|
ENDOSCOPIC SUBMUCOSAL DISSECTION (ESD), INCLUDING ENDOSCOPY OR COLONOSCOPY, MUCOSAL CLOSURE, WHEN PERFORMED
|
Facility
|
OP
|
$10,444.63
|
|
|
Service Code
|
CPT C9779
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,988.82 |
| Max. Negotiated Rate |
$10,444.63 |
| Rate for Payer: Aetna Medicare |
$3,858.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,638.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,638.10
|
| Rate for Payer: BCBS Complete |
$2,088.26
|
| Rate for Payer: BCBS MAPPO |
$3,710.48
|
| Rate for Payer: BCN Medicare Advantage |
$3,710.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,710.48
|
| Rate for Payer: Mclaren Medicaid |
$1,988.82
|
| Rate for Payer: Mclaren Medicare |
$3,710.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,896.00
|
| Rate for Payer: Meridian Medicaid |
$2,088.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,267.05
|
| Rate for Payer: PACE Medicare |
$3,524.96
|
| Rate for Payer: PACE SWMI |
$3,710.48
|
| Rate for Payer: PHP Medicare Advantage |
$3,710.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,988.82
|
| Rate for Payer: Priority Health Medicare |
$3,710.48
|
| Rate for Payer: Railroad Medicare Medicare |
$3,710.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,444.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,710.48
|
| Rate for Payer: UHC Exchange |
$7,091.10
|
| Rate for Payer: UHC Medicare Advantage |
$3,710.48
|
| Rate for Payer: UHCCP Medicaid |
$1,988.82
|
| Rate for Payer: VA VA |
$3,710.48
|
|
|
ENDOSCOPIC SUBMUCOSAL DISSECTION (ESD), INCLUDING ENDOSCOPY OR COLONOSCOPY, MUCOSAL CLOSURE, WHEN PERFORMED
|
Facility
|
OP
|
$10,444.63
|
|
|
Service Code
|
CPT C9779
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,988.82 |
| Max. Negotiated Rate |
$10,444.63 |
| Rate for Payer: Aetna Medicare |
$3,858.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,638.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,638.10
|
| Rate for Payer: BCBS Complete |
$2,088.26
|
| Rate for Payer: BCBS MAPPO |
$3,710.48
|
| Rate for Payer: BCN Medicare Advantage |
$3,710.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,710.48
|
| Rate for Payer: Mclaren Medicaid |
$1,988.82
|
| Rate for Payer: Mclaren Medicare |
$3,710.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,896.00
|
| Rate for Payer: Meridian Medicaid |
$2,088.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,267.05
|
| Rate for Payer: PACE Medicare |
$3,524.96
|
| Rate for Payer: PACE SWMI |
$3,710.48
|
| Rate for Payer: PHP Medicare Advantage |
$3,710.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,988.82
|
| Rate for Payer: Priority Health Medicare |
$3,710.48
|
| Rate for Payer: Railroad Medicare Medicare |
$3,710.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,444.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,710.48
|
| Rate for Payer: UHC Exchange |
$7,091.10
|
| Rate for Payer: UHC Medicare Advantage |
$3,710.48
|
| Rate for Payer: UHCCP Medicaid |
$1,988.82
|
| Rate for Payer: VA VA |
$3,710.48
|
|
|
ENDOSCOPY, WRIST, SURGICAL, WITH RELEASE OF TRANSVERSE CARPAL LIGAMENT
|
Facility
|
OP
|
$4,393.64
|
|
|
Service Code
|
CPT 29848
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$836.62 |
| Max. Negotiated Rate |
$4,393.64 |
| Rate for Payer: Aetna Medicare |
$1,623.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,951.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,951.06
|
| Rate for Payer: BCBS Complete |
$878.45
|
| Rate for Payer: BCBS MAPPO |
$1,560.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,560.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,560.85
|
| Rate for Payer: Mclaren Medicaid |
$836.62
|
| Rate for Payer: Mclaren Medicare |
$1,560.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,638.89
|
| Rate for Payer: Meridian Medicaid |
$878.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,794.98
|
| Rate for Payer: PACE Medicare |
$1,482.81
|
| Rate for Payer: PACE SWMI |
$1,560.85
|
| Rate for Payer: PHP Medicare Advantage |
$1,560.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$836.62
|
| Rate for Payer: Priority Health Medicare |
$1,560.85
|
| Rate for Payer: Railroad Medicare Medicare |
$1,560.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,393.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,560.85
|
| Rate for Payer: UHC Exchange |
$2,982.94
|
| Rate for Payer: UHC Medicare Advantage |
$1,560.85
|
| Rate for Payer: UHCCP Medicaid |
$836.62
|
| Rate for Payer: VA VA |
$1,560.85
|
|
|
ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, EXTREMITY, INCLUSIVE OF ALL IMAGING GUIDANCE AND MONITORING, PERCUTANEOUS, LASER; FIRST VEIN TREATED
|
Facility
|
OP
|
$8,640.87
|
|
|
Service Code
|
CPT 36478
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,645.35 |
| Max. Negotiated Rate |
$8,640.87 |
| Rate for Payer: Aetna Medicare |
$3,192.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,837.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,837.11
|
| Rate for Payer: BCBS Complete |
$1,727.62
|
| Rate for Payer: BCBS MAPPO |
$3,069.69
|
| Rate for Payer: BCN Medicare Advantage |
$3,069.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,069.69
|
| Rate for Payer: Mclaren Medicaid |
$1,645.35
|
| Rate for Payer: Mclaren Medicare |
$3,069.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,223.17
|
| Rate for Payer: Meridian Medicaid |
$1,727.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,530.14
|
| Rate for Payer: PACE Medicare |
$2,916.21
|
| Rate for Payer: PACE SWMI |
$3,069.69
|
| Rate for Payer: PHP Medicare Advantage |
$3,069.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.35
|
| Rate for Payer: Priority Health Medicare |
$3,069.69
|
| Rate for Payer: Railroad Medicare Medicare |
$3,069.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,640.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,069.69
|
| Rate for Payer: UHC Exchange |
$5,866.48
|
| Rate for Payer: UHC Medicare Advantage |
$3,069.69
|
| Rate for Payer: UHCCP Medicaid |
$1,645.35
|
| Rate for Payer: VA VA |
$3,069.69
|
|
|
ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, EXTREMITY, INCLUSIVE OF ALL IMAGING GUIDANCE AND MONITORING, PERCUTANEOUS, RADIOFREQUENCY; FIRST VEIN TREATED
|
Facility
|
OP
|
$8,640.87
|
|
|
Service Code
|
CPT 36475
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,645.35 |
| Max. Negotiated Rate |
$8,640.87 |
| Rate for Payer: Aetna Medicare |
$3,192.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,837.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,837.11
|
| Rate for Payer: BCBS Complete |
$1,727.62
|
| Rate for Payer: BCBS MAPPO |
$3,069.69
|
| Rate for Payer: BCN Medicare Advantage |
$3,069.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,069.69
|
| Rate for Payer: Mclaren Medicaid |
$1,645.35
|
| Rate for Payer: Mclaren Medicare |
$3,069.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,223.17
|
| Rate for Payer: Meridian Medicaid |
$1,727.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,530.14
|
| Rate for Payer: PACE Medicare |
$2,916.21
|
| Rate for Payer: PACE SWMI |
$3,069.69
|
| Rate for Payer: PHP Medicare Advantage |
$3,069.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.35
|
| Rate for Payer: Priority Health Medicare |
$3,069.69
|
| Rate for Payer: Railroad Medicare Medicare |
$3,069.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,640.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,069.69
|
| Rate for Payer: UHC Exchange |
$5,866.48
|
| Rate for Payer: UHC Medicare Advantage |
$3,069.69
|
| Rate for Payer: UHCCP Medicaid |
$1,645.35
|
| Rate for Payer: VA VA |
$3,069.69
|
|
|
ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, EXTREMITY, INCLUSIVE OF ALL IMAGING GUIDANCE AND MONITORING, PERCUTANEOUS, RADIOFREQUENCY; FIRST VEIN TREATED
|
Facility
|
OP
|
$8,640.87
|
|
|
Service Code
|
CPT 36475
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,645.35 |
| Max. Negotiated Rate |
$8,640.87 |
| Rate for Payer: Aetna Medicare |
$3,192.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,837.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,837.11
|
| Rate for Payer: BCBS Complete |
$1,727.62
|
| Rate for Payer: BCBS MAPPO |
$3,069.69
|
| Rate for Payer: BCN Medicare Advantage |
$3,069.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,069.69
|
| Rate for Payer: Mclaren Medicaid |
$1,645.35
|
| Rate for Payer: Mclaren Medicare |
$3,069.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,223.17
|
| Rate for Payer: Meridian Medicaid |
$1,727.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,530.14
|
| Rate for Payer: PACE Medicare |
$2,916.21
|
| Rate for Payer: PACE SWMI |
$3,069.69
|
| Rate for Payer: PHP Medicare Advantage |
$3,069.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,645.35
|
| Rate for Payer: Priority Health Medicare |
$3,069.69
|
| Rate for Payer: Railroad Medicare Medicare |
$3,069.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,640.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,069.69
|
| Rate for Payer: UHC Exchange |
$5,866.48
|
| Rate for Payer: UHC Medicare Advantage |
$3,069.69
|
| Rate for Payer: UHCCP Medicaid |
$1,645.35
|
| Rate for Payer: VA VA |
$3,069.69
|
|
|
ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$12,612.41
|
|
|
Service Code
|
HCPCS J9177
|
| Hospital Charge Code |
192400
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$19.69 |
| Max. Negotiated Rate |
$11,351.17 |
| Rate for Payer: Aetna American Axle |
$8,198.07
|
| Rate for Payer: Aetna Commercial |
$10,720.55
|
| Rate for Payer: Aetna Medicare |
$38.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,198.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45.92
|
| Rate for Payer: BCBS Complete |
$20.68
|
| Rate for Payer: BCBS MAPPO |
$36.74
|
| Rate for Payer: BCN Medicare Advantage |
$36.74
|
| Rate for Payer: Cash Price |
$10,089.93
|
| Rate for Payer: Cash Price |
$10,089.93
|
| Rate for Payer: Cofinity Commercial |
$10,846.67
|
| Rate for Payer: Cofinity Commercial |
$8,828.69
|
| Rate for Payer: Cofinity Medicare Advantage |
$8,828.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,089.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.74
|
| Rate for Payer: Healthscope Commercial |
$11,351.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8,828.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9,459.31
|
| Rate for Payer: Mclaren Medicaid |
$19.69
|
| Rate for Payer: Mclaren Medicare |
$36.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.58
|
| Rate for Payer: Meridian Medicaid |
$20.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,720.55
|
| Rate for Payer: PACE Medicare |
$34.90
|
| Rate for Payer: PACE SWMI |
$36.74
|
| Rate for Payer: PHP Commercial |
$10,720.55
|
| Rate for Payer: PHP Medicare Advantage |
$36.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8,198.07
|
| Rate for Payer: Priority Health Medicare |
$36.74
|
| Rate for Payer: Priority Health SBD |
$7,945.82
|
| Rate for Payer: Railroad Medicare Medicare |
$36.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$103.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$36.74
|
| Rate for Payer: UHC Exchange |
$70.21
|
| Rate for Payer: UHC Medicare Advantage |
$36.74
|
| Rate for Payer: UHCCP Medicaid |
$19.69
|
| Rate for Payer: UMR Bronson Commercial |
$4,666.59
|
| Rate for Payer: VA VA |
$36.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9,459.31
|
|
|
ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$18,918.62
|
|
|
Service Code
|
HCPCS J9177
|
| Hospital Charge Code |
192401
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$19.69 |
| Max. Negotiated Rate |
$17,026.76 |
| Rate for Payer: Aetna American Axle |
$12,297.10
|
| Rate for Payer: Aetna Commercial |
$16,080.83
|
| Rate for Payer: Aetna Medicare |
$38.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12,297.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45.92
|
| Rate for Payer: BCBS Complete |
$20.68
|
| Rate for Payer: BCBS MAPPO |
$36.74
|
| Rate for Payer: BCN Medicare Advantage |
$36.74
|
| Rate for Payer: Cash Price |
$15,134.90
|
| Rate for Payer: Cash Price |
$15,134.90
|
| Rate for Payer: Cofinity Commercial |
$13,243.03
|
| Rate for Payer: Cofinity Commercial |
$16,270.01
|
| Rate for Payer: Cofinity Medicare Advantage |
$13,243.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15,134.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.74
|
| Rate for Payer: Healthscope Commercial |
$17,026.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13,243.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14,188.97
|
| Rate for Payer: Mclaren Medicaid |
$19.69
|
| Rate for Payer: Mclaren Medicare |
$36.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.58
|
| Rate for Payer: Meridian Medicaid |
$20.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16,080.83
|
| Rate for Payer: PACE Medicare |
$34.90
|
| Rate for Payer: PACE SWMI |
$36.74
|
| Rate for Payer: PHP Commercial |
$16,080.83
|
| Rate for Payer: PHP Medicare Advantage |
$36.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12,297.10
|
| Rate for Payer: Priority Health Medicare |
$36.74
|
| Rate for Payer: Priority Health SBD |
$11,918.73
|
| Rate for Payer: Railroad Medicare Medicare |
$36.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$103.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$36.74
|
| Rate for Payer: UHC Exchange |
$70.21
|
| Rate for Payer: UHC Medicare Advantage |
$36.74
|
| Rate for Payer: UHCCP Medicaid |
$19.69
|
| Rate for Payer: UMR Bronson Commercial |
$6,999.89
|
| Rate for Payer: VA VA |
$36.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14,188.97
|
|
|
ENFUVIRTIDE 90 MG SUBCUTANEOUS SOLUTION
|
Facility
|
OP
|
$9,322.41
|
|
|
Service Code
|
NDC 00004038140
|
| Hospital Charge Code |
159192
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$3,449.29 |
| Max. Negotiated Rate |
$8,390.17 |
| Rate for Payer: Aetna American Axle |
$6,059.57
|
| Rate for Payer: Aetna Commercial |
$7,924.05
|
| Rate for Payer: Aetna Medicare |
$4,661.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,059.57
|
| Rate for Payer: BCBS Complete |
$3,728.96
|
| Rate for Payer: Cash Price |
$7,457.93
|
| Rate for Payer: Cofinity Commercial |
$6,525.69
|
| Rate for Payer: Cofinity Commercial |
$8,017.27
|
| Rate for Payer: Cofinity Medicare Advantage |
$6,525.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,457.93
|
| Rate for Payer: Healthscope Commercial |
$8,390.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,525.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,991.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,924.05
|
| Rate for Payer: PHP Commercial |
$7,924.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,059.57
|
| Rate for Payer: Priority Health SBD |
$5,873.12
|
| Rate for Payer: UMR Bronson Commercial |
$3,449.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,991.81
|
|
|
ENFUVIRTIDE 90 MG SUBCUTANEOUS SOLUTION
|
Facility
|
IP
|
$9,322.41
|
|
|
Service Code
|
NDC 00004038140
|
| Hospital Charge Code |
159192
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$4,101.86 |
| Max. Negotiated Rate |
$8,390.17 |
| Rate for Payer: Aetna American Axle |
$6,059.57
|
| Rate for Payer: Aetna Commercial |
$7,924.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,059.57
|
| Rate for Payer: Cash Price |
$7,457.93
|
| Rate for Payer: Cofinity Commercial |
$6,525.69
|
| Rate for Payer: Cofinity Commercial |
$8,017.27
|
| Rate for Payer: Cofinity Medicare Advantage |
$6,525.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,457.93
|
| Rate for Payer: Healthscope Commercial |
$8,390.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,525.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,991.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,924.05
|
| Rate for Payer: PHP Commercial |
$7,924.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,059.57
|
| Rate for Payer: Priority Health SBD |
$5,873.12
|
| Rate for Payer: UMR Bronson Commercial |
$4,101.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,991.81
|
|
|
ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE
|
Facility
|
IP
|
$62.08
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105903
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$27.32 |
| Max. Negotiated Rate |
$55.87 |
| Rate for Payer: Aetna American Axle |
$40.35
|
| Rate for Payer: Aetna American Axle |
$70.04
|
| Rate for Payer: Aetna American Axle |
$19.78
|
| Rate for Payer: Aetna American Axle |
$41.22
|
| Rate for Payer: Aetna American Axle |
$24.78
|
| Rate for Payer: Aetna Commercial |
$52.77
|
| Rate for Payer: Aetna Commercial |
$25.87
|
| Rate for Payer: Aetna Commercial |
$91.60
|
| Rate for Payer: Aetna Commercial |
$53.91
|
| Rate for Payer: Aetna Commercial |
$32.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$70.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.78
|
| Rate for Payer: Cash Price |
$49.66
|
| Rate for Payer: Cash Price |
$50.74
|
| Rate for Payer: Cash Price |
$24.34
|
| Rate for Payer: Cash Price |
$30.50
|
| Rate for Payer: Cash Price |
$86.21
|
| Rate for Payer: Cofinity Commercial |
$44.39
|
| Rate for Payer: Cofinity Commercial |
$75.43
|
| Rate for Payer: Cofinity Commercial |
$53.39
|
| Rate for Payer: Cofinity Commercial |
$43.46
|
| Rate for Payer: Cofinity Commercial |
$26.68
|
| Rate for Payer: Cofinity Commercial |
$21.30
|
| Rate for Payer: Cofinity Commercial |
$26.17
|
| Rate for Payer: Cofinity Commercial |
$32.78
|
| Rate for Payer: Cofinity Commercial |
$92.67
|
| Rate for Payer: Cofinity Commercial |
$54.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$43.46
|
| Rate for Payer: Cofinity Medicare Advantage |
$75.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$21.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$44.39
|
| Rate for Payer: Cofinity Medicare Advantage |
$26.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$86.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.50
|
| Rate for Payer: Healthscope Commercial |
$27.39
|
| Rate for Payer: Healthscope Commercial |
$55.87
|
| Rate for Payer: Healthscope Commercial |
$34.31
|
| Rate for Payer: Healthscope Commercial |
$57.08
|
| Rate for Payer: Healthscope Commercial |
$96.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$43.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$75.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$26.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$44.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$80.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$91.60
|
| Rate for Payer: PHP Commercial |
$91.60
|
| Rate for Payer: PHP Commercial |
$53.91
|
| Rate for Payer: PHP Commercial |
$32.40
|
| Rate for Payer: PHP Commercial |
$52.77
|
| Rate for Payer: PHP Commercial |
$25.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$70.04
|
| Rate for Payer: Priority Health SBD |
$39.95
|
| Rate for Payer: Priority Health SBD |
$24.02
|
| Rate for Payer: Priority Health SBD |
$19.17
|
| Rate for Payer: Priority Health SBD |
$67.89
|
| Rate for Payer: Priority Health SBD |
$39.11
|
| Rate for Payer: UMR Bronson Commercial |
$47.41
|
| Rate for Payer: UMR Bronson Commercial |
$13.39
|
| Rate for Payer: UMR Bronson Commercial |
$27.32
|
| Rate for Payer: UMR Bronson Commercial |
$27.90
|
| Rate for Payer: UMR Bronson Commercial |
$16.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$80.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46.56
|
|
|
ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE
|
Facility
|
OP
|
$30.43
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105903
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.26 |
| Max. Negotiated Rate |
$27.39 |
| Rate for Payer: Aetna American Axle |
$19.78
|
| Rate for Payer: Aetna American Axle |
$40.35
|
| Rate for Payer: Aetna American Axle |
$41.22
|
| Rate for Payer: Aetna American Axle |
$70.04
|
| Rate for Payer: Aetna American Axle |
$24.78
|
| Rate for Payer: Aetna Commercial |
$91.60
|
| Rate for Payer: Aetna Commercial |
$53.91
|
| Rate for Payer: Aetna Commercial |
$32.40
|
| Rate for Payer: Aetna Commercial |
$52.77
|
| Rate for Payer: Aetna Commercial |
$25.87
|
| Rate for Payer: Aetna Medicare |
$31.04
|
| Rate for Payer: Aetna Medicare |
$15.21
|
| Rate for Payer: Aetna Medicare |
$31.71
|
| Rate for Payer: Aetna Medicare |
$19.06
|
| Rate for Payer: Aetna Medicare |
$53.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$70.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.35
|
| Rate for Payer: BCBS Complete |
$25.37
|
| Rate for Payer: BCBS Complete |
$43.10
|
| Rate for Payer: BCBS Complete |
$24.83
|
| Rate for Payer: BCBS Complete |
$15.25
|
| Rate for Payer: BCBS Complete |
$12.17
|
| Rate for Payer: Cash Price |
$50.74
|
| Rate for Payer: Cash Price |
$86.21
|
| Rate for Payer: Cash Price |
$24.34
|
| Rate for Payer: Cash Price |
$49.66
|
| Rate for Payer: Cash Price |
$30.50
|
| Rate for Payer: Cofinity Commercial |
$44.39
|
| Rate for Payer: Cofinity Commercial |
$26.17
|
| Rate for Payer: Cofinity Commercial |
$53.39
|
| Rate for Payer: Cofinity Commercial |
$75.43
|
| Rate for Payer: Cofinity Commercial |
$32.78
|
| Rate for Payer: Cofinity Commercial |
$26.68
|
| Rate for Payer: Cofinity Commercial |
$43.46
|
| Rate for Payer: Cofinity Commercial |
$92.67
|
| Rate for Payer: Cofinity Commercial |
$21.30
|
| Rate for Payer: Cofinity Commercial |
$54.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$75.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$43.46
|
| Rate for Payer: Cofinity Medicare Advantage |
$21.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$26.68
|
| Rate for Payer: Cofinity Medicare Advantage |
$44.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$86.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.50
|
| Rate for Payer: Healthscope Commercial |
$96.98
|
| Rate for Payer: Healthscope Commercial |
$34.31
|
| Rate for Payer: Healthscope Commercial |
$57.08
|
| Rate for Payer: Healthscope Commercial |
$55.87
|
| Rate for Payer: Healthscope Commercial |
$27.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$43.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$75.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$26.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$44.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$80.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$91.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.91
|
| Rate for Payer: PHP Commercial |
$52.77
|
| Rate for Payer: PHP Commercial |
$32.40
|
| Rate for Payer: PHP Commercial |
$91.60
|
| Rate for Payer: PHP Commercial |
$25.87
|
| Rate for Payer: PHP Commercial |
$53.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$70.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.78
|
| Rate for Payer: Priority Health SBD |
$19.17
|
| Rate for Payer: Priority Health SBD |
$67.89
|
| Rate for Payer: Priority Health SBD |
$24.02
|
| Rate for Payer: Priority Health SBD |
$39.11
|
| Rate for Payer: Priority Health SBD |
$39.95
|
| Rate for Payer: UMR Bronson Commercial |
$23.47
|
| Rate for Payer: UMR Bronson Commercial |
$22.97
|
| Rate for Payer: UMR Bronson Commercial |
$11.26
|
| Rate for Payer: UMR Bronson Commercial |
$39.87
|
| Rate for Payer: UMR Bronson Commercial |
$14.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$80.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.59
|
|
|
ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE
|
Facility
|
IP
|
$74.50
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105904
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$32.78 |
| Max. Negotiated Rate |
$67.05 |
| Rate for Payer: Aetna American Axle |
$48.42
|
| Rate for Payer: Aetna American Axle |
$47.97
|
| Rate for Payer: Aetna American Axle |
$29.65
|
| Rate for Payer: Aetna American Axle |
$18.91
|
| Rate for Payer: Aetna American Axle |
$68.97
|
| Rate for Payer: Aetna American Axle |
$84.08
|
| Rate for Payer: Aetna American Axle |
$22.94
|
| Rate for Payer: Aetna American Axle |
$49.47
|
| Rate for Payer: Aetna Commercial |
$64.69
|
| Rate for Payer: Aetna Commercial |
$63.33
|
| Rate for Payer: Aetna Commercial |
$24.73
|
| Rate for Payer: Aetna Commercial |
$30.00
|
| Rate for Payer: Aetna Commercial |
$109.96
|
| Rate for Payer: Aetna Commercial |
$90.19
|
| Rate for Payer: Aetna Commercial |
$62.73
|
| Rate for Payer: Aetna Commercial |
$38.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$84.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.65
|
| Rate for Payer: Cash Price |
$28.23
|
| Rate for Payer: Cash Price |
$59.60
|
| Rate for Payer: Cash Price |
$36.49
|
| Rate for Payer: Cash Price |
$60.88
|
| Rate for Payer: Cash Price |
$103.49
|
| Rate for Payer: Cash Price |
$23.28
|
| Rate for Payer: Cash Price |
$84.89
|
| Rate for Payer: Cash Price |
$59.04
|
| Rate for Payer: Cofinity Commercial |
$30.35
|
| Rate for Payer: Cofinity Commercial |
$74.28
|
| Rate for Payer: Cofinity Commercial |
$24.70
|
| Rate for Payer: Cofinity Commercial |
$20.37
|
| Rate for Payer: Cofinity Commercial |
$111.25
|
| Rate for Payer: Cofinity Commercial |
$90.55
|
| Rate for Payer: Cofinity Commercial |
$25.03
|
| Rate for Payer: Cofinity Commercial |
$91.25
|
| Rate for Payer: Cofinity Commercial |
$31.93
|
| Rate for Payer: Cofinity Commercial |
$39.22
|
| Rate for Payer: Cofinity Commercial |
$51.66
|
| Rate for Payer: Cofinity Commercial |
$63.47
|
| Rate for Payer: Cofinity Commercial |
$52.15
|
| Rate for Payer: Cofinity Commercial |
$64.07
|
| Rate for Payer: Cofinity Commercial |
$53.27
|
| Rate for Payer: Cofinity Commercial |
$65.45
|
| Rate for Payer: Cofinity Medicare Advantage |
$52.15
|
| Rate for Payer: Cofinity Medicare Advantage |
$53.27
|
| Rate for Payer: Cofinity Medicare Advantage |
$90.55
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.37
|
| Rate for Payer: Cofinity Medicare Advantage |
$24.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$74.28
|
| Rate for Payer: Cofinity Medicare Advantage |
$31.93
|
| Rate for Payer: Cofinity Medicare Advantage |
$51.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$103.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.28
|
| Rate for Payer: Healthscope Commercial |
$95.50
|
| Rate for Payer: Healthscope Commercial |
$68.49
|
| Rate for Payer: Healthscope Commercial |
$67.05
|
| Rate for Payer: Healthscope Commercial |
$41.05
|
| Rate for Payer: Healthscope Commercial |
$66.42
|
| Rate for Payer: Healthscope Commercial |
$31.76
|
| Rate for Payer: Healthscope Commercial |
$26.19
|
| Rate for Payer: Healthscope Commercial |
$116.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$53.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$51.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$52.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$24.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$90.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$74.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$79.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$97.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$90.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$109.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.73
|
| Rate for Payer: PHP Commercial |
$63.33
|
| Rate for Payer: PHP Commercial |
$24.73
|
| Rate for Payer: PHP Commercial |
$62.73
|
| Rate for Payer: PHP Commercial |
$30.00
|
| Rate for Payer: PHP Commercial |
$64.69
|
| Rate for Payer: PHP Commercial |
$90.19
|
| Rate for Payer: PHP Commercial |
$38.77
|
| Rate for Payer: PHP Commercial |
$109.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$49.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$68.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$84.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.91
|
| Rate for Payer: Priority Health SBD |
$18.33
|
| Rate for Payer: Priority Health SBD |
$81.50
|
| Rate for Payer: Priority Health SBD |
$66.85
|
| Rate for Payer: Priority Health SBD |
$22.23
|
| Rate for Payer: Priority Health SBD |
$46.49
|
| Rate for Payer: Priority Health SBD |
$28.73
|
| Rate for Payer: Priority Health SBD |
$47.94
|
| Rate for Payer: Priority Health SBD |
$46.94
|
| Rate for Payer: UMR Bronson Commercial |
$12.80
|
| Rate for Payer: UMR Bronson Commercial |
$15.53
|
| Rate for Payer: UMR Bronson Commercial |
$32.47
|
| Rate for Payer: UMR Bronson Commercial |
$32.78
|
| Rate for Payer: UMR Bronson Commercial |
$56.92
|
| Rate for Payer: UMR Bronson Commercial |
$33.48
|
| Rate for Payer: UMR Bronson Commercial |
$20.07
|
| Rate for Payer: UMR Bronson Commercial |
$46.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$97.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$79.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.21
|
|
|
ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE
|
Facility
|
OP
|
$73.80
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105904
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$27.31 |
| Max. Negotiated Rate |
$66.42 |
| Rate for Payer: Aetna American Axle |
$47.97
|
| Rate for Payer: Aetna American Axle |
$29.65
|
| Rate for Payer: Aetna American Axle |
$18.91
|
| Rate for Payer: Aetna American Axle |
$84.08
|
| Rate for Payer: Aetna American Axle |
$22.94
|
| Rate for Payer: Aetna American Axle |
$68.97
|
| Rate for Payer: Aetna American Axle |
$49.47
|
| Rate for Payer: Aetna American Axle |
$48.42
|
| Rate for Payer: Aetna Commercial |
$63.33
|
| Rate for Payer: Aetna Commercial |
$38.77
|
| Rate for Payer: Aetna Commercial |
$62.73
|
| Rate for Payer: Aetna Commercial |
$90.19
|
| Rate for Payer: Aetna Commercial |
$64.69
|
| Rate for Payer: Aetna Commercial |
$109.96
|
| Rate for Payer: Aetna Commercial |
$30.00
|
| Rate for Payer: Aetna Commercial |
$24.73
|
| Rate for Payer: Aetna Medicare |
$14.55
|
| Rate for Payer: Aetna Medicare |
$53.05
|
| Rate for Payer: Aetna Medicare |
$17.64
|
| Rate for Payer: Aetna Medicare |
$64.68
|
| Rate for Payer: Aetna Medicare |
$36.90
|
| Rate for Payer: Aetna Medicare |
$38.05
|
| Rate for Payer: Aetna Medicare |
$22.80
|
| Rate for Payer: Aetna Medicare |
$37.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$84.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.97
|
| Rate for Payer: BCBS Complete |
$51.74
|
| Rate for Payer: BCBS Complete |
$42.44
|
| Rate for Payer: BCBS Complete |
$14.12
|
| Rate for Payer: BCBS Complete |
$11.64
|
| Rate for Payer: BCBS Complete |
$18.24
|
| Rate for Payer: BCBS Complete |
$29.52
|
| Rate for Payer: BCBS Complete |
$29.80
|
| Rate for Payer: BCBS Complete |
$30.44
|
| Rate for Payer: Cash Price |
$23.28
|
| Rate for Payer: Cash Price |
$84.89
|
| Rate for Payer: Cash Price |
$103.49
|
| Rate for Payer: Cash Price |
$59.60
|
| Rate for Payer: Cash Price |
$28.23
|
| Rate for Payer: Cash Price |
$36.49
|
| Rate for Payer: Cash Price |
$59.04
|
| Rate for Payer: Cash Price |
$60.88
|
| Rate for Payer: Cofinity Commercial |
$31.93
|
| Rate for Payer: Cofinity Commercial |
$65.45
|
| Rate for Payer: Cofinity Commercial |
$53.27
|
| Rate for Payer: Cofinity Commercial |
$64.07
|
| Rate for Payer: Cofinity Commercial |
$52.15
|
| Rate for Payer: Cofinity Commercial |
$90.55
|
| Rate for Payer: Cofinity Commercial |
$30.35
|
| Rate for Payer: Cofinity Commercial |
$74.28
|
| Rate for Payer: Cofinity Commercial |
$25.03
|
| Rate for Payer: Cofinity Commercial |
$63.47
|
| Rate for Payer: Cofinity Commercial |
$51.66
|
| Rate for Payer: Cofinity Commercial |
$20.37
|
| Rate for Payer: Cofinity Commercial |
$24.70
|
| Rate for Payer: Cofinity Commercial |
$91.25
|
| Rate for Payer: Cofinity Commercial |
$111.25
|
| Rate for Payer: Cofinity Commercial |
$39.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$52.15
|
| Rate for Payer: Cofinity Medicare Advantage |
$74.28
|
| Rate for Payer: Cofinity Medicare Advantage |
$53.27
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.37
|
| Rate for Payer: Cofinity Medicare Advantage |
$90.55
|
| Rate for Payer: Cofinity Medicare Advantage |
$24.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$51.66
|
| Rate for Payer: Cofinity Medicare Advantage |
$31.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$103.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.04
|
| Rate for Payer: Healthscope Commercial |
$95.50
|
| Rate for Payer: Healthscope Commercial |
$31.76
|
| Rate for Payer: Healthscope Commercial |
$41.05
|
| Rate for Payer: Healthscope Commercial |
$66.42
|
| Rate for Payer: Healthscope Commercial |
$67.05
|
| Rate for Payer: Healthscope Commercial |
$68.49
|
| Rate for Payer: Healthscope Commercial |
$26.19
|
| Rate for Payer: Healthscope Commercial |
$116.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$51.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$52.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$74.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$24.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$53.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$90.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$79.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$97.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$90.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$109.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.33
|
| Rate for Payer: PHP Commercial |
$30.00
|
| Rate for Payer: PHP Commercial |
$38.77
|
| Rate for Payer: PHP Commercial |
$64.69
|
| Rate for Payer: PHP Commercial |
$62.73
|
| Rate for Payer: PHP Commercial |
$24.73
|
| Rate for Payer: PHP Commercial |
$63.33
|
| Rate for Payer: PHP Commercial |
$90.19
|
| Rate for Payer: PHP Commercial |
$109.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$68.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$84.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$49.47
|
| Rate for Payer: Priority Health SBD |
$66.85
|
| Rate for Payer: Priority Health SBD |
$47.94
|
| Rate for Payer: Priority Health SBD |
$46.94
|
| Rate for Payer: Priority Health SBD |
$22.23
|
| Rate for Payer: Priority Health SBD |
$18.33
|
| Rate for Payer: Priority Health SBD |
$28.73
|
| Rate for Payer: Priority Health SBD |
$81.50
|
| Rate for Payer: Priority Health SBD |
$46.49
|
| Rate for Payer: UMR Bronson Commercial |
$27.31
|
| Rate for Payer: UMR Bronson Commercial |
$27.57
|
| Rate for Payer: UMR Bronson Commercial |
$47.86
|
| Rate for Payer: UMR Bronson Commercial |
$28.16
|
| Rate for Payer: UMR Bronson Commercial |
$16.88
|
| Rate for Payer: UMR Bronson Commercial |
$13.06
|
| Rate for Payer: UMR Bronson Commercial |
$10.77
|
| Rate for Payer: UMR Bronson Commercial |
$39.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$97.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$79.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.47
|
|
|
ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE
|
Facility
|
IP
|
$93.12
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
31921
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$40.97 |
| Max. Negotiated Rate |
$83.81 |
| Rate for Payer: Aetna American Axle |
$60.53
|
| Rate for Payer: Aetna American Axle |
$31.64
|
| Rate for Payer: Aetna American Axle |
$105.11
|
| Rate for Payer: Aetna American Axle |
$61.83
|
| Rate for Payer: Aetna Commercial |
$79.15
|
| Rate for Payer: Aetna Commercial |
$80.85
|
| Rate for Payer: Aetna Commercial |
$41.37
|
| Rate for Payer: Aetna Commercial |
$137.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$105.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$61.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.53
|
| Rate for Payer: Cash Price |
$38.94
|
| Rate for Payer: Cash Price |
$74.50
|
| Rate for Payer: Cash Price |
$129.36
|
| Rate for Payer: Cash Price |
$76.10
|
| Rate for Payer: Cofinity Commercial |
$113.19
|
| Rate for Payer: Cofinity Commercial |
$81.80
|
| Rate for Payer: Cofinity Commercial |
$66.58
|
| Rate for Payer: Cofinity Commercial |
$65.18
|
| Rate for Payer: Cofinity Commercial |
$34.07
|
| Rate for Payer: Cofinity Commercial |
$41.86
|
| Rate for Payer: Cofinity Commercial |
$80.08
|
| Rate for Payer: Cofinity Commercial |
$139.06
|
| Rate for Payer: Cofinity Medicare Advantage |
$34.07
|
| Rate for Payer: Cofinity Medicare Advantage |
$65.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$66.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$113.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$129.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$76.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.94
|
| Rate for Payer: Healthscope Commercial |
$83.81
|
| Rate for Payer: Healthscope Commercial |
$145.53
|
| Rate for Payer: Healthscope Commercial |
$43.80
|
| Rate for Payer: Healthscope Commercial |
$85.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$113.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$34.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$66.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$65.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$36.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$121.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$69.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$71.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$80.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$137.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.15
|
| Rate for Payer: PHP Commercial |
$79.15
|
| Rate for Payer: PHP Commercial |
$80.85
|
| Rate for Payer: PHP Commercial |
$137.44
|
| Rate for Payer: PHP Commercial |
$41.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$60.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$61.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$105.11
|
| Rate for Payer: Priority Health SBD |
$59.93
|
| Rate for Payer: Priority Health SBD |
$101.87
|
| Rate for Payer: Priority Health SBD |
$30.66
|
| Rate for Payer: Priority Health SBD |
$58.67
|
| Rate for Payer: UMR Bronson Commercial |
$40.97
|
| Rate for Payer: UMR Bronson Commercial |
$41.85
|
| Rate for Payer: UMR Bronson Commercial |
$21.41
|
| Rate for Payer: UMR Bronson Commercial |
$71.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$71.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$121.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$36.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$69.84
|
|
|
ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE
|
Facility
|
OP
|
$48.67
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
31921
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$18.01 |
| Max. Negotiated Rate |
$43.80 |
| Rate for Payer: Aetna American Axle |
$31.64
|
| Rate for Payer: Aetna American Axle |
$61.83
|
| Rate for Payer: Aetna American Axle |
$105.11
|
| Rate for Payer: Aetna American Axle |
$60.53
|
| Rate for Payer: Aetna Commercial |
$80.85
|
| Rate for Payer: Aetna Commercial |
$41.37
|
| Rate for Payer: Aetna Commercial |
$79.15
|
| Rate for Payer: Aetna Commercial |
$137.44
|
| Rate for Payer: Aetna Medicare |
$46.56
|
| Rate for Payer: Aetna Medicare |
$80.85
|
| Rate for Payer: Aetna Medicare |
$47.56
|
| Rate for Payer: Aetna Medicare |
$24.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$61.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$105.11
|
| Rate for Payer: BCBS Complete |
$64.68
|
| Rate for Payer: BCBS Complete |
$38.05
|
| Rate for Payer: BCBS Complete |
$37.25
|
| Rate for Payer: BCBS Complete |
$19.47
|
| Rate for Payer: Cash Price |
$38.94
|
| Rate for Payer: Cash Price |
$74.50
|
| Rate for Payer: Cash Price |
$129.36
|
| Rate for Payer: Cash Price |
$76.10
|
| Rate for Payer: Cofinity Commercial |
$41.86
|
| Rate for Payer: Cofinity Commercial |
$81.80
|
| Rate for Payer: Cofinity Commercial |
$113.19
|
| Rate for Payer: Cofinity Commercial |
$80.08
|
| Rate for Payer: Cofinity Commercial |
$65.18
|
| Rate for Payer: Cofinity Commercial |
$66.58
|
| Rate for Payer: Cofinity Commercial |
$139.06
|
| Rate for Payer: Cofinity Commercial |
$34.07
|
| Rate for Payer: Cofinity Medicare Advantage |
$113.19
|
| Rate for Payer: Cofinity Medicare Advantage |
$34.07
|
| Rate for Payer: Cofinity Medicare Advantage |
$65.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$66.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$129.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$76.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.94
|
| Rate for Payer: Healthscope Commercial |
$83.81
|
| Rate for Payer: Healthscope Commercial |
$145.53
|
| Rate for Payer: Healthscope Commercial |
$43.80
|
| Rate for Payer: Healthscope Commercial |
$85.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$66.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$65.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$34.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$113.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$121.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$36.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$69.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$71.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$137.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$80.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.15
|
| Rate for Payer: PHP Commercial |
$79.15
|
| Rate for Payer: PHP Commercial |
$41.37
|
| Rate for Payer: PHP Commercial |
$80.85
|
| Rate for Payer: PHP Commercial |
$137.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$60.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$61.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$105.11
|
| Rate for Payer: Priority Health SBD |
$58.67
|
| Rate for Payer: Priority Health SBD |
$59.93
|
| Rate for Payer: Priority Health SBD |
$30.66
|
| Rate for Payer: Priority Health SBD |
$101.87
|
| Rate for Payer: UMR Bronson Commercial |
$34.45
|
| Rate for Payer: UMR Bronson Commercial |
$18.01
|
| Rate for Payer: UMR Bronson Commercial |
$35.19
|
| Rate for Payer: UMR Bronson Commercial |
$59.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$121.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$69.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$71.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$36.50
|
|
|
ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION
|
Facility
|
IP
|
$821.23
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105940
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$361.34 |
| Max. Negotiated Rate |
$739.11 |
| Rate for Payer: Aetna American Axle |
$533.80
|
| Rate for Payer: Aetna American Axle |
$92.53
|
| Rate for Payer: Aetna American Axle |
$94.70
|
| Rate for Payer: Aetna American Axle |
$53.80
|
| Rate for Payer: Aetna American Axle |
$172.57
|
| Rate for Payer: Aetna Commercial |
$698.05
|
| Rate for Payer: Aetna Commercial |
$123.84
|
| Rate for Payer: Aetna Commercial |
$121.01
|
| Rate for Payer: Aetna Commercial |
$70.35
|
| Rate for Payer: Aetna Commercial |
$225.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$533.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$172.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$92.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$94.70
|
| Rate for Payer: Cash Price |
$656.98
|
| Rate for Payer: Cash Price |
$66.22
|
| Rate for Payer: Cash Price |
$116.55
|
| Rate for Payer: Cash Price |
$212.40
|
| Rate for Payer: Cash Price |
$113.89
|
| Rate for Payer: Cofinity Commercial |
$57.94
|
| Rate for Payer: Cofinity Commercial |
$122.43
|
| Rate for Payer: Cofinity Commercial |
$706.26
|
| Rate for Payer: Cofinity Commercial |
$574.86
|
| Rate for Payer: Cofinity Commercial |
$185.85
|
| Rate for Payer: Cofinity Commercial |
$101.98
|
| Rate for Payer: Cofinity Commercial |
$125.29
|
| Rate for Payer: Cofinity Commercial |
$228.33
|
| Rate for Payer: Cofinity Commercial |
$99.65
|
| Rate for Payer: Cofinity Commercial |
$71.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$574.86
|
| Rate for Payer: Cofinity Medicare Advantage |
$99.65
|
| Rate for Payer: Cofinity Medicare Advantage |
$101.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$57.94
|
| Rate for Payer: Cofinity Medicare Advantage |
$185.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$656.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$116.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$113.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$66.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.40
|
| Rate for Payer: Healthscope Commercial |
$131.12
|
| Rate for Payer: Healthscope Commercial |
$739.11
|
| Rate for Payer: Healthscope Commercial |
$238.95
|
| Rate for Payer: Healthscope Commercial |
$74.49
|
| Rate for Payer: Healthscope Commercial |
$128.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$574.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$99.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$185.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$101.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$57.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$199.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$109.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$106.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$615.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$62.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$123.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$225.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$70.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$698.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$121.01
|
| Rate for Payer: PHP Commercial |
$121.01
|
| Rate for Payer: PHP Commercial |
$70.35
|
| Rate for Payer: PHP Commercial |
$225.68
|
| Rate for Payer: PHP Commercial |
$698.05
|
| Rate for Payer: PHP Commercial |
$123.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$94.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$533.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$172.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.53
|
| Rate for Payer: Priority Health SBD |
$52.15
|
| Rate for Payer: Priority Health SBD |
$167.26
|
| Rate for Payer: Priority Health SBD |
$91.78
|
| Rate for Payer: Priority Health SBD |
$89.69
|
| Rate for Payer: Priority Health SBD |
$517.37
|
| Rate for Payer: UMR Bronson Commercial |
$62.64
|
| Rate for Payer: UMR Bronson Commercial |
$64.10
|
| Rate for Payer: UMR Bronson Commercial |
$361.34
|
| Rate for Payer: UMR Bronson Commercial |
$36.42
|
| Rate for Payer: UMR Bronson Commercial |
$116.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$106.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$199.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$109.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$62.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$615.92
|
|
|
ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION
|
Facility
|
OP
|
$145.69
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105940
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$53.91 |
| Max. Negotiated Rate |
$131.12 |
| Rate for Payer: Aetna American Axle |
$94.70
|
| Rate for Payer: Aetna American Axle |
$533.80
|
| Rate for Payer: Aetna American Axle |
$53.80
|
| Rate for Payer: Aetna American Axle |
$92.53
|
| Rate for Payer: Aetna American Axle |
$172.57
|
| Rate for Payer: Aetna Commercial |
$121.01
|
| Rate for Payer: Aetna Commercial |
$70.35
|
| Rate for Payer: Aetna Commercial |
$225.68
|
| Rate for Payer: Aetna Commercial |
$698.05
|
| Rate for Payer: Aetna Commercial |
$123.84
|
| Rate for Payer: Aetna Medicare |
$410.62
|
| Rate for Payer: Aetna Medicare |
$72.84
|
| Rate for Payer: Aetna Medicare |
$41.38
|
| Rate for Payer: Aetna Medicare |
$132.75
|
| Rate for Payer: Aetna Medicare |
$71.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$92.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$94.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$172.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$533.80
|
| Rate for Payer: BCBS Complete |
$33.11
|
| Rate for Payer: BCBS Complete |
$56.94
|
| Rate for Payer: BCBS Complete |
$328.49
|
| Rate for Payer: BCBS Complete |
$106.20
|
| Rate for Payer: BCBS Complete |
$58.28
|
| Rate for Payer: Cash Price |
$66.22
|
| Rate for Payer: Cash Price |
$113.89
|
| Rate for Payer: Cash Price |
$116.55
|
| Rate for Payer: Cash Price |
$656.98
|
| Rate for Payer: Cash Price |
$212.40
|
| Rate for Payer: Cofinity Commercial |
$57.94
|
| Rate for Payer: Cofinity Commercial |
$125.29
|
| Rate for Payer: Cofinity Commercial |
$706.26
|
| Rate for Payer: Cofinity Commercial |
$122.43
|
| Rate for Payer: Cofinity Commercial |
$228.33
|
| Rate for Payer: Cofinity Commercial |
$185.85
|
| Rate for Payer: Cofinity Commercial |
$574.86
|
| Rate for Payer: Cofinity Commercial |
$99.65
|
| Rate for Payer: Cofinity Commercial |
$101.98
|
| Rate for Payer: Cofinity Commercial |
$71.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$99.65
|
| Rate for Payer: Cofinity Medicare Advantage |
$574.86
|
| Rate for Payer: Cofinity Medicare Advantage |
$101.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$185.85
|
| Rate for Payer: Cofinity Medicare Advantage |
$57.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$113.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$66.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$116.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$656.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.40
|
| Rate for Payer: Healthscope Commercial |
$128.12
|
| Rate for Payer: Healthscope Commercial |
$238.95
|
| Rate for Payer: Healthscope Commercial |
$74.49
|
| Rate for Payer: Healthscope Commercial |
$739.11
|
| Rate for Payer: Healthscope Commercial |
$131.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$574.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$99.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$101.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$185.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$57.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$62.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$199.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$109.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$106.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$615.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$123.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$225.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$121.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$698.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$70.35
|
| Rate for Payer: PHP Commercial |
$698.05
|
| Rate for Payer: PHP Commercial |
$225.68
|
| Rate for Payer: PHP Commercial |
$121.01
|
| Rate for Payer: PHP Commercial |
$123.84
|
| Rate for Payer: PHP Commercial |
$70.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$172.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$533.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$94.70
|
| Rate for Payer: Priority Health SBD |
$91.78
|
| Rate for Payer: Priority Health SBD |
$89.69
|
| Rate for Payer: Priority Health SBD |
$167.26
|
| Rate for Payer: Priority Health SBD |
$517.37
|
| Rate for Payer: Priority Health SBD |
$52.15
|
| Rate for Payer: UMR Bronson Commercial |
$30.62
|
| Rate for Payer: UMR Bronson Commercial |
$303.86
|
| Rate for Payer: UMR Bronson Commercial |
$53.91
|
| Rate for Payer: UMR Bronson Commercial |
$52.67
|
| Rate for Payer: UMR Bronson Commercial |
$98.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$62.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$109.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$615.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$106.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$199.12
|
|
|
ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION (CUSTOM)
|
Facility
|
OP
|
$142.36
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
301239
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$52.67 |
| Max. Negotiated Rate |
$128.12 |
| Rate for Payer: Aetna American Axle |
$92.53
|
| Rate for Payer: Aetna American Axle |
$533.80
|
| Rate for Payer: Aetna Commercial |
$121.01
|
| Rate for Payer: Aetna Commercial |
$698.05
|
| Rate for Payer: Aetna Medicare |
$71.18
|
| Rate for Payer: Aetna Medicare |
$410.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$92.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$533.80
|
| Rate for Payer: BCBS Complete |
$328.49
|
| Rate for Payer: BCBS Complete |
$56.94
|
| Rate for Payer: Cash Price |
$113.89
|
| Rate for Payer: Cash Price |
$656.98
|
| Rate for Payer: Cofinity Commercial |
$99.65
|
| Rate for Payer: Cofinity Commercial |
$122.43
|
| Rate for Payer: Cofinity Commercial |
$574.86
|
| Rate for Payer: Cofinity Commercial |
$706.26
|
| Rate for Payer: Cofinity Medicare Advantage |
$574.86
|
| Rate for Payer: Cofinity Medicare Advantage |
$99.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$113.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$656.98
|
| Rate for Payer: Healthscope Commercial |
$739.11
|
| Rate for Payer: Healthscope Commercial |
$128.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$99.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$574.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$106.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$615.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$121.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$698.05
|
| Rate for Payer: PHP Commercial |
$698.05
|
| Rate for Payer: PHP Commercial |
$121.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$533.80
|
| Rate for Payer: Priority Health SBD |
$517.37
|
| Rate for Payer: Priority Health SBD |
$89.69
|
| Rate for Payer: UMR Bronson Commercial |
$52.67
|
| Rate for Payer: UMR Bronson Commercial |
$303.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$615.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$106.77
|
|
|
ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION (CUSTOM)
|
Facility
|
IP
|
$142.36
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
301239
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$62.64 |
| Max. Negotiated Rate |
$128.12 |
| Rate for Payer: Aetna American Axle |
$92.53
|
| Rate for Payer: Aetna American Axle |
$533.80
|
| Rate for Payer: Aetna Commercial |
$121.01
|
| Rate for Payer: Aetna Commercial |
$698.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$92.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$533.80
|
| Rate for Payer: Cash Price |
$113.89
|
| Rate for Payer: Cash Price |
$656.98
|
| Rate for Payer: Cofinity Commercial |
$706.26
|
| Rate for Payer: Cofinity Commercial |
$574.86
|
| Rate for Payer: Cofinity Commercial |
$122.43
|
| Rate for Payer: Cofinity Commercial |
$99.65
|
| Rate for Payer: Cofinity Medicare Advantage |
$99.65
|
| Rate for Payer: Cofinity Medicare Advantage |
$574.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$113.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$656.98
|
| Rate for Payer: Healthscope Commercial |
$128.12
|
| Rate for Payer: Healthscope Commercial |
$739.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$99.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$574.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$106.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$615.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$698.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$121.01
|
| Rate for Payer: PHP Commercial |
$698.05
|
| Rate for Payer: PHP Commercial |
$121.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$533.80
|
| Rate for Payer: Priority Health SBD |
$89.69
|
| Rate for Payer: Priority Health SBD |
$517.37
|
| Rate for Payer: UMR Bronson Commercial |
$62.64
|
| Rate for Payer: UMR Bronson Commercial |
$361.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$106.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$615.92
|
|
|
ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE
|
Facility
|
OP
|
$19.03
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105899
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.04 |
| Max. Negotiated Rate |
$17.13 |
| Rate for Payer: Aetna American Axle |
$12.37
|
| Rate for Payer: Aetna American Axle |
$18.06
|
| Rate for Payer: Aetna American Axle |
$20.99
|
| Rate for Payer: Aetna American Axle |
$9.65
|
| Rate for Payer: Aetna American Axle |
$17.26
|
| Rate for Payer: Aetna Commercial |
$12.61
|
| Rate for Payer: Aetna Commercial |
$27.45
|
| Rate for Payer: Aetna Commercial |
$22.57
|
| Rate for Payer: Aetna Commercial |
$23.61
|
| Rate for Payer: Aetna Commercial |
$16.18
|
| Rate for Payer: Aetna Medicare |
$13.89
|
| Rate for Payer: Aetna Medicare |
$9.52
|
| Rate for Payer: Aetna Medicare |
$16.14
|
| Rate for Payer: Aetna Medicare |
$13.28
|
| Rate for Payer: Aetna Medicare |
$7.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.06
|
| Rate for Payer: BCBS Complete |
$12.92
|
| Rate for Payer: BCBS Complete |
$5.94
|
| Rate for Payer: BCBS Complete |
$11.11
|
| Rate for Payer: BCBS Complete |
$10.62
|
| Rate for Payer: BCBS Complete |
$7.61
|
| Rate for Payer: Cash Price |
$25.83
|
| Rate for Payer: Cash Price |
$11.87
|
| Rate for Payer: Cash Price |
$15.22
|
| Rate for Payer: Cash Price |
$22.22
|
| Rate for Payer: Cash Price |
$21.24
|
| Rate for Payer: Cofinity Commercial |
$22.60
|
| Rate for Payer: Cofinity Commercial |
$16.37
|
| Rate for Payer: Cofinity Commercial |
$23.89
|
| Rate for Payer: Cofinity Commercial |
$10.39
|
| Rate for Payer: Cofinity Commercial |
$22.83
|
| Rate for Payer: Cofinity Commercial |
$18.59
|
| Rate for Payer: Cofinity Commercial |
$19.45
|
| Rate for Payer: Cofinity Commercial |
$12.76
|
| Rate for Payer: Cofinity Commercial |
$13.32
|
| Rate for Payer: Cofinity Commercial |
$27.77
|
| Rate for Payer: Cofinity Medicare Advantage |
$10.39
|
| Rate for Payer: Cofinity Medicare Advantage |
$19.45
|
| Rate for Payer: Cofinity Medicare Advantage |
$13.32
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.59
|
| Rate for Payer: Cofinity Medicare Advantage |
$22.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.24
|
| Rate for Payer: Healthscope Commercial |
$13.36
|
| Rate for Payer: Healthscope Commercial |
$23.89
|
| Rate for Payer: Healthscope Commercial |
$29.06
|
| Rate for Payer: Healthscope Commercial |
$25.00
|
| Rate for Payer: Healthscope Commercial |
$17.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.45
|
| Rate for Payer: PHP Commercial |
$23.61
|
| Rate for Payer: PHP Commercial |
$22.57
|
| Rate for Payer: PHP Commercial |
$12.61
|
| Rate for Payer: PHP Commercial |
$16.18
|
| Rate for Payer: PHP Commercial |
$27.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.37
|
| Rate for Payer: Priority Health SBD |
$11.99
|
| Rate for Payer: Priority Health SBD |
$9.35
|
| Rate for Payer: Priority Health SBD |
$16.73
|
| Rate for Payer: Priority Health SBD |
$17.50
|
| Rate for Payer: Priority Health SBD |
$20.34
|
| Rate for Payer: UMR Bronson Commercial |
$11.95
|
| Rate for Payer: UMR Bronson Commercial |
$10.28
|
| Rate for Payer: UMR Bronson Commercial |
$7.04
|
| Rate for Payer: UMR Bronson Commercial |
$5.49
|
| Rate for Payer: UMR Bronson Commercial |
$9.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.91
|
|
|
ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE
|
Facility
|
IP
|
$27.78
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105899
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$12.22 |
| Max. Negotiated Rate |
$25.00 |
| Rate for Payer: Aetna American Axle |
$18.06
|
| Rate for Payer: Aetna American Axle |
$9.65
|
| Rate for Payer: Aetna American Axle |
$12.37
|
| Rate for Payer: Aetna American Axle |
$20.99
|
| Rate for Payer: Aetna American Axle |
$17.26
|
| Rate for Payer: Aetna Commercial |
$23.61
|
| Rate for Payer: Aetna Commercial |
$16.18
|
| Rate for Payer: Aetna Commercial |
$12.61
|
| Rate for Payer: Aetna Commercial |
$27.45
|
| Rate for Payer: Aetna Commercial |
$22.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.37
|
| Rate for Payer: Cash Price |
$22.22
|
| Rate for Payer: Cash Price |
$25.83
|
| Rate for Payer: Cash Price |
$15.22
|
| Rate for Payer: Cash Price |
$21.24
|
| Rate for Payer: Cash Price |
$11.87
|
| Rate for Payer: Cofinity Commercial |
$22.60
|
| Rate for Payer: Cofinity Commercial |
$10.39
|
| Rate for Payer: Cofinity Commercial |
$23.89
|
| Rate for Payer: Cofinity Commercial |
$19.45
|
| Rate for Payer: Cofinity Commercial |
$18.59
|
| Rate for Payer: Cofinity Commercial |
$13.32
|
| Rate for Payer: Cofinity Commercial |
$16.37
|
| Rate for Payer: Cofinity Commercial |
$22.83
|
| Rate for Payer: Cofinity Commercial |
$12.76
|
| Rate for Payer: Cofinity Commercial |
$27.77
|
| Rate for Payer: Cofinity Medicare Advantage |
$19.45
|
| Rate for Payer: Cofinity Medicare Advantage |
$10.39
|
| Rate for Payer: Cofinity Medicare Advantage |
$13.32
|
| Rate for Payer: Cofinity Medicare Advantage |
$22.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.24
|
| Rate for Payer: Healthscope Commercial |
$17.13
|
| Rate for Payer: Healthscope Commercial |
$25.00
|
| Rate for Payer: Healthscope Commercial |
$23.89
|
| Rate for Payer: Healthscope Commercial |
$29.06
|
| Rate for Payer: Healthscope Commercial |
$13.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.61
|
| Rate for Payer: PHP Commercial |
$12.61
|
| Rate for Payer: PHP Commercial |
$27.45
|
| Rate for Payer: PHP Commercial |
$22.57
|
| Rate for Payer: PHP Commercial |
$23.61
|
| Rate for Payer: PHP Commercial |
$16.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.65
|
| Rate for Payer: Priority Health SBD |
$20.34
|
| Rate for Payer: Priority Health SBD |
$16.73
|
| Rate for Payer: Priority Health SBD |
$11.99
|
| Rate for Payer: Priority Health SBD |
$9.35
|
| Rate for Payer: Priority Health SBD |
$17.50
|
| Rate for Payer: UMR Bronson Commercial |
$6.53
|
| Rate for Payer: UMR Bronson Commercial |
$8.37
|
| Rate for Payer: UMR Bronson Commercial |
$12.22
|
| Rate for Payer: UMR Bronson Commercial |
$14.21
|
| Rate for Payer: UMR Bronson Commercial |
$11.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.84
|
|
|
ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE
|
Facility
|
IP
|
$16.87
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105900
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.42 |
| Max. Negotiated Rate |
$15.18 |
| Rate for Payer: Aetna American Axle |
$10.97
|
| Rate for Payer: Aetna American Axle |
$16.49
|
| Rate for Payer: Aetna American Axle |
$16.17
|
| Rate for Payer: Aetna American Axle |
$16.11
|
| Rate for Payer: Aetna American Axle |
$16.15
|
| Rate for Payer: Aetna American Axle |
$27.99
|
| Rate for Payer: Aetna Commercial |
$14.34
|
| Rate for Payer: Aetna Commercial |
$21.07
|
| Rate for Payer: Aetna Commercial |
$21.14
|
| Rate for Payer: Aetna Commercial |
$36.60
|
| Rate for Payer: Aetna Commercial |
$21.56
|
| Rate for Payer: Aetna Commercial |
$21.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.49
|
| Rate for Payer: Cash Price |
$20.30
|
| Rate for Payer: Cash Price |
$19.90
|
| Rate for Payer: Cash Price |
$13.50
|
| Rate for Payer: Cash Price |
$19.87
|
| Rate for Payer: Cash Price |
$19.83
|
| Rate for Payer: Cash Price |
$34.45
|
| Rate for Payer: Cofinity Commercial |
$21.82
|
| Rate for Payer: Cofinity Commercial |
$11.81
|
| Rate for Payer: Cofinity Commercial |
$21.39
|
| Rate for Payer: Cofinity Commercial |
$17.41
|
| Rate for Payer: Cofinity Commercial |
$17.39
|
| Rate for Payer: Cofinity Commercial |
$17.35
|
| Rate for Payer: Cofinity Commercial |
$21.32
|
| Rate for Payer: Cofinity Commercial |
$21.36
|
| Rate for Payer: Cofinity Commercial |
$14.51
|
| Rate for Payer: Cofinity Commercial |
$37.03
|
| Rate for Payer: Cofinity Commercial |
$30.14
|
| Rate for Payer: Cofinity Commercial |
$17.76
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.41
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.35
|
| Rate for Payer: Cofinity Medicare Advantage |
$30.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.76
|
| Rate for Payer: Cofinity Medicare Advantage |
$11.81
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.45
|
| Rate for Payer: Healthscope Commercial |
$22.38
|
| Rate for Payer: Healthscope Commercial |
$38.75
|
| Rate for Payer: Healthscope Commercial |
$22.83
|
| Rate for Payer: Healthscope Commercial |
$22.31
|
| Rate for Payer: Healthscope Commercial |
$22.36
|
| Rate for Payer: Healthscope Commercial |
$15.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.11
|
| Rate for Payer: PHP Commercial |
$14.34
|
| Rate for Payer: PHP Commercial |
$21.07
|
| Rate for Payer: PHP Commercial |
$21.14
|
| Rate for Payer: PHP Commercial |
$21.56
|
| Rate for Payer: PHP Commercial |
$21.11
|
| Rate for Payer: PHP Commercial |
$36.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.99
|
| Rate for Payer: Priority Health SBD |
$15.98
|
| Rate for Payer: Priority Health SBD |
$15.67
|
| Rate for Payer: Priority Health SBD |
$10.63
|
| Rate for Payer: Priority Health SBD |
$15.62
|
| Rate for Payer: Priority Health SBD |
$15.65
|
| Rate for Payer: Priority Health SBD |
$27.13
|
| Rate for Payer: UMR Bronson Commercial |
$18.95
|
| Rate for Payer: UMR Bronson Commercial |
$10.91
|
| Rate for Payer: UMR Bronson Commercial |
$10.93
|
| Rate for Payer: UMR Bronson Commercial |
$11.16
|
| Rate for Payer: UMR Bronson Commercial |
$10.94
|
| Rate for Payer: UMR Bronson Commercial |
$7.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.65
|
|
|
ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE
|
Facility
|
OP
|
$24.87
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105900
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9.20 |
| Max. Negotiated Rate |
$22.38 |
| Rate for Payer: Aetna American Axle |
$16.17
|
| Rate for Payer: Aetna American Axle |
$16.11
|
| Rate for Payer: Aetna American Axle |
$10.97
|
| Rate for Payer: Aetna American Axle |
$16.49
|
| Rate for Payer: Aetna American Axle |
$16.15
|
| Rate for Payer: Aetna American Axle |
$27.99
|
| Rate for Payer: Aetna Commercial |
$36.60
|
| Rate for Payer: Aetna Commercial |
$21.14
|
| Rate for Payer: Aetna Commercial |
$21.07
|
| Rate for Payer: Aetna Commercial |
$14.34
|
| Rate for Payer: Aetna Commercial |
$21.56
|
| Rate for Payer: Aetna Commercial |
$21.11
|
| Rate for Payer: Aetna Medicare |
$12.42
|
| Rate for Payer: Aetna Medicare |
$8.44
|
| Rate for Payer: Aetna Medicare |
$12.69
|
| Rate for Payer: Aetna Medicare |
$21.53
|
| Rate for Payer: Aetna Medicare |
$12.44
|
| Rate for Payer: Aetna Medicare |
$12.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.99
|
| Rate for Payer: BCBS Complete |
$17.22
|
| Rate for Payer: BCBS Complete |
$9.95
|
| Rate for Payer: BCBS Complete |
$9.92
|
| Rate for Payer: BCBS Complete |
$9.94
|
| Rate for Payer: BCBS Complete |
$10.15
|
| Rate for Payer: BCBS Complete |
$6.75
|
| Rate for Payer: Cash Price |
$19.83
|
| Rate for Payer: Cash Price |
$19.87
|
| Rate for Payer: Cash Price |
$19.90
|
| Rate for Payer: Cash Price |
$34.45
|
| Rate for Payer: Cash Price |
$20.30
|
| Rate for Payer: Cash Price |
$13.50
|
| Rate for Payer: Cofinity Commercial |
$37.03
|
| Rate for Payer: Cofinity Commercial |
$21.39
|
| Rate for Payer: Cofinity Commercial |
$11.81
|
| Rate for Payer: Cofinity Commercial |
$21.36
|
| Rate for Payer: Cofinity Commercial |
$17.39
|
| Rate for Payer: Cofinity Commercial |
$17.41
|
| Rate for Payer: Cofinity Commercial |
$14.51
|
| Rate for Payer: Cofinity Commercial |
$17.35
|
| Rate for Payer: Cofinity Commercial |
$21.32
|
| Rate for Payer: Cofinity Commercial |
$30.14
|
| Rate for Payer: Cofinity Commercial |
$21.82
|
| Rate for Payer: Cofinity Commercial |
$17.76
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.76
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.35
|
| Rate for Payer: Cofinity Medicare Advantage |
$11.81
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.39
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.41
|
| Rate for Payer: Cofinity Medicare Advantage |
$30.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.45
|
| Rate for Payer: Healthscope Commercial |
$22.31
|
| Rate for Payer: Healthscope Commercial |
$22.36
|
| Rate for Payer: Healthscope Commercial |
$15.18
|
| Rate for Payer: Healthscope Commercial |
$22.38
|
| Rate for Payer: Healthscope Commercial |
$38.75
|
| Rate for Payer: Healthscope Commercial |
$22.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.11
|
| Rate for Payer: PHP Commercial |
$14.34
|
| Rate for Payer: PHP Commercial |
$21.14
|
| Rate for Payer: PHP Commercial |
$21.11
|
| Rate for Payer: PHP Commercial |
$21.07
|
| Rate for Payer: PHP Commercial |
$21.56
|
| Rate for Payer: PHP Commercial |
$36.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.15
|
| Rate for Payer: Priority Health SBD |
$15.62
|
| Rate for Payer: Priority Health SBD |
$15.98
|
| Rate for Payer: Priority Health SBD |
$15.65
|
| Rate for Payer: Priority Health SBD |
$15.67
|
| Rate for Payer: Priority Health SBD |
$10.63
|
| Rate for Payer: Priority Health SBD |
$27.13
|
| Rate for Payer: UMR Bronson Commercial |
$15.93
|
| Rate for Payer: UMR Bronson Commercial |
$6.24
|
| Rate for Payer: UMR Bronson Commercial |
$9.17
|
| Rate for Payer: UMR Bronson Commercial |
$9.19
|
| Rate for Payer: UMR Bronson Commercial |
$9.20
|
| Rate for Payer: UMR Bronson Commercial |
$9.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.59
|
|
|
ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE
|
Facility
|
IP
|
$18.75
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105901
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$8.25 |
| Max. Negotiated Rate |
$16.88 |
| Rate for Payer: Aetna American Axle |
$12.19
|
| Rate for Payer: Aetna American Axle |
$24.21
|
| Rate for Payer: Aetna American Axle |
$24.17
|
| Rate for Payer: Aetna American Axle |
$17.54
|
| Rate for Payer: Aetna American Axle |
$23.98
|
| Rate for Payer: Aetna American Axle |
$42.03
|
| Rate for Payer: Aetna Commercial |
$15.94
|
| Rate for Payer: Aetna Commercial |
$22.94
|
| Rate for Payer: Aetna Commercial |
$31.60
|
| Rate for Payer: Aetna Commercial |
$54.96
|
| Rate for Payer: Aetna Commercial |
$31.66
|
| Rate for Payer: Aetna Commercial |
$31.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.21
|
| Rate for Payer: Cash Price |
$29.80
|
| Rate for Payer: Cash Price |
$29.74
|
| Rate for Payer: Cash Price |
$15.00
|
| Rate for Payer: Cash Price |
$29.52
|
| Rate for Payer: Cash Price |
$21.59
|
| Rate for Payer: Cash Price |
$51.73
|
| Rate for Payer: Cofinity Commercial |
$32.03
|
| Rate for Payer: Cofinity Commercial |
$13.12
|
| Rate for Payer: Cofinity Commercial |
$31.97
|
| Rate for Payer: Cofinity Commercial |
$26.03
|
| Rate for Payer: Cofinity Commercial |
$25.83
|
| Rate for Payer: Cofinity Commercial |
$18.89
|
| Rate for Payer: Cofinity Commercial |
$23.21
|
| Rate for Payer: Cofinity Commercial |
$31.73
|
| Rate for Payer: Cofinity Commercial |
$16.12
|
| Rate for Payer: Cofinity Commercial |
$55.61
|
| Rate for Payer: Cofinity Commercial |
$45.26
|
| Rate for Payer: Cofinity Commercial |
$26.07
|
| Rate for Payer: Cofinity Medicare Advantage |
$26.03
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.89
|
| Rate for Payer: Cofinity Medicare Advantage |
$45.26
|
| Rate for Payer: Cofinity Medicare Advantage |
$26.07
|
| Rate for Payer: Cofinity Medicare Advantage |
$13.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$25.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.73
|
| Rate for Payer: Healthscope Commercial |
$33.46
|
| Rate for Payer: Healthscope Commercial |
$58.19
|
| Rate for Payer: Healthscope Commercial |
$33.52
|
| Rate for Payer: Healthscope Commercial |
$24.29
|
| Rate for Payer: Healthscope Commercial |
$33.21
|
| Rate for Payer: Healthscope Commercial |
$16.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$26.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$26.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$25.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$45.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.36
|
| Rate for Payer: PHP Commercial |
$15.94
|
| Rate for Payer: PHP Commercial |
$22.94
|
| Rate for Payer: PHP Commercial |
$31.60
|
| Rate for Payer: PHP Commercial |
$31.66
|
| Rate for Payer: PHP Commercial |
$31.36
|
| Rate for Payer: PHP Commercial |
$54.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.03
|
| Rate for Payer: Priority Health SBD |
$23.47
|
| Rate for Payer: Priority Health SBD |
$23.42
|
| Rate for Payer: Priority Health SBD |
$11.81
|
| Rate for Payer: Priority Health SBD |
$17.00
|
| Rate for Payer: Priority Health SBD |
$23.25
|
| Rate for Payer: Priority Health SBD |
$40.74
|
| Rate for Payer: UMR Bronson Commercial |
$28.45
|
| Rate for Payer: UMR Bronson Commercial |
$11.88
|
| Rate for Payer: UMR Bronson Commercial |
$16.24
|
| Rate for Payer: UMR Bronson Commercial |
$16.39
|
| Rate for Payer: UMR Bronson Commercial |
$16.36
|
| Rate for Payer: UMR Bronson Commercial |
$8.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.06
|
|
