|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$23.55
|
|
|
Service Code
|
NDC 63323078110
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$10.36 |
| Max. Negotiated Rate |
$21.20 |
| Rate for Payer: Aetna American Axle |
$15.31
|
| Rate for Payer: Aetna Commercial |
$20.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.31
|
| Rate for Payer: Cash Price |
$18.84
|
| Rate for Payer: Cofinity Commercial |
$16.48
|
| Rate for Payer: Cofinity Commercial |
$20.25
|
| Rate for Payer: Cofinity Medicare Advantage |
$16.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.84
|
| Rate for Payer: Healthscope Commercial |
$21.20
|
| 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 |
$20.02
|
| Rate for Payer: PHP Commercial |
$20.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.31
|
| Rate for Payer: Priority Health SBD |
$14.84
|
| Rate for Payer: UMR Bronson Commercial |
$10.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.66
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$23.55
|
|
|
Service Code
|
NDC 63323078110
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.71 |
| Max. Negotiated Rate |
$21.20 |
| Rate for Payer: Aetna American Axle |
$15.31
|
| Rate for Payer: Aetna Commercial |
$20.02
|
| Rate for Payer: Aetna Medicare |
$11.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.31
|
| Rate for Payer: BCBS Complete |
$9.42
|
| Rate for Payer: Cash Price |
$18.84
|
| Rate for Payer: Cofinity Commercial |
$16.48
|
| Rate for Payer: Cofinity Commercial |
$20.25
|
| Rate for Payer: Cofinity Medicare Advantage |
$16.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.84
|
| Rate for Payer: Healthscope Commercial |
$21.20
|
| 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 |
$20.02
|
| Rate for Payer: PHP Commercial |
$20.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.31
|
| Rate for Payer: Priority Health SBD |
$14.84
|
| Rate for Payer: UMR Bronson Commercial |
$8.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.66
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$23.55
|
|
|
Service Code
|
NDC 63323078121
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$10.36 |
| Max. Negotiated Rate |
$21.20 |
| Rate for Payer: Aetna American Axle |
$15.31
|
| Rate for Payer: Aetna Commercial |
$20.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.31
|
| Rate for Payer: Cash Price |
$18.84
|
| Rate for Payer: Cofinity Commercial |
$16.48
|
| Rate for Payer: Cofinity Commercial |
$20.25
|
| Rate for Payer: Cofinity Medicare Advantage |
$16.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.84
|
| Rate for Payer: Healthscope Commercial |
$21.20
|
| 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 |
$20.02
|
| Rate for Payer: PHP Commercial |
$20.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.31
|
| Rate for Payer: Priority Health SBD |
$14.84
|
| Rate for Payer: UMR Bronson Commercial |
$10.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.66
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$16.69
|
|
|
Service Code
|
NDC 55150023501
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$6.18 |
| Max. Negotiated Rate |
$15.02 |
| Rate for Payer: Aetna American Axle |
$10.85
|
| Rate for Payer: Aetna Commercial |
$14.19
|
| Rate for Payer: Aetna Medicare |
$8.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.85
|
| Rate for Payer: BCBS Complete |
$6.68
|
| Rate for Payer: Cash Price |
$13.35
|
| Rate for Payer: Cofinity Commercial |
$11.68
|
| Rate for Payer: Cofinity Commercial |
$14.35
|
| Rate for Payer: Cofinity Medicare Advantage |
$11.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.35
|
| Rate for Payer: Healthscope Commercial |
$15.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.19
|
| Rate for Payer: PHP Commercial |
$14.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.85
|
| Rate for Payer: Priority Health SBD |
$10.51
|
| Rate for Payer: UMR Bronson Commercial |
$6.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.52
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$22.63
|
|
|
Service Code
|
NDC 47335093144
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.37 |
| Max. Negotiated Rate |
$20.37 |
| Rate for Payer: Aetna American Axle |
$14.71
|
| Rate for Payer: Aetna Commercial |
$19.24
|
| Rate for Payer: Aetna Medicare |
$11.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.71
|
| Rate for Payer: BCBS Complete |
$9.05
|
| Rate for Payer: Cash Price |
$18.10
|
| Rate for Payer: Cofinity Commercial |
$15.84
|
| Rate for Payer: Cofinity Commercial |
$19.46
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.10
|
| Rate for Payer: Healthscope Commercial |
$20.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.24
|
| Rate for Payer: PHP Commercial |
$19.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.71
|
| Rate for Payer: Priority Health SBD |
$14.26
|
| Rate for Payer: UMR Bronson Commercial |
$8.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.97
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$20.88
|
|
|
Service Code
|
NDC 00143923401
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.19 |
| Max. Negotiated Rate |
$18.79 |
| Rate for Payer: Aetna American Axle |
$13.57
|
| Rate for Payer: Aetna Commercial |
$17.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.57
|
| Rate for Payer: Cash Price |
$16.70
|
| Rate for Payer: Cofinity Commercial |
$14.62
|
| Rate for Payer: Cofinity Commercial |
$17.96
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.70
|
| Rate for Payer: Healthscope Commercial |
$18.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.75
|
| Rate for Payer: PHP Commercial |
$17.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.57
|
| Rate for Payer: Priority Health SBD |
$13.15
|
| Rate for Payer: UMR Bronson Commercial |
$9.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.66
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$22.63
|
|
|
Service Code
|
NDC 47335093144
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.96 |
| Max. Negotiated Rate |
$20.37 |
| Rate for Payer: Aetna American Axle |
$14.71
|
| Rate for Payer: Aetna Commercial |
$19.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.71
|
| Rate for Payer: Cash Price |
$18.10
|
| Rate for Payer: Cofinity Commercial |
$15.84
|
| Rate for Payer: Cofinity Commercial |
$19.46
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.10
|
| Rate for Payer: Healthscope Commercial |
$20.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.24
|
| Rate for Payer: PHP Commercial |
$19.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.71
|
| Rate for Payer: Priority Health SBD |
$14.26
|
| Rate for Payer: UMR Bronson Commercial |
$9.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.97
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$25.57
|
|
|
Service Code
|
NDC 55390003710
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.46 |
| Max. Negotiated Rate |
$23.01 |
| Rate for Payer: Aetna American Axle |
$16.62
|
| Rate for Payer: Aetna Commercial |
$21.73
|
| Rate for Payer: Aetna Medicare |
$12.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.62
|
| Rate for Payer: BCBS Complete |
$10.23
|
| Rate for Payer: Cash Price |
$20.46
|
| Rate for Payer: Cofinity Commercial |
$17.90
|
| Rate for Payer: Cofinity Commercial |
$21.99
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.46
|
| Rate for Payer: Healthscope Commercial |
$23.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.73
|
| Rate for Payer: PHP Commercial |
$21.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.62
|
| Rate for Payer: Priority Health SBD |
$16.11
|
| Rate for Payer: UMR Bronson Commercial |
$9.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.18
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$16.69
|
|
|
Service Code
|
NDC 55150023510
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$7.34 |
| Max. Negotiated Rate |
$15.02 |
| Rate for Payer: Aetna American Axle |
$10.85
|
| Rate for Payer: Aetna Commercial |
$14.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.85
|
| Rate for Payer: Cash Price |
$13.35
|
| Rate for Payer: Cofinity Commercial |
$11.68
|
| Rate for Payer: Cofinity Commercial |
$14.35
|
| Rate for Payer: Cofinity Medicare Advantage |
$11.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.35
|
| Rate for Payer: Healthscope Commercial |
$15.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.19
|
| Rate for Payer: PHP Commercial |
$14.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.85
|
| Rate for Payer: Priority Health SBD |
$10.51
|
| Rate for Payer: UMR Bronson Commercial |
$7.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.52
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$25.57
|
|
|
Service Code
|
NDC 55390003710
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$11.25 |
| Max. Negotiated Rate |
$23.01 |
| Rate for Payer: Aetna American Axle |
$16.62
|
| Rate for Payer: Aetna Commercial |
$21.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.62
|
| Rate for Payer: Cash Price |
$20.46
|
| Rate for Payer: Cofinity Commercial |
$17.90
|
| Rate for Payer: Cofinity Commercial |
$21.99
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.46
|
| Rate for Payer: Healthscope Commercial |
$23.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.73
|
| Rate for Payer: PHP Commercial |
$21.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.62
|
| Rate for Payer: Priority Health SBD |
$16.11
|
| Rate for Payer: UMR Bronson Commercial |
$11.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.18
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$20.88
|
|
|
Service Code
|
NDC 00143923410
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.19 |
| Max. Negotiated Rate |
$18.79 |
| Rate for Payer: Aetna American Axle |
$13.57
|
| Rate for Payer: Aetna Commercial |
$17.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.57
|
| Rate for Payer: Cash Price |
$16.70
|
| Rate for Payer: Cofinity Commercial |
$14.62
|
| Rate for Payer: Cofinity Commercial |
$17.96
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.70
|
| Rate for Payer: Healthscope Commercial |
$18.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.75
|
| Rate for Payer: PHP Commercial |
$17.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.57
|
| Rate for Payer: Priority Health SBD |
$13.15
|
| Rate for Payer: UMR Bronson Commercial |
$9.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.66
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$20.88
|
|
|
Service Code
|
NDC 00143923410
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$7.73 |
| Max. Negotiated Rate |
$18.79 |
| Rate for Payer: Aetna American Axle |
$13.57
|
| Rate for Payer: Aetna Commercial |
$17.75
|
| Rate for Payer: Aetna Medicare |
$10.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.57
|
| Rate for Payer: BCBS Complete |
$8.35
|
| Rate for Payer: Cash Price |
$16.70
|
| Rate for Payer: Cofinity Commercial |
$14.62
|
| Rate for Payer: Cofinity Commercial |
$17.96
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.70
|
| Rate for Payer: Healthscope Commercial |
$18.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.75
|
| Rate for Payer: PHP Commercial |
$17.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.57
|
| Rate for Payer: Priority Health SBD |
$13.15
|
| Rate for Payer: UMR Bronson Commercial |
$7.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.66
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$22.63
|
|
|
Service Code
|
NDC 47335093140
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.37 |
| Max. Negotiated Rate |
$20.37 |
| Rate for Payer: Aetna American Axle |
$14.71
|
| Rate for Payer: Aetna Commercial |
$19.24
|
| Rate for Payer: Aetna Medicare |
$11.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.71
|
| Rate for Payer: BCBS Complete |
$9.05
|
| Rate for Payer: Cash Price |
$18.10
|
| Rate for Payer: Cofinity Commercial |
$15.84
|
| Rate for Payer: Cofinity Commercial |
$19.46
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.10
|
| Rate for Payer: Healthscope Commercial |
$20.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.24
|
| Rate for Payer: PHP Commercial |
$19.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.71
|
| Rate for Payer: Priority Health SBD |
$14.26
|
| Rate for Payer: UMR Bronson Commercial |
$8.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.97
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$23.24
|
|
|
Service Code
|
NDC 41616093140
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$10.23 |
| Max. Negotiated Rate |
$20.92 |
| Rate for Payer: Aetna American Axle |
$15.11
|
| Rate for Payer: Aetna Commercial |
$19.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.11
|
| Rate for Payer: Cash Price |
$18.59
|
| Rate for Payer: Cofinity Commercial |
$16.27
|
| Rate for Payer: Cofinity Commercial |
$19.99
|
| Rate for Payer: Cofinity Medicare Advantage |
$16.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.59
|
| Rate for Payer: Healthscope Commercial |
$20.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.75
|
| Rate for Payer: PHP Commercial |
$19.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.11
|
| Rate for Payer: Priority Health SBD |
$14.64
|
| Rate for Payer: UMR Bronson Commercial |
$10.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.43
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$26.08
|
|
|
Service Code
|
NDC 00703291403
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.65 |
| Max. Negotiated Rate |
$23.47 |
| Rate for Payer: Aetna American Axle |
$16.95
|
| Rate for Payer: Aetna Commercial |
$22.17
|
| Rate for Payer: Aetna Medicare |
$13.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.95
|
| Rate for Payer: BCBS Complete |
$10.43
|
| Rate for Payer: Cash Price |
$20.86
|
| Rate for Payer: Cofinity Commercial |
$18.26
|
| Rate for Payer: Cofinity Commercial |
$22.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.86
|
| Rate for Payer: Healthscope Commercial |
$23.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.17
|
| Rate for Payer: PHP Commercial |
$22.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.95
|
| Rate for Payer: Priority Health SBD |
$16.43
|
| Rate for Payer: UMR Bronson Commercial |
$9.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.56
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$29.26
|
|
|
Service Code
|
NDC 00409163201
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$10.83 |
| Max. Negotiated Rate |
$26.33 |
| Rate for Payer: Aetna American Axle |
$19.02
|
| Rate for Payer: Aetna Commercial |
$24.87
|
| Rate for Payer: Aetna Medicare |
$14.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.02
|
| Rate for Payer: BCBS Complete |
$11.70
|
| Rate for Payer: Cash Price |
$23.41
|
| Rate for Payer: Cofinity Commercial |
$20.48
|
| Rate for Payer: Cofinity Commercial |
$25.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.41
|
| Rate for Payer: Healthscope Commercial |
$26.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.87
|
| Rate for Payer: PHP Commercial |
$24.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.02
|
| Rate for Payer: Priority Health SBD |
$18.43
|
| Rate for Payer: UMR Bronson Commercial |
$10.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.95
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$29.26
|
|
|
Service Code
|
NDC 00409163221
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$12.87 |
| Max. Negotiated Rate |
$26.33 |
| Rate for Payer: Aetna American Axle |
$19.02
|
| Rate for Payer: Aetna Commercial |
$24.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.02
|
| Rate for Payer: Cash Price |
$23.41
|
| Rate for Payer: Cofinity Commercial |
$20.48
|
| Rate for Payer: Cofinity Commercial |
$25.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.41
|
| Rate for Payer: Healthscope Commercial |
$26.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.87
|
| Rate for Payer: PHP Commercial |
$24.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.02
|
| Rate for Payer: Priority Health SBD |
$18.43
|
| Rate for Payer: UMR Bronson Commercial |
$12.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.95
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$23.59
|
|
|
Service Code
|
NDC 67457043810
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$10.38 |
| Max. Negotiated Rate |
$21.23 |
| Rate for Payer: Aetna American Axle |
$15.33
|
| Rate for Payer: Aetna Commercial |
$20.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.33
|
| Rate for Payer: Cash Price |
$18.87
|
| Rate for Payer: Cofinity Commercial |
$16.51
|
| Rate for Payer: Cofinity Commercial |
$20.29
|
| Rate for Payer: Cofinity Medicare Advantage |
$16.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.87
|
| Rate for Payer: Healthscope Commercial |
$21.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.05
|
| Rate for Payer: PHP Commercial |
$20.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.33
|
| Rate for Payer: Priority Health SBD |
$14.86
|
| Rate for Payer: UMR Bronson Commercial |
$10.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.69
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$29.26
|
|
|
Service Code
|
NDC 00409163201
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$12.87 |
| Max. Negotiated Rate |
$26.33 |
| Rate for Payer: Aetna American Axle |
$19.02
|
| Rate for Payer: Aetna Commercial |
$24.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.02
|
| Rate for Payer: Cash Price |
$23.41
|
| Rate for Payer: Cofinity Commercial |
$20.48
|
| Rate for Payer: Cofinity Commercial |
$25.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.41
|
| Rate for Payer: Healthscope Commercial |
$26.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.87
|
| Rate for Payer: PHP Commercial |
$24.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.02
|
| Rate for Payer: Priority Health SBD |
$18.43
|
| Rate for Payer: UMR Bronson Commercial |
$12.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.95
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$29.26
|
|
|
Service Code
|
NDC 00409163221
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$10.83 |
| Max. Negotiated Rate |
$26.33 |
| Rate for Payer: Aetna American Axle |
$19.02
|
| Rate for Payer: Aetna Commercial |
$24.87
|
| Rate for Payer: Aetna Medicare |
$14.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.02
|
| Rate for Payer: BCBS Complete |
$11.70
|
| Rate for Payer: Cash Price |
$23.41
|
| Rate for Payer: Cofinity Commercial |
$20.48
|
| Rate for Payer: Cofinity Commercial |
$25.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.41
|
| Rate for Payer: Healthscope Commercial |
$26.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.87
|
| Rate for Payer: PHP Commercial |
$24.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.02
|
| Rate for Payer: Priority Health SBD |
$18.43
|
| Rate for Payer: UMR Bronson Commercial |
$10.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.95
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$26.08
|
|
|
Service Code
|
NDC 00703291401
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$11.48 |
| Max. Negotiated Rate |
$23.47 |
| Rate for Payer: Aetna American Axle |
$16.95
|
| Rate for Payer: Aetna Commercial |
$22.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.95
|
| Rate for Payer: Cash Price |
$20.86
|
| Rate for Payer: Cofinity Commercial |
$18.26
|
| Rate for Payer: Cofinity Commercial |
$22.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.86
|
| Rate for Payer: Healthscope Commercial |
$23.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.17
|
| Rate for Payer: PHP Commercial |
$22.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.95
|
| Rate for Payer: Priority Health SBD |
$16.43
|
| Rate for Payer: UMR Bronson Commercial |
$11.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.56
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$35.94
|
|
|
Service Code
|
NDC 41616093144
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$15.81 |
| Max. Negotiated Rate |
$32.35 |
| Rate for Payer: Aetna American Axle |
$23.36
|
| Rate for Payer: Aetna Commercial |
$30.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.36
|
| Rate for Payer: Cash Price |
$28.75
|
| Rate for Payer: Cofinity Commercial |
$25.16
|
| Rate for Payer: Cofinity Commercial |
$30.91
|
| Rate for Payer: Cofinity Medicare Advantage |
$25.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.75
|
| Rate for Payer: Healthscope Commercial |
$32.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$25.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.55
|
| Rate for Payer: PHP Commercial |
$30.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.36
|
| Rate for Payer: Priority Health SBD |
$22.64
|
| Rate for Payer: UMR Bronson Commercial |
$15.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.95
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$16.69
|
|
|
Service Code
|
NDC 55150023510
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$6.18 |
| Max. Negotiated Rate |
$15.02 |
| Rate for Payer: Aetna American Axle |
$10.85
|
| Rate for Payer: Aetna Commercial |
$14.19
|
| Rate for Payer: Aetna Medicare |
$8.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.85
|
| Rate for Payer: BCBS Complete |
$6.68
|
| Rate for Payer: Cash Price |
$13.35
|
| Rate for Payer: Cofinity Commercial |
$11.68
|
| Rate for Payer: Cofinity Commercial |
$14.35
|
| Rate for Payer: Cofinity Medicare Advantage |
$11.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.35
|
| Rate for Payer: Healthscope Commercial |
$15.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.19
|
| Rate for Payer: PHP Commercial |
$14.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.85
|
| Rate for Payer: Priority Health SBD |
$10.51
|
| Rate for Payer: UMR Bronson Commercial |
$6.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.52
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$23.24
|
|
|
Service Code
|
NDC 41616093140
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.60 |
| Max. Negotiated Rate |
$20.92 |
| Rate for Payer: Aetna American Axle |
$15.11
|
| Rate for Payer: Aetna Commercial |
$19.75
|
| Rate for Payer: Aetna Medicare |
$11.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.11
|
| Rate for Payer: BCBS Complete |
$9.30
|
| Rate for Payer: Cash Price |
$18.59
|
| Rate for Payer: Cofinity Commercial |
$16.27
|
| Rate for Payer: Cofinity Commercial |
$19.99
|
| Rate for Payer: Cofinity Medicare Advantage |
$16.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.59
|
| Rate for Payer: Healthscope Commercial |
$20.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.75
|
| Rate for Payer: PHP Commercial |
$19.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.11
|
| Rate for Payer: Priority Health SBD |
$14.64
|
| Rate for Payer: UMR Bronson Commercial |
$8.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.43
|
|
|
VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$35.94
|
|
|
Service Code
|
NDC 41616093144
|
| Hospital Charge Code |
11634
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$13.30 |
| Max. Negotiated Rate |
$32.35 |
| Rate for Payer: Aetna American Axle |
$23.36
|
| Rate for Payer: Aetna Commercial |
$30.55
|
| Rate for Payer: Aetna Medicare |
$17.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.36
|
| Rate for Payer: BCBS Complete |
$14.38
|
| Rate for Payer: Cash Price |
$28.75
|
| Rate for Payer: Cofinity Commercial |
$25.16
|
| Rate for Payer: Cofinity Commercial |
$30.91
|
| Rate for Payer: Cofinity Medicare Advantage |
$25.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.75
|
| Rate for Payer: Healthscope Commercial |
$32.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$25.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.55
|
| Rate for Payer: PHP Commercial |
$30.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.36
|
| Rate for Payer: Priority Health SBD |
$22.64
|
| Rate for Payer: UMR Bronson Commercial |
$13.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.95
|
|
