|
FLUCONAZOLE 100 MG TABLET
|
Facility
|
OP
|
$554.40
|
|
|
Service Code
|
NDC 00904650061
|
| Hospital Charge Code |
10044
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$205.13 |
| Max. Negotiated Rate |
$498.96 |
| Rate for Payer: Aetna American Axle |
$360.36
|
| Rate for Payer: Aetna Commercial |
$471.24
|
| Rate for Payer: Aetna Medicare |
$277.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$360.36
|
| Rate for Payer: BCBS Complete |
$221.76
|
| Rate for Payer: Cash Price |
$443.52
|
| Rate for Payer: Cofinity Commercial |
$388.08
|
| Rate for Payer: Cofinity Commercial |
$476.78
|
| Rate for Payer: Cofinity Medicare Advantage |
$388.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$443.52
|
| Rate for Payer: Healthscope Commercial |
$498.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$388.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$415.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$471.24
|
| Rate for Payer: PHP Commercial |
$471.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$360.36
|
| Rate for Payer: Priority Health SBD |
$349.27
|
| Rate for Payer: UMR Bronson Commercial |
$205.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$415.80
|
|
|
FLUCONAZOLE 150 MG TABLET
|
Facility
|
IP
|
$9.38
|
|
|
Service Code
|
NDC 68462011940
|
| Hospital Charge Code |
13577
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$4.13 |
| Max. Negotiated Rate |
$8.44 |
| Rate for Payer: Aetna American Axle |
$6.10
|
| Rate for Payer: Aetna Commercial |
$7.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.10
|
| Rate for Payer: Cash Price |
$7.50
|
| Rate for Payer: Cofinity Commercial |
$6.57
|
| Rate for Payer: Cofinity Commercial |
$8.07
|
| Rate for Payer: Cofinity Medicare Advantage |
$6.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.50
|
| Rate for Payer: Healthscope Commercial |
$8.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.97
|
| Rate for Payer: PHP Commercial |
$7.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.10
|
| Rate for Payer: Priority Health SBD |
$5.91
|
| Rate for Payer: UMR Bronson Commercial |
$4.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.04
|
|
|
FLUCONAZOLE 150 MG TABLET
|
Facility
|
IP
|
$60.20
|
|
|
Service Code
|
NDC 57237000511
|
| Hospital Charge Code |
13577
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$26.49 |
| Max. Negotiated Rate |
$54.18 |
| Rate for Payer: Aetna American Axle |
$39.13
|
| Rate for Payer: Aetna Commercial |
$51.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.13
|
| Rate for Payer: Cash Price |
$48.16
|
| Rate for Payer: Cofinity Commercial |
$42.14
|
| Rate for Payer: Cofinity Commercial |
$51.77
|
| Rate for Payer: Cofinity Medicare Advantage |
$42.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.16
|
| Rate for Payer: Healthscope Commercial |
$54.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$42.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.17
|
| Rate for Payer: PHP Commercial |
$51.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.13
|
| Rate for Payer: Priority Health SBD |
$37.93
|
| Rate for Payer: UMR Bronson Commercial |
$26.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.15
|
|
|
FLUCONAZOLE 150 MG TABLET
|
Facility
|
IP
|
$112.56
|
|
|
Service Code
|
NDC 68462011944
|
| Hospital Charge Code |
13577
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$49.53 |
| Max. Negotiated Rate |
$101.30 |
| Rate for Payer: Aetna American Axle |
$73.16
|
| Rate for Payer: Aetna Commercial |
$95.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.16
|
| Rate for Payer: Cash Price |
$90.05
|
| Rate for Payer: Cofinity Commercial |
$78.79
|
| Rate for Payer: Cofinity Commercial |
$96.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$78.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$90.05
|
| Rate for Payer: Healthscope Commercial |
$101.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$78.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$84.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$95.68
|
| Rate for Payer: PHP Commercial |
$95.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$73.16
|
| Rate for Payer: Priority Health SBD |
$70.91
|
| Rate for Payer: UMR Bronson Commercial |
$49.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$84.42
|
|
|
FLUCONAZOLE 150 MG TABLET
|
Facility
|
OP
|
$60.20
|
|
|
Service Code
|
NDC 57237000511
|
| Hospital Charge Code |
13577
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$22.27 |
| Max. Negotiated Rate |
$54.18 |
| Rate for Payer: Aetna American Axle |
$39.13
|
| Rate for Payer: Aetna Commercial |
$51.17
|
| Rate for Payer: Aetna Medicare |
$30.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.13
|
| Rate for Payer: BCBS Complete |
$24.08
|
| Rate for Payer: Cash Price |
$48.16
|
| Rate for Payer: Cofinity Commercial |
$42.14
|
| Rate for Payer: Cofinity Commercial |
$51.77
|
| Rate for Payer: Cofinity Medicare Advantage |
$42.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.16
|
| Rate for Payer: Healthscope Commercial |
$54.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$42.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.17
|
| Rate for Payer: PHP Commercial |
$51.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.13
|
| Rate for Payer: Priority Health SBD |
$37.93
|
| Rate for Payer: UMR Bronson Commercial |
$22.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.15
|
|
|
FLUCONAZOLE 150 MG TABLET
|
Facility
|
OP
|
$9.38
|
|
|
Service Code
|
NDC 68462011940
|
| Hospital Charge Code |
13577
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$3.47 |
| Max. Negotiated Rate |
$8.44 |
| Rate for Payer: Aetna American Axle |
$6.10
|
| Rate for Payer: Aetna Commercial |
$7.97
|
| Rate for Payer: Aetna Medicare |
$4.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.10
|
| Rate for Payer: BCBS Complete |
$3.75
|
| Rate for Payer: Cash Price |
$7.50
|
| Rate for Payer: Cofinity Commercial |
$6.57
|
| Rate for Payer: Cofinity Commercial |
$8.07
|
| Rate for Payer: Cofinity Medicare Advantage |
$6.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.50
|
| Rate for Payer: Healthscope Commercial |
$8.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.97
|
| Rate for Payer: PHP Commercial |
$7.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.10
|
| Rate for Payer: Priority Health SBD |
$5.91
|
| Rate for Payer: UMR Bronson Commercial |
$3.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.04
|
|
|
FLUCONAZOLE 150 MG TABLET
|
Facility
|
OP
|
$112.56
|
|
|
Service Code
|
NDC 68462011944
|
| Hospital Charge Code |
13577
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$41.65 |
| Max. Negotiated Rate |
$101.30 |
| Rate for Payer: Aetna American Axle |
$73.16
|
| Rate for Payer: Aetna Commercial |
$95.68
|
| Rate for Payer: Aetna Medicare |
$56.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.16
|
| Rate for Payer: BCBS Complete |
$45.02
|
| Rate for Payer: Cash Price |
$90.05
|
| Rate for Payer: Cofinity Commercial |
$78.79
|
| Rate for Payer: Cofinity Commercial |
$96.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$78.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$90.05
|
| Rate for Payer: Healthscope Commercial |
$101.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$78.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$84.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$95.68
|
| Rate for Payer: PHP Commercial |
$95.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$73.16
|
| Rate for Payer: Priority Health SBD |
$70.91
|
| Rate for Payer: UMR Bronson Commercial |
$41.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$84.42
|
|
|
FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK
|
Facility
|
IP
|
$59.02
|
|
|
Service Code
|
HCPCS J1450
|
| Hospital Charge Code |
10049
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$25.97 |
| Max. Negotiated Rate |
$53.12 |
| Rate for Payer: Aetna American Axle |
$38.36
|
| Rate for Payer: Aetna American Axle |
$58.06
|
| Rate for Payer: Aetna Commercial |
$50.17
|
| Rate for Payer: Aetna Commercial |
$75.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.06
|
| Rate for Payer: Cash Price |
$47.22
|
| Rate for Payer: Cash Price |
$71.46
|
| Rate for Payer: Cofinity Commercial |
$76.82
|
| Rate for Payer: Cofinity Commercial |
$62.52
|
| Rate for Payer: Cofinity Commercial |
$41.31
|
| Rate for Payer: Cofinity Commercial |
$50.76
|
| Rate for Payer: Cofinity Medicare Advantage |
$41.31
|
| Rate for Payer: Cofinity Medicare Advantage |
$62.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$71.46
|
| Rate for Payer: Healthscope Commercial |
$53.12
|
| Rate for Payer: Healthscope Commercial |
$80.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$41.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$62.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$66.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.17
|
| Rate for Payer: PHP Commercial |
$75.92
|
| Rate for Payer: PHP Commercial |
$50.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$38.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$58.06
|
| Rate for Payer: Priority Health SBD |
$37.18
|
| Rate for Payer: Priority Health SBD |
$56.27
|
| Rate for Payer: UMR Bronson Commercial |
$25.97
|
| Rate for Payer: UMR Bronson Commercial |
$39.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$66.99
|
|
|
FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK
|
Facility
|
OP
|
$59.02
|
|
|
Service Code
|
HCPCS J1450
|
| Hospital Charge Code |
10049
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.04 |
| Max. Negotiated Rate |
$53.12 |
| Rate for Payer: Aetna American Axle |
$38.36
|
| Rate for Payer: Aetna American Axle |
$58.06
|
| Rate for Payer: Aetna Commercial |
$75.92
|
| Rate for Payer: Aetna Commercial |
$50.17
|
| Rate for Payer: Aetna Medicare |
$29.51
|
| Rate for Payer: Aetna Medicare |
$44.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.06
|
| Rate for Payer: BCBS Complete |
$35.73
|
| Rate for Payer: BCBS Complete |
$23.61
|
| Rate for Payer: BCBS Trust/PPO |
$7.04
|
| Rate for Payer: BCBS Trust/PPO |
$7.04
|
| Rate for Payer: BCN Commercial |
$7.04
|
| Rate for Payer: BCN Commercial |
$7.04
|
| Rate for Payer: Cash Price |
$71.46
|
| Rate for Payer: Cash Price |
$71.46
|
| Rate for Payer: Cash Price |
$47.22
|
| Rate for Payer: Cash Price |
$47.22
|
| Rate for Payer: Cofinity Commercial |
$76.82
|
| Rate for Payer: Cofinity Commercial |
$41.31
|
| Rate for Payer: Cofinity Commercial |
$62.52
|
| Rate for Payer: Cofinity Commercial |
$50.76
|
| Rate for Payer: Cofinity Medicare Advantage |
$41.31
|
| Rate for Payer: Cofinity Medicare Advantage |
$62.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$71.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.22
|
| Rate for Payer: Healthscope Commercial |
$80.39
|
| Rate for Payer: Healthscope Commercial |
$53.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$62.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$41.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$66.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75.92
|
| Rate for Payer: PHP Commercial |
$50.17
|
| Rate for Payer: PHP Commercial |
$75.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$38.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$58.06
|
| Rate for Payer: Priority Health SBD |
$56.27
|
| Rate for Payer: Priority Health SBD |
$37.18
|
| Rate for Payer: UMR Bronson Commercial |
$21.84
|
| Rate for Payer: UMR Bronson Commercial |
$33.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$66.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44.26
|
|
|
FLUCONAZOLE 200 MG TABLET
|
Facility
|
OP
|
$8.14
|
|
|
Service Code
|
NDC 68084073511
|
| Hospital Charge Code |
10045
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$3.01 |
| Max. Negotiated Rate |
$7.33 |
| Rate for Payer: Aetna American Axle |
$5.29
|
| Rate for Payer: Aetna Commercial |
$6.92
|
| Rate for Payer: Aetna Medicare |
$4.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.29
|
| Rate for Payer: BCBS Complete |
$3.26
|
| Rate for Payer: Cash Price |
$6.51
|
| Rate for Payer: Cofinity Commercial |
$5.70
|
| Rate for Payer: Cofinity Commercial |
$7.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$5.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.51
|
| Rate for Payer: Healthscope Commercial |
$7.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.92
|
| Rate for Payer: PHP Commercial |
$6.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.29
|
| Rate for Payer: Priority Health SBD |
$5.13
|
| Rate for Payer: UMR Bronson Commercial |
$3.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.10
|
|
|
FLUCONAZOLE 200 MG TABLET
|
Facility
|
OP
|
$813.12
|
|
|
Service Code
|
NDC 68084073501
|
| Hospital Charge Code |
10045
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$300.85 |
| Max. Negotiated Rate |
$731.81 |
| Rate for Payer: Aetna American Axle |
$528.53
|
| Rate for Payer: Aetna Commercial |
$691.15
|
| Rate for Payer: Aetna Medicare |
$406.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$528.53
|
| Rate for Payer: BCBS Complete |
$325.25
|
| Rate for Payer: Cash Price |
$650.50
|
| Rate for Payer: Cofinity Commercial |
$569.18
|
| Rate for Payer: Cofinity Commercial |
$699.28
|
| Rate for Payer: Cofinity Medicare Advantage |
$569.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$650.50
|
| Rate for Payer: Healthscope Commercial |
$731.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$569.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$609.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$691.15
|
| Rate for Payer: PHP Commercial |
$691.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$528.53
|
| Rate for Payer: Priority Health SBD |
$512.27
|
| Rate for Payer: UMR Bronson Commercial |
$300.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$609.84
|
|
|
FLUCONAZOLE 200 MG TABLET
|
Facility
|
OP
|
$665.28
|
|
|
Service Code
|
NDC 00904650161
|
| Hospital Charge Code |
10045
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$246.15 |
| Max. Negotiated Rate |
$598.75 |
| Rate for Payer: Aetna American Axle |
$432.43
|
| Rate for Payer: Aetna Commercial |
$565.49
|
| Rate for Payer: Aetna Medicare |
$332.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$432.43
|
| Rate for Payer: BCBS Complete |
$266.11
|
| Rate for Payer: Cash Price |
$532.22
|
| Rate for Payer: Cofinity Commercial |
$465.70
|
| Rate for Payer: Cofinity Commercial |
$572.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$465.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$532.22
|
| Rate for Payer: Healthscope Commercial |
$598.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$465.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$498.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$565.49
|
| Rate for Payer: PHP Commercial |
$565.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$432.43
|
| Rate for Payer: Priority Health SBD |
$419.13
|
| Rate for Payer: UMR Bronson Commercial |
$246.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$498.96
|
|
|
FLUCONAZOLE 200 MG TABLET
|
Facility
|
IP
|
$813.12
|
|
|
Service Code
|
NDC 68084073501
|
| Hospital Charge Code |
10045
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$357.77 |
| Max. Negotiated Rate |
$731.81 |
| Rate for Payer: Aetna American Axle |
$528.53
|
| Rate for Payer: Aetna Commercial |
$691.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$528.53
|
| Rate for Payer: Cash Price |
$650.50
|
| Rate for Payer: Cofinity Commercial |
$569.18
|
| Rate for Payer: Cofinity Commercial |
$699.28
|
| Rate for Payer: Cofinity Medicare Advantage |
$569.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$650.50
|
| Rate for Payer: Healthscope Commercial |
$731.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$569.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$609.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$691.15
|
| Rate for Payer: PHP Commercial |
$691.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$528.53
|
| Rate for Payer: Priority Health SBD |
$512.27
|
| Rate for Payer: UMR Bronson Commercial |
$357.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$609.84
|
|
|
FLUCONAZOLE 200 MG TABLET
|
Facility
|
IP
|
$8.14
|
|
|
Service Code
|
NDC 68084073511
|
| Hospital Charge Code |
10045
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$3.58 |
| Max. Negotiated Rate |
$7.33 |
| Rate for Payer: Aetna American Axle |
$5.29
|
| Rate for Payer: Aetna Commercial |
$6.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.29
|
| Rate for Payer: Cash Price |
$6.51
|
| Rate for Payer: Cofinity Commercial |
$5.70
|
| Rate for Payer: Cofinity Commercial |
$7.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$5.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.51
|
| Rate for Payer: Healthscope Commercial |
$7.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.92
|
| Rate for Payer: PHP Commercial |
$6.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.29
|
| Rate for Payer: Priority Health SBD |
$5.13
|
| Rate for Payer: UMR Bronson Commercial |
$3.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.10
|
|
|
FLUCONAZOLE 200 MG TABLET
|
Facility
|
IP
|
$665.28
|
|
|
Service Code
|
NDC 00904650161
|
| Hospital Charge Code |
10045
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$292.72 |
| Max. Negotiated Rate |
$598.75 |
| Rate for Payer: Aetna American Axle |
$432.43
|
| Rate for Payer: Aetna Commercial |
$565.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$432.43
|
| Rate for Payer: Cash Price |
$532.22
|
| Rate for Payer: Cofinity Commercial |
$465.70
|
| Rate for Payer: Cofinity Commercial |
$572.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$465.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$532.22
|
| Rate for Payer: Healthscope Commercial |
$598.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$465.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$498.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$565.49
|
| Rate for Payer: PHP Commercial |
$565.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$432.43
|
| Rate for Payer: Priority Health SBD |
$419.13
|
| Rate for Payer: UMR Bronson Commercial |
$292.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$498.96
|
|
|
FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK
|
Facility
|
OP
|
$89.50
|
|
|
Service Code
|
HCPCS J1450
|
| Hospital Charge Code |
10050
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.04 |
| Max. Negotiated Rate |
$80.55 |
| Rate for Payer: Aetna American Axle |
$58.18
|
| Rate for Payer: Aetna American Axle |
$41.47
|
| Rate for Payer: Aetna American Axle |
$66.35
|
| Rate for Payer: Aetna Commercial |
$76.08
|
| Rate for Payer: Aetna Commercial |
$86.77
|
| Rate for Payer: Aetna Commercial |
$54.23
|
| Rate for Payer: Aetna Medicare |
$31.90
|
| Rate for Payer: Aetna Medicare |
$51.04
|
| Rate for Payer: Aetna Medicare |
$44.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$66.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.47
|
| Rate for Payer: BCBS Complete |
$25.52
|
| Rate for Payer: BCBS Complete |
$35.80
|
| Rate for Payer: BCBS Complete |
$40.83
|
| Rate for Payer: BCBS Trust/PPO |
$7.04
|
| Rate for Payer: BCBS Trust/PPO |
$7.04
|
| Rate for Payer: BCBS Trust/PPO |
$7.04
|
| Rate for Payer: BCN Commercial |
$7.04
|
| Rate for Payer: BCN Commercial |
$7.04
|
| Rate for Payer: BCN Commercial |
$7.04
|
| Rate for Payer: Cash Price |
$51.04
|
| Rate for Payer: Cash Price |
$71.60
|
| Rate for Payer: Cash Price |
$81.66
|
| Rate for Payer: Cash Price |
$51.04
|
| Rate for Payer: Cash Price |
$81.66
|
| Rate for Payer: Cash Price |
$71.60
|
| Rate for Payer: Cofinity Commercial |
$54.87
|
| Rate for Payer: Cofinity Commercial |
$71.46
|
| Rate for Payer: Cofinity Commercial |
$87.79
|
| Rate for Payer: Cofinity Commercial |
$44.66
|
| Rate for Payer: Cofinity Commercial |
$62.65
|
| Rate for Payer: Cofinity Commercial |
$76.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$62.65
|
| Rate for Payer: Cofinity Medicare Advantage |
$71.46
|
| Rate for Payer: Cofinity Medicare Advantage |
$44.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$81.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$71.60
|
| Rate for Payer: Healthscope Commercial |
$80.55
|
| Rate for Payer: Healthscope Commercial |
$57.42
|
| Rate for Payer: Healthscope Commercial |
$91.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$71.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$44.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$62.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$76.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$67.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$86.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$76.08
|
| Rate for Payer: PHP Commercial |
$76.08
|
| Rate for Payer: PHP Commercial |
$86.77
|
| Rate for Payer: PHP Commercial |
$54.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$58.18
|
| Rate for Payer: Priority Health SBD |
$40.19
|
| Rate for Payer: Priority Health SBD |
$56.38
|
| Rate for Payer: Priority Health SBD |
$64.31
|
| Rate for Payer: UMR Bronson Commercial |
$33.12
|
| Rate for Payer: UMR Bronson Commercial |
$37.77
|
| Rate for Payer: UMR Bronson Commercial |
$23.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$76.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$67.12
|
|
|
FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK
|
Facility
|
IP
|
$102.08
|
|
|
Service Code
|
HCPCS J1450
|
| Hospital Charge Code |
10050
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$44.92 |
| Max. Negotiated Rate |
$91.87 |
| Rate for Payer: Aetna American Axle |
$66.35
|
| Rate for Payer: Aetna American Axle |
$41.47
|
| Rate for Payer: Aetna American Axle |
$58.18
|
| Rate for Payer: Aetna Commercial |
$54.23
|
| Rate for Payer: Aetna Commercial |
$86.77
|
| Rate for Payer: Aetna Commercial |
$76.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$66.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.47
|
| Rate for Payer: Cash Price |
$71.60
|
| Rate for Payer: Cash Price |
$51.04
|
| Rate for Payer: Cash Price |
$81.66
|
| Rate for Payer: Cofinity Commercial |
$87.79
|
| Rate for Payer: Cofinity Commercial |
$54.87
|
| Rate for Payer: Cofinity Commercial |
$44.66
|
| Rate for Payer: Cofinity Commercial |
$76.97
|
| Rate for Payer: Cofinity Commercial |
$62.65
|
| Rate for Payer: Cofinity Commercial |
$71.46
|
| Rate for Payer: Cofinity Medicare Advantage |
$44.66
|
| Rate for Payer: Cofinity Medicare Advantage |
$71.46
|
| Rate for Payer: Cofinity Medicare Advantage |
$62.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$71.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$81.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.04
|
| Rate for Payer: Healthscope Commercial |
$57.42
|
| Rate for Payer: Healthscope Commercial |
$91.87
|
| Rate for Payer: Healthscope Commercial |
$80.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$71.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$44.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$62.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$76.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$67.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$86.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$76.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.23
|
| Rate for Payer: PHP Commercial |
$76.08
|
| Rate for Payer: PHP Commercial |
$54.23
|
| Rate for Payer: PHP Commercial |
$86.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$58.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.35
|
| Rate for Payer: Priority Health SBD |
$56.38
|
| Rate for Payer: Priority Health SBD |
$40.19
|
| Rate for Payer: Priority Health SBD |
$64.31
|
| Rate for Payer: UMR Bronson Commercial |
$44.92
|
| Rate for Payer: UMR Bronson Commercial |
$39.38
|
| Rate for Payer: UMR Bronson Commercial |
$28.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$67.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$76.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.85
|
|
|
FLUCONAZOLE 40 MG/ML ORAL SUSPENSION
|
Facility
|
OP
|
$262.76
|
|
|
Service Code
|
NDC 59762503001
|
| Hospital Charge Code |
14233
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$97.22 |
| Max. Negotiated Rate |
$236.48 |
| Rate for Payer: Aetna American Axle |
$170.79
|
| Rate for Payer: Aetna Commercial |
$223.35
|
| Rate for Payer: Aetna Medicare |
$131.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$170.79
|
| Rate for Payer: BCBS Complete |
$105.10
|
| Rate for Payer: Cash Price |
$210.21
|
| Rate for Payer: Cofinity Commercial |
$183.93
|
| Rate for Payer: Cofinity Commercial |
$225.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$183.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$210.21
|
| Rate for Payer: Healthscope Commercial |
$236.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$183.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$197.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$223.35
|
| Rate for Payer: PHP Commercial |
$223.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$170.79
|
| Rate for Payer: Priority Health SBD |
$165.54
|
| Rate for Payer: UMR Bronson Commercial |
$97.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$197.07
|
|
|
FLUCONAZOLE 40 MG/ML ORAL SUSPENSION
|
Facility
|
OP
|
$86.86
|
|
|
Service Code
|
NDC 57237015035
|
| Hospital Charge Code |
14233
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$32.14 |
| Max. Negotiated Rate |
$78.17 |
| Rate for Payer: Aetna American Axle |
$56.46
|
| Rate for Payer: Aetna Commercial |
$73.83
|
| Rate for Payer: Aetna Medicare |
$43.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.46
|
| Rate for Payer: BCBS Complete |
$34.74
|
| Rate for Payer: Cash Price |
$69.49
|
| Rate for Payer: Cofinity Commercial |
$60.80
|
| Rate for Payer: Cofinity Commercial |
$74.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$60.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.49
|
| Rate for Payer: Healthscope Commercial |
$78.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$60.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$65.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73.83
|
| Rate for Payer: PHP Commercial |
$73.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.46
|
| Rate for Payer: Priority Health SBD |
$54.72
|
| Rate for Payer: UMR Bronson Commercial |
$32.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$65.14
|
|
|
FLUCONAZOLE 40 MG/ML ORAL SUSPENSION
|
Facility
|
IP
|
$86.86
|
|
|
Service Code
|
NDC 57237015035
|
| Hospital Charge Code |
14233
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$38.22 |
| Max. Negotiated Rate |
$78.17 |
| Rate for Payer: Aetna American Axle |
$56.46
|
| Rate for Payer: Aetna Commercial |
$73.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.46
|
| Rate for Payer: Cash Price |
$69.49
|
| Rate for Payer: Cofinity Commercial |
$60.80
|
| Rate for Payer: Cofinity Commercial |
$74.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$60.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.49
|
| Rate for Payer: Healthscope Commercial |
$78.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$60.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$65.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73.83
|
| Rate for Payer: PHP Commercial |
$73.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.46
|
| Rate for Payer: Priority Health SBD |
$54.72
|
| Rate for Payer: UMR Bronson Commercial |
$38.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$65.14
|
|
|
FLUCONAZOLE 40 MG/ML ORAL SUSPENSION
|
Facility
|
IP
|
$262.76
|
|
|
Service Code
|
NDC 59762503001
|
| Hospital Charge Code |
14233
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$115.61 |
| Max. Negotiated Rate |
$236.48 |
| Rate for Payer: Aetna American Axle |
$170.79
|
| Rate for Payer: Aetna Commercial |
$223.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$170.79
|
| Rate for Payer: Cash Price |
$210.21
|
| Rate for Payer: Cofinity Commercial |
$183.93
|
| Rate for Payer: Cofinity Commercial |
$225.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$183.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$210.21
|
| Rate for Payer: Healthscope Commercial |
$236.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$183.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$197.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$223.35
|
| Rate for Payer: PHP Commercial |
$223.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$170.79
|
| Rate for Payer: Priority Health SBD |
$165.54
|
| Rate for Payer: UMR Bronson Commercial |
$115.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$197.07
|
|
|
FLUCYTOSINE 500 MG CAPSULE
|
Facility
|
IP
|
$6,882.00
|
|
|
Service Code
|
NDC 59651033201
|
| Hospital Charge Code |
10052
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$3,028.08 |
| Max. Negotiated Rate |
$6,193.80 |
| Rate for Payer: Aetna American Axle |
$4,473.30
|
| Rate for Payer: Aetna Commercial |
$5,849.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,473.30
|
| Rate for Payer: Cash Price |
$5,505.60
|
| Rate for Payer: Cofinity Commercial |
$4,817.40
|
| Rate for Payer: Cofinity Commercial |
$5,918.52
|
| Rate for Payer: Cofinity Medicare Advantage |
$4,817.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,505.60
|
| Rate for Payer: Healthscope Commercial |
$6,193.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,817.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,161.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,849.70
|
| Rate for Payer: PHP Commercial |
$5,849.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,473.30
|
| Rate for Payer: Priority Health SBD |
$4,335.66
|
| Rate for Payer: UMR Bronson Commercial |
$3,028.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,161.50
|
|
|
FLUCYTOSINE 500 MG CAPSULE
|
Facility
|
OP
|
$6,882.00
|
|
|
Service Code
|
NDC 59651033201
|
| Hospital Charge Code |
10052
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2,546.34 |
| Max. Negotiated Rate |
$6,193.80 |
| Rate for Payer: Aetna American Axle |
$4,473.30
|
| Rate for Payer: Aetna Commercial |
$5,849.70
|
| Rate for Payer: Aetna Medicare |
$3,441.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,473.30
|
| Rate for Payer: BCBS Complete |
$2,752.80
|
| Rate for Payer: Cash Price |
$5,505.60
|
| Rate for Payer: Cofinity Commercial |
$4,817.40
|
| Rate for Payer: Cofinity Commercial |
$5,918.52
|
| Rate for Payer: Cofinity Medicare Advantage |
$4,817.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,505.60
|
| Rate for Payer: Healthscope Commercial |
$6,193.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,817.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,161.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,849.70
|
| Rate for Payer: PHP Commercial |
$5,849.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,473.30
|
| Rate for Payer: Priority Health SBD |
$4,335.66
|
| Rate for Payer: UMR Bronson Commercial |
$2,546.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,161.50
|
|
|
FLUCYTOSINE 500 MG CAPSULE
|
Facility
|
IP
|
$6,882.00
|
|
|
Service Code
|
NDC 43386077001
|
| Hospital Charge Code |
10052
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$3,028.08 |
| Max. Negotiated Rate |
$6,193.80 |
| Rate for Payer: Aetna American Axle |
$4,473.30
|
| Rate for Payer: Aetna Commercial |
$5,849.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,473.30
|
| Rate for Payer: Cash Price |
$5,505.60
|
| Rate for Payer: Cofinity Commercial |
$4,817.40
|
| Rate for Payer: Cofinity Commercial |
$5,918.52
|
| Rate for Payer: Cofinity Medicare Advantage |
$4,817.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,505.60
|
| Rate for Payer: Healthscope Commercial |
$6,193.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4,817.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,161.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,849.70
|
| Rate for Payer: PHP Commercial |
$5,849.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,473.30
|
| Rate for Payer: Priority Health SBD |
$4,335.66
|
| Rate for Payer: UMR Bronson Commercial |
$3,028.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,161.50
|
|
|
FLUCYTOSINE 500 MG CAPSULE
|
Facility
|
OP
|
$51,605.75
|
|
|
Service Code
|
NDC 00187355510
|
| Hospital Charge Code |
10052
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$19,094.13 |
| Max. Negotiated Rate |
$46,445.18 |
| Rate for Payer: Aetna American Axle |
$33,543.74
|
| Rate for Payer: Aetna Commercial |
$43,864.89
|
| Rate for Payer: Aetna Medicare |
$25,802.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33,543.74
|
| Rate for Payer: BCBS Complete |
$20,642.30
|
| Rate for Payer: Cash Price |
$41,284.60
|
| Rate for Payer: Cofinity Commercial |
$36,124.02
|
| Rate for Payer: Cofinity Commercial |
$44,380.94
|
| Rate for Payer: Cofinity Medicare Advantage |
$36,124.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41,284.60
|
| Rate for Payer: Healthscope Commercial |
$46,445.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$36,124.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$38,704.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43,864.89
|
| Rate for Payer: PHP Commercial |
$43,864.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33,543.74
|
| Rate for Payer: Priority Health SBD |
$32,511.62
|
| Rate for Payer: UMR Bronson Commercial |
$19,094.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$38,704.31
|
|
