|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$29.60
|
|
|
Service Code
|
NDC 70748034901
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$10.95 |
| Max. Negotiated Rate |
$26.64 |
| Rate for Payer: Aetna American Axle |
$19.24
|
| Rate for Payer: Aetna Commercial |
$25.16
|
| Rate for Payer: Aetna Medicare |
$14.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.24
|
| Rate for Payer: BCBS Complete |
$11.84
|
| Rate for Payer: Cash Price |
$23.68
|
| Rate for Payer: Cofinity Advantage |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$25.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.68
|
| Rate for Payer: Healthscope Commercial |
$26.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.20
|
| Rate for Payer: PHP Commercial |
$25.16
|
| Rate for Payer: Priority Health SBD |
$18.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.24
|
| Rate for Payer: UHC Core |
$15.42
|
| Rate for Payer: UHC Exchange |
$11.63
|
| Rate for Payer: UMR Bronson Commercial |
$10.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.20
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$19.27
|
|
|
Service Code
|
NDC 66794022902
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.48 |
| Max. Negotiated Rate |
$17.34 |
| Rate for Payer: Aetna American Axle |
$12.53
|
| Rate for Payer: Aetna Commercial |
$16.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.53
|
| Rate for Payer: Cash Price |
$15.42
|
| Rate for Payer: Cofinity Advantage |
$13.49
|
| Rate for Payer: Cofinity Commercial |
$16.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.42
|
| Rate for Payer: Healthscope Commercial |
$17.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.45
|
| Rate for Payer: PHP Commercial |
$16.38
|
| Rate for Payer: Priority Health SBD |
$12.14
|
| Rate for Payer: UMR Bronson Commercial |
$8.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.45
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$23.54
|
|
|
Service Code
|
NDC 65145013110
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$10.36 |
| Max. Negotiated Rate |
$21.19 |
| Rate for Payer: Aetna American Axle |
$15.30
|
| Rate for Payer: Aetna Commercial |
$20.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.30
|
| Rate for Payer: Cash Price |
$18.83
|
| Rate for Payer: Cofinity Advantage |
$16.48
|
| Rate for Payer: Cofinity Commercial |
$20.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.83
|
| Rate for Payer: Healthscope Commercial |
$21.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.66
|
| Rate for Payer: PHP Commercial |
$20.01
|
| Rate for Payer: Priority Health SBD |
$14.83
|
| Rate for Payer: UMR Bronson Commercial |
$10.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.66
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$20.96
|
|
|
Service Code
|
NDC 55150022505
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.22 |
| Max. Negotiated Rate |
$18.86 |
| Rate for Payer: Aetna American Axle |
$13.62
|
| Rate for Payer: Aetna Commercial |
$17.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.62
|
| Rate for Payer: Cash Price |
$16.77
|
| Rate for Payer: Cofinity Advantage |
$14.67
|
| Rate for Payer: Cofinity Commercial |
$18.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.77
|
| Rate for Payer: Healthscope Commercial |
$18.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.72
|
| Rate for Payer: PHP Commercial |
$17.82
|
| Rate for Payer: Priority Health SBD |
$13.20
|
| Rate for Payer: UMR Bronson Commercial |
$9.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.72
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$26.13
|
|
|
Service Code
|
NDC 00409703701
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$11.50 |
| Max. Negotiated Rate |
$23.52 |
| Rate for Payer: Aetna American Axle |
$16.98
|
| Rate for Payer: Aetna Commercial |
$22.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.98
|
| Rate for Payer: Cash Price |
$20.90
|
| Rate for Payer: Cofinity Advantage |
$18.29
|
| Rate for Payer: Cofinity Commercial |
$22.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.90
|
| Rate for Payer: Healthscope Commercial |
$23.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.60
|
| Rate for Payer: PHP Commercial |
$22.21
|
| Rate for Payer: Priority Health SBD |
$16.46
|
| Rate for Payer: UMR Bronson Commercial |
$11.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.60
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$20.95
|
|
|
Service Code
|
NDC 71839014201
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.22 |
| Max. Negotiated Rate |
$18.86 |
| Rate for Payer: Aetna American Axle |
$13.62
|
| Rate for Payer: Aetna Commercial |
$17.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.62
|
| Rate for Payer: Cash Price |
$16.76
|
| Rate for Payer: Cofinity Advantage |
$14.66
|
| Rate for Payer: Cofinity Commercial |
$18.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.76
|
| Rate for Payer: Healthscope Commercial |
$18.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.71
|
| Rate for Payer: PHP Commercial |
$17.81
|
| Rate for Payer: Priority Health SBD |
$13.20
|
| Rate for Payer: UMR Bronson Commercial |
$9.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.71
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$24.66
|
|
|
Service Code
|
NDC 00781322092
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.12 |
| Max. Negotiated Rate |
$22.19 |
| Rate for Payer: Aetna American Axle |
$16.03
|
| Rate for Payer: Aetna Commercial |
$20.96
|
| Rate for Payer: Aetna Medicare |
$12.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.03
|
| Rate for Payer: BCBS Complete |
$9.86
|
| Rate for Payer: Cash Price |
$19.73
|
| Rate for Payer: Cofinity Advantage |
$17.26
|
| Rate for Payer: Cofinity Commercial |
$21.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.73
|
| Rate for Payer: Healthscope Commercial |
$22.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.50
|
| Rate for Payer: PHP Commercial |
$20.96
|
| Rate for Payer: Priority Health SBD |
$15.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16.03
|
| Rate for Payer: UHC Core |
$12.85
|
| Rate for Payer: UHC Exchange |
$9.69
|
| Rate for Payer: UMR Bronson Commercial |
$9.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.50
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$19.27
|
|
|
Service Code
|
NDC 66794022941
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$7.13 |
| Max. Negotiated Rate |
$17.34 |
| Rate for Payer: Aetna American Axle |
$12.53
|
| Rate for Payer: Aetna Commercial |
$16.38
|
| Rate for Payer: Aetna Medicare |
$9.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.53
|
| Rate for Payer: BCBS Complete |
$7.71
|
| Rate for Payer: Cash Price |
$15.42
|
| Rate for Payer: Cofinity Advantage |
$13.49
|
| Rate for Payer: Cofinity Commercial |
$16.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.42
|
| Rate for Payer: Healthscope Commercial |
$17.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.45
|
| Rate for Payer: PHP Commercial |
$16.38
|
| Rate for Payer: Priority Health SBD |
$12.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.53
|
| Rate for Payer: UHC Core |
$10.04
|
| Rate for Payer: UHC Exchange |
$7.57
|
| Rate for Payer: UMR Bronson Commercial |
$7.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.45
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$23.54
|
|
|
Service Code
|
NDC 65145013101
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.71 |
| Max. Negotiated Rate |
$21.19 |
| Rate for Payer: Aetna American Axle |
$15.30
|
| Rate for Payer: Aetna Commercial |
$20.01
|
| Rate for Payer: Aetna Medicare |
$11.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.30
|
| Rate for Payer: BCBS Complete |
$9.42
|
| Rate for Payer: Cash Price |
$18.83
|
| Rate for Payer: Cofinity Advantage |
$16.48
|
| Rate for Payer: Cofinity Commercial |
$20.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.83
|
| Rate for Payer: Healthscope Commercial |
$21.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.66
|
| Rate for Payer: PHP Commercial |
$20.01
|
| Rate for Payer: Priority Health SBD |
$14.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.30
|
| Rate for Payer: UHC Core |
$12.26
|
| Rate for Payer: UHC Exchange |
$9.25
|
| Rate for Payer: UMR Bronson Commercial |
$8.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.66
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$24.42
|
|
|
Service Code
|
NDC 43547053110
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.04 |
| Max. Negotiated Rate |
$21.98 |
| Rate for Payer: Aetna American Axle |
$15.87
|
| Rate for Payer: Aetna Commercial |
$20.76
|
| Rate for Payer: Aetna Medicare |
$12.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.87
|
| Rate for Payer: BCBS Complete |
$9.77
|
| Rate for Payer: Cash Price |
$19.54
|
| Rate for Payer: Cofinity Advantage |
$17.09
|
| Rate for Payer: Cofinity Commercial |
$21.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.54
|
| Rate for Payer: Healthscope Commercial |
$21.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.32
|
| Rate for Payer: PHP Commercial |
$20.76
|
| Rate for Payer: Priority Health SBD |
$15.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.87
|
| Rate for Payer: UHC Core |
$12.72
|
| Rate for Payer: UHC Exchange |
$9.60
|
| Rate for Payer: UMR Bronson Commercial |
$9.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.32
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$29.73
|
|
|
Service Code
|
NDC 72611075701
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$11.00 |
| Max. Negotiated Rate |
$26.76 |
| Rate for Payer: Aetna American Axle |
$19.32
|
| Rate for Payer: Aetna Commercial |
$25.27
|
| Rate for Payer: Aetna Medicare |
$14.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.32
|
| Rate for Payer: BCBS Complete |
$11.89
|
| Rate for Payer: Cash Price |
$23.78
|
| Rate for Payer: Cofinity Advantage |
$20.81
|
| Rate for Payer: Cofinity Commercial |
$25.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.78
|
| Rate for Payer: Healthscope Commercial |
$26.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.30
|
| Rate for Payer: PHP Commercial |
$25.27
|
| Rate for Payer: Priority Health SBD |
$18.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.32
|
| Rate for Payer: UHC Core |
$15.49
|
| Rate for Payer: UHC Exchange |
$11.68
|
| Rate for Payer: UMR Bronson Commercial |
$11.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.30
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$22.72
|
|
|
Service Code
|
NDC 43066001310
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$10.00 |
| Max. Negotiated Rate |
$20.45 |
| Rate for Payer: Aetna American Axle |
$14.77
|
| Rate for Payer: Aetna Commercial |
$19.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.77
|
| Rate for Payer: Cash Price |
$18.18
|
| Rate for Payer: Cofinity Advantage |
$15.90
|
| Rate for Payer: Cofinity Commercial |
$19.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.18
|
| Rate for Payer: Healthscope Commercial |
$20.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.04
|
| Rate for Payer: PHP Commercial |
$19.31
|
| Rate for Payer: Priority Health SBD |
$14.31
|
| Rate for Payer: UMR Bronson Commercial |
$10.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.04
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$22.79
|
|
|
Service Code
|
NDC 39822420006
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.43 |
| Max. Negotiated Rate |
$20.51 |
| Rate for Payer: Aetna American Axle |
$14.81
|
| Rate for Payer: Aetna Commercial |
$19.37
|
| Rate for Payer: Aetna Medicare |
$11.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.81
|
| Rate for Payer: BCBS Complete |
$9.12
|
| Rate for Payer: Cash Price |
$18.23
|
| Rate for Payer: Cofinity Advantage |
$15.95
|
| Rate for Payer: Cofinity Commercial |
$19.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.23
|
| Rate for Payer: Healthscope Commercial |
$20.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.09
|
| Rate for Payer: PHP Commercial |
$19.37
|
| Rate for Payer: Priority Health SBD |
$14.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.81
|
| Rate for Payer: UHC Core |
$11.87
|
| Rate for Payer: UHC Exchange |
$8.96
|
| Rate for Payer: UMR Bronson Commercial |
$8.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.09
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$26.83
|
|
|
Service Code
|
NDC 71839014101
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$11.81 |
| Max. Negotiated Rate |
$24.15 |
| Rate for Payer: Aetna American Axle |
$17.44
|
| Rate for Payer: Aetna Commercial |
$22.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.44
|
| Rate for Payer: Cash Price |
$21.46
|
| Rate for Payer: Cofinity Advantage |
$18.78
|
| Rate for Payer: Cofinity Commercial |
$23.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.46
|
| Rate for Payer: Healthscope Commercial |
$24.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.12
|
| Rate for Payer: PHP Commercial |
$22.81
|
| Rate for Payer: Priority Health SBD |
$16.90
|
| Rate for Payer: UMR Bronson Commercial |
$11.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.12
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$24.42
|
|
|
Service Code
|
NDC 43547053110
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$10.74 |
| Max. Negotiated Rate |
$21.98 |
| Rate for Payer: Aetna American Axle |
$15.87
|
| Rate for Payer: Aetna Commercial |
$20.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.87
|
| Rate for Payer: Cash Price |
$19.54
|
| Rate for Payer: Cofinity Advantage |
$17.09
|
| Rate for Payer: Cofinity Commercial |
$21.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.54
|
| Rate for Payer: Healthscope Commercial |
$21.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.32
|
| Rate for Payer: PHP Commercial |
$20.76
|
| Rate for Payer: Priority Health SBD |
$15.38
|
| Rate for Payer: UMR Bronson Commercial |
$10.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.32
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$26.13
|
|
|
Service Code
|
NDC 00409703710
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.67 |
| Max. Negotiated Rate |
$23.52 |
| Rate for Payer: Aetna American Axle |
$16.98
|
| Rate for Payer: Aetna Commercial |
$22.21
|
| Rate for Payer: Aetna Medicare |
$13.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.98
|
| Rate for Payer: BCBS Complete |
$10.45
|
| Rate for Payer: Cash Price |
$20.90
|
| Rate for Payer: Cofinity Advantage |
$18.29
|
| Rate for Payer: Cofinity Commercial |
$22.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.90
|
| Rate for Payer: Healthscope Commercial |
$23.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.60
|
| Rate for Payer: PHP Commercial |
$22.21
|
| Rate for Payer: Priority Health SBD |
$16.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16.98
|
| Rate for Payer: UHC Core |
$13.61
|
| Rate for Payer: UHC Exchange |
$10.27
|
| Rate for Payer: UMR Bronson Commercial |
$9.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.60
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$20.96
|
|
|
Service Code
|
NDC 55150022505
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$7.76 |
| Max. Negotiated Rate |
$18.86 |
| Rate for Payer: Aetna American Axle |
$13.62
|
| Rate for Payer: Aetna Commercial |
$17.82
|
| Rate for Payer: Aetna Medicare |
$10.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.62
|
| Rate for Payer: BCBS Complete |
$8.38
|
| Rate for Payer: Cash Price |
$16.77
|
| Rate for Payer: Cofinity Advantage |
$14.67
|
| Rate for Payer: Cofinity Commercial |
$18.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.77
|
| Rate for Payer: Healthscope Commercial |
$18.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.72
|
| Rate for Payer: PHP Commercial |
$17.82
|
| Rate for Payer: Priority Health SBD |
$13.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.62
|
| Rate for Payer: UHC Core |
$10.92
|
| Rate for Payer: UHC Exchange |
$8.24
|
| Rate for Payer: UMR Bronson Commercial |
$7.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.72
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$19.90
|
|
|
Service Code
|
NDC 25021066210
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$7.36 |
| Max. Negotiated Rate |
$17.91 |
| Rate for Payer: Aetna American Axle |
$12.94
|
| Rate for Payer: Aetna Commercial |
$16.91
|
| Rate for Payer: Aetna Medicare |
$9.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.94
|
| Rate for Payer: BCBS Complete |
$7.96
|
| Rate for Payer: Cash Price |
$15.92
|
| Rate for Payer: Cofinity Advantage |
$13.93
|
| Rate for Payer: Cofinity Commercial |
$17.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.92
|
| Rate for Payer: Healthscope Commercial |
$17.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.93
|
| Rate for Payer: PHP Commercial |
$16.91
|
| Rate for Payer: Priority Health SBD |
$12.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.94
|
| Rate for Payer: UHC Core |
$10.37
|
| Rate for Payer: UHC Exchange |
$7.82
|
| Rate for Payer: UMR Bronson Commercial |
$7.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.93
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$24.42
|
|
|
Service Code
|
NDC 43547053101
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$10.74 |
| Max. Negotiated Rate |
$21.98 |
| Rate for Payer: Aetna American Axle |
$15.87
|
| Rate for Payer: Aetna Commercial |
$20.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.87
|
| Rate for Payer: Cash Price |
$19.54
|
| Rate for Payer: Cofinity Advantage |
$17.09
|
| Rate for Payer: Cofinity Commercial |
$21.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.54
|
| Rate for Payer: Healthscope Commercial |
$21.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.32
|
| Rate for Payer: PHP Commercial |
$20.76
|
| Rate for Payer: Priority Health SBD |
$15.38
|
| Rate for Payer: UMR Bronson Commercial |
$10.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.32
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$28.57
|
|
|
Service Code
|
NDC 67457022810
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$12.57 |
| Max. Negotiated Rate |
$25.71 |
| Rate for Payer: Aetna American Axle |
$18.57
|
| Rate for Payer: Aetna Commercial |
$24.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.57
|
| Rate for Payer: Cash Price |
$22.86
|
| Rate for Payer: Cofinity Advantage |
$20.00
|
| Rate for Payer: Cofinity Commercial |
$24.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.86
|
| Rate for Payer: Healthscope Commercial |
$25.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.43
|
| Rate for Payer: PHP Commercial |
$24.28
|
| Rate for Payer: Priority Health SBD |
$18.00
|
| Rate for Payer: UMR Bronson Commercial |
$12.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.43
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$23.54
|
|
|
Service Code
|
NDC 65145013110
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.71 |
| Max. Negotiated Rate |
$21.19 |
| Rate for Payer: Aetna American Axle |
$15.30
|
| Rate for Payer: Aetna Commercial |
$20.01
|
| Rate for Payer: Aetna Medicare |
$11.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.30
|
| Rate for Payer: BCBS Complete |
$9.42
|
| Rate for Payer: Cash Price |
$18.83
|
| Rate for Payer: Cofinity Advantage |
$16.48
|
| Rate for Payer: Cofinity Commercial |
$20.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.83
|
| Rate for Payer: Healthscope Commercial |
$21.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.66
|
| Rate for Payer: PHP Commercial |
$20.01
|
| Rate for Payer: Priority Health SBD |
$14.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.30
|
| Rate for Payer: UHC Core |
$12.26
|
| Rate for Payer: UHC Exchange |
$9.25
|
| Rate for Payer: UMR Bronson Commercial |
$8.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.66
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$31.51
|
|
|
Service Code
|
NDC 00409955810
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$13.86 |
| Max. Negotiated Rate |
$28.36 |
| Rate for Payer: Aetna American Axle |
$20.48
|
| Rate for Payer: Aetna Commercial |
$26.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.48
|
| Rate for Payer: Cash Price |
$25.21
|
| Rate for Payer: Cofinity Advantage |
$22.06
|
| Rate for Payer: Cofinity Commercial |
$27.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.21
|
| Rate for Payer: Healthscope Commercial |
$28.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.63
|
| Rate for Payer: PHP Commercial |
$26.78
|
| Rate for Payer: Priority Health SBD |
$19.85
|
| Rate for Payer: UMR Bronson Commercial |
$13.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.63
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$45.53
|
|
|
Service Code
|
NDC 70860065110
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$16.85 |
| Max. Negotiated Rate |
$40.98 |
| Rate for Payer: Aetna American Axle |
$29.59
|
| Rate for Payer: Aetna Commercial |
$38.70
|
| Rate for Payer: Aetna Medicare |
$22.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.59
|
| Rate for Payer: BCBS Complete |
$18.21
|
| Rate for Payer: Cash Price |
$36.42
|
| Rate for Payer: Cofinity Advantage |
$31.87
|
| Rate for Payer: Cofinity Commercial |
$39.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.42
|
| Rate for Payer: Healthscope Commercial |
$40.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.15
|
| Rate for Payer: PHP Commercial |
$38.70
|
| Rate for Payer: Priority Health SBD |
$28.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.59
|
| Rate for Payer: UHC Core |
$23.72
|
| Rate for Payer: UHC Exchange |
$17.89
|
| Rate for Payer: UMR Bronson Commercial |
$16.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.15
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$29.60
|
|
|
Service Code
|
NDC 70748034902
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$13.02 |
| Max. Negotiated Rate |
$26.64 |
| Rate for Payer: Aetna American Axle |
$19.24
|
| Rate for Payer: Aetna Commercial |
$25.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.24
|
| Rate for Payer: Cash Price |
$23.68
|
| Rate for Payer: Cofinity Advantage |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$25.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.68
|
| Rate for Payer: Healthscope Commercial |
$26.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.20
|
| Rate for Payer: PHP Commercial |
$25.16
|
| Rate for Payer: Priority Health SBD |
$18.65
|
| Rate for Payer: UMR Bronson Commercial |
$13.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.20
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$21.39
|
|
|
Service Code
|
NDC 55150022610
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$7.91 |
| Max. Negotiated Rate |
$19.25 |
| Rate for Payer: Aetna American Axle |
$13.90
|
| Rate for Payer: Aetna Commercial |
$18.18
|
| Rate for Payer: Aetna Medicare |
$10.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.90
|
| Rate for Payer: BCBS Complete |
$8.56
|
| Rate for Payer: Cash Price |
$17.11
|
| Rate for Payer: Cofinity Advantage |
$14.97
|
| Rate for Payer: Cofinity Commercial |
$18.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.11
|
| Rate for Payer: Healthscope Commercial |
$19.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.04
|
| Rate for Payer: PHP Commercial |
$18.18
|
| Rate for Payer: Priority Health SBD |
$13.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.90
|
| Rate for Payer: UHC Core |
$11.14
|
| Rate for Payer: UHC Exchange |
$8.41
|
| Rate for Payer: UMR Bronson Commercial |
$7.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.04
|
|
