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Service Code NDC 65219065801
Hospital Charge Code 151984
Hospital Revenue Code 250
Min. Negotiated Rate $17.46
Max. Negotiated Rate $89.12
Rate for Payer: Aetna Commercial $84.17
Rate for Payer: Aetna Medicare $25.75
Rate for Payer: Allen County Amish Medical Aid Commercial $30.94
Rate for Payer: Amish Plain Church Group Commercial $30.94
Rate for Payer: BCBS Complete $18.33
Rate for Payer: BCBS MAPPO $24.75
Rate for Payer: BCBS Trust/PPO $81.40
Rate for Payer: BCN Commercial $81.40
Rate for Payer: BCN Medicare Advantage $24.75
Rate for Payer: Cash Price $79.22
Rate for Payer: Cofinity Commercial $85.16
Rate for Payer: Encore Health Key Benefits Commercial $79.22
Rate for Payer: Health Alliance Plan Medicare Advantage $24.75
Rate for Payer: Healthscope Commercial $89.12
Rate for Payer: Lakeland Regional Health Systems Commercial $74.27
Rate for Payer: Mclaren Medicaid $17.46
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $25.99
Rate for Payer: Meridian Medicaid $18.33
Rate for Payer: MI Amish Medical Board Commercial $28.47
Rate for Payer: Molina Medicare/Medicaid $27.23
Rate for Payer: Multiplan/Beech St/PHCS Commercial $84.17
Rate for Payer: Nomi Health Commercial $81.20
Rate for Payer: Opus (Opus Packaging Group) HMA $74.27
Rate for Payer: PACE Senior Care Partners $23.52
Rate for Payer: PACE SWMI $24.75
Rate for Payer: PHP Commercial $84.17
Rate for Payer: PHP Medicare Advantage $24.75
Rate for Payer: Priority Health Choice Medicaid $17.46
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $86.15
Rate for Payer: Priority Health Medicare $25.00
Rate for Payer: Priority Health Narrow/Tiered Network $68.92
Rate for Payer: Railroad Medicare Medicare $24.75
Rate for Payer: UHC All Payor (Choice/PPO) $87.14
Rate for Payer: UHC Core $82.68
Rate for Payer: UHC Exchange $24.75
Rate for Payer: UHC Medicaid $17.46
Rate for Payer: UHC Medicare Advantage $24.75
Rate for Payer: UHCCP Medicaid $17.46
Rate for Payer: VA VA $24.75
Rate for Payer: Van Buren County Sheriff Dept. Commercial $74.27
Service Code NDC 70121172201
Hospital Charge Code 151984
Hospital Revenue Code 250
Min. Negotiated Rate $77.43
Max. Negotiated Rate $100.12
Rate for Payer: Aetna Commercial $94.56
Rate for Payer: BCBS Trust/PPO $91.88
Rate for Payer: BCN Commercial $91.88
Rate for Payer: Cash Price $89.00
Rate for Payer: Cofinity Commercial $95.67
Rate for Payer: Encore Health Key Benefits Commercial $89.00
Rate for Payer: Healthscope Commercial $100.12
Rate for Payer: Lakeland Regional Health Systems Commercial $83.44
Rate for Payer: Multiplan/Beech St/PHCS Commercial $94.56
Rate for Payer: Nomi Health Commercial $91.22
Rate for Payer: Opus (Opus Packaging Group) HMA $83.44
Rate for Payer: PHP Commercial $94.56
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $96.79
Rate for Payer: Priority Health Narrow/Tiered Network $77.43
Rate for Payer: UHC All Payor (Choice/PPO) $97.90
Rate for Payer: UHC Core $92.89
Rate for Payer: Van Buren County Sheriff Dept. Commercial $83.44
Service Code NDC 70121172209
Hospital Charge Code 151984
Hospital Revenue Code 250
Min. Negotiated Rate $19.61
Max. Negotiated Rate $100.12
Rate for Payer: Aetna Commercial $94.56
Rate for Payer: Aetna Medicare $28.93
Rate for Payer: Allen County Amish Medical Aid Commercial $34.77
Rate for Payer: Amish Plain Church Group Commercial $34.77
Rate for Payer: BCBS Complete $20.59
Rate for Payer: BCBS MAPPO $27.81
Rate for Payer: BCBS Trust/PPO $91.46
Rate for Payer: BCN Commercial $91.46
Rate for Payer: BCN Medicare Advantage $27.81
Rate for Payer: Cash Price $89.00
Rate for Payer: Cofinity Commercial $95.67
Rate for Payer: Encore Health Key Benefits Commercial $89.00
Rate for Payer: Health Alliance Plan Medicare Advantage $27.81
Rate for Payer: Healthscope Commercial $100.12
Rate for Payer: Lakeland Regional Health Systems Commercial $83.44
Rate for Payer: Mclaren Medicaid $19.61
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $29.20
Rate for Payer: Meridian Medicaid $20.59
Rate for Payer: MI Amish Medical Board Commercial $31.98
Rate for Payer: Molina Medicare/Medicaid $30.59
Rate for Payer: Multiplan/Beech St/PHCS Commercial $94.56
Rate for Payer: Nomi Health Commercial $91.22
Rate for Payer: Opus (Opus Packaging Group) HMA $83.44
Rate for Payer: PACE Senior Care Partners $26.42
Rate for Payer: PACE SWMI $27.81
Rate for Payer: PHP Commercial $94.56
Rate for Payer: PHP Medicare Advantage $27.81
Rate for Payer: Priority Health Choice Medicaid $19.61
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $96.79
Rate for Payer: Priority Health Medicare $28.09
Rate for Payer: Priority Health Narrow/Tiered Network $77.43
Rate for Payer: Railroad Medicare Medicare $27.81
Rate for Payer: UHC All Payor (Choice/PPO) $97.90
Rate for Payer: UHC Core $92.89
Rate for Payer: UHC Exchange $27.81
Rate for Payer: UHC Medicaid $19.61
Rate for Payer: UHC Medicare Advantage $27.81
Rate for Payer: UHCCP Medicaid $19.61
Rate for Payer: VA VA $27.81
Rate for Payer: Van Buren County Sheriff Dept. Commercial $83.44
Service Code NDC 65219065801
Hospital Charge Code 151984
Hospital Revenue Code 250
Min. Negotiated Rate $68.92
Max. Negotiated Rate $89.12
Rate for Payer: Aetna Commercial $84.17
Rate for Payer: BCBS Trust/PPO $81.78
Rate for Payer: BCN Commercial $81.78
Rate for Payer: Cash Price $79.22
Rate for Payer: Cofinity Commercial $85.16
Rate for Payer: Encore Health Key Benefits Commercial $79.22
Rate for Payer: Healthscope Commercial $89.12
Rate for Payer: Lakeland Regional Health Systems Commercial $74.27
Rate for Payer: Multiplan/Beech St/PHCS Commercial $84.17
Rate for Payer: Nomi Health Commercial $81.20
Rate for Payer: Opus (Opus Packaging Group) HMA $74.27
Rate for Payer: PHP Commercial $84.17
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $86.15
Rate for Payer: Priority Health Narrow/Tiered Network $68.92
Rate for Payer: UHC All Payor (Choice/PPO) $87.14
Rate for Payer: UHC Core $82.68
Rate for Payer: Van Buren County Sheriff Dept. Commercial $74.27
Service Code NDC 70121172209
Hospital Charge Code 151984
Hospital Revenue Code 250
Min. Negotiated Rate $77.43
Max. Negotiated Rate $100.12
Rate for Payer: Aetna Commercial $94.56
Rate for Payer: BCBS Trust/PPO $91.88
Rate for Payer: BCN Commercial $91.88
Rate for Payer: Cash Price $89.00
Rate for Payer: Cofinity Commercial $95.67
Rate for Payer: Encore Health Key Benefits Commercial $89.00
Rate for Payer: Healthscope Commercial $100.12
Rate for Payer: Lakeland Regional Health Systems Commercial $83.44
Rate for Payer: Multiplan/Beech St/PHCS Commercial $94.56
Rate for Payer: Nomi Health Commercial $91.22
Rate for Payer: Opus (Opus Packaging Group) HMA $83.44
Rate for Payer: PHP Commercial $94.56
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $96.79
Rate for Payer: Priority Health Narrow/Tiered Network $77.43
Rate for Payer: UHC All Payor (Choice/PPO) $97.90
Rate for Payer: UHC Core $92.89
Rate for Payer: Van Buren County Sheriff Dept. Commercial $83.44
Service Code NDC 63323008605
Hospital Charge Code 6451
Hospital Revenue Code 250
Min. Negotiated Rate $13.71
Max. Negotiated Rate $70.00
Rate for Payer: Aetna Commercial $66.11
Rate for Payer: Aetna Medicare $20.22
Rate for Payer: Allen County Amish Medical Aid Commercial $24.31
Rate for Payer: Amish Plain Church Group Commercial $24.31
Rate for Payer: BCBS Complete $14.40
Rate for Payer: BCBS MAPPO $19.45
Rate for Payer: BCBS Trust/PPO $63.94
Rate for Payer: BCN Commercial $63.94
Rate for Payer: BCN Medicare Advantage $19.45
Rate for Payer: Cash Price $62.22
Rate for Payer: Cofinity Commercial $66.89
Rate for Payer: Encore Health Key Benefits Commercial $62.22
Rate for Payer: Health Alliance Plan Medicare Advantage $19.45
Rate for Payer: Healthscope Commercial $70.00
Rate for Payer: Lakeland Regional Health Systems Commercial $58.34
Rate for Payer: Mclaren Medicaid $13.71
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $20.42
Rate for Payer: Meridian Medicaid $14.40
Rate for Payer: MI Amish Medical Board Commercial $22.36
Rate for Payer: Molina Medicare/Medicaid $21.39
Rate for Payer: Multiplan/Beech St/PHCS Commercial $66.11
Rate for Payer: Nomi Health Commercial $63.78
Rate for Payer: Opus (Opus Packaging Group) HMA $58.34
Rate for Payer: PACE Senior Care Partners $18.47
Rate for Payer: PACE SWMI $19.45
Rate for Payer: PHP Commercial $66.11
Rate for Payer: PHP Medicare Advantage $19.45
Rate for Payer: Priority Health Choice Medicaid $13.71
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $67.67
Rate for Payer: Priority Health Medicare $19.64
Rate for Payer: Priority Health Narrow/Tiered Network $54.13
Rate for Payer: Railroad Medicare Medicare $19.45
Rate for Payer: UHC All Payor (Choice/PPO) $68.45
Rate for Payer: UHC Core $64.95
Rate for Payer: UHC Exchange $19.45
Rate for Payer: UHC Medicaid $13.71
Rate for Payer: UHC Medicare Advantage $19.45
Rate for Payer: UHCCP Medicaid $13.71
Rate for Payer: VA VA $19.45
Rate for Payer: Van Buren County Sheriff Dept. Commercial $58.34
Service Code NDC 65219005229
Hospital Charge Code 6451
Hospital Revenue Code 250
Min. Negotiated Rate $13.81
Max. Negotiated Rate $70.50
Rate for Payer: Aetna Commercial $66.58
Rate for Payer: Aetna Medicare $20.37
Rate for Payer: Allen County Amish Medical Aid Commercial $24.48
Rate for Payer: Amish Plain Church Group Commercial $24.48
Rate for Payer: BCBS Complete $14.50
Rate for Payer: BCBS MAPPO $19.58
Rate for Payer: BCBS Trust/PPO $64.40
Rate for Payer: BCN Commercial $64.40
Rate for Payer: BCN Medicare Advantage $19.58
Rate for Payer: Cash Price $62.66
Rate for Payer: Cofinity Commercial $67.36
Rate for Payer: Encore Health Key Benefits Commercial $62.66
Rate for Payer: Health Alliance Plan Medicare Advantage $19.58
Rate for Payer: Healthscope Commercial $70.50
Rate for Payer: Lakeland Regional Health Systems Commercial $58.75
Rate for Payer: Mclaren Medicaid $13.81
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $20.56
Rate for Payer: Meridian Medicaid $14.50
Rate for Payer: MI Amish Medical Board Commercial $22.52
Rate for Payer: Molina Medicare/Medicaid $21.54
Rate for Payer: Multiplan/Beech St/PHCS Commercial $66.58
Rate for Payer: Nomi Health Commercial $64.23
Rate for Payer: Opus (Opus Packaging Group) HMA $58.75
Rate for Payer: PACE Senior Care Partners $18.60
Rate for Payer: PACE SWMI $19.58
Rate for Payer: PHP Commercial $66.58
Rate for Payer: PHP Medicare Advantage $19.58
Rate for Payer: Priority Health Choice Medicaid $13.81
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $68.15
Rate for Payer: Priority Health Medicare $19.78
Rate for Payer: Priority Health Narrow/Tiered Network $54.52
Rate for Payer: Railroad Medicare Medicare $19.58
Rate for Payer: UHC All Payor (Choice/PPO) $68.93
Rate for Payer: UHC Core $65.41
Rate for Payer: UHC Exchange $19.58
Rate for Payer: UHC Medicaid $13.81
Rate for Payer: UHC Medicare Advantage $19.58
Rate for Payer: UHCCP Medicaid $13.81
Rate for Payer: VA VA $19.58
Rate for Payer: Van Buren County Sheriff Dept. Commercial $58.75
Service Code NDC 00409729501
Hospital Charge Code 6451
Hospital Revenue Code 250
Min. Negotiated Rate $27.57
Max. Negotiated Rate $140.75
Rate for Payer: Aetna Commercial $132.93
Rate for Payer: Aetna Medicare $40.66
Rate for Payer: Allen County Amish Medical Aid Commercial $48.87
Rate for Payer: Amish Plain Church Group Commercial $48.87
Rate for Payer: BCBS Complete $28.95
Rate for Payer: BCBS MAPPO $39.10
Rate for Payer: BCBS Trust/PPO $128.57
Rate for Payer: BCN Commercial $128.57
Rate for Payer: BCN Medicare Advantage $39.10
Rate for Payer: Cash Price $125.11
Rate for Payer: Cofinity Commercial $134.50
Rate for Payer: Encore Health Key Benefits Commercial $125.11
Rate for Payer: Health Alliance Plan Medicare Advantage $39.10
Rate for Payer: Healthscope Commercial $140.75
Rate for Payer: Lakeland Regional Health Systems Commercial $117.29
Rate for Payer: Mclaren Medicaid $27.57
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $41.05
Rate for Payer: Meridian Medicaid $28.95
Rate for Payer: MI Amish Medical Board Commercial $44.96
Rate for Payer: Molina Medicare/Medicaid $43.01
Rate for Payer: Multiplan/Beech St/PHCS Commercial $132.93
Rate for Payer: Nomi Health Commercial $128.24
Rate for Payer: Opus (Opus Packaging Group) HMA $117.29
Rate for Payer: PACE Senior Care Partners $37.14
Rate for Payer: PACE SWMI $39.10
Rate for Payer: PHP Commercial $132.93
Rate for Payer: PHP Medicare Advantage $39.10
Rate for Payer: Priority Health Choice Medicaid $27.57
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $136.06
Rate for Payer: Priority Health Medicare $39.49
Rate for Payer: Priority Health Narrow/Tiered Network $108.85
Rate for Payer: Railroad Medicare Medicare $39.10
Rate for Payer: UHC All Payor (Choice/PPO) $137.62
Rate for Payer: UHC Core $130.59
Rate for Payer: UHC Exchange $39.10
Rate for Payer: UHC Medicaid $27.57
Rate for Payer: UHC Medicare Advantage $39.10
Rate for Payer: UHCCP Medicaid $27.57
Rate for Payer: VA VA $39.10
Rate for Payer: Van Buren County Sheriff Dept. Commercial $117.29
Service Code NDC 65219005209
Hospital Charge Code 6451
Hospital Revenue Code 250
Min. Negotiated Rate $54.52
Max. Negotiated Rate $70.50
Rate for Payer: Aetna Commercial $66.58
Rate for Payer: BCBS Trust/PPO $64.69
Rate for Payer: BCN Commercial $64.69
Rate for Payer: Cash Price $62.66
Rate for Payer: Cofinity Commercial $67.36
Rate for Payer: Encore Health Key Benefits Commercial $62.66
Rate for Payer: Healthscope Commercial $70.50
Rate for Payer: Lakeland Regional Health Systems Commercial $58.75
Rate for Payer: Multiplan/Beech St/PHCS Commercial $66.58
Rate for Payer: Nomi Health Commercial $64.23
Rate for Payer: Opus (Opus Packaging Group) HMA $58.75
Rate for Payer: PHP Commercial $66.58
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $68.15
Rate for Payer: Priority Health Narrow/Tiered Network $54.52
Rate for Payer: UHC All Payor (Choice/PPO) $68.93
Rate for Payer: UHC Core $65.41
Rate for Payer: Van Buren County Sheriff Dept. Commercial $58.75
Service Code NDC 65219005209
Hospital Charge Code 6451
Hospital Revenue Code 250
Min. Negotiated Rate $13.81
Max. Negotiated Rate $70.50
Rate for Payer: Aetna Commercial $66.58
Rate for Payer: Aetna Medicare $20.37
Rate for Payer: Allen County Amish Medical Aid Commercial $24.48
Rate for Payer: Amish Plain Church Group Commercial $24.48
Rate for Payer: BCBS Complete $14.50
Rate for Payer: BCBS MAPPO $19.58
Rate for Payer: BCBS Trust/PPO $64.40
Rate for Payer: BCN Commercial $64.40
Rate for Payer: BCN Medicare Advantage $19.58
Rate for Payer: Cash Price $62.66
Rate for Payer: Cofinity Commercial $67.36
Rate for Payer: Encore Health Key Benefits Commercial $62.66
Rate for Payer: Health Alliance Plan Medicare Advantage $19.58
Rate for Payer: Healthscope Commercial $70.50
Rate for Payer: Lakeland Regional Health Systems Commercial $58.75
Rate for Payer: Mclaren Medicaid $13.81
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $20.56
Rate for Payer: Meridian Medicaid $14.50
Rate for Payer: MI Amish Medical Board Commercial $22.52
Rate for Payer: Molina Medicare/Medicaid $21.54
Rate for Payer: Multiplan/Beech St/PHCS Commercial $66.58
Rate for Payer: Nomi Health Commercial $64.23
Rate for Payer: Opus (Opus Packaging Group) HMA $58.75
Rate for Payer: PACE Senior Care Partners $18.60
Rate for Payer: PACE SWMI $19.58
Rate for Payer: PHP Commercial $66.58
Rate for Payer: PHP Medicare Advantage $19.58
Rate for Payer: Priority Health Choice Medicaid $13.81
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $68.15
Rate for Payer: Priority Health Medicare $19.78
Rate for Payer: Priority Health Narrow/Tiered Network $54.52
Rate for Payer: Railroad Medicare Medicare $19.58
Rate for Payer: UHC All Payor (Choice/PPO) $68.93
Rate for Payer: UHC Core $65.41
Rate for Payer: UHC Exchange $19.58
Rate for Payer: UHC Medicaid $13.81
Rate for Payer: UHC Medicare Advantage $19.58
Rate for Payer: UHCCP Medicaid $13.81
Rate for Payer: VA VA $19.58
Rate for Payer: Van Buren County Sheriff Dept. Commercial $58.75
Service Code NDC 00409729501
Hospital Charge Code 6451
Hospital Revenue Code 250
Min. Negotiated Rate $108.85
Max. Negotiated Rate $140.75
Rate for Payer: Aetna Commercial $132.93
Rate for Payer: BCBS Trust/PPO $129.16
Rate for Payer: BCN Commercial $129.16
Rate for Payer: Cash Price $125.11
Rate for Payer: Cofinity Commercial $134.50
Rate for Payer: Encore Health Key Benefits Commercial $125.11
Rate for Payer: Healthscope Commercial $140.75
Rate for Payer: Lakeland Regional Health Systems Commercial $117.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial $132.93
Rate for Payer: Nomi Health Commercial $128.24
Rate for Payer: Opus (Opus Packaging Group) HMA $117.29
Rate for Payer: PHP Commercial $132.93
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $136.06
Rate for Payer: Priority Health Narrow/Tiered Network $108.85
Rate for Payer: UHC All Payor (Choice/PPO) $137.62
Rate for Payer: UHC Core $130.59
Rate for Payer: Van Buren County Sheriff Dept. Commercial $117.29
Service Code NDC 65219005229
Hospital Charge Code 6451
Hospital Revenue Code 250
Min. Negotiated Rate $54.52
Max. Negotiated Rate $70.50
Rate for Payer: Aetna Commercial $66.58
Rate for Payer: BCBS Trust/PPO $64.69
Rate for Payer: BCN Commercial $64.69
Rate for Payer: Cash Price $62.66
Rate for Payer: Cofinity Commercial $67.36
Rate for Payer: Encore Health Key Benefits Commercial $62.66
Rate for Payer: Healthscope Commercial $70.50
Rate for Payer: Lakeland Regional Health Systems Commercial $58.75
Rate for Payer: Multiplan/Beech St/PHCS Commercial $66.58
Rate for Payer: Nomi Health Commercial $64.23
Rate for Payer: Opus (Opus Packaging Group) HMA $58.75
Rate for Payer: PHP Commercial $66.58
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $68.15
Rate for Payer: Priority Health Narrow/Tiered Network $54.52
Rate for Payer: UHC All Payor (Choice/PPO) $68.93
Rate for Payer: UHC Core $65.41
Rate for Payer: Van Buren County Sheriff Dept. Commercial $58.75
Service Code NDC 63323008605
Hospital Charge Code 6451
Hospital Revenue Code 250
Min. Negotiated Rate $54.13
Max. Negotiated Rate $70.00
Rate for Payer: Aetna Commercial $66.11
Rate for Payer: BCBS Trust/PPO $64.24
Rate for Payer: BCN Commercial $64.24
Rate for Payer: Cash Price $62.22
Rate for Payer: Cofinity Commercial $66.89
Rate for Payer: Encore Health Key Benefits Commercial $62.22
Rate for Payer: Healthscope Commercial $70.00
Rate for Payer: Lakeland Regional Health Systems Commercial $58.34
Rate for Payer: Multiplan/Beech St/PHCS Commercial $66.11
Rate for Payer: Nomi Health Commercial $63.78
Rate for Payer: Opus (Opus Packaging Group) HMA $58.34
Rate for Payer: PHP Commercial $66.11
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $67.67
Rate for Payer: Priority Health Narrow/Tiered Network $54.13
Rate for Payer: UHC All Payor (Choice/PPO) $68.45
Rate for Payer: UHC Core $64.95
Rate for Payer: Van Buren County Sheriff Dept. Commercial $58.34
Service Code NDC 52380190508
Hospital Charge Code 6458
Hospital Revenue Code 637
Min. Negotiated Rate $10.40
Max. Negotiated Rate $13.45
Rate for Payer: Aetna Commercial $12.70
Rate for Payer: BCBS Trust/PPO $12.34
Rate for Payer: BCN Commercial $12.34
Rate for Payer: Cash Price $11.95
Rate for Payer: Cofinity Commercial $12.85
Rate for Payer: Encore Health Key Benefits Commercial $11.95
Rate for Payer: Healthscope Commercial $13.45
Rate for Payer: Lakeland Regional Health Systems Commercial $11.21
Rate for Payer: Multiplan/Beech St/PHCS Commercial $12.70
Rate for Payer: Nomi Health Commercial $12.25
Rate for Payer: Opus (Opus Packaging Group) HMA $11.21
Rate for Payer: PHP Commercial $12.70
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $13.00
Rate for Payer: Priority Health Narrow/Tiered Network $10.40
Rate for Payer: UHC All Payor (Choice/PPO) $13.15
Rate for Payer: UHC Core $12.47
Rate for Payer: Van Buren County Sheriff Dept. Commercial $11.21
Service Code NDC 52380190508
Hospital Charge Code 6458
Hospital Revenue Code 637
Min. Negotiated Rate $2.63
Max. Negotiated Rate $13.45
Rate for Payer: Aetna Commercial $12.70
Rate for Payer: Aetna Medicare $3.88
Rate for Payer: Allen County Amish Medical Aid Commercial $4.67
Rate for Payer: Amish Plain Church Group Commercial $4.67
Rate for Payer: BCBS Complete $2.77
Rate for Payer: BCBS MAPPO $3.73
Rate for Payer: BCBS Trust/PPO $12.28
Rate for Payer: BCN Commercial $12.28
Rate for Payer: BCN Medicare Advantage $3.73
Rate for Payer: Cash Price $11.95
Rate for Payer: Cofinity Commercial $12.85
Rate for Payer: Encore Health Key Benefits Commercial $11.95
Rate for Payer: Health Alliance Plan Medicare Advantage $3.73
Rate for Payer: Healthscope Commercial $13.45
Rate for Payer: Lakeland Regional Health Systems Commercial $11.21
Rate for Payer: Mclaren Medicaid $2.63
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $3.92
Rate for Payer: Meridian Medicaid $2.77
Rate for Payer: MI Amish Medical Board Commercial $4.30
Rate for Payer: Molina Medicare/Medicaid $4.11
Rate for Payer: Multiplan/Beech St/PHCS Commercial $12.70
Rate for Payer: Nomi Health Commercial $12.25
Rate for Payer: Opus (Opus Packaging Group) HMA $11.21
Rate for Payer: PACE Senior Care Partners $3.55
Rate for Payer: PACE SWMI $3.73
Rate for Payer: PHP Commercial $12.70
Rate for Payer: PHP Medicare Advantage $3.73
Rate for Payer: Priority Health Choice Medicaid $2.63
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $13.00
Rate for Payer: Priority Health Medicare $3.77
Rate for Payer: Priority Health Narrow/Tiered Network $10.40
Rate for Payer: Railroad Medicare Medicare $3.73
Rate for Payer: UHC All Payor (Choice/PPO) $13.15
Rate for Payer: UHC Core $12.47
Rate for Payer: UHC Exchange $3.73
Rate for Payer: UHC Medicaid $2.63
Rate for Payer: UHC Medicare Advantage $3.73
Rate for Payer: UHCCP Medicaid $2.63
Rate for Payer: VA VA $3.73
Rate for Payer: Van Buren County Sheriff Dept. Commercial $11.21
Service Code HCPCS 54332
Min. Negotiated Rate $578.30
Max. Negotiated Rate $1,643.67
Rate for Payer: Aetna Commercial $1,298.52
Rate for Payer: Aetna Medicare $1,080.50
Rate for Payer: BCBS Complete $607.22
Rate for Payer: BCN Commercial $1,508.88
Rate for Payer: Cash Price $1,728.80
Rate for Payer: Cash Price $1,728.80
Rate for Payer: Mclaren Medicaid $578.30
Rate for Payer: Meridian Medicaid $607.22
Rate for Payer: Opus (Opus Packaging Group) HMA $1,620.75
Rate for Payer: Priority Health Choice Medicaid $578.30
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $1,643.67
Rate for Payer: Priority Health Narrow/Tiered Network $1,643.67
Rate for Payer: UHC Medicaid $578.30
Rate for Payer: UHCCP Medicaid $578.30
Service Code HCPCS 54326
Min. Negotiated Rate $540.59
Max. Negotiated Rate $1,534.09
Rate for Payer: Aetna Commercial $1,210.28
Rate for Payer: Aetna Medicare $913.50
Rate for Payer: BCBS Complete $567.62
Rate for Payer: BCN Commercial $1,408.29
Rate for Payer: Cash Price $1,461.60
Rate for Payer: Cash Price $1,461.60
Rate for Payer: Mclaren Medicaid $540.59
Rate for Payer: Meridian Medicaid $567.62
Rate for Payer: Opus (Opus Packaging Group) HMA $1,370.25
Rate for Payer: Priority Health Choice Medicaid $540.59
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $1,534.09
Rate for Payer: Priority Health Narrow/Tiered Network $1,534.09
Rate for Payer: UHC Medicaid $540.59
Rate for Payer: UHCCP Medicaid $540.59
Service Code HCPCS 54322
Min. Negotiated Rate $449.43
Max. Negotiated Rate $3,862.50
Rate for Payer: Aetna Commercial $1,003.62
Rate for Payer: Aetna Medicare $2,575.00
Rate for Payer: BCBS Complete $471.90
Rate for Payer: BCN Commercial $1,169.25
Rate for Payer: Cash Price $4,120.00
Rate for Payer: Cash Price $4,120.00
Rate for Payer: Mclaren Medicaid $449.43
Rate for Payer: Meridian Medicaid $471.90
Rate for Payer: Opus (Opus Packaging Group) HMA $3,862.50
Rate for Payer: Priority Health Choice Medicaid $449.43
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $1,273.71
Rate for Payer: Priority Health Narrow/Tiered Network $1,273.71
Rate for Payer: UHC Medicaid $449.43
Rate for Payer: UHCCP Medicaid $449.43
Service Code HCPCS 54324
Min. Negotiated Rate $554.65
Max. Negotiated Rate $1,575.86
Rate for Payer: Aetna Commercial $1,242.77
Rate for Payer: Aetna Medicare $1,036.00
Rate for Payer: BCBS Complete $582.38
Rate for Payer: BCN Commercial $1,446.63
Rate for Payer: Cash Price $1,657.60
Rate for Payer: Cash Price $1,657.60
Rate for Payer: Mclaren Medicaid $554.65
Rate for Payer: Meridian Medicaid $582.38
Rate for Payer: Opus (Opus Packaging Group) HMA $1,554.00
Rate for Payer: Priority Health Choice Medicaid $554.65
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $1,575.86
Rate for Payer: Priority Health Narrow/Tiered Network $1,575.86
Rate for Payer: UHC Medicaid $554.65
Rate for Payer: UHCCP Medicaid $554.65
Service Code HCPCS 99460
Min. Negotiated Rate $51.55
Max. Negotiated Rate $136.44
Rate for Payer: Aetna Commercial $94.30
Rate for Payer: Aetna Medicare $81.50
Rate for Payer: BCBS Complete $54.13
Rate for Payer: BCN Commercial $136.44
Rate for Payer: Cash Price $130.40
Rate for Payer: Cash Price $130.40
Rate for Payer: Mclaren Medicaid $51.55
Rate for Payer: Meridian Medicaid $54.13
Rate for Payer: Opus (Opus Packaging Group) HMA $122.25
Rate for Payer: Priority Health Choice Medicaid $51.55
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $122.73
Rate for Payer: Priority Health Narrow/Tiered Network $122.73
Rate for Payer: UHC Medicaid $51.55
Rate for Payer: UHCCP Medicaid $51.55
Service Code HCPCS 99463
Min. Negotiated Rate $60.49
Max. Negotiated Rate $159.85
Rate for Payer: Aetna Commercial $108.47
Rate for Payer: Aetna Medicare $88.50
Rate for Payer: BCBS Complete $63.51
Rate for Payer: BCN Commercial $159.85
Rate for Payer: Cash Price $141.60
Rate for Payer: Cash Price $141.60
Rate for Payer: Mclaren Medicaid $60.49
Rate for Payer: Meridian Medicaid $63.51
Rate for Payer: Opus (Opus Packaging Group) HMA $132.75
Rate for Payer: Priority Health Choice Medicaid $60.49
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $143.79
Rate for Payer: Priority Health Narrow/Tiered Network $143.79
Rate for Payer: UHC Medicaid $60.49
Rate for Payer: UHCCP Medicaid $60.49
Service Code HCPCS 99223
Min. Negotiated Rate $99.68
Max. Negotiated Rate $273.00
Rate for Payer: Aetna Commercial $197.06
Rate for Payer: Aetna Medicare $182.00
Rate for Payer: BCBS Complete $104.66
Rate for Payer: BCN Commercial $187.79
Rate for Payer: Cash Price $291.20
Rate for Payer: Cash Price $291.20
Rate for Payer: Mclaren Medicaid $99.68
Rate for Payer: Meridian Medicaid $104.66
Rate for Payer: Opus (Opus Packaging Group) HMA $273.00
Rate for Payer: Priority Health Choice Medicaid $99.68
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $231.58
Rate for Payer: Priority Health Narrow/Tiered Network $231.58
Rate for Payer: UHC Medicaid $99.68
Rate for Payer: UHCCP Medicaid $99.68
Service Code HCPCS 99222
Min. Negotiated Rate $74.55
Max. Negotiated Rate $186.00
Rate for Payer: Aetna Commercial $133.90
Rate for Payer: Aetna Medicare $124.00
Rate for Payer: BCBS Complete $78.28
Rate for Payer: BCN Commercial $140.94
Rate for Payer: Cash Price $198.40
Rate for Payer: Cash Price $198.40
Rate for Payer: Mclaren Medicaid $74.55
Rate for Payer: Meridian Medicaid $78.28
Rate for Payer: Opus (Opus Packaging Group) HMA $186.00
Rate for Payer: Priority Health Choice Medicaid $74.55
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $173.80
Rate for Payer: Priority Health Narrow/Tiered Network $173.80
Rate for Payer: UHC Medicaid $74.55
Rate for Payer: UHCCP Medicaid $74.55
Service Code HCPCS 99221
Min. Negotiated Rate $47.50
Max. Negotiated Rate $136.50
Rate for Payer: Aetna Commercial $99.61
Rate for Payer: Aetna Medicare $91.00
Rate for Payer: BCBS Complete $49.88
Rate for Payer: BCN Commercial $89.36
Rate for Payer: Cash Price $145.60
Rate for Payer: Cash Price $145.60
Rate for Payer: Mclaren Medicaid $47.50
Rate for Payer: Meridian Medicaid $49.88
Rate for Payer: Opus (Opus Packaging Group) HMA $136.50
Rate for Payer: Priority Health Choice Medicaid $47.50
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $110.19
Rate for Payer: Priority Health Narrow/Tiered Network $110.19
Rate for Payer: UHC Medicaid $47.50
Rate for Payer: UHCCP Medicaid $47.50
Service Code HCPCS 99468
Min. Negotiated Rate $772.71
Max. Negotiated Rate $1,313.18
Rate for Payer: Aetna Commercial $902.56
Rate for Payer: Aetna Medicare $862.50
Rate for Payer: BCBS Complete $811.35
Rate for Payer: BCN Commercial $1,313.18
Rate for Payer: Cash Price $1,380.00
Rate for Payer: Cash Price $1,380.00
Rate for Payer: Mclaren Medicaid $772.71
Rate for Payer: Meridian Medicaid $811.35
Rate for Payer: Opus (Opus Packaging Group) HMA $1,293.75
Rate for Payer: Priority Health Choice Medicaid $772.71
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $1,181.21
Rate for Payer: Priority Health Narrow/Tiered Network $1,181.21
Rate for Payer: UHC Medicaid $772.71
Rate for Payer: UHCCP Medicaid $772.71