.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.54
|
| Rate for Payer: Nomi Health Commercial |
$17.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.36
|
| Rate for Payer: PACE Senior Care Partners |
$5.18
|
| Rate for Payer: PACE SWMI |
$5.45
|
| Rate for Payer: PHP Commercial |
$18.54
|
| Rate for Payer: PHP Medicare Advantage |
$5.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.97
|
| Rate for Payer: Priority Health Medicare |
$5.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.18
|
| Rate for Payer: Railroad Medicare Medicare |
$5.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.19
|
| Rate for Payer: UHC Core |
$18.21
|
| Rate for Payer: UHC Exchange |
$5.45
|
| Rate for Payer: UHC Medicaid |
$3.85
|
| Rate for Payer: UHC Medicare Advantage |
$5.45
|
| Rate for Payer: UHCCP Medicaid |
$3.85
|
| Rate for Payer: VA VA |
$5.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.36
|
|
|
MICONAZOLE NITRATE 2 % TOPICAL POWDER
|
Facility
|
OP
|
$27.97
|
|
|
Service Code
|
NDC 11701003816
|
| Hospital Charge Code |
10599
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$4.93 |
| Max. Negotiated Rate |
$25.17 |
| Rate for Payer: Aetna Commercial |
$23.77
|
| Rate for Payer: Aetna Medicare |
$7.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.74
|
| Rate for Payer: BCBS Complete |
$5.18
|
| Rate for Payer: BCBS MAPPO |
$6.99
|
| Rate for Payer: BCBS Trust/PPO |
$22.99
|
| Rate for Payer: BCN Commercial |
$22.99
|
| Rate for Payer: BCN Medicare Advantage |
$6.99
|
| Rate for Payer: Cash Price |
$22.38
|
| Rate for Payer: Cofinity Commercial |
$24.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.99
|
| Rate for Payer: Healthscope Commercial |
$25.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.98
|
| Rate for Payer: Mclaren Medicaid |
$4.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.34
|
| Rate for Payer: Meridian Medicaid |
$5.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.77
|
| Rate for Payer: Nomi Health Commercial |
$22.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.98
|
| Rate for Payer: PACE Senior Care Partners |
$6.64
|
| Rate for Payer: PACE SWMI |
$6.99
|
| Rate for Payer: PHP Commercial |
$23.77
|
| Rate for Payer: PHP Medicare Advantage |
$6.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24.33
|
| Rate for Payer: Priority Health Medicare |
$7.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.47
|
| Rate for Payer: Railroad Medicare Medicare |
$6.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.61
|
| Rate for Payer: UHC Core |
$23.35
|
| Rate for Payer: UHC Exchange |
$6.99
|
| Rate for Payer: UHC Medicaid |
$4.93
|
| Rate for Payer: UHC Medicare Advantage |
$6.99
|
| Rate for Payer: UHCCP Medicaid |
$4.93
|
| Rate for Payer: VA VA |
$6.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.98
|
|
|
MICONAZOLE NITRATE 2 % TOPICAL POWDER
|
Facility
|
IP
|
$21.81
|
|
|
Service Code
|
NDC 00316022530
|
| Hospital Charge Code |
10599
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$15.18 |
| Max. Negotiated Rate |
$19.63 |
| Rate for Payer: Aetna Commercial |
$18.54
|
| Rate for Payer: BCBS Trust/PPO |
$18.01
|
| Rate for Payer: BCN Commercial |
$18.01
|
| Rate for Payer: Cash Price |
$17.45
|
| Rate for Payer: Cofinity Commercial |
$18.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.45
|
| Rate for Payer: Healthscope Commercial |
$19.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.54
|
| Rate for Payer: Nomi Health Commercial |
$17.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.36
|
| Rate for Payer: PHP Commercial |
$18.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.19
|
| Rate for Payer: UHC Core |
$18.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.36
|
|
|
MICONAZOLE NITRATE 2 % TOPICAL POWDER
|
Facility
|
OP
|
$22.19
|
|
|
Service Code
|
NDC 80196052856
|
| Hospital Charge Code |
10599
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$3.91 |
| Max. Negotiated Rate |
$19.97 |
| Rate for Payer: Aetna Commercial |
$18.86
|
| Rate for Payer: Aetna Medicare |
$5.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.93
|
| Rate for Payer: BCBS Complete |
$4.11
|
| Rate for Payer: BCBS MAPPO |
$5.55
|
| Rate for Payer: BCBS Trust/PPO |
$18.24
|
| Rate for Payer: BCN Commercial |
$18.24
|
| Rate for Payer: BCN Medicare Advantage |
$5.55
|
| Rate for Payer: Cash Price |
$17.75
|
| Rate for Payer: Cofinity Commercial |
$19.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.55
|
| Rate for Payer: Healthscope Commercial |
$19.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.64
|
| Rate for Payer: Mclaren Medicaid |
$3.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.82
|
| Rate for Payer: Meridian Medicaid |
$4.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.86
|
| Rate for Payer: Nomi Health Commercial |
$18.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.64
|
| Rate for Payer: PACE Senior Care Partners |
$5.27
|
| Rate for Payer: PACE SWMI |
$5.55
|
| Rate for Payer: PHP Commercial |
$18.86
|
| Rate for Payer: PHP Medicare Advantage |
$5.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$19.31
|
| Rate for Payer: Priority Health Medicare |
$5.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.44
|
| Rate for Payer: Railroad Medicare Medicare |
$5.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.53
|
| Rate for Payer: UHC Core |
$18.53
|
| Rate for Payer: UHC Exchange |
$5.55
|
| Rate for Payer: UHC Medicaid |
$3.91
|
| Rate for Payer: UHC Medicare Advantage |
$5.55
|
| Rate for Payer: UHCCP Medicaid |
$3.91
|
| Rate for Payer: VA VA |
$5.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.64
|
|
|
MICRODERMABRASION
|
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
|
|
|
MICROFIBRILLAR COLLAGEN HEMOSTAT POWDER
|
Facility
|
IP
|
$1,025.98
|
|
|
Service Code
|
NDC 53276101002
|
| Hospital Charge Code |
10606
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$714.08 |
| Max. Negotiated Rate |
$923.38 |
| Rate for Payer: Aetna Commercial |
$872.08
|
| Rate for Payer: BCBS Trust/PPO |
$847.36
|
| Rate for Payer: BCN Commercial |
$847.36
|
| Rate for Payer: Cash Price |
$820.78
|
| Rate for Payer: Cofinity Commercial |
$882.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$820.78
|
| Rate for Payer: Healthscope Commercial |
$923.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$769.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$872.08
|
| Rate for Payer: Nomi Health Commercial |
$841.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$769.49
|
| Rate for Payer: PHP Commercial |
$872.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$892.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$714.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$902.86
|
| Rate for Payer: UHC Core |
$856.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$769.49
|
|
|
MICROFIBRILLAR COLLAGEN HEMOSTAT POWDER
|
Facility
|
OP
|
$1,025.98
|
|
|
Service Code
|
NDC 53276101002
|
| Hospital Charge Code |
10606
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$180.88 |
| Max. Negotiated Rate |
$923.38 |
| Rate for Payer: Aetna Commercial |
$872.08
|
| Rate for Payer: Aetna Medicare |
$266.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$320.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$320.62
|
| Rate for Payer: BCBS Complete |
$189.91
|
| Rate for Payer: BCBS MAPPO |
$256.50
|
| Rate for Payer: BCBS Trust/PPO |
$843.46
|
| Rate for Payer: BCN Commercial |
$843.46
|
| Rate for Payer: BCN Medicare Advantage |
$256.50
|
| Rate for Payer: Cash Price |
$820.78
|
| Rate for Payer: Cofinity Commercial |
$882.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$820.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$256.50
|
| Rate for Payer: Healthscope Commercial |
$923.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$769.49
|
| Rate for Payer: Mclaren Medicaid |
$180.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$269.32
|
| Rate for Payer: Meridian Medicaid |
$189.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$294.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$282.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$872.08
|
| Rate for Payer: Nomi Health Commercial |
$841.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$769.49
|
| Rate for Payer: PACE Senior Care Partners |
$243.67
|
| Rate for Payer: PACE SWMI |
$256.50
|
| Rate for Payer: PHP Commercial |
$872.08
|
| Rate for Payer: PHP Medicare Advantage |
$256.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$180.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$892.60
|
| Rate for Payer: Priority Health Medicare |
$259.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$714.08
|
| Rate for Payer: Railroad Medicare Medicare |
$256.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$902.86
|
| Rate for Payer: UHC Core |
$856.69
|
| Rate for Payer: UHC Exchange |
$256.50
|
| Rate for Payer: UHC Medicaid |
$180.88
|
| Rate for Payer: UHC Medicare Advantage |
$256.50
|
| Rate for Payer: UHCCP Medicaid |
$180.88
|
| Rate for Payer: VA VA |
$256.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$769.49
|
|
|
MICRO NEEDLING
|
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
|
|
|
MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP
|
Facility
|
IP
|
$42.46
|
|
|
Service Code
|
NDC 68094076462
|
| Hospital Charge Code |
120031
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$29.55 |
| Max. Negotiated Rate |
$38.21 |
| Rate for Payer: Aetna Commercial |
$36.09
|
| Rate for Payer: BCBS Trust/PPO |
$35.07
|
| Rate for Payer: BCN Commercial |
$35.07
|
| Rate for Payer: Cash Price |
$33.97
|
| Rate for Payer: Cofinity Commercial |
$36.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.97
|
| Rate for Payer: Healthscope Commercial |
$38.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.09
|
| Rate for Payer: Nomi Health Commercial |
$34.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.84
|
| Rate for Payer: PHP Commercial |
$36.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$36.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$29.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.36
|
| Rate for Payer: UHC Core |
$35.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.84
|
|
|
MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP
|
Facility
|
IP
|
$35.25
|
|
|
Service Code
|
NDC 00904711341
|
| Hospital Charge Code |
120031
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$24.53 |
| Max. Negotiated Rate |
$31.73 |
| Rate for Payer: Aetna Commercial |
$29.96
|
| Rate for Payer: BCBS Trust/PPO |
$29.11
|
| Rate for Payer: BCN Commercial |
$29.11
|
| Rate for Payer: Cash Price |
$28.20
|
| Rate for Payer: Cofinity Commercial |
$30.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.20
|
| Rate for Payer: Healthscope Commercial |
$31.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.96
|
| Rate for Payer: Nomi Health Commercial |
$28.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.44
|
| Rate for Payer: PHP Commercial |
$29.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$30.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$24.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.02
|
| Rate for Payer: UHC Core |
$29.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.44
|
|
|
MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP
|
Facility
|
OP
|
$42.46
|
|
|
Service Code
|
NDC 68094076462
|
| Hospital Charge Code |
120031
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$7.49 |
| Max. Negotiated Rate |
$38.21 |
| Rate for Payer: Aetna Commercial |
$36.09
|
| Rate for Payer: Aetna Medicare |
$11.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.27
|
| Rate for Payer: BCBS Complete |
$7.86
|
| Rate for Payer: BCBS MAPPO |
$10.62
|
| Rate for Payer: BCBS Trust/PPO |
$34.91
|
| Rate for Payer: BCN Commercial |
$34.91
|
| Rate for Payer: BCN Medicare Advantage |
$10.62
|
| Rate for Payer: Cash Price |
$33.97
|
| Rate for Payer: Cofinity Commercial |
$36.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.62
|
| Rate for Payer: Healthscope Commercial |
$38.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.84
|
| Rate for Payer: Mclaren Medicaid |
$7.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.15
|
| Rate for Payer: Meridian Medicaid |
$7.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.09
|
| Rate for Payer: Nomi Health Commercial |
$34.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.84
|
| Rate for Payer: PACE Senior Care Partners |
$10.08
|
| Rate for Payer: PACE SWMI |
$10.62
|
| Rate for Payer: PHP Commercial |
$36.09
|
| Rate for Payer: PHP Medicare Advantage |
$10.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$36.94
|
| Rate for Payer: Priority Health Medicare |
$10.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$29.55
|
| Rate for Payer: Railroad Medicare Medicare |
$10.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.36
|
| Rate for Payer: UHC Core |
$35.45
|
| Rate for Payer: UHC Exchange |
$10.62
|
| Rate for Payer: UHC Medicaid |
$7.49
|
| Rate for Payer: UHC Medicare Advantage |
$10.62
|
| Rate for Payer: UHCCP Medicaid |
$7.49
|
| Rate for Payer: VA VA |
$10.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.84
|
|
|
MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP
|
Facility
|
OP
|
$35.25
|
|
|
Service Code
|
NDC 00904711341
|
| Hospital Charge Code |
120031
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$6.21 |
| Max. Negotiated Rate |
$31.73 |
| Rate for Payer: Aetna Commercial |
$29.96
|
| Rate for Payer: Aetna Medicare |
$9.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.02
|
| Rate for Payer: BCBS Complete |
$6.52
|
| Rate for Payer: BCBS MAPPO |
$8.81
|
| Rate for Payer: BCBS Trust/PPO |
$28.98
|
| Rate for Payer: BCN Commercial |
$28.98
|
| Rate for Payer: BCN Medicare Advantage |
$8.81
|
| Rate for Payer: Cash Price |
$28.20
|
| Rate for Payer: Cofinity Commercial |
$30.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.81
|
| Rate for Payer: Healthscope Commercial |
$31.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.44
|
| Rate for Payer: Mclaren Medicaid |
$6.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.25
|
| Rate for Payer: Meridian Medicaid |
$6.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.96
|
| Rate for Payer: Nomi Health Commercial |
$28.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.44
|
| Rate for Payer: PACE Senior Care Partners |
$8.37
|
| Rate for Payer: PACE SWMI |
$8.81
|
| Rate for Payer: PHP Commercial |
$29.96
|
| Rate for Payer: PHP Medicare Advantage |
$8.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$30.67
|
| Rate for Payer: Priority Health Medicare |
$8.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$24.53
|
| Rate for Payer: Railroad Medicare Medicare |
$8.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.02
|
| Rate for Payer: UHC Core |
$29.43
|
| Rate for Payer: UHC Exchange |
$8.81
|
| Rate for Payer: UHC Medicaid |
$6.21
|
| Rate for Payer: UHC Medicare Advantage |
$8.81
|
| Rate for Payer: UHCCP Medicaid |
$6.21
|
| Rate for Payer: VA VA |
$8.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.44
|
|
|
MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP
|
Facility
|
OP
|
$42.46
|
|
|
Service Code
|
NDC 68094076459
|
| Hospital Charge Code |
120031
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$7.49 |
| Max. Negotiated Rate |
$38.21 |
| Rate for Payer: Aetna Commercial |
$36.09
|
| Rate for Payer: Aetna Medicare |
$11.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.27
|
| Rate for Payer: BCBS Complete |
$7.86
|
| Rate for Payer: BCBS MAPPO |
$10.62
|
| Rate for Payer: BCBS Trust/PPO |
$34.91
|
| Rate for Payer: BCN Commercial |
$34.91
|
| Rate for Payer: BCN Medicare Advantage |
$10.62
|
| Rate for Payer: Cash Price |
$33.97
|
| Rate for Payer: Cofinity Commercial |
$36.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.62
|
| Rate for Payer: Healthscope Commercial |
$38.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.84
|
| Rate for Payer: Mclaren Medicaid |
$7.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.15
|
| Rate for Payer: Meridian Medicaid |
$7.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.09
|
| Rate for Payer: Nomi Health Commercial |
$34.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.84
|
| Rate for Payer: PACE Senior Care Partners |
$10.08
|
| Rate for Payer: PACE SWMI |
$10.62
|
| Rate for Payer: PHP Commercial |
$36.09
|
| Rate for Payer: PHP Medicare Advantage |
$10.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$36.94
|
| Rate for Payer: Priority Health Medicare |
$10.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$29.55
|
| Rate for Payer: Railroad Medicare Medicare |
$10.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.36
|
| Rate for Payer: UHC Core |
$35.45
|
| Rate for Payer: UHC Exchange |
$10.62
|
| Rate for Payer: UHC Medicaid |
$7.49
|
| Rate for Payer: UHC Medicare Advantage |
$10.62
|
| Rate for Payer: UHCCP Medicaid |
$7.49
|
| Rate for Payer: VA VA |
$10.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.84
|
|
|
MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP
|
Facility
|
OP
|
$35.25
|
|
|
Service Code
|
NDC 00904711393
|
| Hospital Charge Code |
120031
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$6.21 |
| Max. Negotiated Rate |
$31.73 |
| Rate for Payer: Aetna Commercial |
$29.96
|
| Rate for Payer: Aetna Medicare |
$9.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.02
|
| Rate for Payer: BCBS Complete |
$6.52
|
| Rate for Payer: BCBS MAPPO |
$8.81
|
| Rate for Payer: BCBS Trust/PPO |
$28.98
|
| Rate for Payer: BCN Commercial |
$28.98
|
| Rate for Payer: BCN Medicare Advantage |
$8.81
|
| Rate for Payer: Cash Price |
$28.20
|
| Rate for Payer: Cofinity Commercial |
$30.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.81
|
| Rate for Payer: Healthscope Commercial |
$31.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.44
|
| Rate for Payer: Mclaren Medicaid |
$6.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.25
|
| Rate for Payer: Meridian Medicaid |
$6.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.96
|
| Rate for Payer: Nomi Health Commercial |
$28.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.44
|
| Rate for Payer: PACE Senior Care Partners |
$8.37
|
| Rate for Payer: PACE SWMI |
$8.81
|
| Rate for Payer: PHP Commercial |
$29.96
|
| Rate for Payer: PHP Medicare Advantage |
$8.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$30.67
|
| Rate for Payer: Priority Health Medicare |
$8.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$24.53
|
| Rate for Payer: Railroad Medicare Medicare |
$8.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.02
|
| Rate for Payer: UHC Core |
$29.43
|
| Rate for Payer: UHC Exchange |
$8.81
|
| Rate for Payer: UHC Medicaid |
$6.21
|
| Rate for Payer: UHC Medicare Advantage |
$8.81
|
| Rate for Payer: UHCCP Medicaid |
$6.21
|
| Rate for Payer: VA VA |
$8.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.44
|
|
|
MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP
|
Facility
|
OP
|
$38.61
|
|
|
Service Code
|
NDC 60687057646
|
| Hospital Charge Code |
120031
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$6.81 |
| Max. Negotiated Rate |
$34.75 |
| Rate for Payer: Aetna Commercial |
$32.82
|
| Rate for Payer: Aetna Medicare |
$10.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.07
|
| Rate for Payer: BCBS Complete |
$7.15
|
| Rate for Payer: BCBS MAPPO |
$9.65
|
| Rate for Payer: BCBS Trust/PPO |
$31.74
|
| Rate for Payer: BCN Commercial |
$31.74
|
| Rate for Payer: BCN Medicare Advantage |
$9.65
|
| Rate for Payer: Cash Price |
$30.89
|
| Rate for Payer: Cofinity Commercial |
$33.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.65
|
| Rate for Payer: Healthscope Commercial |
$34.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.96
|
| Rate for Payer: Mclaren Medicaid |
$6.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.14
|
| Rate for Payer: Meridian Medicaid |
$7.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32.82
|
| Rate for Payer: Nomi Health Commercial |
$31.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.96
|
| Rate for Payer: PACE Senior Care Partners |
$9.17
|
| Rate for Payer: PACE SWMI |
$9.65
|
| Rate for Payer: PHP Commercial |
$32.82
|
| Rate for Payer: PHP Medicare Advantage |
$9.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$33.59
|
| Rate for Payer: Priority Health Medicare |
$9.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$26.87
|
| Rate for Payer: Railroad Medicare Medicare |
$9.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.98
|
| Rate for Payer: UHC Core |
$32.24
|
| Rate for Payer: UHC Exchange |
$9.65
|
| Rate for Payer: UHC Medicaid |
$6.81
|
| Rate for Payer: UHC Medicare Advantage |
$9.65
|
| Rate for Payer: UHCCP Medicaid |
$6.81
|
| Rate for Payer: VA VA |
$9.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.96
|
|
|
MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP
|
Facility
|
IP
|
$35.25
|
|
|
Service Code
|
NDC 00904711393
|
| Hospital Charge Code |
120031
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$24.53 |
| Max. Negotiated Rate |
$31.73 |
| Rate for Payer: Aetna Commercial |
$29.96
|
| Rate for Payer: BCBS Trust/PPO |
$29.11
|
| Rate for Payer: BCN Commercial |
$29.11
|
| Rate for Payer: Cash Price |
$28.20
|
| Rate for Payer: Cofinity Commercial |
$30.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.20
|
| Rate for Payer: Healthscope Commercial |
$31.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.96
|
| Rate for Payer: Nomi Health Commercial |
$28.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.44
|
| Rate for Payer: PHP Commercial |
$29.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$30.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$24.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.02
|
| Rate for Payer: UHC Core |
$29.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.44
|
|
|
MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP
|
Facility
|
IP
|
$38.61
|
|
|
Service Code
|
NDC 60687057640
|
| Hospital Charge Code |
120031
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$26.87 |
| Max. Negotiated Rate |
$34.75 |
| Rate for Payer: Aetna Commercial |
$32.82
|
| Rate for Payer: BCBS Trust/PPO |
$31.89
|
| Rate for Payer: BCN Commercial |
$31.89
|
| Rate for Payer: Cash Price |
$30.89
|
| Rate for Payer: Cofinity Commercial |
$33.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.89
|
| Rate for Payer: Healthscope Commercial |
$34.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32.82
|
| Rate for Payer: Nomi Health Commercial |
$31.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.96
|
| Rate for Payer: PHP Commercial |
$32.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$33.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$26.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.98
|
| Rate for Payer: UHC Core |
$32.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.96
|
|
|
MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP
|
Facility
|
OP
|
$38.61
|
|
|
Service Code
|
NDC 60687057640
|
| Hospital Charge Code |
120031
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$6.81 |
| Max. Negotiated Rate |
$34.75 |
| Rate for Payer: Aetna Commercial |
$32.82
|
| Rate for Payer: Aetna Medicare |
$10.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.07
|
| Rate for Payer: BCBS Complete |
$7.15
|
| Rate for Payer: BCBS MAPPO |
$9.65
|
| Rate for Payer: BCBS Trust/PPO |
$31.74
|
| Rate for Payer: BCN Commercial |
$31.74
|
| Rate for Payer: BCN Medicare Advantage |
$9.65
|
| Rate for Payer: Cash Price |
$30.89
|
| Rate for Payer: Cofinity Commercial |
$33.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.65
|
| Rate for Payer: Healthscope Commercial |
$34.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.96
|
| Rate for Payer: Mclaren Medicaid |
$6.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.14
|
| Rate for Payer: Meridian Medicaid |
$7.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32.82
|
| Rate for Payer: Nomi Health Commercial |
$31.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.96
|
| Rate for Payer: PACE Senior Care Partners |
$9.17
|
| Rate for Payer: PACE SWMI |
$9.65
|
| Rate for Payer: PHP Commercial |
$32.82
|
| Rate for Payer: PHP Medicare Advantage |
$9.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$33.59
|
| Rate for Payer: Priority Health Medicare |
$9.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$26.87
|
| Rate for Payer: Railroad Medicare Medicare |
$9.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.98
|
| Rate for Payer: UHC Core |
$32.24
|
| Rate for Payer: UHC Exchange |
$9.65
|
| Rate for Payer: UHC Medicaid |
$6.81
|
| Rate for Payer: UHC Medicare Advantage |
$9.65
|
| Rate for Payer: UHCCP Medicaid |
$6.81
|
| Rate for Payer: VA VA |
$9.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.96
|
|
|
MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP
|
Facility
|
IP
|
$42.46
|
|
|
Service Code
|
NDC 68094076459
|
| Hospital Charge Code |
120031
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$29.55 |
| Max. Negotiated Rate |
$38.21 |
| Rate for Payer: Aetna Commercial |
$36.09
|
| Rate for Payer: BCBS Trust/PPO |
$35.07
|
| Rate for Payer: BCN Commercial |
$35.07
|
| Rate for Payer: Cash Price |
$33.97
|
| Rate for Payer: Cofinity Commercial |
$36.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.97
|
| Rate for Payer: Healthscope Commercial |
$38.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.09
|
| Rate for Payer: Nomi Health Commercial |
$34.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.84
|
| Rate for Payer: PHP Commercial |
$36.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$36.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$29.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.36
|
| Rate for Payer: UHC Core |
$35.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.84
|
|
|
MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP
|
Facility
|
IP
|
$38.61
|
|
|
Service Code
|
NDC 60687057646
|
| Hospital Charge Code |
120031
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$26.87 |
| Max. Negotiated Rate |
$34.75 |
| Rate for Payer: Aetna Commercial |
$32.82
|
| Rate for Payer: BCBS Trust/PPO |
$31.89
|
| Rate for Payer: BCN Commercial |
$31.89
|
| Rate for Payer: Cash Price |
$30.89
|
| Rate for Payer: Cofinity Commercial |
$33.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.89
|
| Rate for Payer: Healthscope Commercial |
$34.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32.82
|
| Rate for Payer: Nomi Health Commercial |
$31.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.96
|
| Rate for Payer: PHP Commercial |
$32.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$33.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$26.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.98
|
| Rate for Payer: UHC Core |
$32.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.96
|
|
|
MIDAZOLAM 1 MG/ML INJECTION SOLUTION
|
Facility
|
IP
|
$15.48
|
|
|
Service Code
|
HCPCS J2250
|
| Hospital Charge Code |
10607
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$10.77 |
| Max. Negotiated Rate |
$13.93 |
| Rate for Payer: Aetna Commercial |
$13.16
|
| Rate for Payer: Aetna Commercial |
$13.08
|
| Rate for Payer: Aetna Commercial |
$12.14
|
| Rate for Payer: Aetna Commercial |
$9.23
|
| Rate for Payer: Aetna Commercial |
$9.92
|
| Rate for Payer: Aetna Commercial |
$12.19
|
| Rate for Payer: Aetna Commercial |
$20.29
|
| Rate for Payer: Aetna Commercial |
$18.87
|
| Rate for Payer: BCBS Trust/PPO |
$18.33
|
| Rate for Payer: BCBS Trust/PPO |
$12.71
|
| Rate for Payer: BCBS Trust/PPO |
$12.78
|
| Rate for Payer: BCBS Trust/PPO |
$8.97
|
| Rate for Payer: BCBS Trust/PPO |
$19.71
|
| Rate for Payer: BCBS Trust/PPO |
$9.64
|
| Rate for Payer: BCBS Trust/PPO |
$11.84
|
| Rate for Payer: BCBS Trust/PPO |
$11.79
|
| Rate for Payer: BCN Commercial |
$11.79
|
| Rate for Payer: BCN Commercial |
$8.97
|
| Rate for Payer: BCN Commercial |
$11.84
|
| Rate for Payer: BCN Commercial |
$9.64
|
| Rate for Payer: BCN Commercial |
$12.78
|
| Rate for Payer: BCN Commercial |
$19.71
|
| Rate for Payer: BCN Commercial |
$12.71
|
| Rate for Payer: BCN Commercial |
$18.33
|
| Rate for Payer: Cash Price |
$17.76
|
| Rate for Payer: Cash Price |
$11.42
|
| Rate for Payer: Cash Price |
$12.31
|
| Rate for Payer: Cash Price |
$9.34
|
| Rate for Payer: Cash Price |
$8.69
|
| Rate for Payer: Cash Price |
$11.47
|
| Rate for Payer: Cash Price |
$19.10
|
| Rate for Payer: Cash Price |
$12.38
|
| Rate for Payer: Cofinity Commercial |
$12.33
|
| Rate for Payer: Cofinity Commercial |
$9.34
|
| Rate for Payer: Cofinity Commercial |
$12.28
|
| Rate for Payer: Cofinity Commercial |
$10.04
|
| Rate for Payer: Cofinity Commercial |
$13.24
|
| Rate for Payer: Cofinity Commercial |
$13.31
|
| Rate for Payer: Cofinity Commercial |
$19.09
|
| Rate for Payer: Cofinity Commercial |
$20.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.34
|
| Rate for Payer: Healthscope Commercial |
$9.77
|
| Rate for Payer: Healthscope Commercial |
$21.48
|
| Rate for Payer: Healthscope Commercial |
$19.98
|
| Rate for Payer: Healthscope Commercial |
$12.91
|
| Rate for Payer: Healthscope Commercial |
$10.50
|
| Rate for Payer: Healthscope Commercial |
$12.85
|
| Rate for Payer: Healthscope Commercial |
$13.93
|
| Rate for Payer: Healthscope Commercial |
$13.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.87
|
| Rate for Payer: Nomi Health Commercial |
$18.20
|
| Rate for Payer: Nomi Health Commercial |
$12.62
|
| Rate for Payer: Nomi Health Commercial |
$12.69
|
| Rate for Payer: Nomi Health Commercial |
$19.57
|
| Rate for Payer: Nomi Health Commercial |
$8.91
|
| Rate for Payer: Nomi Health Commercial |
$9.57
|
| Rate for Payer: Nomi Health Commercial |
$11.76
|
| Rate for Payer: Nomi Health Commercial |
$11.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.61
|
| Rate for Payer: PHP Commercial |
$9.23
|
| Rate for Payer: PHP Commercial |
$13.08
|
| Rate for Payer: PHP Commercial |
$12.19
|
| Rate for Payer: PHP Commercial |
$13.16
|
| Rate for Payer: PHP Commercial |
$9.92
|
| Rate for Payer: PHP Commercial |
$12.14
|
| Rate for Payer: PHP Commercial |
$18.87
|
| Rate for Payer: PHP Commercial |
$20.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$19.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$20.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.27
|
| Rate for Payer: UHC Core |
$11.97
|
| Rate for Payer: UHC Core |
$9.07
|
| Rate for Payer: UHC Core |
$12.93
|
| Rate for Payer: UHC Core |
$9.74
|
| Rate for Payer: UHC Core |
$12.85
|
| Rate for Payer: UHC Core |
$19.93
|
| Rate for Payer: UHC Core |
$18.54
|
| Rate for Payer: UHC Core |
$11.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.54
|
|
|
MIDAZOLAM 1 MG/ML INJECTION SOLUTION
|
Facility
|
OP
|
$10.86
|
|
|
Service Code
|
HCPCS J2250
|
| Hospital Charge Code |
10607
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.91 |
| Max. Negotiated Rate |
$9.77 |
| Rate for Payer: Aetna Commercial |
$9.23
|
| Rate for Payer: Aetna Commercial |
$9.92
|
| Rate for Payer: Aetna Commercial |
$12.14
|
| Rate for Payer: Aetna Commercial |
$12.19
|
| Rate for Payer: Aetna Commercial |
$13.08
|
| Rate for Payer: Aetna Commercial |
$13.16
|
| Rate for Payer: Aetna Commercial |
$18.87
|
| Rate for Payer: Aetna Commercial |
$20.29
|
| Rate for Payer: Aetna Medicare |
$4.02
|
| Rate for Payer: Aetna Medicare |
$4.00
|
| Rate for Payer: Aetna Medicare |
$6.21
|
| Rate for Payer: Aetna Medicare |
$5.77
|
| Rate for Payer: Aetna Medicare |
$3.71
|
| Rate for Payer: Aetna Medicare |
$3.73
|
| Rate for Payer: Aetna Medicare |
$2.82
|
| Rate for Payer: Aetna Medicare |
$3.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.46
|
| Rate for Payer: BCBS Complete |
$2.85
|
| Rate for Payer: BCBS Complete |
$2.16
|
| Rate for Payer: BCBS Complete |
$2.64
|
| Rate for Payer: BCBS Complete |
$2.65
|
| Rate for Payer: BCBS Complete |
$2.01
|
| Rate for Payer: BCBS Complete |
$2.87
|
| Rate for Payer: BCBS Complete |
$4.11
|
| Rate for Payer: BCBS Complete |
$4.42
|
| Rate for Payer: BCBS MAPPO |
$2.92
|
| Rate for Payer: BCBS MAPPO |
$3.85
|
| Rate for Payer: BCBS MAPPO |
$2.71
|
| Rate for Payer: BCBS MAPPO |
$5.97
|
| Rate for Payer: BCBS MAPPO |
$5.55
|
| Rate for Payer: BCBS MAPPO |
$3.57
|
| Rate for Payer: BCBS MAPPO |
$3.58
|
| Rate for Payer: BCBS MAPPO |
$3.87
|
| Rate for Payer: BCBS Trust/PPO |
$18.25
|
| Rate for Payer: BCBS Trust/PPO |
$12.65
|
| Rate for Payer: BCBS Trust/PPO |
$9.59
|
| Rate for Payer: BCBS Trust/PPO |
$11.79
|
| Rate for Payer: BCBS Trust/PPO |
$8.93
|
| Rate for Payer: BCBS Trust/PPO |
$19.62
|
| Rate for Payer: BCBS Trust/PPO |
$12.73
|
| Rate for Payer: BCBS Trust/PPO |
$11.74
|
| Rate for Payer: BCN Commercial |
$18.25
|
| Rate for Payer: BCN Commercial |
$8.93
|
| Rate for Payer: BCN Commercial |
$12.65
|
| Rate for Payer: BCN Commercial |
$11.79
|
| Rate for Payer: BCN Commercial |
$9.59
|
| Rate for Payer: BCN Commercial |
$12.73
|
| Rate for Payer: BCN Commercial |
$19.62
|
| Rate for Payer: BCN Commercial |
$11.74
|
| Rate for Payer: BCN Medicare Advantage |
$2.92
|
| Rate for Payer: BCN Medicare Advantage |
$2.71
|
| Rate for Payer: BCN Medicare Advantage |
$3.87
|
| Rate for Payer: BCN Medicare Advantage |
$3.58
|
| Rate for Payer: BCN Medicare Advantage |
$3.57
|
| Rate for Payer: BCN Medicare Advantage |
$3.85
|
| Rate for Payer: BCN Medicare Advantage |
$5.55
|
| Rate for Payer: BCN Medicare Advantage |
$5.97
|
| Rate for Payer: Cash Price |
$11.42
|
| Rate for Payer: Cash Price |
$12.31
|
| Rate for Payer: Cash Price |
$8.69
|
| Rate for Payer: Cash Price |
$12.38
|
| Rate for Payer: Cash Price |
$19.10
|
| Rate for Payer: Cash Price |
$9.34
|
| Rate for Payer: Cash Price |
$17.76
|
| Rate for Payer: Cash Price |
$11.47
|
| Rate for Payer: Cofinity Commercial |
$13.31
|
| Rate for Payer: Cofinity Commercial |
$20.53
|
| Rate for Payer: Cofinity Commercial |
$19.09
|
| Rate for Payer: Cofinity Commercial |
$12.28
|
| Rate for Payer: Cofinity Commercial |
$9.34
|
| Rate for Payer: Cofinity Commercial |
$10.04
|
| Rate for Payer: Cofinity Commercial |
$12.33
|
| Rate for Payer: Cofinity Commercial |
$13.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.57
|
| Rate for Payer: Healthscope Commercial |
$21.48
|
| Rate for Payer: Healthscope Commercial |
$19.98
|
| Rate for Payer: Healthscope Commercial |
$12.85
|
| Rate for Payer: Healthscope Commercial |
$10.50
|
| Rate for Payer: Healthscope Commercial |
$13.85
|
| Rate for Payer: Healthscope Commercial |
$12.91
|
| Rate for Payer: Healthscope Commercial |
$13.93
|
| Rate for Payer: Healthscope Commercial |
$9.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.61
|
| Rate for Payer: Mclaren Medicaid |
$4.21
|
| Rate for Payer: Mclaren Medicaid |
$2.52
|
| Rate for Payer: Mclaren Medicaid |
$3.91
|
| Rate for Payer: Mclaren Medicaid |
$2.73
|
| Rate for Payer: Mclaren Medicaid |
$2.06
|
| Rate for Payer: Mclaren Medicaid |
$2.53
|
| Rate for Payer: Mclaren Medicaid |
$2.71
|
| Rate for Payer: Mclaren Medicaid |
$1.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.06
|
| Rate for Payer: Meridian Medicaid |
$2.16
|
| Rate for Payer: Meridian Medicaid |
$2.65
|
| Rate for Payer: Meridian Medicaid |
$2.87
|
| Rate for Payer: Meridian Medicaid |
$2.85
|
| Rate for Payer: Meridian Medicaid |
$2.01
|
| Rate for Payer: Meridian Medicaid |
$2.64
|
| Rate for Payer: Meridian Medicaid |
$4.42
|
| Rate for Payer: Meridian Medicaid |
$4.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$2.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.29
|
| Rate for Payer: Nomi Health Commercial |
$11.71
|
| Rate for Payer: Nomi Health Commercial |
$8.91
|
| Rate for Payer: Nomi Health Commercial |
$11.76
|
| Rate for Payer: Nomi Health Commercial |
$18.20
|
| Rate for Payer: Nomi Health Commercial |
$12.69
|
| Rate for Payer: Nomi Health Commercial |
$19.57
|
| Rate for Payer: Nomi Health Commercial |
$9.57
|
| Rate for Payer: Nomi Health Commercial |
$12.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.61
|
| Rate for Payer: PACE Senior Care Partners |
$3.68
|
| Rate for Payer: PACE Senior Care Partners |
$5.67
|
| Rate for Payer: PACE Senior Care Partners |
$2.77
|
| Rate for Payer: PACE Senior Care Partners |
$3.66
|
| Rate for Payer: PACE Senior Care Partners |
$2.58
|
| Rate for Payer: PACE Senior Care Partners |
$5.27
|
| Rate for Payer: PACE Senior Care Partners |
$3.39
|
| Rate for Payer: PACE Senior Care Partners |
$3.41
|
| Rate for Payer: PACE SWMI |
$3.85
|
| Rate for Payer: PACE SWMI |
$3.58
|
| Rate for Payer: PACE SWMI |
$2.71
|
| Rate for Payer: PACE SWMI |
$2.92
|
| Rate for Payer: PACE SWMI |
$5.97
|
| Rate for Payer: PACE SWMI |
$3.87
|
| Rate for Payer: PACE SWMI |
$3.57
|
| Rate for Payer: PACE SWMI |
$5.55
|
| Rate for Payer: PHP Commercial |
$12.14
|
| Rate for Payer: PHP Commercial |
$9.23
|
| Rate for Payer: PHP Commercial |
$13.08
|
| Rate for Payer: PHP Commercial |
$12.19
|
| Rate for Payer: PHP Commercial |
$13.16
|
| Rate for Payer: PHP Commercial |
$20.29
|
| Rate for Payer: PHP Commercial |
$9.92
|
| Rate for Payer: PHP Commercial |
$18.87
|
| Rate for Payer: PHP Medicare Advantage |
$2.92
|
| Rate for Payer: PHP Medicare Advantage |
$3.58
|
| Rate for Payer: PHP Medicare Advantage |
$3.85
|
| Rate for Payer: PHP Medicare Advantage |
$3.57
|
| Rate for Payer: PHP Medicare Advantage |
$3.87
|
| Rate for Payer: PHP Medicare Advantage |
$5.55
|
| Rate for Payer: PHP Medicare Advantage |
$2.71
|
| Rate for Payer: PHP Medicare Advantage |
$5.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$20.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$19.31
|
| Rate for Payer: Priority Health Medicare |
$6.03
|
| Rate for Payer: Priority Health Medicare |
$3.61
|
| Rate for Payer: Priority Health Medicare |
$2.74
|
| Rate for Payer: Priority Health Medicare |
$3.62
|
| Rate for Payer: Priority Health Medicare |
$3.89
|
| Rate for Payer: Priority Health Medicare |
$3.91
|
| Rate for Payer: Priority Health Medicare |
$5.61
|
| Rate for Payer: Priority Health Medicare |
$2.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.61
|
| Rate for Payer: Railroad Medicare Medicare |
$3.57
|
| Rate for Payer: Railroad Medicare Medicare |
$5.55
|
| Rate for Payer: Railroad Medicare Medicare |
$5.97
|
| Rate for Payer: Railroad Medicare Medicare |
$2.71
|
| Rate for Payer: Railroad Medicare Medicare |
$3.87
|
| Rate for Payer: Railroad Medicare Medicare |
$2.92
|
| Rate for Payer: Railroad Medicare Medicare |
$3.58
|
| Rate for Payer: Railroad Medicare Medicare |
$3.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.01
|
| Rate for Payer: UHC Core |
$9.74
|
| Rate for Payer: UHC Core |
$11.97
|
| Rate for Payer: UHC Core |
$12.85
|
| Rate for Payer: UHC Core |
$11.92
|
| Rate for Payer: UHC Core |
$18.54
|
| Rate for Payer: UHC Core |
$19.93
|
| Rate for Payer: UHC Core |
$9.07
|
| Rate for Payer: UHC Core |
$12.93
|
| Rate for Payer: UHC Exchange |
$3.57
|
| Rate for Payer: UHC Exchange |
$5.55
|
| Rate for Payer: UHC Exchange |
$3.85
|
| Rate for Payer: UHC Exchange |
$2.92
|
| Rate for Payer: UHC Exchange |
$2.71
|
| Rate for Payer: UHC Exchange |
$5.97
|
| Rate for Payer: UHC Exchange |
$3.87
|
| Rate for Payer: UHC Exchange |
$3.58
|
| Rate for Payer: UHC Medicaid |
$2.73
|
| Rate for Payer: UHC Medicaid |
$3.91
|
| Rate for Payer: UHC Medicaid |
$2.71
|
| Rate for Payer: UHC Medicaid |
$2.52
|
| Rate for Payer: UHC Medicaid |
$1.91
|
| Rate for Payer: UHC Medicaid |
$4.21
|
| Rate for Payer: UHC Medicaid |
$2.06
|
| Rate for Payer: UHC Medicaid |
$2.53
|
| Rate for Payer: UHC Medicare Advantage |
$2.71
|
| Rate for Payer: UHC Medicare Advantage |
$5.55
|
| Rate for Payer: UHC Medicare Advantage |
$3.57
|
| Rate for Payer: UHC Medicare Advantage |
$5.97
|
| Rate for Payer: UHC Medicare Advantage |
$3.87
|
| Rate for Payer: UHC Medicare Advantage |
$2.92
|
| Rate for Payer: UHC Medicare Advantage |
$3.58
|
| Rate for Payer: UHC Medicare Advantage |
$3.85
|
| Rate for Payer: UHCCP Medicaid |
$2.71
|
| Rate for Payer: UHCCP Medicaid |
$1.91
|
| Rate for Payer: UHCCP Medicaid |
$2.73
|
| Rate for Payer: UHCCP Medicaid |
$2.52
|
| Rate for Payer: UHCCP Medicaid |
$2.06
|
| Rate for Payer: UHCCP Medicaid |
$2.53
|
| Rate for Payer: UHCCP Medicaid |
$4.21
|
| Rate for Payer: UHCCP Medicaid |
$3.91
|
| Rate for Payer: VA VA |
$3.57
|
| Rate for Payer: VA VA |
$5.97
|
| Rate for Payer: VA VA |
$3.87
|
| Rate for Payer: VA VA |
$5.55
|
| Rate for Payer: VA VA |
$2.71
|
| Rate for Payer: VA VA |
$3.58
|
| Rate for Payer: VA VA |
$2.92
|
| Rate for Payer: VA VA |
$3.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.71
|
|
|
MIDAZOLAM 5 MG/ML INJECTION SOLUTION
|
Facility
|
OP
|
$18.62
|
|
|
Service Code
|
HCPCS J2250
|
| Hospital Charge Code |
10608
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3.28 |
| Max. Negotiated Rate |
$16.76 |
| Rate for Payer: Aetna Commercial |
$15.83
|
| Rate for Payer: Aetna Commercial |
$17.99
|
| Rate for Payer: Aetna Commercial |
$17.52
|
| Rate for Payer: Aetna Medicare |
$5.50
|
| Rate for Payer: Aetna Medicare |
$4.84
|
| Rate for Payer: Aetna Medicare |
$5.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.61
|
| Rate for Payer: BCBS Complete |
$3.81
|
| Rate for Payer: BCBS Complete |
$3.45
|
| Rate for Payer: BCBS Complete |
$3.92
|
| Rate for Payer: BCBS MAPPO |
$5.29
|
| Rate for Payer: BCBS MAPPO |
$4.66
|
| Rate for Payer: BCBS MAPPO |
$5.15
|
| Rate for Payer: BCBS Trust/PPO |
$15.31
|
| Rate for Payer: BCBS Trust/PPO |
$16.94
|
| Rate for Payer: BCBS Trust/PPO |
$17.40
|
| Rate for Payer: BCN Commercial |
$16.94
|
| Rate for Payer: BCN Commercial |
$17.40
|
| Rate for Payer: BCN Commercial |
$15.31
|
| Rate for Payer: BCN Medicare Advantage |
$5.29
|
| Rate for Payer: BCN Medicare Advantage |
$5.15
|
| Rate for Payer: BCN Medicare Advantage |
$4.66
|
| Rate for Payer: Cash Price |
$16.93
|
| Rate for Payer: Cash Price |
$16.49
|
| Rate for Payer: Cash Price |
$14.90
|
| Rate for Payer: Cofinity Commercial |
$16.01
|
| Rate for Payer: Cofinity Commercial |
$17.72
|
| Rate for Payer: Cofinity Commercial |
$18.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.66
|
| Rate for Payer: Healthscope Commercial |
$18.55
|
| Rate for Payer: Healthscope Commercial |
$16.76
|
| Rate for Payer: Healthscope Commercial |
$19.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.46
|
| Rate for Payer: Mclaren Medicaid |
$3.28
|
| Rate for Payer: Mclaren Medicaid |
$3.73
|
| Rate for Payer: Mclaren Medicaid |
$3.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.55
|
| Rate for Payer: Meridian Medicaid |
$3.92
|
| Rate for Payer: Meridian Medicaid |
$3.45
|
| Rate for Payer: Meridian Medicaid |
$3.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.52
|
| Rate for Payer: Nomi Health Commercial |
$17.35
|
| Rate for Payer: Nomi Health Commercial |
$16.90
|
| Rate for Payer: Nomi Health Commercial |
$15.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.96
|
| Rate for Payer: PACE Senior Care Partners |
$4.89
|
| Rate for Payer: PACE Senior Care Partners |
$4.42
|
| Rate for Payer: PACE Senior Care Partners |
$5.03
|
| Rate for Payer: PACE SWMI |
$5.29
|
| Rate for Payer: PACE SWMI |
$5.15
|
| Rate for Payer: PACE SWMI |
$4.66
|
| Rate for Payer: PHP Commercial |
$15.83
|
| Rate for Payer: PHP Commercial |
$17.99
|
| Rate for Payer: PHP Commercial |
$17.52
|
| Rate for Payer: PHP Medicare Advantage |
$5.15
|
| Rate for Payer: PHP Medicare Advantage |
$4.66
|
| Rate for Payer: PHP Medicare Advantage |
$5.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$16.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.41
|
| Rate for Payer: Priority Health Medicare |
$5.34
|
| Rate for Payer: Priority Health Medicare |
$5.20
|
| Rate for Payer: Priority Health Medicare |
$4.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.96
|
| Rate for Payer: Railroad Medicare Medicare |
$5.15
|
| Rate for Payer: Railroad Medicare Medicare |
$5.29
|
| Rate for Payer: Railroad Medicare Medicare |
$4.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16.39
|
| Rate for Payer: UHC Core |
$15.55
|
| Rate for Payer: UHC Core |
$17.67
|
| Rate for Payer: UHC Core |
$17.21
|
| Rate for Payer: UHC Exchange |
$5.29
|
| Rate for Payer: UHC Exchange |
$5.15
|
| Rate for Payer: UHC Exchange |
$4.66
|
| Rate for Payer: UHC Medicaid |
$3.28
|
| Rate for Payer: UHC Medicaid |
$3.73
|
| Rate for Payer: UHC Medicaid |
$3.63
|
| Rate for Payer: UHC Medicare Advantage |
$5.15
|
| Rate for Payer: UHC Medicare Advantage |
$4.66
|
| Rate for Payer: UHC Medicare Advantage |
$5.29
|
| Rate for Payer: UHCCP Medicaid |
$3.63
|
| Rate for Payer: UHCCP Medicaid |
$3.28
|
| Rate for Payer: UHCCP Medicaid |
$3.73
|
| Rate for Payer: VA VA |
$4.66
|
| Rate for Payer: VA VA |
$5.29
|
| Rate for Payer: VA VA |
$5.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.87
|
|
|
MIDAZOLAM 5 MG/ML INJECTION SOLUTION
|
Facility
|
IP
|
$18.62
|
|
|
Service Code
|
HCPCS J2250
|
| Hospital Charge Code |
10608
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$12.96 |
| Max. Negotiated Rate |
$16.76 |
| Rate for Payer: Aetna Commercial |
$15.83
|
| Rate for Payer: Aetna Commercial |
$17.52
|
| Rate for Payer: Aetna Commercial |
$17.99
|
| Rate for Payer: BCBS Trust/PPO |
$17.02
|
| Rate for Payer: BCBS Trust/PPO |
$15.38
|
| Rate for Payer: BCBS Trust/PPO |
$17.48
|
| Rate for Payer: BCN Commercial |
$17.02
|
| Rate for Payer: BCN Commercial |
$15.38
|
| Rate for Payer: BCN Commercial |
$17.48
|
| Rate for Payer: Cash Price |
$14.90
|
| Rate for Payer: Cash Price |
$16.93
|
| Rate for Payer: Cash Price |
$16.49
|
| Rate for Payer: Cofinity Commercial |
$18.20
|
| Rate for Payer: Cofinity Commercial |
$17.72
|
| Rate for Payer: Cofinity Commercial |
$16.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.93
|
| Rate for Payer: Healthscope Commercial |
$18.55
|
| Rate for Payer: Healthscope Commercial |
$16.76
|
| Rate for Payer: Healthscope Commercial |
$19.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.99
|
| Rate for Payer: Nomi Health Commercial |
$15.27
|
| Rate for Payer: Nomi Health Commercial |
$16.90
|
| Rate for Payer: Nomi Health Commercial |
$17.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.87
|
| Rate for Payer: PHP Commercial |
$15.83
|
| Rate for Payer: PHP Commercial |
$17.99
|
| Rate for Payer: PHP Commercial |
$17.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$16.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16.39
|
| Rate for Payer: UHC Core |
$15.55
|
| Rate for Payer: UHC Core |
$17.67
|
| Rate for Payer: UHC Core |
$17.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.46
|
|
|
MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION
|
Facility
|
OP
|
$13.79
|
|
|
Service Code
|
HCPCS J2250
|
| Hospital Charge Code |
168786
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.43 |
| Max. Negotiated Rate |
$12.41 |
| Rate for Payer: Aetna Commercial |
$11.72
|
| Rate for Payer: Aetna Commercial |
$12.27
|
| Rate for Payer: Aetna Commercial |
$12.43
|
| Rate for Payer: Aetna Commercial |
$11.86
|
| Rate for Payer: Aetna Medicare |
$3.63
|
| Rate for Payer: Aetna Medicare |
$3.59
|
| Rate for Payer: Aetna Medicare |
$3.75
|
| Rate for Payer: Aetna Medicare |
$3.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.31
|
| Rate for Payer: BCBS Complete |
$2.71
|
| Rate for Payer: BCBS Complete |
$2.58
|
| Rate for Payer: BCBS Complete |
$2.55
|
| Rate for Payer: BCBS Complete |
$2.67
|
| Rate for Payer: BCBS MAPPO |
$3.45
|
| Rate for Payer: BCBS MAPPO |
$3.49
|
| Rate for Payer: BCBS MAPPO |
$3.65
|
| Rate for Payer: BCBS MAPPO |
$3.61
|
| Rate for Payer: BCBS Trust/PPO |
$11.86
|
| Rate for Payer: BCBS Trust/PPO |
$11.34
|
| Rate for Payer: BCBS Trust/PPO |
$12.02
|
| Rate for Payer: BCBS Trust/PPO |
$11.47
|
| Rate for Payer: BCN Commercial |
$11.86
|
| Rate for Payer: BCN Commercial |
$12.02
|
| Rate for Payer: BCN Commercial |
$11.47
|
| Rate for Payer: BCN Commercial |
$11.34
|
| Rate for Payer: BCN Medicare Advantage |
$3.61
|
| Rate for Payer: BCN Medicare Advantage |
$3.49
|
| Rate for Payer: BCN Medicare Advantage |
$3.65
|
| Rate for Payer: BCN Medicare Advantage |
$3.45
|
| Rate for Payer: Cash Price |
$11.70
|
| Rate for Payer: Cash Price |
$11.54
|
| Rate for Payer: Cash Price |
$11.03
|
| Rate for Payer: Cash Price |
$11.16
|
| Rate for Payer: Cofinity Commercial |
$12.00
|
| Rate for Payer: Cofinity Commercial |
$11.86
|
| Rate for Payer: Cofinity Commercial |
$12.41
|
| Rate for Payer: Cofinity Commercial |
$12.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.61
|
| Rate for Payer: Healthscope Commercial |
$12.41
|
| Rate for Payer: Healthscope Commercial |
$13.16
|
| Rate for Payer: Healthscope Commercial |
$12.99
|
| Rate for Payer: Healthscope Commercial |
$12.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.34
|
| Rate for Payer: Mclaren Medicaid |
$2.54
|
| Rate for Payer: Mclaren Medicaid |
$2.46
|
| Rate for Payer: Mclaren Medicaid |
$2.43
|
| Rate for Payer: Mclaren Medicaid |
$2.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.62
|
| Rate for Payer: Meridian Medicaid |
$2.55
|
| Rate for Payer: Meridian Medicaid |
$2.67
|
| Rate for Payer: Meridian Medicaid |
$2.71
|
| Rate for Payer: Meridian Medicaid |
$2.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.43
|
| Rate for Payer: Nomi Health Commercial |
$11.83
|
| Rate for Payer: Nomi Health Commercial |
$11.31
|
| Rate for Payer: Nomi Health Commercial |
$11.44
|
| Rate for Payer: Nomi Health Commercial |
$11.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.34
|
| Rate for Payer: PACE Senior Care Partners |
$3.43
|
| Rate for Payer: PACE Senior Care Partners |
$3.47
|
| Rate for Payer: PACE Senior Care Partners |
$3.28
|
| Rate for Payer: PACE Senior Care Partners |
$3.31
|
| Rate for Payer: PACE SWMI |
$3.45
|
| Rate for Payer: PACE SWMI |
$3.65
|
| Rate for Payer: PACE SWMI |
$3.49
|
| Rate for Payer: PACE SWMI |
$3.61
|
| Rate for Payer: PHP Commercial |
$11.72
|
| Rate for Payer: PHP Commercial |
$11.86
|
| Rate for Payer: PHP Commercial |
$12.27
|
| Rate for Payer: PHP Commercial |
$12.43
|
| Rate for Payer: PHP Medicare Advantage |
$3.45
|
| Rate for Payer: PHP Medicare Advantage |
$3.65
|
| Rate for Payer: PHP Medicare Advantage |
$3.49
|
| Rate for Payer: PHP Medicare Advantage |
$3.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.00
|
| Rate for Payer: Priority Health Medicare |
$3.52
|
| Rate for Payer: Priority Health Medicare |
$3.48
|
| Rate for Payer: Priority Health Medicare |
$3.64
|
| Rate for Payer: Priority Health Medicare |
$3.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.60
|
| Rate for Payer: Railroad Medicare Medicare |
$3.61
|
| Rate for Payer: Railroad Medicare Medicare |
$3.45
|
| Rate for Payer: Railroad Medicare Medicare |
$3.65
|
| Rate for Payer: Railroad Medicare Medicare |
$3.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.87
|
| Rate for Payer: UHC Core |
$11.51
|
| Rate for Payer: UHC Core |
$12.05
|
| Rate for Payer: UHC Core |
$11.65
|
| Rate for Payer: UHC Core |
$12.21
|
| Rate for Payer: UHC Exchange |
$3.61
|
| Rate for Payer: UHC Exchange |
$3.49
|
| Rate for Payer: UHC Exchange |
$3.65
|
| Rate for Payer: UHC Exchange |
$3.45
|
| Rate for Payer: UHC Medicaid |
$2.43
|
| Rate for Payer: UHC Medicaid |
$2.46
|
| Rate for Payer: UHC Medicaid |
$2.54
|
| Rate for Payer: UHC Medicaid |
$2.58
|
| Rate for Payer: UHC Medicare Advantage |
$3.49
|
| Rate for Payer: UHC Medicare Advantage |
$3.45
|
| Rate for Payer: UHC Medicare Advantage |
$3.65
|
| Rate for Payer: UHC Medicare Advantage |
$3.61
|
| Rate for Payer: UHCCP Medicaid |
$2.54
|
| Rate for Payer: UHCCP Medicaid |
$2.58
|
| Rate for Payer: UHCCP Medicaid |
$2.46
|
| Rate for Payer: UHCCP Medicaid |
$2.43
|
| Rate for Payer: VA VA |
$3.45
|
| Rate for Payer: VA VA |
$3.65
|
| Rate for Payer: VA VA |
$3.61
|
| Rate for Payer: VA VA |
$3.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.96
|
|
