|
RAMIPRIL 1.25 MG CAPSULE
|
Facility
|
IP
|
$82.08
|
|
|
Service Code
|
NDC 68382014406
|
| Hospital Charge Code |
11258
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$36.12 |
| Max. Negotiated Rate |
$73.87 |
| Rate for Payer: Aetna American Axle |
$53.35
|
| Rate for Payer: Aetna Commercial |
$69.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.35
|
| Rate for Payer: Cash Price |
$65.66
|
| Rate for Payer: Cofinity Advantage |
$57.46
|
| Rate for Payer: Cofinity Commercial |
$70.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.66
|
| Rate for Payer: Healthscope Commercial |
$73.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$57.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.56
|
| Rate for Payer: PHP Commercial |
$69.77
|
| Rate for Payer: Priority Health SBD |
$51.71
|
| Rate for Payer: UMR Bronson Commercial |
$36.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.56
|
|
|
RAMIPRIL 1.25 MG CAPSULE
|
Facility
|
IP
|
$109.28
|
|
|
Service Code
|
NDC 57237022230
|
| Hospital Charge Code |
11258
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$48.08 |
| Max. Negotiated Rate |
$98.35 |
| Rate for Payer: Aetna American Axle |
$71.03
|
| Rate for Payer: Aetna Commercial |
$92.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.03
|
| Rate for Payer: Cash Price |
$87.42
|
| Rate for Payer: Cofinity Advantage |
$76.50
|
| Rate for Payer: Cofinity Commercial |
$93.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.42
|
| Rate for Payer: Healthscope Commercial |
$98.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$76.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$81.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$92.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$81.96
|
| Rate for Payer: PHP Commercial |
$92.89
|
| Rate for Payer: Priority Health SBD |
$68.85
|
| Rate for Payer: UMR Bronson Commercial |
$48.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$81.96
|
|
|
RAMIPRIL 1.25 MG CAPSULE
|
Facility
|
OP
|
$109.28
|
|
|
Service Code
|
NDC 57237022230
|
| Hospital Charge Code |
11258
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$40.43 |
| Max. Negotiated Rate |
$98.35 |
| Rate for Payer: Aetna American Axle |
$71.03
|
| Rate for Payer: Aetna Commercial |
$92.89
|
| Rate for Payer: Aetna Medicare |
$54.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.03
|
| Rate for Payer: BCBS Complete |
$43.71
|
| Rate for Payer: Cash Price |
$87.42
|
| Rate for Payer: Cofinity Advantage |
$76.50
|
| Rate for Payer: Cofinity Commercial |
$93.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.42
|
| Rate for Payer: Healthscope Commercial |
$98.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$76.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$81.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$87.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$92.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$81.96
|
| Rate for Payer: PHP Commercial |
$92.89
|
| Rate for Payer: Priority Health SBD |
$68.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$71.03
|
| Rate for Payer: UHC Core |
$56.93
|
| Rate for Payer: UHC Exchange |
$42.95
|
| Rate for Payer: UMR Bronson Commercial |
$40.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$81.96
|
|
|
RAMIPRIL 2.5 MG CAPSULE
|
Facility
|
OP
|
$110.45
|
|
|
Service Code
|
NDC 65862047501
|
| Hospital Charge Code |
11260
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$40.87 |
| Max. Negotiated Rate |
$99.41 |
| Rate for Payer: Aetna American Axle |
$71.79
|
| Rate for Payer: Aetna Commercial |
$93.88
|
| Rate for Payer: Aetna Medicare |
$55.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.79
|
| Rate for Payer: BCBS Complete |
$44.18
|
| Rate for Payer: Cash Price |
$88.36
|
| Rate for Payer: Cofinity Advantage |
$77.31
|
| Rate for Payer: Cofinity Commercial |
$94.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.36
|
| Rate for Payer: Healthscope Commercial |
$99.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$77.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$82.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$88.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$82.84
|
| Rate for Payer: PHP Commercial |
$93.88
|
| Rate for Payer: Priority Health SBD |
$69.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$71.79
|
| Rate for Payer: UHC Core |
$57.54
|
| Rate for Payer: UHC Exchange |
$43.41
|
| Rate for Payer: UMR Bronson Commercial |
$40.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$82.84
|
|
|
RAMIPRIL 2.5 MG CAPSULE
|
Facility
|
IP
|
$110.45
|
|
|
Service Code
|
NDC 65862047501
|
| Hospital Charge Code |
11260
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$48.60 |
| Max. Negotiated Rate |
$99.41 |
| Rate for Payer: Aetna American Axle |
$71.79
|
| Rate for Payer: Aetna Commercial |
$93.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.79
|
| Rate for Payer: Cash Price |
$88.36
|
| Rate for Payer: Cofinity Advantage |
$77.31
|
| Rate for Payer: Cofinity Commercial |
$94.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.36
|
| Rate for Payer: Healthscope Commercial |
$99.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$77.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$82.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$82.84
|
| Rate for Payer: PHP Commercial |
$93.88
|
| Rate for Payer: Priority Health SBD |
$69.58
|
| Rate for Payer: UMR Bronson Commercial |
$48.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$82.84
|
|
|
RAMIPRIL 5 MG CAPSULE
|
Facility
|
OP
|
$143.35
|
|
|
Service Code
|
NDC 65862047601
|
| Hospital Charge Code |
11261
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$53.04 |
| Max. Negotiated Rate |
$129.01 |
| Rate for Payer: Aetna American Axle |
$93.18
|
| Rate for Payer: Aetna Commercial |
$121.85
|
| Rate for Payer: Aetna Medicare |
$71.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.18
|
| Rate for Payer: BCBS Complete |
$57.34
|
| Rate for Payer: Cash Price |
$114.68
|
| Rate for Payer: Cofinity Advantage |
$100.34
|
| Rate for Payer: Cofinity Commercial |
$123.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$114.68
|
| Rate for Payer: Healthscope Commercial |
$129.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$100.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$107.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$114.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$121.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$107.51
|
| Rate for Payer: PHP Commercial |
$121.85
|
| Rate for Payer: Priority Health SBD |
$90.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$93.18
|
| Rate for Payer: UHC Core |
$74.69
|
| Rate for Payer: UHC Exchange |
$56.34
|
| Rate for Payer: UMR Bronson Commercial |
$53.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$107.51
|
|
|
RAMIPRIL 5 MG CAPSULE
|
Facility
|
IP
|
$143.35
|
|
|
Service Code
|
NDC 65862047601
|
| Hospital Charge Code |
11261
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$63.07 |
| Max. Negotiated Rate |
$129.01 |
| Rate for Payer: Aetna American Axle |
$93.18
|
| Rate for Payer: Aetna Commercial |
$121.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.18
|
| Rate for Payer: Cash Price |
$114.68
|
| Rate for Payer: Cofinity Advantage |
$100.34
|
| Rate for Payer: Cofinity Commercial |
$123.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$114.68
|
| Rate for Payer: Healthscope Commercial |
$129.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$100.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$107.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$121.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$107.51
|
| Rate for Payer: PHP Commercial |
$121.85
|
| Rate for Payer: Priority Health SBD |
$90.31
|
| Rate for Payer: UMR Bronson Commercial |
$63.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$107.51
|
|
|
RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$6,839.62
|
|
|
Service Code
|
HCPCS J9308
|
| Hospital Charge Code |
170507
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$39.47 |
| Max. Negotiated Rate |
$6,155.66 |
| Rate for Payer: Aetna American Axle |
$4,445.75
|
| Rate for Payer: Aetna American Axle |
$22,228.76
|
| Rate for Payer: Aetna Commercial |
$29,068.38
|
| Rate for Payer: Aetna Commercial |
$5,813.68
|
| Rate for Payer: Aetna Medicare |
$78.49
|
| Rate for Payer: Aetna Medicare |
$78.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22,228.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,445.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$94.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$94.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$94.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$94.34
|
| Rate for Payer: BCBS Complete |
$41.45
|
| Rate for Payer: BCBS Complete |
$41.45
|
| Rate for Payer: BCBS MAPPO |
$75.47
|
| Rate for Payer: BCBS MAPPO |
$75.47
|
| Rate for Payer: BCBS Trust/PPO |
$240.54
|
| Rate for Payer: BCBS Trust/PPO |
$240.54
|
| Rate for Payer: BCN Commercial |
$240.54
|
| Rate for Payer: BCN Commercial |
$240.54
|
| Rate for Payer: BCN Medicare Advantage |
$75.47
|
| Rate for Payer: BCN Medicare Advantage |
$75.47
|
| Rate for Payer: Cash Price |
$27,358.47
|
| Rate for Payer: Cash Price |
$5,471.70
|
| Rate for Payer: Cash Price |
$5,471.70
|
| Rate for Payer: Cash Price |
$27,358.47
|
| Rate for Payer: Cofinity Advantage |
$4,787.73
|
| Rate for Payer: Cofinity Advantage |
$23,938.66
|
| Rate for Payer: Cofinity Commercial |
$29,410.36
|
| Rate for Payer: Cofinity Commercial |
$5,882.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27,358.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,471.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$75.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$75.47
|
| Rate for Payer: Healthscope Commercial |
$30,778.28
|
| Rate for Payer: Healthscope Commercial |
$6,155.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,787.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23,938.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25,648.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,129.72
|
| Rate for Payer: Mclaren Medicaid |
$75.47
|
| Rate for Payer: Mclaren Medicaid |
$75.47
|
| Rate for Payer: Mclaren Medicare |
$75.47
|
| Rate for Payer: Mclaren Medicare |
$75.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$79.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$79.24
|
| Rate for Payer: Meridian Medicaid |
$79.24
|
| Rate for Payer: Meridian Medicaid |
$79.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$86.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$86.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$83.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$83.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29,068.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,813.68
|
| Rate for Payer: Nomi Health Commercial |
$226.41
|
| Rate for Payer: Nomi Health Commercial |
$226.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,129.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25,648.57
|
| Rate for Payer: PACE Medicare |
$71.70
|
| Rate for Payer: PACE Medicare |
$71.70
|
| Rate for Payer: PACE SWMI |
$75.47
|
| Rate for Payer: PACE SWMI |
$75.47
|
| Rate for Payer: PHP Commercial |
$29,068.38
|
| Rate for Payer: PHP Commercial |
$5,813.68
|
| Rate for Payer: PHP Medicare Advantage |
$75.47
|
| Rate for Payer: PHP Medicare Advantage |
$75.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$234.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$234.52
|
| Rate for Payer: Priority Health Medicare |
$75.47
|
| Rate for Payer: Priority Health Medicare |
$75.47
|
| Rate for Payer: Priority Health SBD |
$21,544.80
|
| Rate for Payer: Priority Health SBD |
$4,308.96
|
| Rate for Payer: Priority Health Tiered Network |
$187.62
|
| Rate for Payer: Priority Health Tiered Network |
$187.62
|
| Rate for Payer: Railroad Medicare Medicare |
$75.47
|
| Rate for Payer: Railroad Medicare Medicare |
$75.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$124.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$124.71
|
| Rate for Payer: UHC Core |
$124.71
|
| Rate for Payer: UHC Core |
$124.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$75.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$75.47
|
| Rate for Payer: UHC Exchange |
$124.71
|
| Rate for Payer: UHC Exchange |
$124.71
|
| Rate for Payer: UHC Medicaid |
$39.47
|
| Rate for Payer: UHC Medicaid |
$39.47
|
| Rate for Payer: UHCCP Medicaid |
$39.47
|
| Rate for Payer: UHCCP Medicaid |
$39.47
|
| Rate for Payer: UMR Bronson Commercial |
$12,653.29
|
| Rate for Payer: UMR Bronson Commercial |
$2,530.66
|
| Rate for Payer: VA VA |
$75.47
|
| Rate for Payer: VA VA |
$75.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,129.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25,648.57
|
|
|
RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$34,198.09
|
|
|
Service Code
|
HCPCS J9308
|
| Hospital Charge Code |
170507
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$15,047.16 |
| Max. Negotiated Rate |
$30,778.28 |
| Rate for Payer: Aetna American Axle |
$22,228.76
|
| Rate for Payer: Aetna American Axle |
$4,445.75
|
| Rate for Payer: Aetna Commercial |
$29,068.38
|
| Rate for Payer: Aetna Commercial |
$5,813.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22,228.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,445.75
|
| Rate for Payer: Cash Price |
$27,358.47
|
| Rate for Payer: Cash Price |
$5,471.70
|
| Rate for Payer: Cofinity Advantage |
$4,787.73
|
| Rate for Payer: Cofinity Advantage |
$23,938.66
|
| Rate for Payer: Cofinity Commercial |
$5,882.07
|
| Rate for Payer: Cofinity Commercial |
$29,410.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27,358.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,471.70
|
| Rate for Payer: Healthscope Commercial |
$30,778.28
|
| Rate for Payer: Healthscope Commercial |
$6,155.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,787.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23,938.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25,648.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,129.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29,068.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,813.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25,648.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,129.72
|
| Rate for Payer: PHP Commercial |
$29,068.38
|
| Rate for Payer: PHP Commercial |
$5,813.68
|
| Rate for Payer: Priority Health SBD |
$4,308.96
|
| Rate for Payer: Priority Health SBD |
$21,544.80
|
| Rate for Payer: UMR Bronson Commercial |
$15,047.16
|
| Rate for Payer: UMR Bronson Commercial |
$3,009.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25,648.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,129.72
|
|
|
RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR
|
Facility
|
OP
|
$160.56
|
|
|
Service Code
|
NDC 00904750604
|
| Hospital Charge Code |
70434
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$59.41 |
| Max. Negotiated Rate |
$144.50 |
| Rate for Payer: Aetna American Axle |
$104.36
|
| Rate for Payer: Aetna Commercial |
$136.48
|
| Rate for Payer: Aetna Medicare |
$80.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.36
|
| Rate for Payer: BCBS Complete |
$64.22
|
| Rate for Payer: Cash Price |
$128.45
|
| Rate for Payer: Cofinity Advantage |
$112.39
|
| Rate for Payer: Cofinity Commercial |
$138.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$128.45
|
| Rate for Payer: Healthscope Commercial |
$144.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$112.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$128.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$120.42
|
| Rate for Payer: PHP Commercial |
$136.48
|
| Rate for Payer: Priority Health SBD |
$101.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.36
|
| Rate for Payer: UHC Core |
$83.65
|
| Rate for Payer: UHC Exchange |
$63.10
|
| Rate for Payer: UMR Bronson Commercial |
$59.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.42
|
|
|
RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR
|
Facility
|
IP
|
$176.55
|
|
|
Service Code
|
NDC 60687054921
|
| Hospital Charge Code |
70434
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$77.68 |
| Max. Negotiated Rate |
$158.90 |
| Rate for Payer: Aetna American Axle |
$114.76
|
| Rate for Payer: Aetna Commercial |
$150.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$114.76
|
| Rate for Payer: Cash Price |
$141.24
|
| Rate for Payer: Cofinity Advantage |
$123.58
|
| Rate for Payer: Cofinity Commercial |
$151.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$141.24
|
| Rate for Payer: Healthscope Commercial |
$158.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$123.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$132.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$150.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$132.41
|
| Rate for Payer: PHP Commercial |
$150.07
|
| Rate for Payer: Priority Health SBD |
$111.23
|
| Rate for Payer: UMR Bronson Commercial |
$77.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$132.41
|
|
|
RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR
|
Facility
|
IP
|
$154.47
|
|
|
Service Code
|
NDC 31722066860
|
| Hospital Charge Code |
70434
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$67.97 |
| Max. Negotiated Rate |
$139.02 |
| Rate for Payer: Aetna American Axle |
$100.41
|
| Rate for Payer: Aetna Commercial |
$131.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.41
|
| Rate for Payer: Cash Price |
$123.58
|
| Rate for Payer: Cofinity Advantage |
$108.13
|
| Rate for Payer: Cofinity Commercial |
$132.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.58
|
| Rate for Payer: Healthscope Commercial |
$139.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$108.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$131.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$115.85
|
| Rate for Payer: PHP Commercial |
$131.30
|
| Rate for Payer: Priority Health SBD |
$97.32
|
| Rate for Payer: UMR Bronson Commercial |
$67.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.85
|
|
|
RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR
|
Facility
|
IP
|
$381.03
|
|
|
Service Code
|
NDC 45963041806
|
| Hospital Charge Code |
70434
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$167.65 |
| Max. Negotiated Rate |
$342.93 |
| Rate for Payer: Aetna American Axle |
$247.67
|
| Rate for Payer: Aetna Commercial |
$323.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$247.67
|
| Rate for Payer: Cash Price |
$304.82
|
| Rate for Payer: Cofinity Advantage |
$266.72
|
| Rate for Payer: Cofinity Commercial |
$327.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$304.82
|
| Rate for Payer: Healthscope Commercial |
$342.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$266.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$285.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$323.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$285.77
|
| Rate for Payer: PHP Commercial |
$323.88
|
| Rate for Payer: Priority Health SBD |
$240.05
|
| Rate for Payer: UMR Bronson Commercial |
$167.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$285.77
|
|
|
RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR
|
Facility
|
OP
|
$176.55
|
|
|
Service Code
|
NDC 60687054921
|
| Hospital Charge Code |
70434
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$65.32 |
| Max. Negotiated Rate |
$158.90 |
| Rate for Payer: Aetna American Axle |
$114.76
|
| Rate for Payer: Aetna Commercial |
$150.07
|
| Rate for Payer: Aetna Medicare |
$88.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$114.76
|
| Rate for Payer: BCBS Complete |
$70.62
|
| Rate for Payer: Cash Price |
$141.24
|
| Rate for Payer: Cofinity Advantage |
$123.58
|
| Rate for Payer: Cofinity Commercial |
$151.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$141.24
|
| Rate for Payer: Healthscope Commercial |
$158.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$123.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$132.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$141.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$150.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$132.41
|
| Rate for Payer: PHP Commercial |
$150.07
|
| Rate for Payer: Priority Health SBD |
$111.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$114.76
|
| Rate for Payer: UHC Core |
$91.98
|
| Rate for Payer: UHC Exchange |
$69.38
|
| Rate for Payer: UMR Bronson Commercial |
$65.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$132.41
|
|
|
RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR
|
Facility
|
OP
|
$1,414.81
|
|
|
Service Code
|
NDC 61958100301
|
| Hospital Charge Code |
70434
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$523.48 |
| Max. Negotiated Rate |
$1,273.33 |
| Rate for Payer: Aetna American Axle |
$919.63
|
| Rate for Payer: Aetna Commercial |
$1,202.59
|
| Rate for Payer: Aetna Medicare |
$707.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$919.63
|
| Rate for Payer: BCBS Complete |
$565.92
|
| Rate for Payer: Cash Price |
$1,131.85
|
| Rate for Payer: Cofinity Advantage |
$990.37
|
| Rate for Payer: Cofinity Commercial |
$1,216.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,131.85
|
| Rate for Payer: Healthscope Commercial |
$1,273.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$990.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,061.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,131.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,202.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,061.11
|
| Rate for Payer: PHP Commercial |
$1,202.59
|
| Rate for Payer: Priority Health SBD |
$891.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$919.63
|
| Rate for Payer: UHC Core |
$737.12
|
| Rate for Payer: UHC Exchange |
$556.02
|
| Rate for Payer: UMR Bronson Commercial |
$523.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,061.11
|
|
|
RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR
|
Facility
|
IP
|
$1,414.81
|
|
|
Service Code
|
NDC 61958100301
|
| Hospital Charge Code |
70434
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$622.52 |
| Max. Negotiated Rate |
$1,273.33 |
| Rate for Payer: Aetna American Axle |
$919.63
|
| Rate for Payer: Aetna Commercial |
$1,202.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$919.63
|
| Rate for Payer: Cash Price |
$1,131.85
|
| Rate for Payer: Cofinity Advantage |
$990.37
|
| Rate for Payer: Cofinity Commercial |
$1,216.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,131.85
|
| Rate for Payer: Healthscope Commercial |
$1,273.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$990.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,061.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,202.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,061.11
|
| Rate for Payer: PHP Commercial |
$1,202.59
|
| Rate for Payer: Priority Health SBD |
$891.33
|
| Rate for Payer: UMR Bronson Commercial |
$622.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,061.11
|
|
|
RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR
|
Facility
|
IP
|
$160.56
|
|
|
Service Code
|
NDC 00904750604
|
| Hospital Charge Code |
70434
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$70.65 |
| Max. Negotiated Rate |
$144.50 |
| Rate for Payer: Aetna American Axle |
$104.36
|
| Rate for Payer: Aetna Commercial |
$136.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.36
|
| Rate for Payer: Cash Price |
$128.45
|
| Rate for Payer: Cofinity Advantage |
$112.39
|
| Rate for Payer: Cofinity Commercial |
$138.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$128.45
|
| Rate for Payer: Healthscope Commercial |
$144.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$112.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$120.42
|
| Rate for Payer: PHP Commercial |
$136.48
|
| Rate for Payer: Priority Health SBD |
$101.15
|
| Rate for Payer: UMR Bronson Commercial |
$70.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.42
|
|
|
RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR
|
Facility
|
OP
|
$5.89
|
|
|
Service Code
|
NDC 60687054911
|
| Hospital Charge Code |
70434
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.18 |
| Max. Negotiated Rate |
$5.30 |
| Rate for Payer: Aetna American Axle |
$3.83
|
| Rate for Payer: Aetna Commercial |
$5.01
|
| Rate for Payer: Aetna Medicare |
$2.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.83
|
| Rate for Payer: BCBS Complete |
$2.36
|
| Rate for Payer: Cash Price |
$4.71
|
| Rate for Payer: Cofinity Advantage |
$4.12
|
| Rate for Payer: Cofinity Commercial |
$5.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.71
|
| Rate for Payer: Healthscope Commercial |
$5.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.42
|
| Rate for Payer: PHP Commercial |
$5.01
|
| Rate for Payer: Priority Health SBD |
$3.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.83
|
| Rate for Payer: UHC Core |
$3.07
|
| Rate for Payer: UHC Exchange |
$2.31
|
| Rate for Payer: UMR Bronson Commercial |
$2.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.42
|
|
|
RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR
|
Facility
|
OP
|
$381.03
|
|
|
Service Code
|
NDC 45963041806
|
| Hospital Charge Code |
70434
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$140.98 |
| Max. Negotiated Rate |
$342.93 |
| Rate for Payer: Aetna American Axle |
$247.67
|
| Rate for Payer: Aetna Commercial |
$323.88
|
| Rate for Payer: Aetna Medicare |
$190.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$247.67
|
| Rate for Payer: BCBS Complete |
$152.41
|
| Rate for Payer: Cash Price |
$304.82
|
| Rate for Payer: Cofinity Advantage |
$266.72
|
| Rate for Payer: Cofinity Commercial |
$327.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$304.82
|
| Rate for Payer: Healthscope Commercial |
$342.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$266.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$285.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$304.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$323.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$285.77
|
| Rate for Payer: PHP Commercial |
$323.88
|
| Rate for Payer: Priority Health SBD |
$240.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$247.67
|
| Rate for Payer: UHC Core |
$198.52
|
| Rate for Payer: UHC Exchange |
$149.74
|
| Rate for Payer: UMR Bronson Commercial |
$140.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$285.77
|
|
|
RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR
|
Facility
|
OP
|
$154.47
|
|
|
Service Code
|
NDC 31722066860
|
| Hospital Charge Code |
70434
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$57.15 |
| Max. Negotiated Rate |
$139.02 |
| Rate for Payer: Aetna American Axle |
$100.41
|
| Rate for Payer: Aetna Commercial |
$131.30
|
| Rate for Payer: Aetna Medicare |
$77.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.41
|
| Rate for Payer: BCBS Complete |
$61.79
|
| Rate for Payer: Cash Price |
$123.58
|
| Rate for Payer: Cofinity Advantage |
$108.13
|
| Rate for Payer: Cofinity Commercial |
$132.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.58
|
| Rate for Payer: Healthscope Commercial |
$139.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$108.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$123.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$131.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$115.85
|
| Rate for Payer: PHP Commercial |
$131.30
|
| Rate for Payer: Priority Health SBD |
$97.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$100.41
|
| Rate for Payer: UHC Core |
$80.48
|
| Rate for Payer: UHC Exchange |
$60.71
|
| Rate for Payer: UMR Bronson Commercial |
$57.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.85
|
|
|
RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR
|
Facility
|
IP
|
$5.89
|
|
|
Service Code
|
NDC 60687054911
|
| Hospital Charge Code |
70434
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.59 |
| Max. Negotiated Rate |
$5.30 |
| Rate for Payer: Aetna American Axle |
$3.83
|
| Rate for Payer: Aetna Commercial |
$5.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.83
|
| Rate for Payer: Cash Price |
$4.71
|
| Rate for Payer: Cofinity Advantage |
$4.12
|
| Rate for Payer: Cofinity Commercial |
$5.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.71
|
| Rate for Payer: Healthscope Commercial |
$5.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.42
|
| Rate for Payer: PHP Commercial |
$5.01
|
| Rate for Payer: Priority Health SBD |
$3.71
|
| Rate for Payer: UMR Bronson Commercial |
$2.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.42
|
|
|
RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR
|
Facility
|
OP
|
$154.47
|
|
|
Service Code
|
NDC 70756070360
|
| Hospital Charge Code |
70434
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$57.15 |
| Max. Negotiated Rate |
$139.02 |
| Rate for Payer: Aetna American Axle |
$100.41
|
| Rate for Payer: Aetna Commercial |
$131.30
|
| Rate for Payer: Aetna Medicare |
$77.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.41
|
| Rate for Payer: BCBS Complete |
$61.79
|
| Rate for Payer: Cash Price |
$123.58
|
| Rate for Payer: Cofinity Advantage |
$108.13
|
| Rate for Payer: Cofinity Commercial |
$132.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.58
|
| Rate for Payer: Healthscope Commercial |
$139.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$108.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$123.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$131.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$115.85
|
| Rate for Payer: PHP Commercial |
$131.30
|
| Rate for Payer: Priority Health SBD |
$97.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$100.41
|
| Rate for Payer: UHC Core |
$80.48
|
| Rate for Payer: UHC Exchange |
$60.71
|
| Rate for Payer: UMR Bronson Commercial |
$57.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.85
|
|
|
RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR
|
Facility
|
IP
|
$154.47
|
|
|
Service Code
|
NDC 70756070360
|
| Hospital Charge Code |
70434
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$67.97 |
| Max. Negotiated Rate |
$139.02 |
| Rate for Payer: Aetna American Axle |
$100.41
|
| Rate for Payer: Aetna Commercial |
$131.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.41
|
| Rate for Payer: Cash Price |
$123.58
|
| Rate for Payer: Cofinity Advantage |
$108.13
|
| Rate for Payer: Cofinity Commercial |
$132.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.58
|
| Rate for Payer: Healthscope Commercial |
$139.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$108.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$131.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$115.85
|
| Rate for Payer: PHP Commercial |
$131.30
|
| Rate for Payer: Priority Health SBD |
$97.32
|
| Rate for Payer: UMR Bronson Commercial |
$67.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.85
|
|
|
RASAGILINE 0.5 MG TABLET
|
Facility
|
IP
|
$203.19
|
|
|
Service Code
|
NDC 67877025930
|
| Hospital Charge Code |
76480
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$89.40 |
| Max. Negotiated Rate |
$182.87 |
| Rate for Payer: Aetna American Axle |
$132.07
|
| Rate for Payer: Aetna Commercial |
$172.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$132.07
|
| Rate for Payer: Cash Price |
$162.55
|
| Rate for Payer: Cofinity Advantage |
$142.23
|
| Rate for Payer: Cofinity Commercial |
$174.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$162.55
|
| Rate for Payer: Healthscope Commercial |
$182.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$142.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$152.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$172.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$152.39
|
| Rate for Payer: PHP Commercial |
$172.71
|
| Rate for Payer: Priority Health SBD |
$128.01
|
| Rate for Payer: UMR Bronson Commercial |
$89.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$152.39
|
|
|
RASAGILINE 0.5 MG TABLET
|
Facility
|
OP
|
$1,417.59
|
|
|
Service Code
|
NDC 00378127093
|
| Hospital Charge Code |
76480
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$524.51 |
| Max. Negotiated Rate |
$1,275.83 |
| Rate for Payer: Aetna American Axle |
$921.43
|
| Rate for Payer: Aetna Commercial |
$1,204.95
|
| Rate for Payer: Aetna Medicare |
$708.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$921.43
|
| Rate for Payer: BCBS Complete |
$567.04
|
| Rate for Payer: Cash Price |
$1,134.07
|
| Rate for Payer: Cofinity Advantage |
$992.31
|
| Rate for Payer: Cofinity Commercial |
$1,219.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,134.07
|
| Rate for Payer: Healthscope Commercial |
$1,275.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$992.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,063.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,134.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,204.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,063.19
|
| Rate for Payer: PHP Commercial |
$1,204.95
|
| Rate for Payer: Priority Health SBD |
$893.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$921.43
|
| Rate for Payer: UHC Core |
$738.56
|
| Rate for Payer: UHC Exchange |
$557.11
|
| Rate for Payer: UMR Bronson Commercial |
$524.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,063.19
|
|
