|
ANASTROZOLE 1 MG TABLET
|
Facility
|
IP
|
$2.59
|
|
|
Service Code
|
NDC 50268007511
|
| Hospital Charge Code |
16205
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.14 |
| Max. Negotiated Rate |
$2.33 |
| Rate for Payer: Aetna American Axle |
$1.68
|
| Rate for Payer: Aetna Commercial |
$2.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.68
|
| Rate for Payer: Cash Price |
$2.07
|
| Rate for Payer: Cofinity Commercial |
$1.81
|
| Rate for Payer: Cofinity Commercial |
$2.23
|
| Rate for Payer: Cofinity Medicare Advantage |
$1.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.07
|
| Rate for Payer: Healthscope Commercial |
$2.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.20
|
| Rate for Payer: PHP Commercial |
$2.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.68
|
| Rate for Payer: Priority Health SBD |
$1.63
|
| Rate for Payer: UMR Bronson Commercial |
$1.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.94
|
|
|
ANASTROZOLE 1 MG TABLET
|
Facility
|
OP
|
$70.68
|
|
|
Service Code
|
NDC 62756025083
|
| Hospital Charge Code |
16205
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$26.15 |
| Max. Negotiated Rate |
$63.61 |
| Rate for Payer: Aetna American Axle |
$45.94
|
| Rate for Payer: Aetna Commercial |
$60.08
|
| Rate for Payer: Aetna Medicare |
$35.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.94
|
| Rate for Payer: BCBS Complete |
$28.27
|
| Rate for Payer: Cash Price |
$56.54
|
| Rate for Payer: Cofinity Commercial |
$49.48
|
| Rate for Payer: Cofinity Commercial |
$60.78
|
| Rate for Payer: Cofinity Medicare Advantage |
$49.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$56.54
|
| Rate for Payer: Healthscope Commercial |
$63.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$49.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60.08
|
| Rate for Payer: PHP Commercial |
$60.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.94
|
| Rate for Payer: Priority Health SBD |
$44.53
|
| Rate for Payer: UMR Bronson Commercial |
$26.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53.01
|
|
|
ANASTROZOLE 1 MG TABLET
|
Facility
|
OP
|
$129.12
|
|
|
Service Code
|
NDC 50268007515
|
| Hospital Charge Code |
16205
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$47.77 |
| Max. Negotiated Rate |
$116.21 |
| Rate for Payer: Aetna American Axle |
$83.93
|
| Rate for Payer: Aetna Commercial |
$109.75
|
| Rate for Payer: Aetna Medicare |
$64.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$83.93
|
| Rate for Payer: BCBS Complete |
$51.65
|
| Rate for Payer: Cash Price |
$103.30
|
| Rate for Payer: Cofinity Commercial |
$111.04
|
| Rate for Payer: Cofinity Commercial |
$90.38
|
| Rate for Payer: Cofinity Medicare Advantage |
$90.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$103.30
|
| Rate for Payer: Healthscope Commercial |
$116.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$90.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$96.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$109.75
|
| Rate for Payer: PHP Commercial |
$109.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$83.93
|
| Rate for Payer: Priority Health SBD |
$81.35
|
| Rate for Payer: UMR Bronson Commercial |
$47.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$96.84
|
|
|
ANASTROZOLE 1 MG TABLET
|
Facility
|
IP
|
$104.34
|
|
|
Service Code
|
NDC 00904619546
|
| Hospital Charge Code |
16205
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$45.91 |
| Max. Negotiated Rate |
$93.91 |
| Rate for Payer: Aetna American Axle |
$67.82
|
| Rate for Payer: Aetna Commercial |
$88.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.82
|
| Rate for Payer: Cash Price |
$83.47
|
| Rate for Payer: Cofinity Commercial |
$73.04
|
| Rate for Payer: Cofinity Commercial |
$89.73
|
| Rate for Payer: Cofinity Medicare Advantage |
$73.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.47
|
| Rate for Payer: Healthscope Commercial |
$93.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$73.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.69
|
| Rate for Payer: PHP Commercial |
$88.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$67.82
|
| Rate for Payer: Priority Health SBD |
$65.73
|
| Rate for Payer: UMR Bronson Commercial |
$45.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.26
|
|
|
ANASTROZOLE 1 MG TABLET
|
Facility
|
OP
|
$132.53
|
|
|
Service Code
|
NDC 68382020906
|
| Hospital Charge Code |
16205
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$49.04 |
| Max. Negotiated Rate |
$119.28 |
| Rate for Payer: Aetna American Axle |
$86.14
|
| Rate for Payer: Aetna Commercial |
$112.65
|
| Rate for Payer: Aetna Medicare |
$66.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$86.14
|
| Rate for Payer: BCBS Complete |
$53.01
|
| Rate for Payer: Cash Price |
$106.02
|
| Rate for Payer: Cofinity Commercial |
$113.98
|
| Rate for Payer: Cofinity Commercial |
$92.77
|
| Rate for Payer: Cofinity Medicare Advantage |
$92.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$106.02
|
| Rate for Payer: Healthscope Commercial |
$119.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$92.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$99.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$112.65
|
| Rate for Payer: PHP Commercial |
$112.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$86.14
|
| Rate for Payer: Priority Health SBD |
$83.49
|
| Rate for Payer: UMR Bronson Commercial |
$49.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$99.40
|
|
|
ANASTROZOLE 1 MG TABLET
|
Facility
|
IP
|
$129.12
|
|
|
Service Code
|
NDC 50268007515
|
| Hospital Charge Code |
16205
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$56.81 |
| Max. Negotiated Rate |
$116.21 |
| Rate for Payer: Aetna American Axle |
$83.93
|
| Rate for Payer: Aetna Commercial |
$109.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$83.93
|
| Rate for Payer: Cash Price |
$103.30
|
| Rate for Payer: Cofinity Commercial |
$111.04
|
| Rate for Payer: Cofinity Commercial |
$90.38
|
| Rate for Payer: Cofinity Medicare Advantage |
$90.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$103.30
|
| Rate for Payer: Healthscope Commercial |
$116.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$90.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$96.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$109.75
|
| Rate for Payer: PHP Commercial |
$109.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$83.93
|
| Rate for Payer: Priority Health SBD |
$81.35
|
| Rate for Payer: UMR Bronson Commercial |
$56.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$96.84
|
|
|
ANASTROZOLE 1 MG TABLET
|
Facility
|
OP
|
$81.23
|
|
|
Service Code
|
NDC 51991062033
|
| Hospital Charge Code |
16205
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$30.06 |
| Max. Negotiated Rate |
$73.11 |
| Rate for Payer: Aetna American Axle |
$52.80
|
| Rate for Payer: Aetna Commercial |
$69.05
|
| Rate for Payer: Aetna Medicare |
$40.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.80
|
| Rate for Payer: BCBS Complete |
$32.49
|
| Rate for Payer: Cash Price |
$64.98
|
| Rate for Payer: Cofinity Commercial |
$56.86
|
| Rate for Payer: Cofinity Commercial |
$69.86
|
| Rate for Payer: Cofinity Medicare Advantage |
$56.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.98
|
| Rate for Payer: Healthscope Commercial |
$73.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$56.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$60.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.05
|
| Rate for Payer: PHP Commercial |
$69.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.80
|
| Rate for Payer: Priority Health SBD |
$51.17
|
| Rate for Payer: UMR Bronson Commercial |
$30.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$60.92
|
|
|
ANASTROZOLE 1 MG TABLET
|
Facility
|
IP
|
$81.78
|
|
|
Service Code
|
NDC 16729003510
|
| Hospital Charge Code |
16205
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$35.98 |
| Max. Negotiated Rate |
$73.60 |
| Rate for Payer: Aetna American Axle |
$53.16
|
| Rate for Payer: Aetna Commercial |
$69.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.16
|
| Rate for Payer: Cash Price |
$65.42
|
| Rate for Payer: Cofinity Commercial |
$57.25
|
| Rate for Payer: Cofinity Commercial |
$70.33
|
| Rate for Payer: Cofinity Medicare Advantage |
$57.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.42
|
| Rate for Payer: Healthscope Commercial |
$73.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$57.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.51
|
| Rate for Payer: PHP Commercial |
$69.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.16
|
| Rate for Payer: Priority Health SBD |
$51.52
|
| Rate for Payer: UMR Bronson Commercial |
$35.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.34
|
|
|
ANASTROZOLE 1 MG TABLET
|
Facility
|
OP
|
$81.78
|
|
|
Service Code
|
NDC 16729003510
|
| Hospital Charge Code |
16205
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$30.26 |
| Max. Negotiated Rate |
$73.60 |
| Rate for Payer: Aetna American Axle |
$53.16
|
| Rate for Payer: Aetna Commercial |
$69.51
|
| Rate for Payer: Aetna Medicare |
$40.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.16
|
| Rate for Payer: BCBS Complete |
$32.71
|
| Rate for Payer: Cash Price |
$65.42
|
| Rate for Payer: Cofinity Commercial |
$57.25
|
| Rate for Payer: Cofinity Commercial |
$70.33
|
| Rate for Payer: Cofinity Medicare Advantage |
$57.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.42
|
| Rate for Payer: Healthscope Commercial |
$73.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$57.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.51
|
| Rate for Payer: PHP Commercial |
$69.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.16
|
| Rate for Payer: Priority Health SBD |
$51.52
|
| Rate for Payer: UMR Bronson Commercial |
$30.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.34
|
|
|
ANASTROZOLE 1 MG TABLET
|
Facility
|
IP
|
$70.68
|
|
|
Service Code
|
NDC 62756025083
|
| Hospital Charge Code |
16205
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$31.10 |
| Max. Negotiated Rate |
$63.61 |
| Rate for Payer: Aetna American Axle |
$45.94
|
| Rate for Payer: Aetna Commercial |
$60.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.94
|
| Rate for Payer: Cash Price |
$56.54
|
| Rate for Payer: Cofinity Commercial |
$49.48
|
| Rate for Payer: Cofinity Commercial |
$60.78
|
| Rate for Payer: Cofinity Medicare Advantage |
$49.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$56.54
|
| Rate for Payer: Healthscope Commercial |
$63.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$49.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60.08
|
| Rate for Payer: PHP Commercial |
$60.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.94
|
| Rate for Payer: Priority Health SBD |
$44.53
|
| Rate for Payer: UMR Bronson Commercial |
$31.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53.01
|
|
|
ANIDULAFUNGIN 100 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$140.31
|
|
|
Service Code
|
HCPCS J0348
|
| Hospital Charge Code |
88093
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$61.74 |
| Max. Negotiated Rate |
$126.28 |
| Rate for Payer: Aetna American Axle |
$91.20
|
| Rate for Payer: Aetna Commercial |
$119.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$91.20
|
| Rate for Payer: Cash Price |
$112.25
|
| Rate for Payer: Cofinity Commercial |
$120.67
|
| Rate for Payer: Cofinity Commercial |
$98.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$98.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$112.25
|
| Rate for Payer: Healthscope Commercial |
$126.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$98.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$105.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$119.26
|
| Rate for Payer: PHP Commercial |
$119.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$91.20
|
| Rate for Payer: Priority Health SBD |
$88.40
|
| Rate for Payer: UMR Bronson Commercial |
$61.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$105.23
|
|
|
ANIDULAFUNGIN 100 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$140.31
|
|
|
Service Code
|
HCPCS J0348
|
| Hospital Charge Code |
88093
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.35 |
| Max. Negotiated Rate |
$126.28 |
| Rate for Payer: Aetna American Axle |
$91.20
|
| Rate for Payer: Aetna Commercial |
$119.26
|
| Rate for Payer: Aetna Medicare |
$70.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$91.20
|
| Rate for Payer: BCBS Complete |
$56.12
|
| Rate for Payer: BCBS Trust/PPO |
$1.35
|
| Rate for Payer: BCN Commercial |
$1.35
|
| Rate for Payer: Cash Price |
$112.25
|
| Rate for Payer: Cash Price |
$112.25
|
| Rate for Payer: Cofinity Commercial |
$120.67
|
| Rate for Payer: Cofinity Commercial |
$98.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$98.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$112.25
|
| Rate for Payer: Healthscope Commercial |
$126.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$98.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$105.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$119.26
|
| Rate for Payer: PHP Commercial |
$119.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$91.20
|
| Rate for Payer: Priority Health SBD |
$88.40
|
| Rate for Payer: UMR Bronson Commercial |
$51.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$105.23
|
|
|
ANIDULAFUNGIN 50 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$55.06
|
|
|
Service Code
|
HCPCS J0348
|
| Hospital Charge Code |
76344
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.35 |
| Max. Negotiated Rate |
$49.55 |
| Rate for Payer: Aetna American Axle |
$35.79
|
| Rate for Payer: Aetna Commercial |
$46.80
|
| Rate for Payer: Aetna Medicare |
$27.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.79
|
| Rate for Payer: BCBS Complete |
$22.02
|
| Rate for Payer: BCBS Trust/PPO |
$1.35
|
| Rate for Payer: BCN Commercial |
$1.35
|
| Rate for Payer: Cash Price |
$44.05
|
| Rate for Payer: Cash Price |
$44.05
|
| Rate for Payer: Cofinity Commercial |
$38.54
|
| Rate for Payer: Cofinity Commercial |
$47.35
|
| Rate for Payer: Cofinity Medicare Advantage |
$38.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.05
|
| Rate for Payer: Healthscope Commercial |
$49.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$38.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.80
|
| Rate for Payer: PHP Commercial |
$46.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.79
|
| Rate for Payer: Priority Health SBD |
$34.69
|
| Rate for Payer: UMR Bronson Commercial |
$20.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.30
|
|
|
ANIDULAFUNGIN 50 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$55.06
|
|
|
Service Code
|
HCPCS J0348
|
| Hospital Charge Code |
76344
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$24.23 |
| Max. Negotiated Rate |
$49.55 |
| Rate for Payer: Aetna American Axle |
$35.79
|
| Rate for Payer: Aetna Commercial |
$46.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.79
|
| Rate for Payer: Cash Price |
$44.05
|
| Rate for Payer: Cofinity Commercial |
$38.54
|
| Rate for Payer: Cofinity Commercial |
$47.35
|
| Rate for Payer: Cofinity Medicare Advantage |
$38.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.05
|
| Rate for Payer: Healthscope Commercial |
$49.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$38.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.80
|
| Rate for Payer: PHP Commercial |
$46.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.79
|
| Rate for Payer: Priority Health SBD |
$34.69
|
| Rate for Payer: UMR Bronson Commercial |
$24.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.30
|
|
|
ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$13,868.30
|
|
|
Service Code
|
HCPCS J0491
|
| Hospital Charge Code |
197996
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$6,102.05 |
| Max. Negotiated Rate |
$12,481.47 |
| Rate for Payer: Aetna American Axle |
$9,014.40
|
| Rate for Payer: Aetna Commercial |
$11,788.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9,014.40
|
| Rate for Payer: Cash Price |
$11,094.64
|
| Rate for Payer: Cofinity Commercial |
$11,926.74
|
| Rate for Payer: Cofinity Commercial |
$9,707.81
|
| Rate for Payer: Cofinity Medicare Advantage |
$9,707.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,094.64
|
| Rate for Payer: Healthscope Commercial |
$12,481.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,707.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,401.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,788.06
|
| Rate for Payer: PHP Commercial |
$11,788.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9,014.40
|
| Rate for Payer: Priority Health SBD |
$8,737.03
|
| Rate for Payer: UMR Bronson Commercial |
$6,102.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,401.22
|
|
|
ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$13,868.30
|
|
|
Service Code
|
HCPCS J0491
|
| Hospital Charge Code |
197996
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9.52 |
| Max. Negotiated Rate |
$12,481.47 |
| Rate for Payer: PHP Commercial |
$11,788.06
|
| Rate for Payer: PHP Medicare Advantage |
$17.76
|
| Rate for Payer: Aetna American Axle |
$9,014.40
|
| Rate for Payer: Aetna Commercial |
$11,788.06
|
| Rate for Payer: Aetna Medicare |
$18.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9,014.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.20
|
| Rate for Payer: BCBS Complete |
$10.00
|
| Rate for Payer: BCBS MAPPO |
$17.76
|
| Rate for Payer: BCBS Trust/PPO |
$47.87
|
| Rate for Payer: BCN Commercial |
$47.87
|
| Rate for Payer: BCN Medicare Advantage |
$17.76
|
| Rate for Payer: Cash Price |
$11,094.64
|
| Rate for Payer: Cash Price |
$11,094.64
|
| Rate for Payer: Cofinity Commercial |
$9,707.81
|
| Rate for Payer: Cofinity Commercial |
$11,926.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$9,707.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,094.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.76
|
| Rate for Payer: Healthscope Commercial |
$12,481.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,707.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,401.22
|
| Rate for Payer: Mclaren Medicaid |
$9.52
|
| Rate for Payer: Mclaren Medicare |
$17.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.65
|
| Rate for Payer: Meridian Medicaid |
$10.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,788.06
|
| Rate for Payer: Nomi Health Commercial |
$53.28
|
| Rate for Payer: PACE Medicare |
$16.87
|
| Rate for Payer: PACE SWMI |
$17.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9,014.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.76
|
| Rate for Payer: Priority Health Medicare |
$17.76
|
| Rate for Payer: Priority Health Narrow Network |
$39.81
|
| Rate for Payer: Priority Health SBD |
$8,737.03
|
| Rate for Payer: Railroad Medicare Medicare |
$17.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$17.76
|
| Rate for Payer: UHC Exchange |
$33.94
|
| Rate for Payer: UHC Medicare Advantage |
$17.76
|
| Rate for Payer: UHCCP Medicaid |
$9.52
|
| Rate for Payer: UMR Bronson Commercial |
$5,131.27
|
| Rate for Payer: VA VA |
$17.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,401.22
|
|
|
ANOPLASTY, PLASTIC OPERATION FOR STRICTURE; ADULT
|
Facility
|
OP
|
$8,445.02
|
|
|
Service Code
|
CPT 46700
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$628.34 |
| Max. Negotiated Rate |
$8,445.02 |
| Rate for Payer: Aetna Medicare |
$2,794.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,358.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,358.68
|
| Rate for Payer: BCBS Complete |
$1,512.21
|
| Rate for Payer: BCBS MAPPO |
$2,686.94
|
| Rate for Payer: BCBS Trust/PPO |
$2,024.38
|
| Rate for Payer: BCN Commercial |
$2,024.38
|
| Rate for Payer: BCN Medicare Advantage |
$2,686.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,686.94
|
| Rate for Payer: Mclaren Medicaid |
$1,440.20
|
| Rate for Payer: Mclaren Medicare |
$2,686.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,821.29
|
| Rate for Payer: Meridian Medicaid |
$1,512.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,089.98
|
| Rate for Payer: Nomi Health Commercial |
$5,642.57
|
| Rate for Payer: PACE Medicare |
$2,552.59
|
| Rate for Payer: PACE SWMI |
$2,686.94
|
| Rate for Payer: PHP Medicare Advantage |
$2,686.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,440.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,445.02
|
| Rate for Payer: Priority Health Medicare |
$2,686.94
|
| Rate for Payer: Priority Health Narrow Network |
$6,756.02
|
| Rate for Payer: Railroad Medicare Medicare |
$2,686.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$691.17
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,686.94
|
| Rate for Payer: UHC Exchange |
$628.34
|
| Rate for Payer: UHC Medicare Advantage |
$2,686.94
|
| Rate for Payer: UHCCP Medicaid |
$1,440.20
|
| Rate for Payer: VA VA |
$2,686.94
|
|
|
ANORECTAL EXAM, SURGICAL, REQUIRING ANESTHESIA (GENERAL, SPINAL, OR EPIDURAL), DIAGNOSTIC
|
Facility
|
OP
|
$8,445.02
|
|
|
Service Code
|
CPT 45990
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$102.25 |
| Max. Negotiated Rate |
$8,445.02 |
| Rate for Payer: Aetna Medicare |
$2,794.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,358.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,358.68
|
| Rate for Payer: BCBS Complete |
$1,512.21
|
| Rate for Payer: BCBS MAPPO |
$2,686.94
|
| Rate for Payer: BCBS Trust/PPO |
$2,848.28
|
| Rate for Payer: BCN Commercial |
$2,848.28
|
| Rate for Payer: BCN Medicare Advantage |
$2,686.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,686.94
|
| Rate for Payer: Mclaren Medicaid |
$1,440.20
|
| Rate for Payer: Mclaren Medicare |
$2,686.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,821.29
|
| Rate for Payer: Meridian Medicaid |
$1,512.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,089.98
|
| Rate for Payer: Nomi Health Commercial |
$5,642.57
|
| Rate for Payer: PACE Medicare |
$2,552.59
|
| Rate for Payer: PACE SWMI |
$2,686.94
|
| Rate for Payer: PHP Medicare Advantage |
$2,686.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,440.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,445.02
|
| Rate for Payer: Priority Health Medicare |
$2,686.94
|
| Rate for Payer: Priority Health Narrow Network |
$6,756.02
|
| Rate for Payer: Railroad Medicare Medicare |
$2,686.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$112.48
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,686.94
|
| Rate for Payer: UHC Exchange |
$102.25
|
| Rate for Payer: UHC Medicare Advantage |
$2,686.94
|
| Rate for Payer: UHCCP Medicaid |
$1,440.20
|
| Rate for Payer: VA VA |
$2,686.94
|
|
|
ANORECTAL MANOMETRY
|
Facility
|
OP
|
$958.92
|
|
|
Service Code
|
CPT 91122
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$163.53 |
| Max. Negotiated Rate |
$958.92 |
| Rate for Payer: Aetna Medicare |
$317.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$381.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$381.38
|
| Rate for Payer: BCBS Complete |
$171.71
|
| Rate for Payer: BCBS MAPPO |
$305.10
|
| Rate for Payer: BCBS Trust/PPO |
$803.39
|
| Rate for Payer: BCN Commercial |
$803.39
|
| Rate for Payer: BCN Medicare Advantage |
$305.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.10
|
| Rate for Payer: Mclaren Medicaid |
$163.53
|
| Rate for Payer: Mclaren Medicare |
$305.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$320.36
|
| Rate for Payer: Meridian Medicaid |
$171.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$350.86
|
| Rate for Payer: Nomi Health Commercial |
$640.71
|
| Rate for Payer: PACE Medicare |
$289.84
|
| Rate for Payer: PACE SWMI |
$305.10
|
| Rate for Payer: PHP Medicare Advantage |
$305.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$163.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$958.92
|
| Rate for Payer: Priority Health Medicare |
$305.10
|
| Rate for Payer: Priority Health Narrow Network |
$767.14
|
| Rate for Payer: Railroad Medicare Medicare |
$305.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$278.50
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$305.10
|
| Rate for Payer: UHC Exchange |
$253.18
|
| Rate for Payer: UHC Medicare Advantage |
$305.10
|
| Rate for Payer: UHCCP Medicaid |
$163.53
|
| Rate for Payer: VA VA |
$305.10
|
|
|
ANORECTAL MANOMETRY
|
Facility
|
OP
|
$958.92
|
|
|
Service Code
|
CPT 91122
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$163.53 |
| Max. Negotiated Rate |
$958.92 |
| Rate for Payer: Aetna Medicare |
$317.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$381.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$381.38
|
| Rate for Payer: BCBS Complete |
$171.71
|
| Rate for Payer: BCBS MAPPO |
$305.10
|
| Rate for Payer: BCBS Trust/PPO |
$803.39
|
| Rate for Payer: BCN Commercial |
$803.39
|
| Rate for Payer: BCN Medicare Advantage |
$305.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.10
|
| Rate for Payer: Mclaren Medicaid |
$163.53
|
| Rate for Payer: Mclaren Medicare |
$305.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$320.36
|
| Rate for Payer: Meridian Medicaid |
$171.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$350.86
|
| Rate for Payer: Nomi Health Commercial |
$640.71
|
| Rate for Payer: PACE Medicare |
$289.84
|
| Rate for Payer: PACE SWMI |
$305.10
|
| Rate for Payer: PHP Medicare Advantage |
$305.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$163.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$958.92
|
| Rate for Payer: Priority Health Medicare |
$305.10
|
| Rate for Payer: Priority Health Narrow Network |
$767.14
|
| Rate for Payer: Railroad Medicare Medicare |
$305.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$278.50
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$305.10
|
| Rate for Payer: UHC Exchange |
$253.18
|
| Rate for Payer: UHC Medicare Advantage |
$305.10
|
| Rate for Payer: UHCCP Medicaid |
$163.53
|
| Rate for Payer: VA VA |
$305.10
|
|
|
ANORECTAL MANOMETRY
|
Facility
|
OP
|
$958.92
|
|
|
Service Code
|
CPT 91122
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$163.53 |
| Max. Negotiated Rate |
$958.92 |
| Rate for Payer: Aetna Medicare |
$317.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$381.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$381.38
|
| Rate for Payer: BCBS Complete |
$171.71
|
| Rate for Payer: BCBS MAPPO |
$305.10
|
| Rate for Payer: BCBS Trust/PPO |
$803.39
|
| Rate for Payer: BCN Commercial |
$803.39
|
| Rate for Payer: BCN Medicare Advantage |
$305.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.10
|
| Rate for Payer: Mclaren Medicaid |
$163.53
|
| Rate for Payer: Mclaren Medicare |
$305.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$320.36
|
| Rate for Payer: Meridian Medicaid |
$171.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$350.86
|
| Rate for Payer: Nomi Health Commercial |
$640.71
|
| Rate for Payer: PACE Medicare |
$289.84
|
| Rate for Payer: PACE SWMI |
$305.10
|
| Rate for Payer: PHP Medicare Advantage |
$305.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$163.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$958.92
|
| Rate for Payer: Priority Health Medicare |
$305.10
|
| Rate for Payer: Priority Health Narrow Network |
$767.14
|
| Rate for Payer: Railroad Medicare Medicare |
$305.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$278.50
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$305.10
|
| Rate for Payer: UHC Exchange |
$253.18
|
| Rate for Payer: UHC Medicare Advantage |
$305.10
|
| Rate for Payer: UHCCP Medicaid |
$163.53
|
| Rate for Payer: VA VA |
$305.10
|
|
|
ANOSCOPY; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)
|
Facility
|
OP
|
$700.00
|
|
|
Service Code
|
CPT 46600
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$39.36 |
| Max. Negotiated Rate |
$700.00 |
| Rate for Payer: Aetna Medicare |
$131.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$157.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$157.86
|
| Rate for Payer: BCBS Complete |
$71.08
|
| Rate for Payer: BCBS MAPPO |
$126.29
|
| Rate for Payer: BCBS Trust/PPO |
$94.41
|
| Rate for Payer: BCN Commercial |
$94.41
|
| Rate for Payer: BCN Medicare Advantage |
$126.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$126.29
|
| Rate for Payer: Mclaren Medicaid |
$67.69
|
| Rate for Payer: Mclaren Medicare |
$126.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$132.60
|
| Rate for Payer: Meridian Medicaid |
$71.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$145.23
|
| Rate for Payer: Nomi Health Commercial |
$378.87
|
| Rate for Payer: PACE Medicare |
$119.98
|
| Rate for Payer: PACE SWMI |
$126.29
|
| Rate for Payer: PHP Medicare Advantage |
$126.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$396.95
|
| Rate for Payer: Priority Health Medicare |
$126.29
|
| Rate for Payer: Priority Health Narrow Network |
$317.56
|
| Rate for Payer: Railroad Medicare Medicare |
$126.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$43.30
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$126.29
|
| Rate for Payer: UHC Exchange |
$39.36
|
| Rate for Payer: UHC Medicare Advantage |
$126.29
|
| Rate for Payer: UHCCP Medicaid |
$67.69
|
| Rate for Payer: VA VA |
$126.29
|
|
|
ANOSCOPY; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT AMENABLE TO REMOVAL BY HOT BIOPSY FORCEPS, BIPOLAR CAUTERY OR SNARE TECHNIQUE
|
Facility
|
OP
|
$8,445.02
|
|
|
Service Code
|
CPT 46615
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$87.01 |
| Max. Negotiated Rate |
$8,445.02 |
| Rate for Payer: Aetna Medicare |
$2,794.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,358.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,358.68
|
| Rate for Payer: BCBS Complete |
$1,512.21
|
| Rate for Payer: BCBS MAPPO |
$2,686.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,735.18
|
| Rate for Payer: BCN Commercial |
$1,735.18
|
| Rate for Payer: BCN Medicare Advantage |
$2,686.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,686.94
|
| Rate for Payer: Mclaren Medicaid |
$1,440.20
|
| Rate for Payer: Mclaren Medicare |
$2,686.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,821.29
|
| Rate for Payer: Meridian Medicaid |
$1,512.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,089.98
|
| Rate for Payer: Nomi Health Commercial |
$5,642.57
|
| Rate for Payer: PACE Medicare |
$2,552.59
|
| Rate for Payer: PACE SWMI |
$2,686.94
|
| Rate for Payer: PHP Medicare Advantage |
$2,686.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,440.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,445.02
|
| Rate for Payer: Priority Health Medicare |
$2,686.94
|
| Rate for Payer: Priority Health Narrow Network |
$6,756.02
|
| Rate for Payer: Railroad Medicare Medicare |
$2,686.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$95.71
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,686.94
|
| Rate for Payer: UHC Exchange |
$87.01
|
| Rate for Payer: UHC Medicare Advantage |
$2,686.94
|
| Rate for Payer: UHCCP Medicaid |
$1,440.20
|
| Rate for Payer: VA VA |
$2,686.94
|
|
|
ANOSCOPY; WITH BIOPSY, SINGLE OR MULTIPLE
|
Facility
|
OP
|
$3,630.90
|
|
|
Service Code
|
CPT 46606
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$72.71 |
| Max. Negotiated Rate |
$3,630.90 |
| Rate for Payer: Aetna Medicare |
$1,201.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,444.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,444.05
|
| Rate for Payer: BCBS Complete |
$650.17
|
| Rate for Payer: BCBS MAPPO |
$1,155.24
|
| Rate for Payer: BCBS Trust/PPO |
$239.32
|
| Rate for Payer: BCN Commercial |
$239.32
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.24
|
| Rate for Payer: Mclaren Medicaid |
$619.21
|
| Rate for Payer: Mclaren Medicare |
$1,155.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,213.00
|
| Rate for Payer: Meridian Medicaid |
$650.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,328.53
|
| Rate for Payer: Nomi Health Commercial |
$2,426.00
|
| Rate for Payer: PACE Medicare |
$1,097.48
|
| Rate for Payer: PACE SWMI |
$1,155.24
|
| Rate for Payer: PHP Medicare Advantage |
$1,155.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,630.90
|
| Rate for Payer: Priority Health Medicare |
$1,155.24
|
| Rate for Payer: Priority Health Narrow Network |
$2,904.72
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$79.98
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,155.24
|
| Rate for Payer: UHC Exchange |
$72.71
|
| Rate for Payer: UHC Medicare Advantage |
$1,155.24
|
| Rate for Payer: UHCCP Medicaid |
$619.21
|
| Rate for Payer: VA VA |
$1,155.24
|
|
|
ANOSCOPY; WITH REMOVAL OF FOREIGN BODY
|
Facility
|
OP
|
$2,807.55
|
|
|
Service Code
|
CPT 46608
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$82.47 |
| Max. Negotiated Rate |
$2,807.55 |
| Rate for Payer: Aetna Medicare |
$929.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,116.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,116.60
|
| Rate for Payer: BCBS Complete |
$502.74
|
| Rate for Payer: BCBS MAPPO |
$893.28
|
| Rate for Payer: BCBS Trust/PPO |
$778.11
|
| Rate for Payer: BCN Commercial |
$778.11
|
| Rate for Payer: BCN Medicare Advantage |
$893.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$893.28
|
| Rate for Payer: Mclaren Medicaid |
$478.80
|
| Rate for Payer: Mclaren Medicare |
$893.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$937.94
|
| Rate for Payer: Meridian Medicaid |
$502.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,027.27
|
| Rate for Payer: Nomi Health Commercial |
$1,875.89
|
| Rate for Payer: PACE Medicare |
$848.62
|
| Rate for Payer: PACE SWMI |
$893.28
|
| Rate for Payer: PHP Medicare Advantage |
$893.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$478.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,807.55
|
| Rate for Payer: Priority Health Medicare |
$893.28
|
| Rate for Payer: Priority Health Narrow Network |
$2,246.04
|
| Rate for Payer: Railroad Medicare Medicare |
$893.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$90.72
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$893.28
|
| Rate for Payer: UHC Exchange |
$82.47
|
| Rate for Payer: UHC Medicare Advantage |
$893.28
|
| Rate for Payer: UHCCP Medicaid |
$478.80
|
| Rate for Payer: VA VA |
$893.28
|
|
