|
CARIPRAZINE 3 MG CAPSULE
|
Facility
|
OP
|
$1,741.30
|
|
|
Service Code
|
NDC 61874013011
|
| Hospital Charge Code |
177103
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$644.28 |
| Max. Negotiated Rate |
$1,567.17 |
| Rate for Payer: Aetna American Axle |
$1,131.85
|
| Rate for Payer: Aetna Commercial |
$1,480.11
|
| Rate for Payer: Aetna Medicare |
$870.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,131.85
|
| Rate for Payer: BCBS Complete |
$696.52
|
| Rate for Payer: Cash Price |
$1,393.04
|
| Rate for Payer: Cofinity Commercial |
$1,218.91
|
| Rate for Payer: Cofinity Commercial |
$1,497.52
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,218.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,393.04
|
| Rate for Payer: Healthscope Commercial |
$1,567.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,218.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,305.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,480.11
|
| Rate for Payer: PHP Commercial |
$1,480.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,131.85
|
| Rate for Payer: Priority Health SBD |
$1,097.02
|
| Rate for Payer: UMR Bronson Commercial |
$644.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,305.97
|
|
|
CARMUSTINE 100 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$11,545.86
|
|
|
Service Code
|
HCPCS J9050
|
| Hospital Charge Code |
28911
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5,080.18 |
| Max. Negotiated Rate |
$10,391.27 |
| Rate for Payer: Aetna American Axle |
$7,504.81
|
| Rate for Payer: Aetna American Axle |
$533.85
|
| Rate for Payer: Aetna Commercial |
$9,813.98
|
| Rate for Payer: Aetna Commercial |
$698.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,504.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$533.85
|
| Rate for Payer: Cash Price |
$9,236.69
|
| Rate for Payer: Cash Price |
$657.04
|
| Rate for Payer: Cofinity Commercial |
$706.32
|
| Rate for Payer: Cofinity Commercial |
$574.91
|
| Rate for Payer: Cofinity Commercial |
$8,082.10
|
| Rate for Payer: Cofinity Commercial |
$9,929.44
|
| Rate for Payer: Cofinity Medicare Advantage |
$8,082.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$574.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,236.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$657.04
|
| Rate for Payer: Healthscope Commercial |
$10,391.27
|
| Rate for Payer: Healthscope Commercial |
$739.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8,082.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$574.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,659.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$615.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$698.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,813.98
|
| Rate for Payer: PHP Commercial |
$698.11
|
| Rate for Payer: PHP Commercial |
$9,813.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,504.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$533.85
|
| Rate for Payer: Priority Health SBD |
$7,273.89
|
| Rate for Payer: Priority Health SBD |
$517.42
|
| Rate for Payer: UMR Bronson Commercial |
$5,080.18
|
| Rate for Payer: UMR Bronson Commercial |
$361.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,659.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$615.98
|
|
|
CARMUSTINE 100 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$821.30
|
|
|
Service Code
|
HCPCS J9050
|
| Hospital Charge Code |
28911
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$127.81 |
| Max. Negotiated Rate |
$739.17 |
| Rate for Payer: Aetna American Axle |
$533.85
|
| Rate for Payer: Aetna American Axle |
$7,504.81
|
| Rate for Payer: Aetna Commercial |
$9,813.98
|
| Rate for Payer: Aetna Commercial |
$698.11
|
| Rate for Payer: Aetna Medicare |
$248.00
|
| Rate for Payer: Aetna Medicare |
$248.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$533.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7,504.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$298.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$298.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$298.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$298.07
|
| Rate for Payer: BCBS Complete |
$134.21
|
| Rate for Payer: BCBS Complete |
$134.21
|
| Rate for Payer: BCBS MAPPO |
$238.46
|
| Rate for Payer: BCBS MAPPO |
$238.46
|
| Rate for Payer: BCN Medicare Advantage |
$238.46
|
| Rate for Payer: BCN Medicare Advantage |
$238.46
|
| Rate for Payer: Cash Price |
$9,236.69
|
| Rate for Payer: Cash Price |
$657.04
|
| Rate for Payer: Cash Price |
$657.04
|
| Rate for Payer: Cash Price |
$9,236.69
|
| Rate for Payer: Cofinity Commercial |
$8,082.10
|
| Rate for Payer: Cofinity Commercial |
$9,929.44
|
| Rate for Payer: Cofinity Commercial |
$574.91
|
| Rate for Payer: Cofinity Commercial |
$706.32
|
| Rate for Payer: Cofinity Medicare Advantage |
$8,082.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$574.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$657.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,236.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$238.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$238.46
|
| Rate for Payer: Healthscope Commercial |
$739.17
|
| Rate for Payer: Healthscope Commercial |
$10,391.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$574.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8,082.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,659.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$615.98
|
| Rate for Payer: Mclaren Medicaid |
$127.81
|
| Rate for Payer: Mclaren Medicaid |
$127.81
|
| Rate for Payer: Mclaren Medicare |
$238.46
|
| Rate for Payer: Mclaren Medicare |
$238.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$250.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$250.38
|
| Rate for Payer: Meridian Medicaid |
$134.21
|
| Rate for Payer: Meridian Medicaid |
$134.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$274.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$274.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$698.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,813.98
|
| Rate for Payer: PACE Medicare |
$226.54
|
| Rate for Payer: PACE Medicare |
$226.54
|
| Rate for Payer: PACE SWMI |
$238.46
|
| Rate for Payer: PACE SWMI |
$238.46
|
| Rate for Payer: PHP Commercial |
$9,813.98
|
| Rate for Payer: PHP Commercial |
$698.11
|
| Rate for Payer: PHP Medicare Advantage |
$238.46
|
| Rate for Payer: PHP Medicare Advantage |
$238.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$127.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$127.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,504.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$533.85
|
| Rate for Payer: Priority Health Medicare |
$238.46
|
| Rate for Payer: Priority Health Medicare |
$238.46
|
| Rate for Payer: Priority Health SBD |
$7,273.89
|
| Rate for Payer: Priority Health SBD |
$517.42
|
| Rate for Payer: Railroad Medicare Medicare |
$238.46
|
| Rate for Payer: Railroad Medicare Medicare |
$238.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$671.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$671.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$238.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$238.46
|
| Rate for Payer: UHC Exchange |
$455.72
|
| Rate for Payer: UHC Exchange |
$455.72
|
| Rate for Payer: UHC Medicare Advantage |
$238.46
|
| Rate for Payer: UHC Medicare Advantage |
$238.46
|
| Rate for Payer: UHCCP Medicaid |
$127.81
|
| Rate for Payer: UHCCP Medicaid |
$127.81
|
| Rate for Payer: UMR Bronson Commercial |
$4,271.97
|
| Rate for Payer: UMR Bronson Commercial |
$303.88
|
| Rate for Payer: VA VA |
$238.46
|
| Rate for Payer: VA VA |
$238.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$615.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,659.40
|
|
|
CARMUSTINE IN POLIFEPROSAN 7.7 MG WAFER FOR IMPLANT
|
Facility
|
OP
|
$143,383.38
|
|
|
Service Code
|
NDC 24338005008
|
| Hospital Charge Code |
21672
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$53,051.85 |
| Max. Negotiated Rate |
$129,045.04 |
| Rate for Payer: Aetna American Axle |
$93,199.20
|
| Rate for Payer: Aetna Commercial |
$121,875.87
|
| Rate for Payer: Aetna Medicare |
$71,691.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93,199.20
|
| Rate for Payer: BCBS Complete |
$57,353.35
|
| Rate for Payer: Cash Price |
$114,706.70
|
| Rate for Payer: Cofinity Commercial |
$100,368.37
|
| Rate for Payer: Cofinity Commercial |
$123,309.71
|
| Rate for Payer: Cofinity Medicare Advantage |
$100,368.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$114,706.70
|
| Rate for Payer: Healthscope Commercial |
$129,045.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$100,368.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$107,537.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$121,875.87
|
| Rate for Payer: PHP Commercial |
$121,875.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$93,199.20
|
| Rate for Payer: Priority Health SBD |
$90,331.53
|
| Rate for Payer: UMR Bronson Commercial |
$53,051.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$107,537.54
|
|
|
CARMUSTINE IN POLIFEPROSAN 7.7 MG WAFER FOR IMPLANT
|
Facility
|
IP
|
$143,383.38
|
|
|
Service Code
|
NDC 24338005008
|
| Hospital Charge Code |
21672
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$63,088.69 |
| Max. Negotiated Rate |
$129,045.04 |
| Rate for Payer: Aetna American Axle |
$93,199.20
|
| Rate for Payer: Aetna Commercial |
$121,875.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93,199.20
|
| Rate for Payer: Cash Price |
$114,706.70
|
| Rate for Payer: Cofinity Commercial |
$100,368.37
|
| Rate for Payer: Cofinity Commercial |
$123,309.71
|
| Rate for Payer: Cofinity Medicare Advantage |
$100,368.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$114,706.70
|
| Rate for Payer: Healthscope Commercial |
$129,045.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$100,368.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$107,537.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$121,875.87
|
| Rate for Payer: PHP Commercial |
$121,875.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$93,199.20
|
| Rate for Payer: Priority Health SBD |
$90,331.53
|
| Rate for Payer: UMR Bronson Commercial |
$63,088.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$107,537.54
|
|
|
CARPECTOMY; 1 BONE
|
Facility
|
OP
|
$8,907.47
|
|
|
Service Code
|
CPT 25210
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,696.12 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,907.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Exchange |
$6,047.48
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,696.12
|
| Rate for Payer: VA VA |
$3,164.40
|
|
|
CARPECTOMY; ALL BONES OF PROXIMAL ROW
|
Facility
|
OP
|
$8,907.47
|
|
|
Service Code
|
CPT 25215
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,696.12 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,907.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Exchange |
$6,047.48
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,696.12
|
| Rate for Payer: VA VA |
$3,164.40
|
|
|
CARTILAGE GRAFT; NASAL SEPTUM
|
Facility
|
OP
|
$10,050.52
|
|
|
Service Code
|
CPT 20912
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,913.77 |
| Max. Negotiated Rate |
$10,050.52 |
| Rate for Payer: Aetna Medicare |
$3,713.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,463.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,463.09
|
| Rate for Payer: BCBS Complete |
$2,009.46
|
| Rate for Payer: BCBS MAPPO |
$3,570.47
|
| Rate for Payer: BCN Medicare Advantage |
$3,570.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,570.47
|
| Rate for Payer: Mclaren Medicaid |
$1,913.77
|
| Rate for Payer: Mclaren Medicare |
$3,570.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,748.99
|
| Rate for Payer: Meridian Medicaid |
$2,009.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,106.04
|
| Rate for Payer: PACE Medicare |
$3,391.95
|
| Rate for Payer: PACE SWMI |
$3,570.47
|
| Rate for Payer: PHP Medicare Advantage |
$3,570.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,913.77
|
| Rate for Payer: Priority Health Medicare |
$3,570.47
|
| Rate for Payer: Railroad Medicare Medicare |
$3,570.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,050.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,570.47
|
| Rate for Payer: UHC Exchange |
$6,823.53
|
| Rate for Payer: UHC Medicare Advantage |
$3,570.47
|
| Rate for Payer: UHCCP Medicaid |
$1,913.77
|
| Rate for Payer: VA VA |
$3,570.47
|
|
|
CARVEDILOL 12.5 MG TABLET
|
Facility
|
OP
|
$180.95
|
|
|
Service Code
|
NDC 00904730761
|
| Hospital Charge Code |
15749
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$66.95 |
| Max. Negotiated Rate |
$162.85 |
| Rate for Payer: Aetna American Axle |
$117.62
|
| Rate for Payer: Aetna Commercial |
$153.81
|
| Rate for Payer: Aetna Medicare |
$90.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$117.62
|
| Rate for Payer: BCBS Complete |
$72.38
|
| Rate for Payer: Cash Price |
$144.76
|
| Rate for Payer: Cofinity Commercial |
$126.67
|
| Rate for Payer: Cofinity Commercial |
$155.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$126.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$144.76
|
| Rate for Payer: Healthscope Commercial |
$162.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$126.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$135.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$153.81
|
| Rate for Payer: PHP Commercial |
$153.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$117.62
|
| Rate for Payer: Priority Health SBD |
$114.00
|
| Rate for Payer: UMR Bronson Commercial |
$66.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$135.71
|
|
|
CARVEDILOL 12.5 MG TABLET
|
Facility
|
OP
|
$180.95
|
|
|
Service Code
|
NDC 00904630261
|
| Hospital Charge Code |
15749
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$66.95 |
| Max. Negotiated Rate |
$162.85 |
| Rate for Payer: Aetna American Axle |
$117.62
|
| Rate for Payer: Aetna Commercial |
$153.81
|
| Rate for Payer: Aetna Medicare |
$90.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$117.62
|
| Rate for Payer: BCBS Complete |
$72.38
|
| Rate for Payer: Cash Price |
$144.76
|
| Rate for Payer: Cofinity Commercial |
$126.67
|
| Rate for Payer: Cofinity Commercial |
$155.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$126.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$144.76
|
| Rate for Payer: Healthscope Commercial |
$162.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$126.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$135.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$153.81
|
| Rate for Payer: PHP Commercial |
$153.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$117.62
|
| Rate for Payer: Priority Health SBD |
$114.00
|
| Rate for Payer: UMR Bronson Commercial |
$66.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$135.71
|
|
|
CARVEDILOL 12.5 MG TABLET
|
Facility
|
IP
|
$180.95
|
|
|
Service Code
|
NDC 00904730761
|
| Hospital Charge Code |
15749
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$79.62 |
| Max. Negotiated Rate |
$162.85 |
| Rate for Payer: Aetna American Axle |
$117.62
|
| Rate for Payer: Aetna Commercial |
$153.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$117.62
|
| Rate for Payer: Cash Price |
$144.76
|
| Rate for Payer: Cofinity Commercial |
$126.67
|
| Rate for Payer: Cofinity Commercial |
$155.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$126.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$144.76
|
| Rate for Payer: Healthscope Commercial |
$162.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$126.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$135.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$153.81
|
| Rate for Payer: PHP Commercial |
$153.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$117.62
|
| Rate for Payer: Priority Health SBD |
$114.00
|
| Rate for Payer: UMR Bronson Commercial |
$79.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$135.71
|
|
|
CARVEDILOL 12.5 MG TABLET
|
Facility
|
OP
|
$79.90
|
|
|
Service Code
|
NDC 68382009401
|
| Hospital Charge Code |
15749
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$29.56 |
| Max. Negotiated Rate |
$71.91 |
| Rate for Payer: Aetna American Axle |
$51.94
|
| Rate for Payer: Aetna Commercial |
$67.92
|
| Rate for Payer: Aetna Medicare |
$39.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.94
|
| Rate for Payer: BCBS Complete |
$31.96
|
| Rate for Payer: Cash Price |
$63.92
|
| Rate for Payer: Cofinity Commercial |
$55.93
|
| Rate for Payer: Cofinity Commercial |
$68.71
|
| Rate for Payer: Cofinity Medicare Advantage |
$55.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$63.92
|
| Rate for Payer: Healthscope Commercial |
$71.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$55.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$59.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$67.92
|
| Rate for Payer: PHP Commercial |
$67.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.94
|
| Rate for Payer: Priority Health SBD |
$50.34
|
| Rate for Payer: UMR Bronson Commercial |
$29.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$59.92
|
|
|
CARVEDILOL 12.5 MG TABLET
|
Facility
|
IP
|
$129.25
|
|
|
Service Code
|
NDC 68462016401
|
| Hospital Charge Code |
15749
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$56.87 |
| Max. Negotiated Rate |
$116.33 |
| Rate for Payer: Aetna American Axle |
$84.01
|
| Rate for Payer: Aetna Commercial |
$109.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$84.01
|
| Rate for Payer: Cash Price |
$103.40
|
| Rate for Payer: Cofinity Commercial |
$111.16
|
| Rate for Payer: Cofinity Commercial |
$90.47
|
| Rate for Payer: Cofinity Medicare Advantage |
$90.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$103.40
|
| Rate for Payer: Healthscope Commercial |
$116.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$90.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$96.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$109.86
|
| Rate for Payer: PHP Commercial |
$109.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$84.01
|
| Rate for Payer: Priority Health SBD |
$81.43
|
| Rate for Payer: UMR Bronson Commercial |
$56.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$96.94
|
|
|
CARVEDILOL 12.5 MG TABLET
|
Facility
|
IP
|
$2.05
|
|
|
Service Code
|
NDC 51079093101
|
| Hospital Charge Code |
15749
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$1.84 |
| Rate for Payer: Aetna American Axle |
$1.33
|
| Rate for Payer: Aetna Commercial |
$1.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.33
|
| Rate for Payer: Cash Price |
$1.64
|
| Rate for Payer: Cofinity Commercial |
$1.44
|
| Rate for Payer: Cofinity Commercial |
$1.76
|
| Rate for Payer: Cofinity Medicare Advantage |
$1.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.64
|
| Rate for Payer: Healthscope Commercial |
$1.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.74
|
| Rate for Payer: PHP Commercial |
$1.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.33
|
| Rate for Payer: Priority Health SBD |
$1.29
|
| Rate for Payer: UMR Bronson Commercial |
$0.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.54
|
|
|
CARVEDILOL 12.5 MG TABLET
|
Facility
|
IP
|
$180.95
|
|
|
Service Code
|
NDC 00904630261
|
| Hospital Charge Code |
15749
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$79.62 |
| Max. Negotiated Rate |
$162.85 |
| Rate for Payer: Aetna American Axle |
$117.62
|
| Rate for Payer: Aetna Commercial |
$153.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$117.62
|
| Rate for Payer: Cash Price |
$144.76
|
| Rate for Payer: Cofinity Commercial |
$126.67
|
| Rate for Payer: Cofinity Commercial |
$155.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$126.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$144.76
|
| Rate for Payer: Healthscope Commercial |
$162.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$126.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$135.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$153.81
|
| Rate for Payer: PHP Commercial |
$153.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$117.62
|
| Rate for Payer: Priority Health SBD |
$114.00
|
| Rate for Payer: UMR Bronson Commercial |
$79.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$135.71
|
|
|
CARVEDILOL 12.5 MG TABLET
|
Facility
|
OP
|
$2.05
|
|
|
Service Code
|
NDC 51079093101
|
| Hospital Charge Code |
15749
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.76 |
| Max. Negotiated Rate |
$1.84 |
| Rate for Payer: Aetna American Axle |
$1.33
|
| Rate for Payer: Aetna Commercial |
$1.74
|
| Rate for Payer: Aetna Medicare |
$1.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.33
|
| Rate for Payer: BCBS Complete |
$0.82
|
| Rate for Payer: Cash Price |
$1.64
|
| Rate for Payer: Cofinity Commercial |
$1.44
|
| Rate for Payer: Cofinity Commercial |
$1.76
|
| Rate for Payer: Cofinity Medicare Advantage |
$1.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.64
|
| Rate for Payer: Healthscope Commercial |
$1.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.74
|
| Rate for Payer: PHP Commercial |
$1.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.33
|
| Rate for Payer: Priority Health SBD |
$1.29
|
| Rate for Payer: UMR Bronson Commercial |
$0.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.54
|
|
|
CARVEDILOL 12.5 MG TABLET
|
Facility
|
IP
|
$204.45
|
|
|
Service Code
|
NDC 51079093120
|
| Hospital Charge Code |
15749
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$89.96 |
| Max. Negotiated Rate |
$184.00 |
| Rate for Payer: Aetna American Axle |
$132.89
|
| Rate for Payer: Aetna Commercial |
$173.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$132.89
|
| Rate for Payer: Cash Price |
$163.56
|
| Rate for Payer: Cofinity Commercial |
$143.12
|
| Rate for Payer: Cofinity Commercial |
$175.83
|
| Rate for Payer: Cofinity Medicare Advantage |
$143.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.56
|
| Rate for Payer: Healthscope Commercial |
$184.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$143.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$153.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$173.78
|
| Rate for Payer: PHP Commercial |
$173.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$132.89
|
| Rate for Payer: Priority Health SBD |
$128.80
|
| Rate for Payer: UMR Bronson Commercial |
$89.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$153.34
|
|
|
CARVEDILOL 12.5 MG TABLET
|
Facility
|
OP
|
$129.25
|
|
|
Service Code
|
NDC 68462016401
|
| Hospital Charge Code |
15749
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$47.82 |
| Max. Negotiated Rate |
$116.33 |
| Rate for Payer: Aetna American Axle |
$84.01
|
| Rate for Payer: Aetna Commercial |
$109.86
|
| Rate for Payer: Aetna Medicare |
$64.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$84.01
|
| Rate for Payer: BCBS Complete |
$51.70
|
| Rate for Payer: Cash Price |
$103.40
|
| Rate for Payer: Cofinity Commercial |
$111.16
|
| Rate for Payer: Cofinity Commercial |
$90.47
|
| Rate for Payer: Cofinity Medicare Advantage |
$90.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$103.40
|
| Rate for Payer: Healthscope Commercial |
$116.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$90.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$96.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$109.86
|
| Rate for Payer: PHP Commercial |
$109.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$84.01
|
| Rate for Payer: Priority Health SBD |
$81.43
|
| Rate for Payer: UMR Bronson Commercial |
$47.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$96.94
|
|
|
CARVEDILOL 12.5 MG TABLET
|
Facility
|
OP
|
$204.45
|
|
|
Service Code
|
NDC 51079093120
|
| Hospital Charge Code |
15749
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$75.65 |
| Max. Negotiated Rate |
$184.00 |
| Rate for Payer: Aetna American Axle |
$132.89
|
| Rate for Payer: Aetna Commercial |
$173.78
|
| Rate for Payer: Aetna Medicare |
$102.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$132.89
|
| Rate for Payer: BCBS Complete |
$81.78
|
| Rate for Payer: Cash Price |
$163.56
|
| Rate for Payer: Cofinity Commercial |
$143.12
|
| Rate for Payer: Cofinity Commercial |
$175.83
|
| Rate for Payer: Cofinity Medicare Advantage |
$143.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.56
|
| Rate for Payer: Healthscope Commercial |
$184.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$143.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$153.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$173.78
|
| Rate for Payer: PHP Commercial |
$173.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$132.89
|
| Rate for Payer: Priority Health SBD |
$128.80
|
| Rate for Payer: UMR Bronson Commercial |
$75.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$153.34
|
|
|
CARVEDILOL 12.5 MG TABLET
|
Facility
|
IP
|
$79.90
|
|
|
Service Code
|
NDC 68382009401
|
| Hospital Charge Code |
15749
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$35.16 |
| Max. Negotiated Rate |
$71.91 |
| Rate for Payer: Aetna American Axle |
$51.94
|
| Rate for Payer: Aetna Commercial |
$67.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.94
|
| Rate for Payer: Cash Price |
$63.92
|
| Rate for Payer: Cofinity Commercial |
$55.93
|
| Rate for Payer: Cofinity Commercial |
$68.71
|
| Rate for Payer: Cofinity Medicare Advantage |
$55.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$63.92
|
| Rate for Payer: Healthscope Commercial |
$71.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$55.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$59.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$67.92
|
| Rate for Payer: PHP Commercial |
$67.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.94
|
| Rate for Payer: Priority Health SBD |
$50.34
|
| Rate for Payer: UMR Bronson Commercial |
$35.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$59.92
|
|
|
CARVEDILOL 25 MG TABLET
|
Facility
|
IP
|
$131.60
|
|
|
Service Code
|
NDC 68462016501
|
| Hospital Charge Code |
15748
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$57.90 |
| Max. Negotiated Rate |
$118.44 |
| Rate for Payer: Aetna American Axle |
$85.54
|
| Rate for Payer: Aetna Commercial |
$111.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.54
|
| Rate for Payer: Cash Price |
$105.28
|
| Rate for Payer: Cofinity Commercial |
$113.18
|
| Rate for Payer: Cofinity Commercial |
$92.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$92.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$105.28
|
| Rate for Payer: Healthscope Commercial |
$118.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$92.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$98.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111.86
|
| Rate for Payer: PHP Commercial |
$111.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$85.54
|
| Rate for Payer: Priority Health SBD |
$82.91
|
| Rate for Payer: UMR Bronson Commercial |
$57.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$98.70
|
|
|
CARVEDILOL 25 MG TABLET
|
Facility
|
OP
|
$70.50
|
|
|
Service Code
|
NDC 68382009501
|
| Hospital Charge Code |
15748
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$26.09 |
| Max. Negotiated Rate |
$63.45 |
| Rate for Payer: Aetna American Axle |
$45.83
|
| Rate for Payer: Aetna Commercial |
$59.92
|
| Rate for Payer: Aetna Medicare |
$35.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.83
|
| Rate for Payer: BCBS Complete |
$28.20
|
| Rate for Payer: Cash Price |
$56.40
|
| Rate for Payer: Cofinity Commercial |
$49.35
|
| Rate for Payer: Cofinity Commercial |
$60.63
|
| Rate for Payer: Cofinity Medicare Advantage |
$49.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$56.40
|
| Rate for Payer: Healthscope Commercial |
$63.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$49.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$52.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59.92
|
| Rate for Payer: PHP Commercial |
$59.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.83
|
| Rate for Payer: Priority Health SBD |
$44.41
|
| Rate for Payer: UMR Bronson Commercial |
$26.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$52.88
|
|
|
CARVEDILOL 25 MG TABLET
|
Facility
|
OP
|
$173.90
|
|
|
Service Code
|
NDC 00378363401
|
| Hospital Charge Code |
15748
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$64.34 |
| Max. Negotiated Rate |
$156.51 |
| Rate for Payer: Aetna American Axle |
$113.03
|
| Rate for Payer: Aetna Commercial |
$147.81
|
| Rate for Payer: Aetna Medicare |
$86.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$113.03
|
| Rate for Payer: BCBS Complete |
$69.56
|
| Rate for Payer: Cash Price |
$139.12
|
| Rate for Payer: Cofinity Commercial |
$121.73
|
| Rate for Payer: Cofinity Commercial |
$149.55
|
| Rate for Payer: Cofinity Medicare Advantage |
$121.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$139.12
|
| Rate for Payer: Healthscope Commercial |
$156.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$121.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$130.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147.81
|
| Rate for Payer: PHP Commercial |
$147.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$113.03
|
| Rate for Payer: Priority Health SBD |
$109.56
|
| Rate for Payer: UMR Bronson Commercial |
$64.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$130.43
|
|
|
CARVEDILOL 25 MG TABLET
|
Facility
|
OP
|
$199.75
|
|
|
Service Code
|
NDC 51079093220
|
| Hospital Charge Code |
15748
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$73.91 |
| Max. Negotiated Rate |
$179.78 |
| Rate for Payer: Aetna American Axle |
$129.84
|
| Rate for Payer: Aetna Commercial |
$169.79
|
| Rate for Payer: Aetna Medicare |
$99.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$129.84
|
| Rate for Payer: BCBS Complete |
$79.90
|
| Rate for Payer: Cash Price |
$159.80
|
| Rate for Payer: Cofinity Commercial |
$139.82
|
| Rate for Payer: Cofinity Commercial |
$171.78
|
| Rate for Payer: Cofinity Medicare Advantage |
$139.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$159.80
|
| Rate for Payer: Healthscope Commercial |
$179.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$139.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$149.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$169.79
|
| Rate for Payer: PHP Commercial |
$169.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$129.84
|
| Rate for Payer: Priority Health SBD |
$125.84
|
| Rate for Payer: UMR Bronson Commercial |
$73.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$149.81
|
|
|
CARVEDILOL 25 MG TABLET
|
Facility
|
OP
|
$2.00
|
|
|
Service Code
|
NDC 51079093201
|
| Hospital Charge Code |
15748
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.74 |
| Max. Negotiated Rate |
$1.80 |
| Rate for Payer: Aetna American Axle |
$1.30
|
| Rate for Payer: Aetna Commercial |
$1.70
|
| Rate for Payer: Aetna Medicare |
$1.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.30
|
| Rate for Payer: BCBS Complete |
$0.80
|
| Rate for Payer: Cash Price |
$1.60
|
| Rate for Payer: Cofinity Commercial |
$1.40
|
| Rate for Payer: Cofinity Commercial |
$1.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$1.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.60
|
| Rate for Payer: Healthscope Commercial |
$1.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.70
|
| Rate for Payer: PHP Commercial |
$1.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.30
|
| Rate for Payer: Priority Health SBD |
$1.26
|
| Rate for Payer: UMR Bronson Commercial |
$0.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.50
|
|
