|
VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION
|
Facility
IP
|
$3.85
|
|
|
Service Code
|
NDC 68094-193-59
|
| Hospital Charge Code |
150931
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.69 |
| Max. Negotiated Rate |
$3.46 |
| Rate for Payer: Aetna American Axle |
$2.50
|
| Rate for Payer: Aetna Commercial |
$3.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.50
|
| Rate for Payer: Cash Price |
$3.08
|
| Rate for Payer: Cofinity Commercial |
$2.70
|
| Rate for Payer: Cofinity Commercial |
$3.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.08
|
| Rate for Payer: Healthscope Commercial |
$3.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3.27
|
| Rate for Payer: PHP Commercial |
$3.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.70
|
| Rate for Payer: Priority Health SBD |
$2.43
|
| Rate for Payer: UMR Bronson Commercial |
$1.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.89
|
|
|
VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION
|
Facility
IP
|
$4.33
|
|
|
Service Code
|
NDC 68094-193-61
|
| Hospital Charge Code |
150931
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.91 |
| Max. Negotiated Rate |
$3.90 |
| Rate for Payer: Aetna American Axle |
$2.81
|
| Rate for Payer: Aetna Commercial |
$3.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.81
|
| Rate for Payer: Cash Price |
$3.46
|
| Rate for Payer: Cofinity Commercial |
$3.03
|
| Rate for Payer: Cofinity Commercial |
$3.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.46
|
| Rate for Payer: Healthscope Commercial |
$3.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3.68
|
| Rate for Payer: PHP Commercial |
$3.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.03
|
| Rate for Payer: Priority Health SBD |
$2.73
|
| Rate for Payer: UMR Bronson Commercial |
$1.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.25
|
|
|
VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION
|
Facility
IP
|
$5.57
|
|
|
Service Code
|
NDC 0121-4675-00
|
| Hospital Charge Code |
150931
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.45 |
| Max. Negotiated Rate |
$5.01 |
| Rate for Payer: Aetna American Axle |
$3.62
|
| Rate for Payer: Aetna Commercial |
$4.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.62
|
| Rate for Payer: Cash Price |
$4.46
|
| Rate for Payer: Cofinity Commercial |
$3.90
|
| Rate for Payer: Cofinity Commercial |
$4.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.46
|
| Rate for Payer: Healthscope Commercial |
$5.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4.73
|
| Rate for Payer: PHP Commercial |
$4.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.90
|
| Rate for Payer: Priority Health SBD |
$3.51
|
| Rate for Payer: UMR Bronson Commercial |
$2.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.18
|
|
|
VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION
|
Facility
IP
|
$4.33
|
|
|
Service Code
|
NDC 68094-193-62
|
| Hospital Charge Code |
150931
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.91 |
| Max. Negotiated Rate |
$3.90 |
| Rate for Payer: Aetna American Axle |
$2.81
|
| Rate for Payer: Aetna Commercial |
$3.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.81
|
| Rate for Payer: Cash Price |
$3.46
|
| Rate for Payer: Cofinity Commercial |
$3.03
|
| Rate for Payer: Cofinity Commercial |
$3.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.46
|
| Rate for Payer: Healthscope Commercial |
$3.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3.68
|
| Rate for Payer: PHP Commercial |
$3.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.03
|
| Rate for Payer: Priority Health SBD |
$2.73
|
| Rate for Payer: UMR Bronson Commercial |
$1.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.25
|
|
|
VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLUTION
|
Facility
IP
|
$300.12
|
|
|
Service Code
|
NDC 60432-621-16
|
| Hospital Charge Code |
8428
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$132.05 |
| Max. Negotiated Rate |
$270.11 |
| Rate for Payer: Aetna American Axle |
$195.08
|
| Rate for Payer: Aetna Commercial |
$255.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$195.08
|
| Rate for Payer: Cash Price |
$240.10
|
| Rate for Payer: Cofinity Commercial |
$210.08
|
| Rate for Payer: Cofinity Commercial |
$258.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$240.10
|
| Rate for Payer: Healthscope Commercial |
$270.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$210.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$225.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$255.10
|
| Rate for Payer: PHP Commercial |
$255.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$210.08
|
| Rate for Payer: Priority Health SBD |
$189.08
|
| Rate for Payer: UMR Bronson Commercial |
$132.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$225.09
|
|
|
VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLUTION
|
Facility
IP
|
$144.51
|
|
|
Service Code
|
NDC 50383-792-16
|
| Hospital Charge Code |
8428
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$63.58 |
| Max. Negotiated Rate |
$130.06 |
| Rate for Payer: Aetna American Axle |
$93.93
|
| Rate for Payer: Aetna Commercial |
$122.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.93
|
| Rate for Payer: Cash Price |
$115.61
|
| Rate for Payer: Cofinity Commercial |
$101.16
|
| Rate for Payer: Cofinity Commercial |
$124.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$115.61
|
| Rate for Payer: Healthscope Commercial |
$130.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$101.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$108.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$122.83
|
| Rate for Payer: PHP Commercial |
$122.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$101.16
|
| Rate for Payer: Priority Health SBD |
$91.04
|
| Rate for Payer: UMR Bronson Commercial |
$63.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$108.38
|
|
|
VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLUTION
|
Facility
IP
|
$222.31
|
|
|
Service Code
|
NDC 0121-0675-85
|
| Hospital Charge Code |
8428
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$97.82 |
| Max. Negotiated Rate |
$200.08 |
| Rate for Payer: Aetna American Axle |
$144.50
|
| Rate for Payer: Aetna Commercial |
$188.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$144.50
|
| Rate for Payer: Cash Price |
$177.85
|
| Rate for Payer: Cofinity Commercial |
$155.62
|
| Rate for Payer: Cofinity Commercial |
$191.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$177.85
|
| Rate for Payer: Healthscope Commercial |
$200.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$155.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$166.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$188.96
|
| Rate for Payer: PHP Commercial |
$188.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$155.62
|
| Rate for Payer: Priority Health SBD |
$140.06
|
| Rate for Payer: UMR Bronson Commercial |
$97.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$166.73
|
|
|
VALRUBICIN 40 MG/ML INTRAVESICAL SOLUTION
|
Facility
IP
|
$4,991.29
|
|
|
Service Code
|
HCPCS J9357
|
| Hospital Charge Code |
24425
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2,196.17 |
| Max. Negotiated Rate |
$4,492.16 |
| Rate for Payer: Aetna American Axle |
$3,244.34
|
| Rate for Payer: Aetna American Axle |
$4,617.37
|
| Rate for Payer: Aetna Commercial |
$4,242.60
|
| Rate for Payer: Aetna Commercial |
$6,038.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,244.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,617.37
|
| Rate for Payer: Cash Price |
$3,993.03
|
| Rate for Payer: Cash Price |
$5,682.91
|
| Rate for Payer: Cofinity Commercial |
$4,972.55
|
| Rate for Payer: Cofinity Commercial |
$4,292.51
|
| Rate for Payer: Cofinity Commercial |
$6,109.13
|
| Rate for Payer: Cofinity Commercial |
$3,493.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,682.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,993.03
|
| Rate for Payer: Healthscope Commercial |
$6,393.28
|
| Rate for Payer: Healthscope Commercial |
$4,492.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,493.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,972.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,743.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,327.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,038.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,242.60
|
| Rate for Payer: PHP Commercial |
$4,242.60
|
| Rate for Payer: PHP Commercial |
$6,038.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,972.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,493.90
|
| Rate for Payer: Priority Health SBD |
$4,475.29
|
| Rate for Payer: Priority Health SBD |
$3,144.51
|
| Rate for Payer: UMR Bronson Commercial |
$3,125.60
|
| Rate for Payer: UMR Bronson Commercial |
$2,196.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,743.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,327.73
|
|
|
VALRUBICIN 40 MG/ML INTRAVESICAL SOLUTION
|
Facility
OP
|
$4,991.29
|
|
|
Service Code
|
HCPCS J9357
|
| Hospital Charge Code |
24425
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$746.02 |
| Max. Negotiated Rate |
$4,492.16 |
| Rate for Payer: Aetna American Axle |
$3,244.34
|
| Rate for Payer: Aetna Commercial |
$4,242.60
|
| Rate for Payer: Aetna Medicare |
$1,418.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,244.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,704.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,704.81
|
| Rate for Payer: BCBS Complete |
$783.39
|
| Rate for Payer: BCBS MAPPO |
$1,363.85
|
| Rate for Payer: BCBS Trust/PPO |
$4,407.33
|
| Rate for Payer: BCN Medicare Advantage |
$1,363.85
|
| Rate for Payer: Cash Price |
$3,993.03
|
| Rate for Payer: Cash Price |
$3,993.03
|
| Rate for Payer: Cofinity Commercial |
$4,292.51
|
| Rate for Payer: Cofinity Commercial |
$3,493.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,993.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,363.85
|
| Rate for Payer: Healthscope Commercial |
$4,492.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,493.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,743.47
|
| Rate for Payer: Mclaren Medicaid |
$746.02
|
| Rate for Payer: Mclaren Medicare |
$1,363.85
|
| Rate for Payer: Meridian Medicaid |
$783.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,432.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,568.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,242.60
|
| Rate for Payer: PACE Medicare |
$1,295.66
|
| Rate for Payer: PACE SWMI |
$1,363.85
|
| Rate for Payer: PHP Commercial |
$4,242.60
|
| Rate for Payer: PHP Medicare Advantage |
$1,363.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$746.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,493.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,189.90
|
| Rate for Payer: Priority Health Medicare |
$1,363.85
|
| Rate for Payer: Priority Health Narrow Network |
$3,351.92
|
| Rate for Payer: Priority Health SBD |
$3,144.51
|
| Rate for Payer: Railroad Medicare Medicare |
$1,363.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,363.85
|
| Rate for Payer: UHC Medicare Advantage |
$1,404.76
|
| Rate for Payer: UMR Bronson Commercial |
$1,846.78
|
| Rate for Payer: VA VA |
$1,363.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,743.47
|
|
|
VALSARTAN 320 MG TABLET
|
Facility
IP
|
$247.10
|
|
|
Service Code
|
NDC 72819-184-09
|
| Hospital Charge Code |
31211
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$108.72 |
| Max. Negotiated Rate |
$222.39 |
| Rate for Payer: Aetna American Axle |
$160.62
|
| Rate for Payer: Aetna Commercial |
$210.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$160.62
|
| Rate for Payer: Cash Price |
$197.68
|
| Rate for Payer: Cofinity Commercial |
$172.97
|
| Rate for Payer: Cofinity Commercial |
$212.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$197.68
|
| Rate for Payer: Healthscope Commercial |
$222.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$172.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$185.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$210.04
|
| Rate for Payer: PHP Commercial |
$210.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$172.97
|
| Rate for Payer: Priority Health SBD |
$155.67
|
| Rate for Payer: UMR Bronson Commercial |
$108.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$185.32
|
|
|
VALSARTAN 320 MG TABLET
|
Facility
IP
|
$3,818.18
|
|
|
Service Code
|
NDC 0078-0360-34
|
| Hospital Charge Code |
31211
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1,680.00 |
| Max. Negotiated Rate |
$3,436.36 |
| Rate for Payer: Aetna American Axle |
$2,481.82
|
| Rate for Payer: Aetna Commercial |
$3,245.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,481.82
|
| Rate for Payer: Cash Price |
$3,054.54
|
| Rate for Payer: Cofinity Commercial |
$2,672.73
|
| Rate for Payer: Cofinity Commercial |
$3,283.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,054.54
|
| Rate for Payer: Healthscope Commercial |
$3,436.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,672.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,863.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,245.45
|
| Rate for Payer: PHP Commercial |
$3,245.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,672.73
|
| Rate for Payer: Priority Health SBD |
$2,405.45
|
| Rate for Payer: UMR Bronson Commercial |
$1,680.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,863.64
|
|
|
VALSARTAN 320 MG TABLET
|
Facility
IP
|
$216.87
|
|
|
Service Code
|
NDC 51660-143-90
|
| Hospital Charge Code |
31211
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$95.42 |
| Max. Negotiated Rate |
$195.18 |
| Rate for Payer: Aetna American Axle |
$140.97
|
| Rate for Payer: Aetna Commercial |
$184.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$140.97
|
| Rate for Payer: Cash Price |
$173.50
|
| Rate for Payer: Cofinity Commercial |
$151.81
|
| Rate for Payer: Cofinity Commercial |
$186.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$173.50
|
| Rate for Payer: Healthscope Commercial |
$195.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$151.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$162.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$184.34
|
| Rate for Payer: PHP Commercial |
$184.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$151.81
|
| Rate for Payer: Priority Health SBD |
$136.63
|
| Rate for Payer: UMR Bronson Commercial |
$95.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$162.65
|
|
|
VALSARTAN 320 MG TABLET
|
Facility
IP
|
$223.35
|
|
|
Service Code
|
NDC 0378-5815-77
|
| Hospital Charge Code |
31211
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$98.27 |
| Max. Negotiated Rate |
$201.02 |
| Rate for Payer: Aetna American Axle |
$145.18
|
| Rate for Payer: Aetna Commercial |
$189.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$145.18
|
| Rate for Payer: Cash Price |
$178.68
|
| Rate for Payer: Cofinity Commercial |
$156.34
|
| Rate for Payer: Cofinity Commercial |
$192.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$178.68
|
| Rate for Payer: Healthscope Commercial |
$201.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$156.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$167.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$189.85
|
| Rate for Payer: PHP Commercial |
$189.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$156.34
|
| Rate for Payer: Priority Health SBD |
$140.71
|
| Rate for Payer: UMR Bronson Commercial |
$98.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$167.51
|
|
|
VALSARTAN 320 MG TABLET
|
Facility
IP
|
$257.36
|
|
|
Service Code
|
NDC 59746-363-90
|
| Hospital Charge Code |
31211
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$113.24 |
| Max. Negotiated Rate |
$231.62 |
| Rate for Payer: Aetna American Axle |
$167.28
|
| Rate for Payer: Aetna Commercial |
$218.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$167.28
|
| Rate for Payer: Cash Price |
$205.89
|
| Rate for Payer: Cofinity Commercial |
$180.15
|
| Rate for Payer: Cofinity Commercial |
$221.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$205.89
|
| Rate for Payer: Healthscope Commercial |
$231.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$180.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$193.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$218.76
|
| Rate for Payer: PHP Commercial |
$218.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$180.15
|
| Rate for Payer: Priority Health SBD |
$162.14
|
| Rate for Payer: UMR Bronson Commercial |
$113.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$193.02
|
|
|
VALSARTAN 40 MG TABLET
|
Facility
IP
|
$111.60
|
|
|
Service Code
|
NDC 60687-612-21
|
| Hospital Charge Code |
33541
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$49.10 |
| Max. Negotiated Rate |
$100.44 |
| Rate for Payer: Aetna American Axle |
$72.54
|
| Rate for Payer: Aetna Commercial |
$94.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$72.54
|
| Rate for Payer: Cash Price |
$89.28
|
| Rate for Payer: Cofinity Commercial |
$78.12
|
| Rate for Payer: Cofinity Commercial |
$95.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.28
|
| Rate for Payer: Healthscope Commercial |
$100.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$78.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$83.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$94.86
|
| Rate for Payer: PHP Commercial |
$94.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$78.12
|
| Rate for Payer: Priority Health SBD |
$70.31
|
| Rate for Payer: UMR Bronson Commercial |
$49.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$83.70
|
|
|
VALSARTAN 40 MG TABLET
|
Facility
IP
|
$782.67
|
|
|
Service Code
|
NDC 0078-0423-15
|
| Hospital Charge Code |
33541
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$344.37 |
| Max. Negotiated Rate |
$704.40 |
| Rate for Payer: Aetna American Axle |
$508.74
|
| Rate for Payer: Aetna Commercial |
$665.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$508.74
|
| Rate for Payer: Cash Price |
$626.14
|
| Rate for Payer: Cofinity Commercial |
$547.87
|
| Rate for Payer: Cofinity Commercial |
$673.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$626.14
|
| Rate for Payer: Healthscope Commercial |
$704.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$547.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$587.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$665.27
|
| Rate for Payer: PHP Commercial |
$665.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$547.87
|
| Rate for Payer: Priority Health SBD |
$493.08
|
| Rate for Payer: UMR Bronson Commercial |
$344.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$587.00
|
|
|
VALSARTAN 40 MG TABLET
|
Facility
IP
|
$61.56
|
|
|
Service Code
|
NDC 43547-367-03
|
| Hospital Charge Code |
33541
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$27.09 |
| Max. Negotiated Rate |
$55.40 |
| Rate for Payer: Aetna American Axle |
$40.01
|
| Rate for Payer: Aetna Commercial |
$52.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.01
|
| Rate for Payer: Cash Price |
$49.25
|
| Rate for Payer: Cofinity Commercial |
$43.09
|
| Rate for Payer: Cofinity Commercial |
$52.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.25
|
| Rate for Payer: Healthscope Commercial |
$55.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$43.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$52.33
|
| Rate for Payer: PHP Commercial |
$52.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43.09
|
| Rate for Payer: Priority Health SBD |
$38.78
|
| Rate for Payer: UMR Bronson Commercial |
$27.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46.17
|
|
|
VALSARTAN 40 MG TABLET
|
Facility
IP
|
$3.72
|
|
|
Service Code
|
NDC 60687-612-11
|
| Hospital Charge Code |
33541
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.64 |
| Max. Negotiated Rate |
$3.35 |
| Rate for Payer: Aetna American Axle |
$2.42
|
| Rate for Payer: Aetna Commercial |
$3.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.42
|
| Rate for Payer: Cash Price |
$2.98
|
| Rate for Payer: Cofinity Commercial |
$2.60
|
| Rate for Payer: Cofinity Commercial |
$3.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.98
|
| Rate for Payer: Healthscope Commercial |
$3.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3.16
|
| Rate for Payer: PHP Commercial |
$3.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.60
|
| Rate for Payer: Priority Health SBD |
$2.34
|
| Rate for Payer: UMR Bronson Commercial |
$1.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.79
|
|
|
VALSARTAN 80 MG TABLET
|
Facility
IP
|
$188.96
|
|
|
Service Code
|
NDC 72819-182-09
|
| Hospital Charge Code |
31209
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$83.14 |
| Max. Negotiated Rate |
$170.06 |
| Rate for Payer: Aetna American Axle |
$122.82
|
| Rate for Payer: Aetna Commercial |
$160.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$122.82
|
| Rate for Payer: Cash Price |
$151.17
|
| Rate for Payer: Cofinity Commercial |
$132.27
|
| Rate for Payer: Cofinity Commercial |
$162.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$151.17
|
| Rate for Payer: Healthscope Commercial |
$170.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$132.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$141.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$160.62
|
| Rate for Payer: PHP Commercial |
$160.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$132.27
|
| Rate for Payer: Priority Health SBD |
$119.04
|
| Rate for Payer: UMR Bronson Commercial |
$83.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$141.72
|
|
|
VALSARTAN 80 MG TABLET
|
Facility
IP
|
$189.81
|
|
|
Service Code
|
NDC 55111-732-90
|
| Hospital Charge Code |
31209
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$83.52 |
| Max. Negotiated Rate |
$170.83 |
| Rate for Payer: Aetna American Axle |
$123.38
|
| Rate for Payer: Aetna Commercial |
$161.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$123.38
|
| Rate for Payer: Cash Price |
$151.85
|
| Rate for Payer: Cofinity Commercial |
$132.87
|
| Rate for Payer: Cofinity Commercial |
$163.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$151.85
|
| Rate for Payer: Healthscope Commercial |
$170.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$132.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$142.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$161.34
|
| Rate for Payer: PHP Commercial |
$161.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$132.87
|
| Rate for Payer: Priority Health SBD |
$119.58
|
| Rate for Payer: UMR Bronson Commercial |
$83.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$142.36
|
|
|
VALSARTAN 80 MG TABLET
|
Facility
IP
|
$4.73
|
|
|
Service Code
|
NDC 60687-623-11
|
| Hospital Charge Code |
31209
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.08 |
| Max. Negotiated Rate |
$4.26 |
| Rate for Payer: Aetna American Axle |
$3.07
|
| Rate for Payer: Aetna Commercial |
$4.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.07
|
| Rate for Payer: Cash Price |
$3.78
|
| Rate for Payer: Cofinity Commercial |
$3.31
|
| Rate for Payer: Cofinity Commercial |
$4.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.78
|
| Rate for Payer: Healthscope Commercial |
$4.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4.02
|
| Rate for Payer: PHP Commercial |
$4.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.31
|
| Rate for Payer: Priority Health SBD |
$2.98
|
| Rate for Payer: UMR Bronson Commercial |
$2.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.55
|
|
|
VALSARTAN 80 MG TABLET
|
Facility
IP
|
$472.80
|
|
|
Service Code
|
NDC 60687-623-01
|
| Hospital Charge Code |
31209
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$208.03 |
| Max. Negotiated Rate |
$425.52 |
| Rate for Payer: Aetna American Axle |
$307.32
|
| Rate for Payer: Aetna Commercial |
$401.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$307.32
|
| Rate for Payer: Cash Price |
$378.24
|
| Rate for Payer: Cofinity Commercial |
$330.96
|
| Rate for Payer: Cofinity Commercial |
$406.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$378.24
|
| Rate for Payer: Healthscope Commercial |
$425.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$330.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$354.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$401.88
|
| Rate for Payer: PHP Commercial |
$401.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$330.96
|
| Rate for Payer: Priority Health SBD |
$297.86
|
| Rate for Payer: UMR Bronson Commercial |
$208.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$354.60
|
|
|
VALSARTAN 80 MG TABLET
|
Facility
IP
|
$2,806.86
|
|
|
Service Code
|
NDC 0078-0358-34
|
| Hospital Charge Code |
31209
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1,235.02 |
| Max. Negotiated Rate |
$2,526.17 |
| Rate for Payer: Aetna American Axle |
$1,824.46
|
| Rate for Payer: Aetna Commercial |
$2,385.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,824.46
|
| Rate for Payer: Cash Price |
$2,245.49
|
| Rate for Payer: Cofinity Commercial |
$1,964.80
|
| Rate for Payer: Cofinity Commercial |
$2,413.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,245.49
|
| Rate for Payer: Healthscope Commercial |
$2,526.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,964.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,105.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,385.83
|
| Rate for Payer: PHP Commercial |
$2,385.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,964.80
|
| Rate for Payer: Priority Health SBD |
$1,768.32
|
| Rate for Payer: UMR Bronson Commercial |
$1,235.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,105.14
|
|
|
VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION
|
Facility
IP
|
$19.10
|
|
|
Service Code
|
HCPCS J3370
|
| Hospital Charge Code |
8442
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$8.40 |
| Max. Negotiated Rate |
$17.19 |
| Rate for Payer: Aetna American Axle |
$12.42
|
| Rate for Payer: Aetna American Axle |
$11.47
|
| Rate for Payer: Aetna American Axle |
$11.67
|
| Rate for Payer: Aetna American Axle |
$13.98
|
| Rate for Payer: Aetna American Axle |
$20.18
|
| Rate for Payer: Aetna American Axle |
$12.56
|
| Rate for Payer: Aetna Commercial |
$26.38
|
| Rate for Payer: Aetna Commercial |
$16.42
|
| Rate for Payer: Aetna Commercial |
$16.24
|
| Rate for Payer: Aetna Commercial |
$15.00
|
| Rate for Payer: Aetna Commercial |
$15.26
|
| Rate for Payer: Aetna Commercial |
$18.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.18
|
| Rate for Payer: Cash Price |
$15.28
|
| Rate for Payer: Cash Price |
$14.12
|
| Rate for Payer: Cash Price |
$24.83
|
| Rate for Payer: Cash Price |
$14.36
|
| Rate for Payer: Cash Price |
$15.46
|
| Rate for Payer: Cash Price |
$17.20
|
| Rate for Payer: Cofinity Commercial |
$16.62
|
| Rate for Payer: Cofinity Commercial |
$15.44
|
| Rate for Payer: Cofinity Commercial |
$12.56
|
| Rate for Payer: Cofinity Commercial |
$18.49
|
| Rate for Payer: Cofinity Commercial |
$15.05
|
| Rate for Payer: Cofinity Commercial |
$13.52
|
| Rate for Payer: Cofinity Commercial |
$21.73
|
| Rate for Payer: Cofinity Commercial |
$26.69
|
| Rate for Payer: Cofinity Commercial |
$13.37
|
| Rate for Payer: Cofinity Commercial |
$16.43
|
| Rate for Payer: Cofinity Commercial |
$15.18
|
| Rate for Payer: Cofinity Commercial |
$12.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.28
|
| Rate for Payer: Healthscope Commercial |
$27.94
|
| Rate for Payer: Healthscope Commercial |
$19.35
|
| Rate for Payer: Healthscope Commercial |
$17.19
|
| Rate for Payer: Healthscope Commercial |
$15.88
|
| Rate for Payer: Healthscope Commercial |
$16.16
|
| Rate for Payer: Healthscope Commercial |
$17.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$26.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$18.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$15.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$15.26
|
| Rate for Payer: PHP Commercial |
$15.26
|
| Rate for Payer: PHP Commercial |
$16.42
|
| Rate for Payer: PHP Commercial |
$15.00
|
| Rate for Payer: PHP Commercial |
$16.24
|
| Rate for Payer: PHP Commercial |
$18.28
|
| Rate for Payer: PHP Commercial |
$26.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.37
|
| Rate for Payer: Priority Health SBD |
$13.54
|
| Rate for Payer: Priority Health SBD |
$11.12
|
| Rate for Payer: Priority Health SBD |
$12.17
|
| Rate for Payer: Priority Health SBD |
$12.03
|
| Rate for Payer: Priority Health SBD |
$19.56
|
| Rate for Payer: Priority Health SBD |
$11.31
|
| Rate for Payer: UMR Bronson Commercial |
$8.50
|
| Rate for Payer: UMR Bronson Commercial |
$9.46
|
| Rate for Payer: UMR Bronson Commercial |
$8.40
|
| Rate for Payer: UMR Bronson Commercial |
$7.90
|
| Rate for Payer: UMR Bronson Commercial |
$7.77
|
| Rate for Payer: UMR Bronson Commercial |
$13.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.32
|
|
|
VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION
|
Facility
OP
|
$21.50
|
|
|
Service Code
|
HCPCS J3370
|
| Hospital Charge Code |
8442
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.45 |
| Max. Negotiated Rate |
$19.35 |
| Rate for Payer: Aetna American Axle |
$13.98
|
| Rate for Payer: Aetna American Axle |
$12.05
|
| Rate for Payer: Aetna American Axle |
$12.56
|
| Rate for Payer: Aetna Commercial |
$18.28
|
| Rate for Payer: Aetna Commercial |
$16.42
|
| Rate for Payer: Aetna Commercial |
$15.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.56
|
| Rate for Payer: BCBS Complete |
$7.42
|
| Rate for Payer: BCBS Complete |
$8.60
|
| Rate for Payer: BCBS Complete |
$7.73
|
| Rate for Payer: BCBS Trust/PPO |
$7.45
|
| Rate for Payer: BCBS Trust/PPO |
$7.45
|
| Rate for Payer: BCBS Trust/PPO |
$7.45
|
| Rate for Payer: Cash Price |
$17.20
|
| Rate for Payer: Cash Price |
$15.46
|
| Rate for Payer: Cash Price |
$14.83
|
| Rate for Payer: Cash Price |
$14.83
|
| Rate for Payer: Cash Price |
$17.20
|
| Rate for Payer: Cash Price |
$15.46
|
| Rate for Payer: Cofinity Commercial |
$12.98
|
| Rate for Payer: Cofinity Commercial |
$18.49
|
| Rate for Payer: Cofinity Commercial |
$13.52
|
| Rate for Payer: Cofinity Commercial |
$16.62
|
| Rate for Payer: Cofinity Commercial |
$15.05
|
| Rate for Payer: Cofinity Commercial |
$15.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.46
|
| Rate for Payer: Healthscope Commercial |
$19.35
|
| Rate for Payer: Healthscope Commercial |
$17.39
|
| Rate for Payer: Healthscope Commercial |
$16.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$15.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$18.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16.42
|
| Rate for Payer: PHP Commercial |
$15.76
|
| Rate for Payer: PHP Commercial |
$18.28
|
| Rate for Payer: PHP Commercial |
$16.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.05
|
| Rate for Payer: Priority Health SBD |
$13.54
|
| Rate for Payer: Priority Health SBD |
$12.17
|
| Rate for Payer: Priority Health SBD |
$11.68
|
| Rate for Payer: UMR Bronson Commercial |
$7.96
|
| Rate for Payer: UMR Bronson Commercial |
$7.15
|
| Rate for Payer: UMR Bronson Commercial |
$6.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.49
|
|
