|
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$5,138.00
|
|
|
Service Code
|
APR-DRG 0451
|
| Min. Negotiated Rate |
$4,893.33 |
| Max. Negotiated Rate |
$5,138.00 |
| Rate for Payer: BCBS Complete |
$5,138.00
|
| Rate for Payer: Mclaren Medicaid |
$4,893.33
|
| Rate for Payer: Meridian Medicaid |
$5,138.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,893.33
|
| Rate for Payer: UHC Medicaid |
$4,893.33
|
| Rate for Payer: UHCCP Medicaid |
$4,893.33
|
|
|
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$6,809.30
|
|
|
Service Code
|
APR-DRG 0452
|
| Min. Negotiated Rate |
$6,485.05 |
| Max. Negotiated Rate |
$6,809.30 |
| Rate for Payer: BCBS Complete |
$6,809.30
|
| Rate for Payer: Mclaren Medicaid |
$6,485.05
|
| Rate for Payer: Meridian Medicaid |
$6,809.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,485.05
|
| Rate for Payer: UHC Medicaid |
$6,485.05
|
| Rate for Payer: UHCCP Medicaid |
$6,485.05
|
|
|
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$10,234.84
|
|
|
Service Code
|
APR-DRG 0453
|
| Min. Negotiated Rate |
$9,747.46 |
| Max. Negotiated Rate |
$10,234.84 |
| Rate for Payer: BCBS Complete |
$10,234.84
|
| Rate for Payer: Mclaren Medicaid |
$9,747.46
|
| Rate for Payer: Meridian Medicaid |
$10,234.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,747.46
|
| Rate for Payer: UHC Medicaid |
$9,747.46
|
| Rate for Payer: UHCCP Medicaid |
$9,747.46
|
|
|
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$14,984.82
|
|
|
Service Code
|
APR-DRG 0454
|
| Min. Negotiated Rate |
$14,271.26 |
| Max. Negotiated Rate |
$14,984.82 |
| Rate for Payer: BCBS Complete |
$14,984.82
|
| Rate for Payer: Mclaren Medicaid |
$14,271.26
|
| Rate for Payer: Meridian Medicaid |
$14,984.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,271.26
|
| Rate for Payer: UHC Medicaid |
$14,271.26
|
| Rate for Payer: UHCCP Medicaid |
$14,271.26
|
|
|
CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION
|
Facility
|
OP
|
$14.55
|
|
|
Service Code
|
HCPCS J3420
|
| Hospital Charge Code |
2007
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.06 |
| Max. Negotiated Rate |
$13.10 |
| Rate for Payer: Aetna American Axle |
$9.46
|
| Rate for Payer: Aetna American Axle |
$11.40
|
| Rate for Payer: Aetna American Axle |
$12.43
|
| Rate for Payer: Aetna American Axle |
$8.42
|
| Rate for Payer: Aetna American Axle |
$14.18
|
| Rate for Payer: Aetna American Axle |
$11.33
|
| Rate for Payer: Aetna Commercial |
$18.55
|
| Rate for Payer: Aetna Commercial |
$16.25
|
| Rate for Payer: Aetna Commercial |
$14.82
|
| Rate for Payer: Aetna Commercial |
$11.01
|
| Rate for Payer: Aetna Commercial |
$14.91
|
| Rate for Payer: Aetna Commercial |
$12.37
|
| Rate for Payer: Aetna Medicare |
$6.47
|
| Rate for Payer: Aetna Medicare |
$7.28
|
| Rate for Payer: Aetna Medicare |
$8.71
|
| Rate for Payer: Aetna Medicare |
$10.91
|
| Rate for Payer: Aetna Medicare |
$9.56
|
| Rate for Payer: Aetna Medicare |
$8.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.40
|
| Rate for Payer: BCBS Complete |
$6.97
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS Complete |
$5.18
|
| Rate for Payer: BCBS Complete |
$7.02
|
| Rate for Payer: BCBS Complete |
$7.65
|
| Rate for Payer: BCBS Complete |
$8.73
|
| Rate for Payer: BCBS Trust/PPO |
$2.07
|
| Rate for Payer: BCBS Trust/PPO |
$2.07
|
| Rate for Payer: BCBS Trust/PPO |
$2.07
|
| Rate for Payer: BCBS Trust/PPO |
$2.07
|
| Rate for Payer: BCBS Trust/PPO |
$2.07
|
| Rate for Payer: BCBS Trust/PPO |
$2.07
|
| Rate for Payer: BCN Commercial |
$2.07
|
| Rate for Payer: BCN Commercial |
$2.07
|
| Rate for Payer: BCN Commercial |
$2.07
|
| Rate for Payer: BCN Commercial |
$2.07
|
| Rate for Payer: BCN Commercial |
$2.07
|
| Rate for Payer: BCN Commercial |
$2.07
|
| Rate for Payer: Cash Price |
$17.46
|
| Rate for Payer: Cash Price |
$10.36
|
| Rate for Payer: Cash Price |
$10.36
|
| Rate for Payer: Cash Price |
$13.94
|
| Rate for Payer: Cash Price |
$13.94
|
| Rate for Payer: Cash Price |
$11.64
|
| Rate for Payer: Cash Price |
$11.64
|
| Rate for Payer: Cash Price |
$17.46
|
| Rate for Payer: Cash Price |
$15.30
|
| Rate for Payer: Cash Price |
$14.03
|
| Rate for Payer: Cash Price |
$15.30
|
| Rate for Payer: Cash Price |
$14.03
|
| Rate for Payer: Cofinity Advantage |
$12.28
|
| Rate for Payer: Cofinity Advantage |
$12.20
|
| Rate for Payer: Cofinity Advantage |
$15.27
|
| Rate for Payer: Cofinity Advantage |
$9.06
|
| Rate for Payer: Cofinity Advantage |
$10.19
|
| Rate for Payer: Cofinity Advantage |
$13.38
|
| Rate for Payer: Cofinity Commercial |
$16.44
|
| Rate for Payer: Cofinity Commercial |
$11.14
|
| Rate for Payer: Cofinity Commercial |
$12.51
|
| Rate for Payer: Cofinity Commercial |
$14.99
|
| Rate for Payer: Cofinity Commercial |
$15.08
|
| Rate for Payer: Cofinity Commercial |
$18.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.30
|
| Rate for Payer: Healthscope Commercial |
$11.65
|
| Rate for Payer: Healthscope Commercial |
$17.21
|
| Rate for Payer: Healthscope Commercial |
$15.69
|
| Rate for Payer: Healthscope Commercial |
$15.79
|
| Rate for Payer: Healthscope Commercial |
$19.64
|
| Rate for Payer: Healthscope Commercial |
$13.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.07
|
| Rate for Payer: PHP Commercial |
$12.37
|
| Rate for Payer: PHP Commercial |
$14.82
|
| Rate for Payer: PHP Commercial |
$14.91
|
| Rate for Payer: PHP Commercial |
$11.01
|
| Rate for Payer: PHP Commercial |
$16.25
|
| Rate for Payer: PHP Commercial |
$18.55
|
| Rate for Payer: Priority Health SBD |
$11.05
|
| Rate for Payer: Priority Health SBD |
$8.16
|
| Rate for Payer: Priority Health SBD |
$9.17
|
| Rate for Payer: Priority Health SBD |
$13.75
|
| Rate for Payer: Priority Health SBD |
$10.98
|
| Rate for Payer: Priority Health SBD |
$12.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.06
|
| Rate for Payer: UHC Core |
$1.06
|
| Rate for Payer: UHC Core |
$1.06
|
| Rate for Payer: UHC Core |
$1.06
|
| Rate for Payer: UHC Core |
$1.06
|
| Rate for Payer: UHC Core |
$1.06
|
| Rate for Payer: UHC Core |
$1.06
|
| Rate for Payer: UHC Exchange |
$1.06
|
| Rate for Payer: UHC Exchange |
$1.06
|
| Rate for Payer: UHC Exchange |
$1.06
|
| Rate for Payer: UHC Exchange |
$1.06
|
| Rate for Payer: UHC Exchange |
$1.06
|
| Rate for Payer: UHC Exchange |
$1.06
|
| Rate for Payer: UMR Bronson Commercial |
$6.49
|
| Rate for Payer: UMR Bronson Commercial |
$7.07
|
| Rate for Payer: UMR Bronson Commercial |
$5.38
|
| Rate for Payer: UMR Bronson Commercial |
$4.79
|
| Rate for Payer: UMR Bronson Commercial |
$8.07
|
| Rate for Payer: UMR Bronson Commercial |
$6.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.91
|
|
|
CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION
|
Facility
|
IP
|
$12.95
|
|
|
Service Code
|
HCPCS J3420
|
| Hospital Charge Code |
2007
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.70 |
| Max. Negotiated Rate |
$11.65 |
| Rate for Payer: Aetna American Axle |
$8.42
|
| Rate for Payer: Aetna American Axle |
$14.18
|
| Rate for Payer: Aetna American Axle |
$11.40
|
| Rate for Payer: Aetna Commercial |
$14.91
|
| Rate for Payer: Aetna Commercial |
$11.01
|
| Rate for Payer: Aetna Commercial |
$18.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.40
|
| Rate for Payer: Cash Price |
$14.03
|
| Rate for Payer: Cash Price |
$10.36
|
| Rate for Payer: Cash Price |
$17.46
|
| Rate for Payer: Cofinity Advantage |
$15.27
|
| Rate for Payer: Cofinity Advantage |
$9.06
|
| Rate for Payer: Cofinity Advantage |
$12.28
|
| Rate for Payer: Cofinity Commercial |
$18.77
|
| Rate for Payer: Cofinity Commercial |
$11.14
|
| Rate for Payer: Cofinity Commercial |
$15.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.46
|
| Rate for Payer: Healthscope Commercial |
$15.79
|
| Rate for Payer: Healthscope Commercial |
$19.64
|
| Rate for Payer: Healthscope Commercial |
$11.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.36
|
| Rate for Payer: PHP Commercial |
$14.91
|
| Rate for Payer: PHP Commercial |
$11.01
|
| Rate for Payer: PHP Commercial |
$18.55
|
| Rate for Payer: Priority Health SBD |
$8.16
|
| Rate for Payer: Priority Health SBD |
$11.05
|
| Rate for Payer: Priority Health SBD |
$13.75
|
| Rate for Payer: UMR Bronson Commercial |
$5.70
|
| Rate for Payer: UMR Bronson Commercial |
$9.60
|
| Rate for Payer: UMR Bronson Commercial |
$7.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.36
|
|
|
CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET
|
Facility
|
IP
|
$94.50
|
|
|
Service Code
|
NDC 80681007100
|
| Hospital Charge Code |
2008
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$41.58 |
| Max. Negotiated Rate |
$85.05 |
| Rate for Payer: Aetna American Axle |
$61.42
|
| Rate for Payer: Aetna Commercial |
$80.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$61.42
|
| Rate for Payer: Cash Price |
$75.60
|
| Rate for Payer: Cofinity Advantage |
$66.15
|
| Rate for Payer: Cofinity Commercial |
$81.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$75.60
|
| Rate for Payer: Healthscope Commercial |
$85.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$66.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$70.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$80.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$70.88
|
| Rate for Payer: PHP Commercial |
$80.33
|
| Rate for Payer: Priority Health SBD |
$59.53
|
| Rate for Payer: UMR Bronson Commercial |
$41.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$70.88
|
|
|
CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET
|
Facility
|
IP
|
$144.00
|
|
|
Service Code
|
NDC 79854020050
|
| Hospital Charge Code |
2008
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$63.36 |
| Max. Negotiated Rate |
$129.60 |
| Rate for Payer: Aetna American Axle |
$93.60
|
| Rate for Payer: Aetna Commercial |
$122.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.60
|
| Rate for Payer: Cash Price |
$115.20
|
| Rate for Payer: Cofinity Advantage |
$100.80
|
| Rate for Payer: Cofinity Commercial |
$123.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$115.20
|
| Rate for Payer: Healthscope Commercial |
$129.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$100.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$108.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$122.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$108.00
|
| Rate for Payer: PHP Commercial |
$122.40
|
| Rate for Payer: Priority Health SBD |
$90.72
|
| Rate for Payer: UMR Bronson Commercial |
$63.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$108.00
|
|
|
CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET
|
Facility
|
OP
|
$144.00
|
|
|
Service Code
|
NDC 79854020050
|
| Hospital Charge Code |
2008
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$53.28 |
| Max. Negotiated Rate |
$129.60 |
| Rate for Payer: Aetna American Axle |
$93.60
|
| Rate for Payer: Aetna Commercial |
$122.40
|
| Rate for Payer: Aetna Medicare |
$72.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.60
|
| Rate for Payer: BCBS Complete |
$57.60
|
| Rate for Payer: Cash Price |
$115.20
|
| Rate for Payer: Cofinity Advantage |
$100.80
|
| Rate for Payer: Cofinity Commercial |
$123.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$115.20
|
| Rate for Payer: Healthscope Commercial |
$129.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$100.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$108.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$115.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$122.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$108.00
|
| Rate for Payer: PHP Commercial |
$122.40
|
| Rate for Payer: Priority Health SBD |
$90.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$93.60
|
| Rate for Payer: UHC Core |
$75.02
|
| Rate for Payer: UHC Exchange |
$56.59
|
| Rate for Payer: UMR Bronson Commercial |
$53.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$108.00
|
|
|
CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET
|
Facility
|
OP
|
$94.50
|
|
|
Service Code
|
NDC 80681007100
|
| Hospital Charge Code |
2008
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$34.97 |
| Max. Negotiated Rate |
$85.05 |
| Rate for Payer: Aetna American Axle |
$61.42
|
| Rate for Payer: Aetna Commercial |
$80.33
|
| Rate for Payer: Aetna Medicare |
$47.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$61.42
|
| Rate for Payer: BCBS Complete |
$37.80
|
| Rate for Payer: Cash Price |
$75.60
|
| Rate for Payer: Cofinity Advantage |
$66.15
|
| Rate for Payer: Cofinity Commercial |
$81.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$75.60
|
| Rate for Payer: Healthscope Commercial |
$85.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$66.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$70.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$75.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$80.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$70.88
|
| Rate for Payer: PHP Commercial |
$80.33
|
| Rate for Payer: Priority Health SBD |
$59.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61.42
|
| Rate for Payer: UHC Core |
$49.23
|
| Rate for Payer: UHC Exchange |
$37.14
|
| Rate for Payer: UMR Bronson Commercial |
$34.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$70.88
|
|
|
CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET
|
Facility
|
OP
|
$78.65
|
|
|
Service Code
|
NDC 20555003200
|
| Hospital Charge Code |
2012
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$29.10 |
| Max. Negotiated Rate |
$70.78 |
| Rate for Payer: Aetna American Axle |
$51.12
|
| Rate for Payer: Aetna Commercial |
$66.85
|
| Rate for Payer: Aetna Medicare |
$39.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.12
|
| Rate for Payer: BCBS Complete |
$31.46
|
| Rate for Payer: Cash Price |
$62.92
|
| Rate for Payer: Cofinity Advantage |
$55.05
|
| Rate for Payer: Cofinity Commercial |
$67.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.92
|
| Rate for Payer: Healthscope Commercial |
$70.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$55.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.99
|
| Rate for Payer: PHP Commercial |
$66.85
|
| Rate for Payer: Priority Health SBD |
$49.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.12
|
| Rate for Payer: UHC Core |
$40.98
|
| Rate for Payer: UHC Exchange |
$30.91
|
| Rate for Payer: UMR Bronson Commercial |
$29.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.99
|
|
|
CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET
|
Facility
|
IP
|
$1.73
|
|
|
Service Code
|
NDC 50268085411
|
| Hospital Charge Code |
2012
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.76 |
| Max. Negotiated Rate |
$1.56 |
| Rate for Payer: Aetna American Axle |
$1.12
|
| Rate for Payer: Aetna Commercial |
$1.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.12
|
| Rate for Payer: Cash Price |
$1.38
|
| Rate for Payer: Cofinity Advantage |
$1.21
|
| Rate for Payer: Cofinity Commercial |
$1.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.38
|
| Rate for Payer: Healthscope Commercial |
$1.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.30
|
| Rate for Payer: PHP Commercial |
$1.47
|
| Rate for Payer: Priority Health SBD |
$1.09
|
| Rate for Payer: UMR Bronson Commercial |
$0.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.30
|
|
|
CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET
|
Facility
|
OP
|
$1.73
|
|
|
Service Code
|
NDC 50268085411
|
| Hospital Charge Code |
2012
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.64 |
| Max. Negotiated Rate |
$1.56 |
| Rate for Payer: Aetna American Axle |
$1.12
|
| Rate for Payer: Aetna Commercial |
$1.47
|
| Rate for Payer: Aetna Medicare |
$0.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.12
|
| Rate for Payer: BCBS Complete |
$0.69
|
| Rate for Payer: Cash Price |
$1.38
|
| Rate for Payer: Cofinity Advantage |
$1.21
|
| Rate for Payer: Cofinity Commercial |
$1.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.38
|
| Rate for Payer: Healthscope Commercial |
$1.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.30
|
| Rate for Payer: PHP Commercial |
$1.47
|
| Rate for Payer: Priority Health SBD |
$1.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.12
|
| Rate for Payer: UHC Core |
$0.90
|
| Rate for Payer: UHC Exchange |
$0.68
|
| Rate for Payer: UMR Bronson Commercial |
$0.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.30
|
|
|
CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET
|
Facility
|
IP
|
$184.00
|
|
|
Service Code
|
NDC 51645091301
|
| Hospital Charge Code |
2012
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$80.96 |
| Max. Negotiated Rate |
$165.60 |
| Rate for Payer: Aetna American Axle |
$119.60
|
| Rate for Payer: Aetna Commercial |
$156.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$119.60
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cofinity Advantage |
$128.80
|
| Rate for Payer: Cofinity Commercial |
$158.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$147.20
|
| Rate for Payer: Healthscope Commercial |
$165.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$128.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$138.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$156.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$138.00
|
| Rate for Payer: PHP Commercial |
$156.40
|
| Rate for Payer: Priority Health SBD |
$115.92
|
| Rate for Payer: UMR Bronson Commercial |
$80.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$138.00
|
|
|
CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET
|
Facility
|
IP
|
$78.65
|
|
|
Service Code
|
NDC 20555003200
|
| Hospital Charge Code |
2012
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$34.61 |
| Max. Negotiated Rate |
$70.78 |
| Rate for Payer: Aetna American Axle |
$51.12
|
| Rate for Payer: Aetna Commercial |
$66.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.12
|
| Rate for Payer: Cash Price |
$62.92
|
| Rate for Payer: Cofinity Advantage |
$55.05
|
| Rate for Payer: Cofinity Commercial |
$67.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.92
|
| Rate for Payer: Healthscope Commercial |
$70.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$55.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.99
|
| Rate for Payer: PHP Commercial |
$66.85
|
| Rate for Payer: Priority Health SBD |
$49.55
|
| Rate for Payer: UMR Bronson Commercial |
$34.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.99
|
|
|
CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET
|
Facility
|
OP
|
$86.35
|
|
|
Service Code
|
NDC 50268085415
|
| Hospital Charge Code |
2012
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$31.95 |
| Max. Negotiated Rate |
$77.72 |
| Rate for Payer: Aetna American Axle |
$56.13
|
| Rate for Payer: Aetna Commercial |
$73.40
|
| Rate for Payer: Aetna Medicare |
$43.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.13
|
| Rate for Payer: BCBS Complete |
$34.54
|
| Rate for Payer: Cash Price |
$69.08
|
| Rate for Payer: Cofinity Advantage |
$60.45
|
| Rate for Payer: Cofinity Commercial |
$74.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.08
|
| Rate for Payer: Healthscope Commercial |
$77.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$60.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$64.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$69.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$64.76
|
| Rate for Payer: PHP Commercial |
$73.40
|
| Rate for Payer: Priority Health SBD |
$54.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.13
|
| Rate for Payer: UHC Core |
$44.99
|
| Rate for Payer: UHC Exchange |
$33.94
|
| Rate for Payer: UMR Bronson Commercial |
$31.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$64.76
|
|
|
CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET
|
Facility
|
IP
|
$86.35
|
|
|
Service Code
|
NDC 50268085415
|
| Hospital Charge Code |
2012
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$37.99 |
| Max. Negotiated Rate |
$77.72 |
| Rate for Payer: Aetna American Axle |
$56.13
|
| Rate for Payer: Aetna Commercial |
$73.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.13
|
| Rate for Payer: Cash Price |
$69.08
|
| Rate for Payer: Cofinity Advantage |
$60.45
|
| Rate for Payer: Cofinity Commercial |
$74.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.08
|
| Rate for Payer: Healthscope Commercial |
$77.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$60.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$64.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$64.76
|
| Rate for Payer: PHP Commercial |
$73.40
|
| Rate for Payer: Priority Health SBD |
$54.40
|
| Rate for Payer: UMR Bronson Commercial |
$37.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$64.76
|
|
|
CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET
|
Facility
|
OP
|
$184.00
|
|
|
Service Code
|
NDC 51645091301
|
| Hospital Charge Code |
2012
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$68.08 |
| Max. Negotiated Rate |
$165.60 |
| Rate for Payer: Aetna American Axle |
$119.60
|
| Rate for Payer: Aetna Commercial |
$156.40
|
| Rate for Payer: Aetna Medicare |
$92.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$119.60
|
| Rate for Payer: BCBS Complete |
$73.60
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cofinity Advantage |
$128.80
|
| Rate for Payer: Cofinity Commercial |
$158.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$147.20
|
| Rate for Payer: Healthscope Commercial |
$165.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$128.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$138.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$147.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$156.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$138.00
|
| Rate for Payer: PHP Commercial |
$156.40
|
| Rate for Payer: Priority Health SBD |
$115.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$119.60
|
| Rate for Payer: UHC Core |
$95.86
|
| Rate for Payer: UHC Exchange |
$72.31
|
| Rate for Payer: UMR Bronson Commercial |
$68.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$138.00
|
|
|
CYCLOBENZAPRINE 10 MG TABLET
|
Facility
|
IP
|
$2.52
|
|
|
Service Code
|
NDC 51079064401
|
| Hospital Charge Code |
2017
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.11 |
| Max. Negotiated Rate |
$2.27 |
| Rate for Payer: Aetna American Axle |
$1.64
|
| Rate for Payer: Aetna Commercial |
$2.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.64
|
| Rate for Payer: Cash Price |
$2.02
|
| Rate for Payer: Cofinity Advantage |
$1.76
|
| Rate for Payer: Cofinity Commercial |
$2.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.02
|
| Rate for Payer: Healthscope Commercial |
$2.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.89
|
| Rate for Payer: PHP Commercial |
$2.14
|
| Rate for Payer: Priority Health SBD |
$1.59
|
| Rate for Payer: UMR Bronson Commercial |
$1.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.89
|
|
|
CYCLOBENZAPRINE 10 MG TABLET
|
Facility
|
IP
|
$51.70
|
|
|
Service Code
|
NDC 72888001401
|
| Hospital Charge Code |
2017
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$22.75 |
| Max. Negotiated Rate |
$46.53 |
| Rate for Payer: Aetna American Axle |
$33.60
|
| Rate for Payer: Aetna Commercial |
$43.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.60
|
| Rate for Payer: Cash Price |
$41.36
|
| Rate for Payer: Cofinity Advantage |
$36.19
|
| Rate for Payer: Cofinity Commercial |
$44.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.36
|
| Rate for Payer: Healthscope Commercial |
$46.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$36.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$38.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$38.77
|
| Rate for Payer: PHP Commercial |
$43.95
|
| Rate for Payer: Priority Health SBD |
$32.57
|
| Rate for Payer: UMR Bronson Commercial |
$22.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$38.77
|
|
|
CYCLOBENZAPRINE 10 MG TABLET
|
Facility
|
OP
|
$169.20
|
|
|
Service Code
|
NDC 50268019115
|
| Hospital Charge Code |
2017
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$62.60 |
| Max. Negotiated Rate |
$152.28 |
| Rate for Payer: Aetna American Axle |
$109.98
|
| Rate for Payer: Aetna Commercial |
$143.82
|
| Rate for Payer: Aetna Medicare |
$84.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$109.98
|
| Rate for Payer: BCBS Complete |
$67.68
|
| Rate for Payer: Cash Price |
$135.36
|
| Rate for Payer: Cofinity Advantage |
$118.44
|
| Rate for Payer: Cofinity Commercial |
$145.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$135.36
|
| Rate for Payer: Healthscope Commercial |
$152.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$118.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$126.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$135.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$143.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$126.90
|
| Rate for Payer: PHP Commercial |
$143.82
|
| Rate for Payer: Priority Health SBD |
$106.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$109.98
|
| Rate for Payer: UHC Core |
$88.15
|
| Rate for Payer: UHC Exchange |
$66.50
|
| Rate for Payer: UMR Bronson Commercial |
$62.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$126.90
|
|
|
CYCLOBENZAPRINE 10 MG TABLET
|
Facility
|
OP
|
$91.65
|
|
|
Service Code
|
NDC 43547040010
|
| Hospital Charge Code |
2017
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$33.91 |
| Max. Negotiated Rate |
$82.48 |
| Rate for Payer: Aetna American Axle |
$59.57
|
| Rate for Payer: Aetna Commercial |
$77.90
|
| Rate for Payer: Aetna Medicare |
$45.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$59.57
|
| Rate for Payer: BCBS Complete |
$36.66
|
| Rate for Payer: Cash Price |
$73.32
|
| Rate for Payer: Cofinity Advantage |
$64.16
|
| Rate for Payer: Cofinity Commercial |
$78.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.32
|
| Rate for Payer: Healthscope Commercial |
$82.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$64.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$68.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$73.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$77.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$68.74
|
| Rate for Payer: PHP Commercial |
$77.90
|
| Rate for Payer: Priority Health SBD |
$57.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$59.57
|
| Rate for Payer: UHC Core |
$47.75
|
| Rate for Payer: UHC Exchange |
$36.02
|
| Rate for Payer: UMR Bronson Commercial |
$33.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$68.74
|
|
|
CYCLOBENZAPRINE 10 MG TABLET
|
Facility
|
IP
|
$169.20
|
|
|
Service Code
|
NDC 50268019115
|
| Hospital Charge Code |
2017
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$74.45 |
| Max. Negotiated Rate |
$152.28 |
| Rate for Payer: Aetna American Axle |
$109.98
|
| Rate for Payer: Aetna Commercial |
$143.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$109.98
|
| Rate for Payer: Cash Price |
$135.36
|
| Rate for Payer: Cofinity Advantage |
$118.44
|
| Rate for Payer: Cofinity Commercial |
$145.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$135.36
|
| Rate for Payer: Healthscope Commercial |
$152.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$118.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$126.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$143.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$126.90
|
| Rate for Payer: PHP Commercial |
$143.82
|
| Rate for Payer: Priority Health SBD |
$106.60
|
| Rate for Payer: UMR Bronson Commercial |
$74.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$126.90
|
|
|
CYCLOBENZAPRINE 10 MG TABLET
|
Facility
|
IP
|
$251.45
|
|
|
Service Code
|
NDC 51079064420
|
| Hospital Charge Code |
2017
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$110.64 |
| Max. Negotiated Rate |
$226.31 |
| Rate for Payer: Aetna American Axle |
$163.44
|
| Rate for Payer: Aetna Commercial |
$213.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$163.44
|
| Rate for Payer: Cash Price |
$201.16
|
| Rate for Payer: Cofinity Advantage |
$176.01
|
| Rate for Payer: Cofinity Commercial |
$216.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$201.16
|
| Rate for Payer: Healthscope Commercial |
$226.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$176.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$188.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$213.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$188.59
|
| Rate for Payer: PHP Commercial |
$213.73
|
| Rate for Payer: Priority Health SBD |
$158.41
|
| Rate for Payer: UMR Bronson Commercial |
$110.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$188.59
|
|
|
CYCLOBENZAPRINE 10 MG TABLET
|
Facility
|
OP
|
$2.52
|
|
|
Service Code
|
NDC 51079064401
|
| Hospital Charge Code |
2017
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.93 |
| Max. Negotiated Rate |
$2.27 |
| Rate for Payer: Aetna American Axle |
$1.64
|
| Rate for Payer: Aetna Commercial |
$2.14
|
| Rate for Payer: Aetna Medicare |
$1.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.64
|
| Rate for Payer: BCBS Complete |
$1.01
|
| Rate for Payer: Cash Price |
$2.02
|
| Rate for Payer: Cofinity Advantage |
$1.76
|
| Rate for Payer: Cofinity Commercial |
$2.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.02
|
| Rate for Payer: Healthscope Commercial |
$2.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.89
|
| Rate for Payer: PHP Commercial |
$2.14
|
| Rate for Payer: Priority Health SBD |
$1.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.64
|
| Rate for Payer: UHC Core |
$1.31
|
| Rate for Payer: UHC Exchange |
$0.99
|
| Rate for Payer: UMR Bronson Commercial |
$0.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.89
|
|
