|
EPINEPHRINE BITARTRATE (BULK) POWDER
|
Facility
|
IP
|
$52.50
|
|
|
Service Code
|
NDC 51552045409
|
| Hospital Charge Code |
22363
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$23.10 |
| Max. Negotiated Rate |
$47.25 |
| Rate for Payer: Aetna American Axle |
$34.12
|
| Rate for Payer: Aetna Commercial |
$44.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.12
|
| Rate for Payer: Cash Price |
$42.00
|
| Rate for Payer: Cofinity Commercial |
$36.75
|
| Rate for Payer: Cofinity Commercial |
$45.15
|
| Rate for Payer: Cofinity Medicare Advantage |
$36.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.00
|
| Rate for Payer: Healthscope Commercial |
$47.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$36.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.62
|
| Rate for Payer: PHP Commercial |
$44.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.12
|
| Rate for Payer: Priority Health SBD |
$33.08
|
| Rate for Payer: UMR Bronson Commercial |
$23.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.38
|
|
|
EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION
|
Facility
|
IP
|
$36.22
|
|
|
Service Code
|
HCPCS J0173
|
| Hospital Charge Code |
116787
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$15.94 |
| Max. Negotiated Rate |
$32.60 |
| Rate for Payer: Aetna American Axle |
$23.54
|
| Rate for Payer: Aetna Commercial |
$30.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.54
|
| Rate for Payer: Cash Price |
$28.98
|
| Rate for Payer: Cofinity Commercial |
$25.35
|
| Rate for Payer: Cofinity Commercial |
$31.15
|
| Rate for Payer: Cofinity Medicare Advantage |
$25.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.98
|
| Rate for Payer: Healthscope Commercial |
$32.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$25.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.79
|
| Rate for Payer: PHP Commercial |
$30.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.54
|
| Rate for Payer: Priority Health SBD |
$22.82
|
| Rate for Payer: UMR Bronson Commercial |
$15.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.16
|
|
|
EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION
|
Facility
|
OP
|
$36.22
|
|
|
Service Code
|
HCPCS J0173
|
| Hospital Charge Code |
116787
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$13.40 |
| Max. Negotiated Rate |
$32.60 |
| Rate for Payer: Aetna American Axle |
$23.54
|
| Rate for Payer: Aetna Commercial |
$30.79
|
| Rate for Payer: Aetna Medicare |
$18.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.54
|
| Rate for Payer: BCBS Complete |
$14.49
|
| Rate for Payer: Cash Price |
$28.98
|
| Rate for Payer: Cofinity Commercial |
$25.35
|
| Rate for Payer: Cofinity Commercial |
$31.15
|
| Rate for Payer: Cofinity Medicare Advantage |
$25.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.98
|
| Rate for Payer: Healthscope Commercial |
$32.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$25.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.79
|
| Rate for Payer: PHP Commercial |
$30.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.54
|
| Rate for Payer: Priority Health SBD |
$22.82
|
| Rate for Payer: UMR Bronson Commercial |
$13.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.16
|
|
|
EPINEPHRINE INFUSION (IV PREMIX)
|
Facility
|
OP
|
$10.50
|
|
|
Service Code
|
HCPCS J0171
|
| Hospital Charge Code |
301238
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$3.88 |
| Max. Negotiated Rate |
$9.45 |
| Rate for Payer: Aetna American Axle |
$6.83
|
| Rate for Payer: Aetna Commercial |
$8.93
|
| Rate for Payer: Aetna Medicare |
$5.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.83
|
| Rate for Payer: BCBS Complete |
$4.20
|
| Rate for Payer: Cash Price |
$8.40
|
| Rate for Payer: Cofinity Commercial |
$7.35
|
| Rate for Payer: Cofinity Commercial |
$9.03
|
| Rate for Payer: Cofinity Medicare Advantage |
$7.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.40
|
| Rate for Payer: Healthscope Commercial |
$9.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.93
|
| Rate for Payer: PHP Commercial |
$8.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.83
|
| Rate for Payer: Priority Health SBD |
$6.62
|
| Rate for Payer: UMR Bronson Commercial |
$3.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.88
|
|
|
EPINEPHRINE INFUSION (IV PREMIX)
|
Facility
|
IP
|
$10.50
|
|
|
Service Code
|
HCPCS J0171
|
| Hospital Charge Code |
301238
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$4.62 |
| Max. Negotiated Rate |
$9.45 |
| Rate for Payer: Aetna American Axle |
$6.83
|
| Rate for Payer: Aetna Commercial |
$8.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.83
|
| Rate for Payer: Cash Price |
$8.40
|
| Rate for Payer: Cofinity Commercial |
$7.35
|
| Rate for Payer: Cofinity Commercial |
$9.03
|
| Rate for Payer: Cofinity Medicare Advantage |
$7.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.40
|
| Rate for Payer: Healthscope Commercial |
$9.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.93
|
| Rate for Payer: PHP Commercial |
$8.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.83
|
| Rate for Payer: Priority Health SBD |
$6.62
|
| Rate for Payer: UMR Bronson Commercial |
$4.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.88
|
|
|
EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR
|
Facility
|
OP
|
$940.93
|
|
|
Service Code
|
HCPCS J0171
|
| Hospital Charge Code |
29031
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$348.14 |
| Max. Negotiated Rate |
$846.84 |
| Rate for Payer: Aetna American Axle |
$611.60
|
| Rate for Payer: Aetna American Axle |
$1,165.51
|
| Rate for Payer: Aetna American Axle |
$305.81
|
| Rate for Payer: Aetna Commercial |
$799.79
|
| Rate for Payer: Aetna Commercial |
$399.90
|
| Rate for Payer: Aetna Commercial |
$1,524.13
|
| Rate for Payer: Aetna Medicare |
$470.46
|
| Rate for Payer: Aetna Medicare |
$235.24
|
| Rate for Payer: Aetna Medicare |
$896.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$305.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$611.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,165.51
|
| Rate for Payer: BCBS Complete |
$717.24
|
| Rate for Payer: BCBS Complete |
$188.19
|
| Rate for Payer: BCBS Complete |
$376.37
|
| Rate for Payer: Cash Price |
$752.74
|
| Rate for Payer: Cash Price |
$376.38
|
| Rate for Payer: Cash Price |
$1,434.47
|
| Rate for Payer: Cofinity Commercial |
$404.60
|
| Rate for Payer: Cofinity Commercial |
$1,255.16
|
| Rate for Payer: Cofinity Commercial |
$1,542.06
|
| Rate for Payer: Cofinity Commercial |
$809.20
|
| Rate for Payer: Cofinity Commercial |
$658.65
|
| Rate for Payer: Cofinity Commercial |
$329.33
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,255.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$329.33
|
| Rate for Payer: Cofinity Medicare Advantage |
$658.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$376.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,434.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$752.74
|
| Rate for Payer: Healthscope Commercial |
$1,613.78
|
| Rate for Payer: Healthscope Commercial |
$423.42
|
| Rate for Payer: Healthscope Commercial |
$846.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$329.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,255.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$658.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,344.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$352.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$705.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$399.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,524.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$799.79
|
| Rate for Payer: PHP Commercial |
$1,524.13
|
| Rate for Payer: PHP Commercial |
$399.90
|
| Rate for Payer: PHP Commercial |
$799.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$611.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$305.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,165.51
|
| Rate for Payer: Priority Health SBD |
$296.40
|
| Rate for Payer: Priority Health SBD |
$1,129.65
|
| Rate for Payer: Priority Health SBD |
$592.79
|
| Rate for Payer: UMR Bronson Commercial |
$348.14
|
| Rate for Payer: UMR Bronson Commercial |
$663.44
|
| Rate for Payer: UMR Bronson Commercial |
$174.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,344.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$352.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$705.70
|
|
|
EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR
|
Facility
|
IP
|
$1,793.09
|
|
|
Service Code
|
HCPCS J0171
|
| Hospital Charge Code |
29031
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$788.96 |
| Max. Negotiated Rate |
$1,613.78 |
| Rate for Payer: Aetna American Axle |
$1,165.51
|
| Rate for Payer: Aetna American Axle |
$305.81
|
| Rate for Payer: Aetna American Axle |
$611.60
|
| Rate for Payer: Aetna Commercial |
$399.90
|
| Rate for Payer: Aetna Commercial |
$1,524.13
|
| Rate for Payer: Aetna Commercial |
$799.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,165.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$611.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$305.81
|
| Rate for Payer: Cash Price |
$752.74
|
| Rate for Payer: Cash Price |
$376.38
|
| Rate for Payer: Cash Price |
$1,434.47
|
| Rate for Payer: Cofinity Commercial |
$1,542.06
|
| Rate for Payer: Cofinity Commercial |
$404.60
|
| Rate for Payer: Cofinity Commercial |
$329.33
|
| Rate for Payer: Cofinity Commercial |
$809.20
|
| Rate for Payer: Cofinity Commercial |
$658.65
|
| Rate for Payer: Cofinity Commercial |
$1,255.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$329.33
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,255.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$658.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$752.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,434.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$376.38
|
| Rate for Payer: Healthscope Commercial |
$423.42
|
| Rate for Payer: Healthscope Commercial |
$1,613.78
|
| Rate for Payer: Healthscope Commercial |
$846.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,255.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$329.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$658.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$352.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,344.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$705.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,524.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$799.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$399.90
|
| Rate for Payer: PHP Commercial |
$799.79
|
| Rate for Payer: PHP Commercial |
$399.90
|
| Rate for Payer: PHP Commercial |
$1,524.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$305.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$611.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,165.51
|
| Rate for Payer: Priority Health SBD |
$592.79
|
| Rate for Payer: Priority Health SBD |
$296.40
|
| Rate for Payer: Priority Health SBD |
$1,129.65
|
| Rate for Payer: UMR Bronson Commercial |
$788.96
|
| Rate for Payer: UMR Bronson Commercial |
$414.01
|
| Rate for Payer: UMR Bronson Commercial |
$207.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$705.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,344.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$352.85
|
|
|
EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$318.78
|
|
|
Service Code
|
HCPCS J9178
|
| Hospital Charge Code |
13671
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$117.95 |
| Max. Negotiated Rate |
$286.90 |
| Rate for Payer: Aetna American Axle |
$207.21
|
| Rate for Payer: Aetna Commercial |
$270.96
|
| Rate for Payer: Aetna Medicare |
$159.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.21
|
| Rate for Payer: BCBS Complete |
$127.51
|
| Rate for Payer: Cash Price |
$255.02
|
| Rate for Payer: Cofinity Commercial |
$223.15
|
| Rate for Payer: Cofinity Commercial |
$274.15
|
| Rate for Payer: Cofinity Medicare Advantage |
$223.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.02
|
| Rate for Payer: Healthscope Commercial |
$286.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$223.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$270.96
|
| Rate for Payer: PHP Commercial |
$270.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$207.21
|
| Rate for Payer: Priority Health SBD |
$200.83
|
| Rate for Payer: UMR Bronson Commercial |
$117.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.09
|
|
|
EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$318.78
|
|
|
Service Code
|
HCPCS J9178
|
| Hospital Charge Code |
13671
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$140.26 |
| Max. Negotiated Rate |
$286.90 |
| Rate for Payer: Aetna American Axle |
$207.21
|
| Rate for Payer: Aetna Commercial |
$270.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.21
|
| Rate for Payer: Cash Price |
$255.02
|
| Rate for Payer: Cofinity Commercial |
$223.15
|
| Rate for Payer: Cofinity Commercial |
$274.15
|
| Rate for Payer: Cofinity Medicare Advantage |
$223.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.02
|
| Rate for Payer: Healthscope Commercial |
$286.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$223.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$270.96
|
| Rate for Payer: PHP Commercial |
$270.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$207.21
|
| Rate for Payer: Priority Health SBD |
$200.83
|
| Rate for Payer: UMR Bronson Commercial |
$140.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.09
|
|
|
EPISIOTOMY OR VAGINAL REPAIR, BY OTHER THAN ATTENDING
|
Facility
|
OP
|
$8,728.81
|
|
|
Service Code
|
CPT 59300
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,662.10 |
| Max. Negotiated Rate |
$8,728.81 |
| Rate for Payer: Aetna Medicare |
$3,224.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,876.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,876.16
|
| Rate for Payer: BCBS Complete |
$1,745.20
|
| Rate for Payer: BCBS MAPPO |
$3,100.93
|
| Rate for Payer: BCN Medicare Advantage |
$3,100.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,100.93
|
| Rate for Payer: Mclaren Medicaid |
$1,662.10
|
| Rate for Payer: Mclaren Medicare |
$3,100.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,255.98
|
| Rate for Payer: Meridian Medicaid |
$1,745.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,566.07
|
| Rate for Payer: PACE Medicare |
$2,945.88
|
| Rate for Payer: PACE SWMI |
$3,100.93
|
| Rate for Payer: PHP Medicare Advantage |
$3,100.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,662.10
|
| Rate for Payer: Priority Health Medicare |
$3,100.93
|
| Rate for Payer: Railroad Medicare Medicare |
$3,100.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,728.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,100.93
|
| Rate for Payer: UHC Exchange |
$5,926.19
|
| Rate for Payer: UHC Medicare Advantage |
$3,100.93
|
| Rate for Payer: UHCCP Medicaid |
$1,662.10
|
| Rate for Payer: VA VA |
$3,100.93
|
|
|
EPLERENONE 25 MG TABLET
|
Facility
|
OP
|
$187.35
|
|
|
Service Code
|
NDC 59762171002
|
| Hospital Charge Code |
36983
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$69.32 |
| Max. Negotiated Rate |
$168.62 |
| Rate for Payer: Aetna American Axle |
$121.78
|
| Rate for Payer: Aetna Commercial |
$159.25
|
| Rate for Payer: Aetna Medicare |
$93.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$121.78
|
| Rate for Payer: BCBS Complete |
$74.94
|
| Rate for Payer: Cash Price |
$149.88
|
| Rate for Payer: Cofinity Commercial |
$131.15
|
| Rate for Payer: Cofinity Commercial |
$161.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$131.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$149.88
|
| Rate for Payer: Healthscope Commercial |
$168.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$131.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$140.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.25
|
| Rate for Payer: PHP Commercial |
$159.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$121.78
|
| Rate for Payer: Priority Health SBD |
$118.03
|
| Rate for Payer: UMR Bronson Commercial |
$69.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$140.51
|
|
|
EPLERENONE 25 MG TABLET
|
Facility
|
OP
|
$121.26
|
|
|
Service Code
|
NDC 16729029310
|
| Hospital Charge Code |
36983
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$44.87 |
| Max. Negotiated Rate |
$109.13 |
| Rate for Payer: Aetna American Axle |
$78.82
|
| Rate for Payer: Aetna Commercial |
$103.07
|
| Rate for Payer: Aetna Medicare |
$60.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.82
|
| Rate for Payer: BCBS Complete |
$48.50
|
| Rate for Payer: Cash Price |
$97.01
|
| Rate for Payer: Cofinity Commercial |
$104.28
|
| Rate for Payer: Cofinity Commercial |
$84.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$84.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.01
|
| Rate for Payer: Healthscope Commercial |
$109.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$84.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$90.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.07
|
| Rate for Payer: PHP Commercial |
$103.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$78.82
|
| Rate for Payer: Priority Health SBD |
$76.39
|
| Rate for Payer: UMR Bronson Commercial |
$44.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$90.94
|
|
|
EPLERENONE 25 MG TABLET
|
Facility
|
IP
|
$121.40
|
|
|
Service Code
|
NDC 00378103093
|
| Hospital Charge Code |
36983
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$53.42 |
| Max. Negotiated Rate |
$109.26 |
| Rate for Payer: Aetna American Axle |
$78.91
|
| Rate for Payer: Aetna Commercial |
$103.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.91
|
| Rate for Payer: Cash Price |
$97.12
|
| Rate for Payer: Cofinity Commercial |
$104.40
|
| Rate for Payer: Cofinity Commercial |
$84.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$84.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.12
|
| Rate for Payer: Healthscope Commercial |
$109.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$84.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$91.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.19
|
| Rate for Payer: PHP Commercial |
$103.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$78.91
|
| Rate for Payer: Priority Health SBD |
$76.48
|
| Rate for Payer: UMR Bronson Commercial |
$53.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$91.05
|
|
|
EPLERENONE 25 MG TABLET
|
Facility
|
IP
|
$121.26
|
|
|
Service Code
|
NDC 16729029310
|
| Hospital Charge Code |
36983
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$53.35 |
| Max. Negotiated Rate |
$109.13 |
| Rate for Payer: Aetna American Axle |
$78.82
|
| Rate for Payer: Aetna Commercial |
$103.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.82
|
| Rate for Payer: Cash Price |
$97.01
|
| Rate for Payer: Cofinity Commercial |
$104.28
|
| Rate for Payer: Cofinity Commercial |
$84.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$84.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.01
|
| Rate for Payer: Healthscope Commercial |
$109.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$84.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$90.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.07
|
| Rate for Payer: PHP Commercial |
$103.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$78.82
|
| Rate for Payer: Priority Health SBD |
$76.39
|
| Rate for Payer: UMR Bronson Commercial |
$53.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$90.94
|
|
|
EPLERENONE 25 MG TABLET
|
Facility
|
IP
|
$349.65
|
|
|
Service Code
|
NDC 60687045121
|
| Hospital Charge Code |
36983
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$153.85 |
| Max. Negotiated Rate |
$314.69 |
| Rate for Payer: Aetna American Axle |
$227.27
|
| Rate for Payer: Aetna Commercial |
$297.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$227.27
|
| Rate for Payer: Cash Price |
$279.72
|
| Rate for Payer: Cofinity Commercial |
$244.75
|
| Rate for Payer: Cofinity Commercial |
$300.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$244.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$279.72
|
| Rate for Payer: Healthscope Commercial |
$314.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$244.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$262.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$297.20
|
| Rate for Payer: PHP Commercial |
$297.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$227.27
|
| Rate for Payer: Priority Health SBD |
$220.28
|
| Rate for Payer: UMR Bronson Commercial |
$153.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$262.24
|
|
|
EPLERENONE 25 MG TABLET
|
Facility
|
OP
|
$11.66
|
|
|
Service Code
|
NDC 60687045111
|
| Hospital Charge Code |
36983
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$4.31 |
| Max. Negotiated Rate |
$10.49 |
| Rate for Payer: Aetna American Axle |
$7.58
|
| Rate for Payer: Aetna Commercial |
$9.91
|
| Rate for Payer: Aetna Medicare |
$5.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.58
|
| Rate for Payer: BCBS Complete |
$4.66
|
| Rate for Payer: Cash Price |
$9.33
|
| Rate for Payer: Cofinity Commercial |
$10.03
|
| Rate for Payer: Cofinity Commercial |
$8.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$8.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.33
|
| Rate for Payer: Healthscope Commercial |
$10.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.91
|
| Rate for Payer: PHP Commercial |
$9.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.58
|
| Rate for Payer: Priority Health SBD |
$7.35
|
| Rate for Payer: UMR Bronson Commercial |
$4.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.74
|
|
|
EPLERENONE 25 MG TABLET
|
Facility
|
OP
|
$121.40
|
|
|
Service Code
|
NDC 00378103093
|
| Hospital Charge Code |
36983
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$44.92 |
| Max. Negotiated Rate |
$109.26 |
| Rate for Payer: Aetna American Axle |
$78.91
|
| Rate for Payer: Aetna Commercial |
$103.19
|
| Rate for Payer: Aetna Medicare |
$60.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.91
|
| Rate for Payer: BCBS Complete |
$48.56
|
| Rate for Payer: Cash Price |
$97.12
|
| Rate for Payer: Cofinity Commercial |
$104.40
|
| Rate for Payer: Cofinity Commercial |
$84.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$84.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.12
|
| Rate for Payer: Healthscope Commercial |
$109.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$84.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$91.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.19
|
| Rate for Payer: PHP Commercial |
$103.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$78.91
|
| Rate for Payer: Priority Health SBD |
$76.48
|
| Rate for Payer: UMR Bronson Commercial |
$44.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$91.05
|
|
|
EPLERENONE 25 MG TABLET
|
Facility
|
OP
|
$349.65
|
|
|
Service Code
|
NDC 60687045121
|
| Hospital Charge Code |
36983
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$129.37 |
| Max. Negotiated Rate |
$314.69 |
| Rate for Payer: Aetna American Axle |
$227.27
|
| Rate for Payer: Aetna Commercial |
$297.20
|
| Rate for Payer: Aetna Medicare |
$174.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$227.27
|
| Rate for Payer: BCBS Complete |
$139.86
|
| Rate for Payer: Cash Price |
$279.72
|
| Rate for Payer: Cofinity Commercial |
$244.75
|
| Rate for Payer: Cofinity Commercial |
$300.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$244.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$279.72
|
| Rate for Payer: Healthscope Commercial |
$314.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$244.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$262.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$297.20
|
| Rate for Payer: PHP Commercial |
$297.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$227.27
|
| Rate for Payer: Priority Health SBD |
$220.28
|
| Rate for Payer: UMR Bronson Commercial |
$129.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$262.24
|
|
|
EPLERENONE 25 MG TABLET
|
Facility
|
IP
|
$187.35
|
|
|
Service Code
|
NDC 59762171002
|
| Hospital Charge Code |
36983
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$82.43 |
| Max. Negotiated Rate |
$168.62 |
| Rate for Payer: Aetna American Axle |
$121.78
|
| Rate for Payer: Aetna Commercial |
$159.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$121.78
|
| Rate for Payer: Cash Price |
$149.88
|
| Rate for Payer: Cofinity Commercial |
$131.15
|
| Rate for Payer: Cofinity Commercial |
$161.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$131.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$149.88
|
| Rate for Payer: Healthscope Commercial |
$168.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$131.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$140.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.25
|
| Rate for Payer: PHP Commercial |
$159.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$121.78
|
| Rate for Payer: Priority Health SBD |
$118.03
|
| Rate for Payer: UMR Bronson Commercial |
$82.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$140.51
|
|
|
EPLERENONE 25 MG TABLET
|
Facility
|
IP
|
$187.35
|
|
|
Service Code
|
NDC 66993034330
|
| Hospital Charge Code |
36983
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$82.43 |
| Max. Negotiated Rate |
$168.62 |
| Rate for Payer: Aetna American Axle |
$121.78
|
| Rate for Payer: Aetna Commercial |
$159.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$121.78
|
| Rate for Payer: Cash Price |
$149.88
|
| Rate for Payer: Cofinity Commercial |
$131.15
|
| Rate for Payer: Cofinity Commercial |
$161.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$131.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$149.88
|
| Rate for Payer: Healthscope Commercial |
$168.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$131.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$140.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.25
|
| Rate for Payer: PHP Commercial |
$159.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$121.78
|
| Rate for Payer: Priority Health SBD |
$118.03
|
| Rate for Payer: UMR Bronson Commercial |
$82.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$140.51
|
|
|
EPLERENONE 25 MG TABLET
|
Facility
|
IP
|
$11.66
|
|
|
Service Code
|
NDC 60687045111
|
| Hospital Charge Code |
36983
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$5.13 |
| Max. Negotiated Rate |
$10.49 |
| Rate for Payer: Aetna American Axle |
$7.58
|
| Rate for Payer: Aetna Commercial |
$9.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.58
|
| Rate for Payer: Cash Price |
$9.33
|
| Rate for Payer: Cofinity Commercial |
$10.03
|
| Rate for Payer: Cofinity Commercial |
$8.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$8.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.33
|
| Rate for Payer: Healthscope Commercial |
$10.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.91
|
| Rate for Payer: PHP Commercial |
$9.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.58
|
| Rate for Payer: Priority Health SBD |
$7.35
|
| Rate for Payer: UMR Bronson Commercial |
$5.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.74
|
|
|
EPLERENONE 25 MG TABLET
|
Facility
|
OP
|
$187.35
|
|
|
Service Code
|
NDC 66993034330
|
| Hospital Charge Code |
36983
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$69.32 |
| Max. Negotiated Rate |
$168.62 |
| Rate for Payer: Aetna American Axle |
$121.78
|
| Rate for Payer: Aetna Commercial |
$159.25
|
| Rate for Payer: Aetna Medicare |
$93.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$121.78
|
| Rate for Payer: BCBS Complete |
$74.94
|
| Rate for Payer: Cash Price |
$149.88
|
| Rate for Payer: Cofinity Commercial |
$131.15
|
| Rate for Payer: Cofinity Commercial |
$161.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$131.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$149.88
|
| Rate for Payer: Healthscope Commercial |
$168.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$131.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$140.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.25
|
| Rate for Payer: PHP Commercial |
$159.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$121.78
|
| Rate for Payer: Priority Health SBD |
$118.03
|
| Rate for Payer: UMR Bronson Commercial |
$69.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$140.51
|
|
|
EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
OP
|
$499.51
|
|
|
Service Code
|
HCPCS J0885
|
| Hospital Charge Code |
9938
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$4.58 |
| Max. Negotiated Rate |
$449.56 |
| Rate for Payer: Aetna American Axle |
$324.68
|
| Rate for Payer: Aetna Commercial |
$424.58
|
| Rate for Payer: Aetna Medicare |
$8.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$324.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.68
|
| Rate for Payer: BCBS Complete |
$4.81
|
| Rate for Payer: BCBS MAPPO |
$8.54
|
| Rate for Payer: BCN Medicare Advantage |
$8.54
|
| Rate for Payer: Cash Price |
$399.61
|
| Rate for Payer: Cash Price |
$399.61
|
| Rate for Payer: Cofinity Commercial |
$429.58
|
| Rate for Payer: Cofinity Commercial |
$349.66
|
| Rate for Payer: Cofinity Medicare Advantage |
$349.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$399.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.54
|
| Rate for Payer: Healthscope Commercial |
$449.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$349.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$374.63
|
| Rate for Payer: Mclaren Medicaid |
$4.58
|
| Rate for Payer: Mclaren Medicare |
$8.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.97
|
| Rate for Payer: Meridian Medicaid |
$4.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$424.58
|
| Rate for Payer: PACE Medicare |
$8.11
|
| Rate for Payer: PACE SWMI |
$8.54
|
| Rate for Payer: PHP Commercial |
$424.58
|
| Rate for Payer: PHP Medicare Advantage |
$8.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$324.68
|
| Rate for Payer: Priority Health Medicare |
$8.54
|
| Rate for Payer: Priority Health SBD |
$314.69
|
| Rate for Payer: Railroad Medicare Medicare |
$8.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$8.54
|
| Rate for Payer: UHC Exchange |
$16.32
|
| Rate for Payer: UHC Medicare Advantage |
$8.54
|
| Rate for Payer: UHCCP Medicaid |
$4.58
|
| Rate for Payer: UMR Bronson Commercial |
$184.82
|
| Rate for Payer: VA VA |
$8.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$374.63
|
|
|
EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
IP
|
$499.51
|
|
|
Service Code
|
HCPCS J0885
|
| Hospital Charge Code |
9938
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$219.78 |
| Max. Negotiated Rate |
$449.56 |
| Rate for Payer: Aetna American Axle |
$324.68
|
| Rate for Payer: Aetna Commercial |
$424.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$324.68
|
| Rate for Payer: Cash Price |
$399.61
|
| Rate for Payer: Cofinity Commercial |
$349.66
|
| Rate for Payer: Cofinity Commercial |
$429.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$349.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$399.61
|
| Rate for Payer: Healthscope Commercial |
$449.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$349.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$374.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$424.58
|
| Rate for Payer: PHP Commercial |
$424.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$324.68
|
| Rate for Payer: Priority Health SBD |
$314.69
|
| Rate for Payer: UMR Bronson Commercial |
$219.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$374.63
|
|
|
EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
OP
|
$1,024.25
|
|
|
Service Code
|
HCPCS J0885
|
| Hospital Charge Code |
14643
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$4.58 |
| Max. Negotiated Rate |
$921.83 |
| Rate for Payer: Aetna American Axle |
$665.76
|
| Rate for Payer: Aetna American Axle |
$649.37
|
| Rate for Payer: Aetna Commercial |
$870.61
|
| Rate for Payer: Aetna Commercial |
$849.18
|
| Rate for Payer: Aetna Medicare |
$8.88
|
| Rate for Payer: Aetna Medicare |
$8.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$649.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$665.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.68
|
| Rate for Payer: BCBS Complete |
$4.81
|
| Rate for Payer: BCBS Complete |
$4.81
|
| Rate for Payer: BCBS MAPPO |
$8.54
|
| Rate for Payer: BCBS MAPPO |
$8.54
|
| Rate for Payer: BCN Medicare Advantage |
$8.54
|
| Rate for Payer: BCN Medicare Advantage |
$8.54
|
| Rate for Payer: Cash Price |
$819.40
|
| Rate for Payer: Cash Price |
$819.40
|
| Rate for Payer: Cash Price |
$799.22
|
| Rate for Payer: Cash Price |
$799.22
|
| Rate for Payer: Cofinity Commercial |
$716.98
|
| Rate for Payer: Cofinity Commercial |
$880.86
|
| Rate for Payer: Cofinity Commercial |
$699.32
|
| Rate for Payer: Cofinity Commercial |
$859.17
|
| Rate for Payer: Cofinity Medicare Advantage |
$716.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$699.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$819.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$799.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.54
|
| Rate for Payer: Healthscope Commercial |
$899.13
|
| Rate for Payer: Healthscope Commercial |
$921.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$716.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$699.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$749.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$768.19
|
| Rate for Payer: Mclaren Medicaid |
$4.58
|
| Rate for Payer: Mclaren Medicaid |
$4.58
|
| Rate for Payer: Mclaren Medicare |
$8.54
|
| Rate for Payer: Mclaren Medicare |
$8.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.97
|
| Rate for Payer: Meridian Medicaid |
$4.81
|
| Rate for Payer: Meridian Medicaid |
$4.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$849.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$870.61
|
| Rate for Payer: PACE Medicare |
$8.11
|
| Rate for Payer: PACE Medicare |
$8.11
|
| Rate for Payer: PACE SWMI |
$8.54
|
| Rate for Payer: PACE SWMI |
$8.54
|
| Rate for Payer: PHP Commercial |
$849.18
|
| Rate for Payer: PHP Commercial |
$870.61
|
| Rate for Payer: PHP Medicare Advantage |
$8.54
|
| Rate for Payer: PHP Medicare Advantage |
$8.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$649.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$665.76
|
| Rate for Payer: Priority Health Medicare |
$8.54
|
| Rate for Payer: Priority Health Medicare |
$8.54
|
| Rate for Payer: Priority Health SBD |
$629.39
|
| Rate for Payer: Priority Health SBD |
$645.28
|
| Rate for Payer: Railroad Medicare Medicare |
$8.54
|
| Rate for Payer: Railroad Medicare Medicare |
$8.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$8.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$8.54
|
| Rate for Payer: UHC Exchange |
$16.32
|
| Rate for Payer: UHC Exchange |
$16.32
|
| Rate for Payer: UHC Medicare Advantage |
$8.54
|
| Rate for Payer: UHC Medicare Advantage |
$8.54
|
| Rate for Payer: UHCCP Medicaid |
$4.58
|
| Rate for Payer: UHCCP Medicaid |
$4.58
|
| Rate for Payer: UMR Bronson Commercial |
$378.97
|
| Rate for Payer: UMR Bronson Commercial |
$369.64
|
| Rate for Payer: VA VA |
$8.54
|
| Rate for Payer: VA VA |
$8.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$749.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$768.19
|
|
