|
FRAXEL PARTIAL TREATMENT - UPPER LIP
|
Professional
|
Both
|
$255.00
|
|
|
Service Code
|
HCPCS 00158
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$102.00 |
| Max. Negotiated Rate |
$165.75 |
| Rate for Payer: Aetna Medicare |
$127.50
|
| Rate for Payer: BCBS Complete |
$102.00
|
| Rate for Payer: Cash Price |
$204.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$165.75
|
| Rate for Payer: UMR Bronson Commercial |
$117.30
|
|
|
FRAXEL RESTORE
|
Professional
|
Both
|
$255.00
|
|
|
Service Code
|
HCPCS 00168
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$102.00 |
| Max. Negotiated Rate |
$165.75 |
| Rate for Payer: Aetna Medicare |
$127.50
|
| Rate for Payer: BCBS Complete |
$102.00
|
| Rate for Payer: Cash Price |
$204.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$165.75
|
| Rate for Payer: UMR Bronson Commercial |
$117.30
|
|
|
FRAXEL SMALL SCAR
|
Professional
|
Both
|
$128.00
|
|
|
Service Code
|
HCPCS 00159
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$51.20 |
| Max. Negotiated Rate |
$83.20 |
| Rate for Payer: Aetna Medicare |
$64.00
|
| Rate for Payer: BCBS Complete |
$51.20
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$83.20
|
| Rate for Payer: UMR Bronson Commercial |
$58.88
|
|
|
FRAXEL STRETCH MARKS - ENTIRE ABDOMEN
|
Professional
|
Both
|
$816.00
|
|
|
Service Code
|
HCPCS 00165
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$326.40 |
| Max. Negotiated Rate |
$530.40 |
| Rate for Payer: Aetna Medicare |
$408.00
|
| Rate for Payer: BCBS Complete |
$326.40
|
| Rate for Payer: Cash Price |
$652.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$530.40
|
| Rate for Payer: UMR Bronson Commercial |
$375.36
|
|
|
FRAXEL STRETCH MARKS - PERI-UMBILICAL
|
Professional
|
Both
|
$612.00
|
|
|
Service Code
|
HCPCS 00164
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$244.80 |
| Max. Negotiated Rate |
$397.80 |
| Rate for Payer: Aetna Medicare |
$306.00
|
| Rate for Payer: BCBS Complete |
$244.80
|
| Rate for Payer: Cash Price |
$489.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$397.80
|
| Rate for Payer: UMR Bronson Commercial |
$281.52
|
|
|
FRENULOTOMY OF PENIS
|
Facility
|
OP
|
$6,308.24
|
|
|
Service Code
|
CPT 54164
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$186.32 |
| Max. Negotiated Rate |
$6,308.24 |
| Rate for Payer: Aetna Medicare |
$2,087.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,508.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,508.86
|
| Rate for Payer: BCBS Complete |
$1,129.59
|
| Rate for Payer: BCBS MAPPO |
$2,007.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,491.19
|
| Rate for Payer: BCN Commercial |
$1,491.19
|
| Rate for Payer: BCN Medicare Advantage |
$2,007.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,007.09
|
| Rate for Payer: Mclaren Medicaid |
$1,075.80
|
| Rate for Payer: Mclaren Medicare |
$2,007.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,107.44
|
| Rate for Payer: Meridian Medicaid |
$1,129.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,308.15
|
| Rate for Payer: Nomi Health Commercial |
$4,214.89
|
| Rate for Payer: PACE Medicare |
$1,906.74
|
| Rate for Payer: PACE SWMI |
$2,007.09
|
| Rate for Payer: PHP Medicare Advantage |
$2,007.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,075.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,308.24
|
| Rate for Payer: Priority Health Medicare |
$2,007.09
|
| Rate for Payer: Priority Health Narrow Network |
$5,046.59
|
| Rate for Payer: Railroad Medicare Medicare |
$2,007.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$204.95
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,007.09
|
| Rate for Payer: UHC Exchange |
$186.32
|
| Rate for Payer: UHC Medicare Advantage |
$2,007.09
|
| Rate for Payer: UHCCP Medicaid |
$1,075.80
|
| Rate for Payer: VA VA |
$2,007.09
|
|
|
FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS, AND/OR FEET; 20 SQ CM OR LESS
|
Facility
|
OP
|
$5,632.99
|
|
|
Service Code
|
CPT 15240
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$756.22 |
| Max. Negotiated Rate |
$5,632.99 |
| Rate for Payer: Aetna Medicare |
$1,863.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,240.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,240.30
|
| Rate for Payer: BCBS Complete |
$1,008.67
|
| Rate for Payer: BCBS MAPPO |
$1,792.24
|
| Rate for Payer: BCBS Trust/PPO |
$2,982.44
|
| Rate for Payer: BCN Commercial |
$2,982.44
|
| Rate for Payer: BCN Medicare Advantage |
$1,792.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,792.24
|
| Rate for Payer: Mclaren Medicaid |
$960.64
|
| Rate for Payer: Mclaren Medicare |
$1,792.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,881.85
|
| Rate for Payer: Meridian Medicaid |
$1,008.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,061.08
|
| Rate for Payer: Nomi Health Commercial |
$3,763.70
|
| Rate for Payer: PACE Medicare |
$1,702.63
|
| Rate for Payer: PACE SWMI |
$1,792.24
|
| Rate for Payer: PHP Medicare Advantage |
$1,792.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$960.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,632.99
|
| Rate for Payer: Priority Health Medicare |
$1,792.24
|
| Rate for Payer: Priority Health Narrow Network |
$4,506.39
|
| Rate for Payer: Railroad Medicare Medicare |
$1,792.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$831.84
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,792.24
|
| Rate for Payer: UHC Exchange |
$756.22
|
| Rate for Payer: UHC Medicare Advantage |
$1,792.24
|
| Rate for Payer: UHCCP Medicaid |
$960.64
|
| Rate for Payer: VA VA |
$1,792.24
|
|
|
FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS, AND/OR FEET; EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
|
Facility
|
OP
|
$700.00
|
|
|
Service Code
|
CPT 15241
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$102.94 |
| Max. Negotiated Rate |
$700.00 |
| Rate for Payer: BCBS Trust/PPO |
$664.71
|
| Rate for Payer: BCN Commercial |
$664.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$113.23
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$102.94
|
|
|
FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, NOSE, EARS, EYELIDS, AND/OR LIPS; 20 SQ CM OR LESS
|
Facility
|
OP
|
$5,632.99
|
|
|
Service Code
|
CPT 15260
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$802.04 |
| Max. Negotiated Rate |
$5,632.99 |
| Rate for Payer: Aetna Medicare |
$1,863.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,240.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,240.30
|
| Rate for Payer: BCBS Complete |
$1,008.67
|
| Rate for Payer: BCBS MAPPO |
$1,792.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,428.57
|
| Rate for Payer: BCN Commercial |
$1,428.57
|
| Rate for Payer: BCN Medicare Advantage |
$1,792.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,792.24
|
| Rate for Payer: Mclaren Medicaid |
$960.64
|
| Rate for Payer: Mclaren Medicare |
$1,792.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,881.85
|
| Rate for Payer: Meridian Medicaid |
$1,008.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,061.08
|
| Rate for Payer: Nomi Health Commercial |
$3,763.70
|
| Rate for Payer: PACE Medicare |
$1,702.63
|
| Rate for Payer: PACE SWMI |
$1,792.24
|
| Rate for Payer: PHP Medicare Advantage |
$1,792.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$960.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,632.99
|
| Rate for Payer: Priority Health Medicare |
$1,792.24
|
| Rate for Payer: Priority Health Narrow Network |
$4,506.39
|
| Rate for Payer: Railroad Medicare Medicare |
$1,792.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$882.24
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,792.24
|
| Rate for Payer: UHC Exchange |
$802.04
|
| Rate for Payer: UHC Medicare Advantage |
$1,792.24
|
| Rate for Payer: UHCCP Medicaid |
$960.64
|
| Rate for Payer: VA VA |
$1,792.24
|
|
|
FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, NOSE, EARS, EYELIDS, AND/OR LIPS; EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
|
Facility
|
OP
|
$991.30
|
|
|
Service Code
|
CPT 15261
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$129.25 |
| Max. Negotiated Rate |
$991.30 |
| Rate for Payer: BCBS Trust/PPO |
$991.30
|
| Rate for Payer: BCN Commercial |
$991.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$142.18
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$129.25
|
|
|
FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, SCALP, ARMS, AND/OR LEGS; 20 SQ CM OR LESS
|
Facility
|
OP
|
$5,632.99
|
|
|
Service Code
|
CPT 15220
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$580.87 |
| Max. Negotiated Rate |
$5,632.99 |
| Rate for Payer: Aetna Medicare |
$1,863.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,240.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,240.30
|
| Rate for Payer: BCBS Complete |
$1,008.67
|
| Rate for Payer: BCBS MAPPO |
$1,792.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,428.57
|
| Rate for Payer: BCN Commercial |
$1,428.57
|
| Rate for Payer: BCN Medicare Advantage |
$1,792.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,792.24
|
| Rate for Payer: Mclaren Medicaid |
$960.64
|
| Rate for Payer: Mclaren Medicare |
$1,792.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,881.85
|
| Rate for Payer: Meridian Medicaid |
$1,008.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,061.08
|
| Rate for Payer: Nomi Health Commercial |
$3,763.70
|
| Rate for Payer: PACE Medicare |
$1,702.63
|
| Rate for Payer: PACE SWMI |
$1,792.24
|
| Rate for Payer: PHP Medicare Advantage |
$1,792.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$960.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,632.99
|
| Rate for Payer: Priority Health Medicare |
$1,792.24
|
| Rate for Payer: Priority Health Narrow Network |
$4,506.39
|
| Rate for Payer: Railroad Medicare Medicare |
$1,792.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$638.96
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,792.24
|
| Rate for Payer: UHC Exchange |
$580.87
|
| Rate for Payer: UHC Medicare Advantage |
$1,792.24
|
| Rate for Payer: UHCCP Medicaid |
$960.64
|
| Rate for Payer: VA VA |
$1,792.24
|
|
|
FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE
|
Facility
|
IP
|
$4,244.33
|
|
|
Service Code
|
HCPCS J9395
|
| Hospital Charge Code |
32767
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1,867.51 |
| Max. Negotiated Rate |
$3,819.90 |
| Rate for Payer: Aetna American Axle |
$2,758.81
|
| Rate for Payer: Aetna Commercial |
$3,607.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,758.81
|
| Rate for Payer: Cash Price |
$3,395.46
|
| Rate for Payer: Cofinity Commercial |
$2,971.03
|
| Rate for Payer: Cofinity Commercial |
$3,650.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,971.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,395.46
|
| Rate for Payer: Healthscope Commercial |
$3,819.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,971.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,183.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,607.68
|
| Rate for Payer: PHP Commercial |
$3,607.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,758.81
|
| Rate for Payer: Priority Health SBD |
$2,673.93
|
| Rate for Payer: UMR Bronson Commercial |
$1,867.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,183.25
|
|
|
FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE
|
Facility
|
OP
|
$481.74
|
|
|
Service Code
|
HCPCS J9395
|
| Hospital Charge Code |
32767
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3.57 |
| Max. Negotiated Rate |
$433.57 |
| Rate for Payer: Aetna American Axle |
$313.13
|
| Rate for Payer: Aetna American Axle |
$242.29
|
| Rate for Payer: Aetna American Axle |
$331.19
|
| Rate for Payer: Aetna American Axle |
$274.23
|
| Rate for Payer: Aetna American Axle |
$2,758.81
|
| Rate for Payer: Aetna American Axle |
$517.23
|
| Rate for Payer: Aetna American Axle |
$526.85
|
| Rate for Payer: Aetna American Axle |
$517.41
|
| Rate for Payer: Aetna American Axle |
$225.86
|
| Rate for Payer: Aetna American Axle |
$275.73
|
| Rate for Payer: Aetna American Axle |
$330.56
|
| Rate for Payer: Aetna American Axle |
$468.57
|
| Rate for Payer: Aetna Commercial |
$688.96
|
| Rate for Payer: Aetna Commercial |
$433.10
|
| Rate for Payer: Aetna Commercial |
$360.57
|
| Rate for Payer: Aetna Commercial |
$3,607.68
|
| Rate for Payer: Aetna Commercial |
$676.61
|
| Rate for Payer: Aetna Commercial |
$358.61
|
| Rate for Payer: Aetna Commercial |
$432.28
|
| Rate for Payer: Aetna Commercial |
$409.48
|
| Rate for Payer: Aetna Commercial |
$316.84
|
| Rate for Payer: Aetna Commercial |
$676.38
|
| Rate for Payer: Aetna Commercial |
$295.36
|
| Rate for Payer: Aetna Commercial |
$612.74
|
| Rate for Payer: Aetna Medicare |
$6.93
|
| Rate for Payer: Aetna Medicare |
$6.93
|
| Rate for Payer: Aetna Medicare |
$6.93
|
| Rate for Payer: Aetna Medicare |
$6.93
|
| Rate for Payer: Aetna Medicare |
$6.93
|
| Rate for Payer: Aetna Medicare |
$6.93
|
| Rate for Payer: Aetna Medicare |
$6.93
|
| Rate for Payer: Aetna Medicare |
$6.93
|
| Rate for Payer: Aetna Medicare |
$6.93
|
| Rate for Payer: Aetna Medicare |
$6.93
|
| Rate for Payer: Aetna Medicare |
$6.93
|
| Rate for Payer: Aetna Medicare |
$6.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$330.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$313.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$468.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$275.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$526.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$517.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$242.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$274.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$225.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$331.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$517.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,758.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.32
|
| Rate for Payer: BCBS Complete |
$3.75
|
| Rate for Payer: BCBS Complete |
$3.75
|
| Rate for Payer: BCBS Complete |
$3.75
|
| Rate for Payer: BCBS Complete |
$3.75
|
| Rate for Payer: BCBS Complete |
$3.75
|
| Rate for Payer: BCBS Complete |
$3.75
|
| Rate for Payer: BCBS Complete |
$3.75
|
| Rate for Payer: BCBS Complete |
$3.75
|
| Rate for Payer: BCBS Complete |
$3.75
|
| Rate for Payer: BCBS Complete |
$3.75
|
| Rate for Payer: BCBS Complete |
$3.75
|
| Rate for Payer: BCBS Complete |
$3.75
|
| Rate for Payer: BCBS MAPPO |
$6.66
|
| Rate for Payer: BCBS MAPPO |
$6.66
|
| Rate for Payer: BCBS MAPPO |
$6.66
|
| Rate for Payer: BCBS MAPPO |
$6.66
|
| Rate for Payer: BCBS MAPPO |
$6.66
|
| Rate for Payer: BCBS MAPPO |
$6.66
|
| Rate for Payer: BCBS MAPPO |
$6.66
|
| Rate for Payer: BCBS MAPPO |
$6.66
|
| Rate for Payer: BCBS MAPPO |
$6.66
|
| Rate for Payer: BCBS MAPPO |
$6.66
|
| Rate for Payer: BCBS MAPPO |
$6.66
|
| Rate for Payer: BCBS MAPPO |
$6.66
|
| Rate for Payer: BCBS Trust/PPO |
$19.85
|
| Rate for Payer: BCBS Trust/PPO |
$19.85
|
| Rate for Payer: BCBS Trust/PPO |
$19.85
|
| Rate for Payer: BCBS Trust/PPO |
$19.85
|
| Rate for Payer: BCBS Trust/PPO |
$19.85
|
| Rate for Payer: BCBS Trust/PPO |
$19.85
|
| Rate for Payer: BCBS Trust/PPO |
$19.85
|
| Rate for Payer: BCBS Trust/PPO |
$19.85
|
| Rate for Payer: BCBS Trust/PPO |
$19.85
|
| Rate for Payer: BCBS Trust/PPO |
$19.85
|
| Rate for Payer: BCBS Trust/PPO |
$19.85
|
| Rate for Payer: BCBS Trust/PPO |
$19.85
|
| Rate for Payer: BCN Commercial |
$19.85
|
| Rate for Payer: BCN Commercial |
$19.85
|
| Rate for Payer: BCN Commercial |
$19.85
|
| Rate for Payer: BCN Commercial |
$19.85
|
| Rate for Payer: BCN Commercial |
$19.85
|
| Rate for Payer: BCN Commercial |
$19.85
|
| Rate for Payer: BCN Commercial |
$19.85
|
| Rate for Payer: BCN Commercial |
$19.85
|
| Rate for Payer: BCN Commercial |
$19.85
|
| Rate for Payer: BCN Commercial |
$19.85
|
| Rate for Payer: BCN Commercial |
$19.85
|
| Rate for Payer: BCN Commercial |
$19.85
|
| Rate for Payer: BCN Medicare Advantage |
$6.66
|
| Rate for Payer: BCN Medicare Advantage |
$6.66
|
| Rate for Payer: BCN Medicare Advantage |
$6.66
|
| Rate for Payer: BCN Medicare Advantage |
$6.66
|
| Rate for Payer: BCN Medicare Advantage |
$6.66
|
| Rate for Payer: BCN Medicare Advantage |
$6.66
|
| Rate for Payer: BCN Medicare Advantage |
$6.66
|
| Rate for Payer: BCN Medicare Advantage |
$6.66
|
| Rate for Payer: BCN Medicare Advantage |
$6.66
|
| Rate for Payer: BCN Medicare Advantage |
$6.66
|
| Rate for Payer: BCN Medicare Advantage |
$6.66
|
| Rate for Payer: BCN Medicare Advantage |
$6.66
|
| Rate for Payer: Cash Price |
$636.81
|
| Rate for Payer: Cash Price |
$636.81
|
| Rate for Payer: Cash Price |
$277.98
|
| Rate for Payer: Cash Price |
$576.70
|
| Rate for Payer: Cash Price |
$385.39
|
| Rate for Payer: Cash Price |
$277.98
|
| Rate for Payer: Cash Price |
$337.51
|
| Rate for Payer: Cash Price |
$3,395.46
|
| Rate for Payer: Cash Price |
$339.36
|
| Rate for Payer: Cash Price |
$385.39
|
| Rate for Payer: Cash Price |
$298.20
|
| Rate for Payer: Cash Price |
$636.59
|
| Rate for Payer: Cash Price |
$298.20
|
| Rate for Payer: Cash Price |
$648.43
|
| Rate for Payer: Cash Price |
$407.62
|
| Rate for Payer: Cash Price |
$406.85
|
| Rate for Payer: Cash Price |
$337.51
|
| Rate for Payer: Cash Price |
$636.59
|
| Rate for Payer: Cash Price |
$406.85
|
| Rate for Payer: Cash Price |
$339.36
|
| Rate for Payer: Cash Price |
$576.70
|
| Rate for Payer: Cash Price |
$3,395.46
|
| Rate for Payer: Cash Price |
$407.62
|
| Rate for Payer: Cash Price |
$648.43
|
| Rate for Payer: Cofinity Commercial |
$557.02
|
| Rate for Payer: Cofinity Commercial |
$684.34
|
| Rate for Payer: Cofinity Commercial |
$295.32
|
| Rate for Payer: Cofinity Commercial |
$362.83
|
| Rate for Payer: Cofinity Commercial |
$3,650.12
|
| Rate for Payer: Cofinity Commercial |
$2,971.03
|
| Rate for Payer: Cofinity Commercial |
$504.61
|
| Rate for Payer: Cofinity Commercial |
$320.56
|
| Rate for Payer: Cofinity Commercial |
$260.92
|
| Rate for Payer: Cofinity Commercial |
$567.38
|
| Rate for Payer: Cofinity Commercial |
$697.06
|
| Rate for Payer: Cofinity Commercial |
$437.36
|
| Rate for Payer: Cofinity Commercial |
$355.99
|
| Rate for Payer: Cofinity Commercial |
$684.57
|
| Rate for Payer: Cofinity Commercial |
$619.95
|
| Rate for Payer: Cofinity Commercial |
$337.22
|
| Rate for Payer: Cofinity Commercial |
$414.30
|
| Rate for Payer: Cofinity Commercial |
$557.21
|
| Rate for Payer: Cofinity Commercial |
$296.94
|
| Rate for Payer: Cofinity Commercial |
$364.81
|
| Rate for Payer: Cofinity Commercial |
$298.83
|
| Rate for Payer: Cofinity Commercial |
$243.24
|
| Rate for Payer: Cofinity Commercial |
$438.20
|
| Rate for Payer: Cofinity Commercial |
$356.67
|
| Rate for Payer: Cofinity Medicare Advantage |
$557.02
|
| Rate for Payer: Cofinity Medicare Advantage |
$337.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$243.24
|
| Rate for Payer: Cofinity Medicare Advantage |
$557.21
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,971.03
|
| Rate for Payer: Cofinity Medicare Advantage |
$260.92
|
| Rate for Payer: Cofinity Medicare Advantage |
$567.38
|
| Rate for Payer: Cofinity Medicare Advantage |
$295.32
|
| Rate for Payer: Cofinity Medicare Advantage |
$356.67
|
| Rate for Payer: Cofinity Medicare Advantage |
$296.94
|
| Rate for Payer: Cofinity Medicare Advantage |
$504.61
|
| Rate for Payer: Cofinity Medicare Advantage |
$355.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$576.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$648.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$298.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$407.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$337.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$385.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$406.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$636.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$277.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$339.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,395.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$636.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.66
|
| Rate for Payer: Healthscope Commercial |
$716.17
|
| Rate for Payer: Healthscope Commercial |
$381.78
|
| Rate for Payer: Healthscope Commercial |
$312.73
|
| Rate for Payer: Healthscope Commercial |
$457.70
|
| Rate for Payer: Healthscope Commercial |
$379.70
|
| Rate for Payer: Healthscope Commercial |
$648.78
|
| Rate for Payer: Healthscope Commercial |
$3,819.90
|
| Rate for Payer: Healthscope Commercial |
$458.58
|
| Rate for Payer: Healthscope Commercial |
$433.57
|
| Rate for Payer: Healthscope Commercial |
$716.41
|
| Rate for Payer: Healthscope Commercial |
$335.48
|
| Rate for Payer: Healthscope Commercial |
$729.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$337.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$243.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$260.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$296.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$567.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$557.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$295.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$356.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$557.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$504.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$355.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,971.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$260.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$361.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$318.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$382.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$381.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,183.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$279.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$597.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$316.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$540.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$596.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$607.90
|
| Rate for Payer: Mclaren Medicaid |
$3.57
|
| Rate for Payer: Mclaren Medicaid |
$3.57
|
| Rate for Payer: Mclaren Medicaid |
$3.57
|
| Rate for Payer: Mclaren Medicaid |
$3.57
|
| Rate for Payer: Mclaren Medicaid |
$3.57
|
| Rate for Payer: Mclaren Medicaid |
$3.57
|
| Rate for Payer: Mclaren Medicaid |
$3.57
|
| Rate for Payer: Mclaren Medicaid |
$3.57
|
| Rate for Payer: Mclaren Medicaid |
$3.57
|
| Rate for Payer: Mclaren Medicaid |
$3.57
|
| Rate for Payer: Mclaren Medicaid |
$3.57
|
| Rate for Payer: Mclaren Medicaid |
$3.57
|
| Rate for Payer: Mclaren Medicare |
$6.66
|
| Rate for Payer: Mclaren Medicare |
$6.66
|
| Rate for Payer: Mclaren Medicare |
$6.66
|
| Rate for Payer: Mclaren Medicare |
$6.66
|
| Rate for Payer: Mclaren Medicare |
$6.66
|
| Rate for Payer: Mclaren Medicare |
$6.66
|
| Rate for Payer: Mclaren Medicare |
$6.66
|
| Rate for Payer: Mclaren Medicare |
$6.66
|
| Rate for Payer: Mclaren Medicare |
$6.66
|
| Rate for Payer: Mclaren Medicare |
$6.66
|
| Rate for Payer: Mclaren Medicare |
$6.66
|
| Rate for Payer: Mclaren Medicare |
$6.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.99
|
| Rate for Payer: Meridian Medicaid |
$3.75
|
| Rate for Payer: Meridian Medicaid |
$3.75
|
| Rate for Payer: Meridian Medicaid |
$3.75
|
| Rate for Payer: Meridian Medicaid |
$3.75
|
| Rate for Payer: Meridian Medicaid |
$3.75
|
| Rate for Payer: Meridian Medicaid |
$3.75
|
| Rate for Payer: Meridian Medicaid |
$3.75
|
| Rate for Payer: Meridian Medicaid |
$3.75
|
| Rate for Payer: Meridian Medicaid |
$3.75
|
| Rate for Payer: Meridian Medicaid |
$3.75
|
| Rate for Payer: Meridian Medicaid |
$3.75
|
| Rate for Payer: Meridian Medicaid |
$3.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$688.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$358.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$676.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$433.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$409.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,607.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$676.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$360.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$316.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$612.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$432.28
|
| Rate for Payer: Nomi Health Commercial |
$19.98
|
| Rate for Payer: Nomi Health Commercial |
$19.98
|
| Rate for Payer: Nomi Health Commercial |
$19.98
|
| Rate for Payer: Nomi Health Commercial |
$19.98
|
| Rate for Payer: Nomi Health Commercial |
$19.98
|
| Rate for Payer: Nomi Health Commercial |
$19.98
|
| Rate for Payer: Nomi Health Commercial |
$19.98
|
| Rate for Payer: Nomi Health Commercial |
$19.98
|
| Rate for Payer: Nomi Health Commercial |
$19.98
|
| Rate for Payer: Nomi Health Commercial |
$19.98
|
| Rate for Payer: Nomi Health Commercial |
$19.98
|
| Rate for Payer: Nomi Health Commercial |
$19.98
|
| Rate for Payer: PACE Medicare |
$6.33
|
| Rate for Payer: PACE Medicare |
$6.33
|
| Rate for Payer: PACE Medicare |
$6.33
|
| Rate for Payer: PACE Medicare |
$6.33
|
| Rate for Payer: PACE Medicare |
$6.33
|
| Rate for Payer: PACE Medicare |
$6.33
|
| Rate for Payer: PACE Medicare |
$6.33
|
| Rate for Payer: PACE Medicare |
$6.33
|
| Rate for Payer: PACE Medicare |
$6.33
|
| Rate for Payer: PACE Medicare |
$6.33
|
| Rate for Payer: PACE Medicare |
$6.33
|
| Rate for Payer: PACE Medicare |
$6.33
|
| Rate for Payer: PACE SWMI |
$6.66
|
| Rate for Payer: PACE SWMI |
$6.66
|
| Rate for Payer: PACE SWMI |
$6.66
|
| Rate for Payer: PACE SWMI |
$6.66
|
| Rate for Payer: PACE SWMI |
$6.66
|
| Rate for Payer: PACE SWMI |
$6.66
|
| Rate for Payer: PACE SWMI |
$6.66
|
| Rate for Payer: PACE SWMI |
$6.66
|
| Rate for Payer: PACE SWMI |
$6.66
|
| Rate for Payer: PACE SWMI |
$6.66
|
| Rate for Payer: PACE SWMI |
$6.66
|
| Rate for Payer: PACE SWMI |
$6.66
|
| Rate for Payer: PHP Commercial |
$688.96
|
| Rate for Payer: PHP Commercial |
$676.38
|
| Rate for Payer: PHP Commercial |
$432.28
|
| Rate for Payer: PHP Commercial |
$612.74
|
| Rate for Payer: PHP Commercial |
$295.36
|
| Rate for Payer: PHP Commercial |
$676.61
|
| Rate for Payer: PHP Commercial |
$360.57
|
| Rate for Payer: PHP Commercial |
$433.10
|
| Rate for Payer: PHP Commercial |
$3,607.68
|
| Rate for Payer: PHP Commercial |
$358.61
|
| Rate for Payer: PHP Commercial |
$316.84
|
| Rate for Payer: PHP Commercial |
$409.48
|
| Rate for Payer: PHP Medicare Advantage |
$6.66
|
| Rate for Payer: PHP Medicare Advantage |
$6.66
|
| Rate for Payer: PHP Medicare Advantage |
$6.66
|
| Rate for Payer: PHP Medicare Advantage |
$6.66
|
| Rate for Payer: PHP Medicare Advantage |
$6.66
|
| Rate for Payer: PHP Medicare Advantage |
$6.66
|
| Rate for Payer: PHP Medicare Advantage |
$6.66
|
| Rate for Payer: PHP Medicare Advantage |
$6.66
|
| Rate for Payer: PHP Medicare Advantage |
$6.66
|
| Rate for Payer: PHP Medicare Advantage |
$6.66
|
| Rate for Payer: PHP Medicare Advantage |
$6.66
|
| Rate for Payer: PHP Medicare Advantage |
$6.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$242.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$274.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$313.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$517.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$330.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$468.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$275.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,758.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$517.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$526.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$331.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$225.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.61
|
| Rate for Payer: Priority Health Medicare |
$6.66
|
| Rate for Payer: Priority Health Medicare |
$6.66
|
| Rate for Payer: Priority Health Medicare |
$6.66
|
| Rate for Payer: Priority Health Medicare |
$6.66
|
| Rate for Payer: Priority Health Medicare |
$6.66
|
| Rate for Payer: Priority Health Medicare |
$6.66
|
| Rate for Payer: Priority Health Medicare |
$6.66
|
| Rate for Payer: Priority Health Medicare |
$6.66
|
| Rate for Payer: Priority Health Medicare |
$6.66
|
| Rate for Payer: Priority Health Medicare |
$6.66
|
| Rate for Payer: Priority Health Medicare |
$6.66
|
| Rate for Payer: Priority Health Medicare |
$6.66
|
| Rate for Payer: Priority Health Narrow Network |
$17.29
|
| Rate for Payer: Priority Health Narrow Network |
$17.29
|
| Rate for Payer: Priority Health Narrow Network |
$17.29
|
| Rate for Payer: Priority Health Narrow Network |
$17.29
|
| Rate for Payer: Priority Health Narrow Network |
$17.29
|
| Rate for Payer: Priority Health Narrow Network |
$17.29
|
| Rate for Payer: Priority Health Narrow Network |
$17.29
|
| Rate for Payer: Priority Health Narrow Network |
$17.29
|
| Rate for Payer: Priority Health Narrow Network |
$17.29
|
| Rate for Payer: Priority Health Narrow Network |
$17.29
|
| Rate for Payer: Priority Health Narrow Network |
$17.29
|
| Rate for Payer: Priority Health Narrow Network |
$17.29
|
| Rate for Payer: Priority Health SBD |
$234.83
|
| Rate for Payer: Priority Health SBD |
$267.25
|
| Rate for Payer: Priority Health SBD |
$321.00
|
| Rate for Payer: Priority Health SBD |
$454.15
|
| Rate for Payer: Priority Health SBD |
$320.39
|
| Rate for Payer: Priority Health SBD |
$265.79
|
| Rate for Payer: Priority Health SBD |
$501.32
|
| Rate for Payer: Priority Health SBD |
$510.64
|
| Rate for Payer: Priority Health SBD |
$303.50
|
| Rate for Payer: Priority Health SBD |
$2,673.93
|
| Rate for Payer: Priority Health SBD |
$501.49
|
| Rate for Payer: Priority Health SBD |
$218.91
|
| Rate for Payer: Railroad Medicare Medicare |
$6.66
|
| Rate for Payer: Railroad Medicare Medicare |
$6.66
|
| Rate for Payer: Railroad Medicare Medicare |
$6.66
|
| Rate for Payer: Railroad Medicare Medicare |
$6.66
|
| Rate for Payer: Railroad Medicare Medicare |
$6.66
|
| Rate for Payer: Railroad Medicare Medicare |
$6.66
|
| Rate for Payer: Railroad Medicare Medicare |
$6.66
|
| Rate for Payer: Railroad Medicare Medicare |
$6.66
|
| Rate for Payer: Railroad Medicare Medicare |
$6.66
|
| Rate for Payer: Railroad Medicare Medicare |
$6.66
|
| Rate for Payer: Railroad Medicare Medicare |
$6.66
|
| Rate for Payer: Railroad Medicare Medicare |
$6.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.66
|
| Rate for Payer: UHC Exchange |
$12.73
|
| Rate for Payer: UHC Exchange |
$12.73
|
| Rate for Payer: UHC Exchange |
$12.73
|
| Rate for Payer: UHC Exchange |
$12.73
|
| Rate for Payer: UHC Exchange |
$12.73
|
| Rate for Payer: UHC Exchange |
$12.73
|
| Rate for Payer: UHC Exchange |
$12.73
|
| Rate for Payer: UHC Exchange |
$12.73
|
| Rate for Payer: UHC Exchange |
$12.73
|
| Rate for Payer: UHC Exchange |
$12.73
|
| Rate for Payer: UHC Exchange |
$12.73
|
| Rate for Payer: UHC Exchange |
$12.73
|
| Rate for Payer: UHC Medicare Advantage |
$6.66
|
| Rate for Payer: UHC Medicare Advantage |
$6.66
|
| Rate for Payer: UHC Medicare Advantage |
$6.66
|
| Rate for Payer: UHC Medicare Advantage |
$6.66
|
| Rate for Payer: UHC Medicare Advantage |
$6.66
|
| Rate for Payer: UHC Medicare Advantage |
$6.66
|
| Rate for Payer: UHC Medicare Advantage |
$6.66
|
| Rate for Payer: UHC Medicare Advantage |
$6.66
|
| Rate for Payer: UHC Medicare Advantage |
$6.66
|
| Rate for Payer: UHC Medicare Advantage |
$6.66
|
| Rate for Payer: UHC Medicare Advantage |
$6.66
|
| Rate for Payer: UHC Medicare Advantage |
$6.66
|
| Rate for Payer: UHCCP Medicaid |
$3.57
|
| Rate for Payer: UHCCP Medicaid |
$3.57
|
| Rate for Payer: UHCCP Medicaid |
$3.57
|
| Rate for Payer: UHCCP Medicaid |
$3.57
|
| Rate for Payer: UHCCP Medicaid |
$3.57
|
| Rate for Payer: UHCCP Medicaid |
$3.57
|
| Rate for Payer: UHCCP Medicaid |
$3.57
|
| Rate for Payer: UHCCP Medicaid |
$3.57
|
| Rate for Payer: UHCCP Medicaid |
$3.57
|
| Rate for Payer: UHCCP Medicaid |
$3.57
|
| Rate for Payer: UHCCP Medicaid |
$3.57
|
| Rate for Payer: UHCCP Medicaid |
$3.57
|
| Rate for Payer: UMR Bronson Commercial |
$188.17
|
| Rate for Payer: UMR Bronson Commercial |
$266.72
|
| Rate for Payer: UMR Bronson Commercial |
$188.53
|
| Rate for Payer: UMR Bronson Commercial |
$294.42
|
| Rate for Payer: UMR Bronson Commercial |
$178.24
|
| Rate for Payer: UMR Bronson Commercial |
$1,570.40
|
| Rate for Payer: UMR Bronson Commercial |
$294.52
|
| Rate for Payer: UMR Bronson Commercial |
$156.95
|
| Rate for Payer: UMR Bronson Commercial |
$156.10
|
| Rate for Payer: UMR Bronson Commercial |
$137.92
|
| Rate for Payer: UMR Bronson Commercial |
$128.57
|
| Rate for Payer: UMR Bronson Commercial |
$299.90
|
| Rate for Payer: VA VA |
$6.66
|
| Rate for Payer: VA VA |
$6.66
|
| Rate for Payer: VA VA |
$6.66
|
| Rate for Payer: VA VA |
$6.66
|
| Rate for Payer: VA VA |
$6.66
|
| Rate for Payer: VA VA |
$6.66
|
| Rate for Payer: VA VA |
$6.66
|
| Rate for Payer: VA VA |
$6.66
|
| Rate for Payer: VA VA |
$6.66
|
| Rate for Payer: VA VA |
$6.66
|
| Rate for Payer: VA VA |
$6.66
|
| Rate for Payer: VA VA |
$6.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$279.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$318.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$597.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,183.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$596.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$361.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$381.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$260.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$382.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$540.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$316.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$607.90
|
|
|
FUROSEMIDE 10 MG/ML INJECTION (CODE)
|
Facility
|
IP
|
$22.34
|
|
|
Service Code
|
HCPCS J1940
|
| Hospital Charge Code |
163713
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9.83 |
| Max. Negotiated Rate |
$20.11 |
| Rate for Payer: Aetna American Axle |
$14.52
|
| Rate for Payer: Aetna American Axle |
$14.50
|
| Rate for Payer: Aetna American Axle |
$8.52
|
| Rate for Payer: Aetna American Axle |
$16.56
|
| Rate for Payer: Aetna Commercial |
$18.99
|
| Rate for Payer: Aetna Commercial |
$21.65
|
| Rate for Payer: Aetna Commercial |
$18.96
|
| Rate for Payer: Aetna Commercial |
$11.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.52
|
| Rate for Payer: Cash Price |
$17.85
|
| Rate for Payer: Cash Price |
$17.87
|
| Rate for Payer: Cash Price |
$10.49
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cofinity Commercial |
$11.27
|
| Rate for Payer: Cofinity Commercial |
$21.90
|
| Rate for Payer: Cofinity Commercial |
$17.83
|
| Rate for Payer: Cofinity Commercial |
$15.64
|
| Rate for Payer: Cofinity Commercial |
$15.62
|
| Rate for Payer: Cofinity Commercial |
$19.19
|
| Rate for Payer: Cofinity Commercial |
$19.21
|
| Rate for Payer: Cofinity Commercial |
$9.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.83
|
| Rate for Payer: Cofinity Medicare Advantage |
$9.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.85
|
| Rate for Payer: Healthscope Commercial |
$20.11
|
| Rate for Payer: Healthscope Commercial |
$11.80
|
| Rate for Payer: Healthscope Commercial |
$20.08
|
| Rate for Payer: Healthscope Commercial |
$22.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.99
|
| Rate for Payer: PHP Commercial |
$18.99
|
| Rate for Payer: PHP Commercial |
$21.65
|
| Rate for Payer: PHP Commercial |
$11.14
|
| Rate for Payer: PHP Commercial |
$18.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.52
|
| Rate for Payer: Priority Health SBD |
$16.05
|
| Rate for Payer: Priority Health SBD |
$8.26
|
| Rate for Payer: Priority Health SBD |
$14.06
|
| Rate for Payer: Priority Health SBD |
$14.07
|
| Rate for Payer: UMR Bronson Commercial |
$9.83
|
| Rate for Payer: UMR Bronson Commercial |
$11.21
|
| Rate for Payer: UMR Bronson Commercial |
$9.82
|
| Rate for Payer: UMR Bronson Commercial |
$5.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.76
|
|
|
FUROSEMIDE 10 MG/ML INJECTION (CODE)
|
Facility
|
OP
|
$25.47
|
|
|
Service Code
|
HCPCS J1940
|
| Hospital Charge Code |
163713
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.06 |
| Max. Negotiated Rate |
$22.92 |
| Rate for Payer: Aetna American Axle |
$16.56
|
| Rate for Payer: Aetna American Axle |
$14.52
|
| Rate for Payer: Aetna American Axle |
$8.52
|
| Rate for Payer: Aetna American Axle |
$14.50
|
| Rate for Payer: Aetna Commercial |
$21.65
|
| Rate for Payer: Aetna Commercial |
$18.96
|
| Rate for Payer: Aetna Commercial |
$11.14
|
| Rate for Payer: Aetna Commercial |
$18.99
|
| Rate for Payer: Aetna Medicare |
$11.17
|
| Rate for Payer: Aetna Medicare |
$11.16
|
| Rate for Payer: Aetna Medicare |
$6.56
|
| Rate for Payer: Aetna Medicare |
$12.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.50
|
| Rate for Payer: BCBS Complete |
$8.94
|
| Rate for Payer: BCBS Complete |
$5.24
|
| Rate for Payer: BCBS Complete |
$10.19
|
| Rate for Payer: BCBS Complete |
$8.92
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: Cash Price |
$17.85
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cash Price |
$17.87
|
| Rate for Payer: Cash Price |
$17.85
|
| Rate for Payer: Cash Price |
$10.49
|
| Rate for Payer: Cash Price |
$10.49
|
| Rate for Payer: Cash Price |
$17.87
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cofinity Commercial |
$21.90
|
| Rate for Payer: Cofinity Commercial |
$19.19
|
| Rate for Payer: Cofinity Commercial |
$11.27
|
| Rate for Payer: Cofinity Commercial |
$9.18
|
| Rate for Payer: Cofinity Commercial |
$15.62
|
| Rate for Payer: Cofinity Commercial |
$15.64
|
| Rate for Payer: Cofinity Commercial |
$19.21
|
| Rate for Payer: Cofinity Commercial |
$17.83
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$9.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.49
|
| Rate for Payer: Healthscope Commercial |
$11.80
|
| Rate for Payer: Healthscope Commercial |
$22.92
|
| Rate for Payer: Healthscope Commercial |
$20.11
|
| Rate for Payer: Healthscope Commercial |
$20.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.14
|
| Rate for Payer: PHP Commercial |
$21.65
|
| Rate for Payer: PHP Commercial |
$18.96
|
| Rate for Payer: PHP Commercial |
$11.14
|
| Rate for Payer: PHP Commercial |
$18.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.52
|
| Rate for Payer: Priority Health SBD |
$8.26
|
| Rate for Payer: Priority Health SBD |
$14.07
|
| Rate for Payer: Priority Health SBD |
$14.06
|
| Rate for Payer: Priority Health SBD |
$16.05
|
| Rate for Payer: UMR Bronson Commercial |
$4.85
|
| Rate for Payer: UMR Bronson Commercial |
$8.27
|
| Rate for Payer: UMR Bronson Commercial |
$9.42
|
| Rate for Payer: UMR Bronson Commercial |
$8.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.10
|
|
|
FUROSEMIDE 10 MG/ML INJECTION SOLUTION
|
Facility
|
OP
|
$25.67
|
|
|
Service Code
|
HCPCS J1940
|
| Hospital Charge Code |
3291
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.06 |
| Max. Negotiated Rate |
$23.10 |
| Rate for Payer: Aetna American Axle |
$16.69
|
| Rate for Payer: Aetna American Axle |
$9.13
|
| Rate for Payer: Aetna American Axle |
$5.30
|
| Rate for Payer: Aetna American Axle |
$6.68
|
| Rate for Payer: Aetna American Axle |
$6.70
|
| Rate for Payer: Aetna American Axle |
$14.50
|
| Rate for Payer: Aetna American Axle |
$10.56
|
| Rate for Payer: Aetna American Axle |
$9.65
|
| Rate for Payer: Aetna American Axle |
$17.34
|
| Rate for Payer: Aetna American Axle |
$8.71
|
| Rate for Payer: Aetna American Axle |
$13.38
|
| Rate for Payer: Aetna American Axle |
$7.08
|
| Rate for Payer: Aetna American Axle |
$11.88
|
| Rate for Payer: Aetna American Axle |
$7.93
|
| Rate for Payer: Aetna American Axle |
$7.88
|
| Rate for Payer: Aetna American Axle |
$16.56
|
| Rate for Payer: Aetna American Axle |
$8.94
|
| Rate for Payer: Aetna American Axle |
$18.32
|
| Rate for Payer: Aetna American Axle |
$5.17
|
| Rate for Payer: Aetna American Axle |
$14.52
|
| Rate for Payer: Aetna American Axle |
$8.52
|
| Rate for Payer: Aetna American Axle |
$9.85
|
| Rate for Payer: Aetna American Axle |
$14.29
|
| Rate for Payer: Aetna Commercial |
$9.26
|
| Rate for Payer: Aetna Commercial |
$11.14
|
| Rate for Payer: Aetna Commercial |
$8.76
|
| Rate for Payer: Aetna Commercial |
$17.50
|
| Rate for Payer: Aetna Commercial |
$13.80
|
| Rate for Payer: Aetna Commercial |
$12.88
|
| Rate for Payer: Aetna Commercial |
$18.68
|
| Rate for Payer: Aetna Commercial |
$12.62
|
| Rate for Payer: Aetna Commercial |
$18.96
|
| Rate for Payer: Aetna Commercial |
$10.37
|
| Rate for Payer: Aetna Commercial |
$6.93
|
| Rate for Payer: Aetna Commercial |
$11.93
|
| Rate for Payer: Aetna Commercial |
$18.99
|
| Rate for Payer: Aetna Commercial |
$6.76
|
| Rate for Payer: Aetna Commercial |
$11.69
|
| Rate for Payer: Aetna Commercial |
$15.53
|
| Rate for Payer: Aetna Commercial |
$23.96
|
| Rate for Payer: Aetna Commercial |
$21.65
|
| Rate for Payer: Aetna Commercial |
$10.31
|
| Rate for Payer: Aetna Commercial |
$8.73
|
| Rate for Payer: Aetna Commercial |
$11.39
|
| Rate for Payer: Aetna Commercial |
$21.82
|
| Rate for Payer: Aetna Commercial |
$22.68
|
| Rate for Payer: Aetna Medicare |
$5.45
|
| Rate for Payer: Aetna Medicare |
$6.10
|
| Rate for Payer: Aetna Medicare |
$6.06
|
| Rate for Payer: Aetna Medicare |
$7.58
|
| Rate for Payer: Aetna Medicare |
$8.12
|
| Rate for Payer: Aetna Medicare |
$12.74
|
| Rate for Payer: Aetna Medicare |
$5.14
|
| Rate for Payer: Aetna Medicare |
$6.88
|
| Rate for Payer: Aetna Medicare |
$7.42
|
| Rate for Payer: Aetna Medicare |
$5.15
|
| Rate for Payer: Aetna Medicare |
$6.56
|
| Rate for Payer: Aetna Medicare |
$3.98
|
| Rate for Payer: Aetna Medicare |
$6.70
|
| Rate for Payer: Aetna Medicare |
$11.16
|
| Rate for Payer: Aetna Medicare |
$12.84
|
| Rate for Payer: Aetna Medicare |
$14.10
|
| Rate for Payer: Aetna Medicare |
$10.99
|
| Rate for Payer: Aetna Medicare |
$11.17
|
| Rate for Payer: Aetna Medicare |
$4.08
|
| Rate for Payer: Aetna Medicare |
$9.14
|
| Rate for Payer: Aetna Medicare |
$10.30
|
| Rate for Payer: Aetna Medicare |
$13.34
|
| Rate for Payer: Aetna Medicare |
$7.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.34
|
| Rate for Payer: Cash Price |
$22.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.13
|
| Rate for Payer: BCBS Complete |
$4.88
|
| Rate for Payer: BCBS Complete |
$7.31
|
| Rate for Payer: BCBS Complete |
$4.12
|
| Rate for Payer: BCBS Complete |
$4.36
|
| Rate for Payer: BCBS Complete |
$4.11
|
| Rate for Payer: BCBS Complete |
$3.26
|
| Rate for Payer: BCBS Complete |
$3.18
|
| Rate for Payer: BCBS Complete |
$11.28
|
| Rate for Payer: BCBS Complete |
$4.85
|
| Rate for Payer: BCBS Complete |
$10.67
|
| Rate for Payer: BCBS Complete |
$10.27
|
| Rate for Payer: BCBS Complete |
$5.24
|
| Rate for Payer: BCBS Complete |
$10.19
|
| Rate for Payer: BCBS Complete |
$5.36
|
| Rate for Payer: BCBS Complete |
$8.94
|
| Rate for Payer: BCBS Complete |
$5.50
|
| Rate for Payer: BCBS Complete |
$5.62
|
| Rate for Payer: BCBS Complete |
$8.92
|
| Rate for Payer: BCBS Complete |
$5.94
|
| Rate for Payer: BCBS Complete |
$8.79
|
| Rate for Payer: BCBS Complete |
$6.06
|
| Rate for Payer: BCBS Complete |
$8.24
|
| Rate for Payer: BCBS Complete |
$6.50
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: Cash Price |
$22.55
|
| Rate for Payer: Cash Price |
$10.72
|
| Rate for Payer: Cash Price |
$9.70
|
| Rate for Payer: Cash Price |
$9.70
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cash Price |
$9.76
|
| Rate for Payer: Cash Price |
$17.87
|
| Rate for Payer: Cash Price |
$12.99
|
| Rate for Payer: Cash Price |
$10.49
|
| Rate for Payer: Cash Price |
$11.00
|
| Rate for Payer: Cash Price |
$14.62
|
| Rate for Payer: Cash Price |
$11.00
|
| Rate for Payer: Cash Price |
$16.47
|
| Rate for Payer: Cash Price |
$6.36
|
| Rate for Payer: Cash Price |
$6.36
|
| Rate for Payer: Cash Price |
$17.87
|
| Rate for Payer: Cash Price |
$17.85
|
| Rate for Payer: Cash Price |
$11.23
|
| Rate for Payer: Cash Price |
$6.52
|
| Rate for Payer: Cash Price |
$14.62
|
| Rate for Payer: Cash Price |
$11.23
|
| Rate for Payer: Cash Price |
$6.52
|
| Rate for Payer: Cash Price |
$17.85
|
| Rate for Payer: Cash Price |
$20.54
|
| Rate for Payer: Cash Price |
$11.88
|
| Rate for Payer: Cash Price |
$11.88
|
| Rate for Payer: Cash Price |
$8.72
|
| Rate for Payer: Cash Price |
$17.58
|
| Rate for Payer: Cash Price |
$8.22
|
| Rate for Payer: Cash Price |
$8.24
|
| Rate for Payer: Cash Price |
$8.22
|
| Rate for Payer: Cash Price |
$8.72
|
| Rate for Payer: Cash Price |
$17.58
|
| Rate for Payer: Cash Price |
$21.34
|
| Rate for Payer: Cash Price |
$12.12
|
| Rate for Payer: Cash Price |
$8.24
|
| Rate for Payer: Cash Price |
$12.99
|
| Rate for Payer: Cash Price |
$12.12
|
| Rate for Payer: Cash Price |
$10.49
|
| Rate for Payer: Cash Price |
$21.34
|
| Rate for Payer: Cash Price |
$20.54
|
| Rate for Payer: Cash Price |
$16.47
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cash Price |
$9.76
|
| Rate for Payer: Cash Price |
$10.72
|
| Rate for Payer: Cofinity Commercial |
$10.40
|
| Rate for Payer: Cofinity Commercial |
$12.77
|
| Rate for Payer: Cofinity Commercial |
$11.27
|
| Rate for Payer: Cofinity Commercial |
$9.18
|
| Rate for Payer: Cofinity Commercial |
$13.97
|
| Rate for Payer: Cofinity Commercial |
$14.41
|
| Rate for Payer: Cofinity Commercial |
$11.52
|
| Rate for Payer: Cofinity Commercial |
$18.68
|
| Rate for Payer: Cofinity Commercial |
$10.43
|
| Rate for Payer: Cofinity Commercial |
$19.21
|
| Rate for Payer: Cofinity Commercial |
$19.19
|
| Rate for Payer: Cofinity Commercial |
$5.56
|
| Rate for Payer: Cofinity Commercial |
$17.71
|
| Rate for Payer: Cofinity Commercial |
$8.49
|
| Rate for Payer: Cofinity Commercial |
$9.62
|
| Rate for Payer: Cofinity Commercial |
$21.90
|
| Rate for Payer: Cofinity Commercial |
$17.83
|
| Rate for Payer: Cofinity Commercial |
$11.82
|
| Rate for Payer: Cofinity Commercial |
$24.24
|
| Rate for Payer: Cofinity Commercial |
$22.08
|
| Rate for Payer: Cofinity Commercial |
$6.84
|
| Rate for Payer: Cofinity Commercial |
$19.73
|
| Rate for Payer: Cofinity Commercial |
$9.38
|
| Rate for Payer: Cofinity Commercial |
$11.37
|
| Rate for Payer: Cofinity Commercial |
$12.07
|
| Rate for Payer: Cofinity Commercial |
$9.83
|
| Rate for Payer: Cofinity Commercial |
$10.60
|
| Rate for Payer: Cofinity Commercial |
$12.79
|
| Rate for Payer: Cofinity Commercial |
$5.70
|
| Rate for Payer: Cofinity Commercial |
$7.01
|
| Rate for Payer: Cofinity Commercial |
$9.37
|
| Rate for Payer: Cofinity Commercial |
$7.63
|
| Rate for Payer: Cofinity Commercial |
$13.03
|
| Rate for Payer: Cofinity Commercial |
$10.49
|
| Rate for Payer: Cofinity Commercial |
$17.97
|
| Rate for Payer: Cofinity Commercial |
$18.90
|
| Rate for Payer: Cofinity Commercial |
$15.39
|
| Rate for Payer: Cofinity Commercial |
$15.64
|
| Rate for Payer: Cofinity Commercial |
$15.62
|
| Rate for Payer: Cofinity Commercial |
$8.54
|
| Rate for Payer: Cofinity Commercial |
$7.21
|
| Rate for Payer: Cofinity Commercial |
$8.83
|
| Rate for Payer: Cofinity Commercial |
$7.19
|
| Rate for Payer: Cofinity Commercial |
$8.86
|
| Rate for Payer: Cofinity Commercial |
$15.71
|
| Rate for Payer: Cofinity Commercial |
$22.94
|
| Rate for Payer: Cofinity Medicare Advantage |
$11.37
|
| Rate for Payer: Cofinity Medicare Advantage |
$7.63
|
| Rate for Payer: Cofinity Medicare Advantage |
$7.19
|
| Rate for Payer: Cofinity Medicare Advantage |
$7.21
|
| Rate for Payer: Cofinity Medicare Advantage |
$8.49
|
| Rate for Payer: Cofinity Medicare Advantage |
$8.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$9.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$9.38
|
| Rate for Payer: Cofinity Medicare Advantage |
$9.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$9.83
|
| Rate for Payer: Cofinity Medicare Advantage |
$10.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$10.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$12.79
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.41
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.39
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.83
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.68
|
| Rate for Payer: Cofinity Medicare Advantage |
$19.73
|
| Rate for Payer: Cofinity Medicare Advantage |
$5.56
|
| Rate for Payer: Cofinity Medicare Advantage |
$5.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.47
|
| Rate for Payer: Healthscope Commercial |
$9.27
|
| Rate for Payer: Healthscope Commercial |
$23.10
|
| Rate for Payer: Healthscope Commercial |
$11.80
|
| Rate for Payer: Healthscope Commercial |
$13.64
|
| Rate for Payer: Healthscope Commercial |
$9.81
|
| Rate for Payer: Healthscope Commercial |
$18.53
|
| Rate for Payer: Healthscope Commercial |
$9.24
|
| Rate for Payer: Healthscope Commercial |
$13.36
|
| Rate for Payer: Healthscope Commercial |
$7.34
|
| Rate for Payer: Healthscope Commercial |
$19.78
|
| Rate for Payer: Healthscope Commercial |
$16.44
|
| Rate for Payer: Healthscope Commercial |
$7.16
|
| Rate for Payer: Healthscope Commercial |
$12.64
|
| Rate for Payer: Healthscope Commercial |
$20.08
|
| Rate for Payer: Healthscope Commercial |
$25.37
|
| Rate for Payer: Healthscope Commercial |
$10.92
|
| Rate for Payer: Healthscope Commercial |
$14.62
|
| Rate for Payer: Healthscope Commercial |
$12.38
|
| Rate for Payer: Healthscope Commercial |
$20.11
|
| Rate for Payer: Healthscope Commercial |
$24.01
|
| Rate for Payer: Healthscope Commercial |
$12.06
|
| Rate for Payer: Healthscope Commercial |
$10.98
|
| Rate for Payer: Healthscope Commercial |
$22.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.76
|
| Rate for Payer: PHP Commercial |
$11.93
|
| Rate for Payer: PHP Commercial |
$15.53
|
| Rate for Payer: PHP Commercial |
$12.88
|
| Rate for Payer: PHP Commercial |
$17.50
|
| Rate for Payer: PHP Commercial |
$12.62
|
| Rate for Payer: PHP Commercial |
$18.68
|
| Rate for Payer: PHP Commercial |
$18.96
|
| Rate for Payer: PHP Commercial |
$11.69
|
| Rate for Payer: PHP Commercial |
$18.99
|
| Rate for Payer: PHP Commercial |
$11.39
|
| Rate for Payer: PHP Commercial |
$11.14
|
| Rate for Payer: PHP Commercial |
$21.65
|
| Rate for Payer: PHP Commercial |
$10.37
|
| Rate for Payer: PHP Commercial |
$6.93
|
| Rate for Payer: PHP Commercial |
$21.82
|
| Rate for Payer: PHP Commercial |
$10.31
|
| Rate for Payer: PHP Commercial |
$22.68
|
| Rate for Payer: PHP Commercial |
$23.96
|
| Rate for Payer: PHP Commercial |
$8.76
|
| Rate for Payer: PHP Commercial |
$8.73
|
| Rate for Payer: PHP Commercial |
$9.26
|
| Rate for Payer: PHP Commercial |
$6.76
|
| Rate for Payer: PHP Commercial |
$13.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.34
|
| Rate for Payer: Priority Health SBD |
$6.47
|
| Rate for Payer: Priority Health SBD |
$16.17
|
| Rate for Payer: Priority Health SBD |
$8.26
|
| Rate for Payer: Priority Health SBD |
$7.64
|
| Rate for Payer: Priority Health SBD |
$14.07
|
| Rate for Payer: Priority Health SBD |
$8.44
|
| Rate for Payer: Priority Health SBD |
$16.81
|
| Rate for Payer: Priority Health SBD |
$6.87
|
| Rate for Payer: Priority Health SBD |
$5.13
|
| Rate for Payer: Priority Health SBD |
$14.06
|
| Rate for Payer: Priority Health SBD |
$8.66
|
| Rate for Payer: Priority Health SBD |
$17.76
|
| Rate for Payer: Priority Health SBD |
$6.49
|
| Rate for Payer: Priority Health SBD |
$11.51
|
| Rate for Payer: Priority Health SBD |
$8.85
|
| Rate for Payer: Priority Health SBD |
$13.85
|
| Rate for Payer: Priority Health SBD |
$5.01
|
| Rate for Payer: Priority Health SBD |
$9.36
|
| Rate for Payer: Priority Health SBD |
$12.97
|
| Rate for Payer: Priority Health SBD |
$9.54
|
| Rate for Payer: Priority Health SBD |
$7.69
|
| Rate for Payer: Priority Health SBD |
$16.05
|
| Rate for Payer: Priority Health SBD |
$10.23
|
| Rate for Payer: UMR Bronson Commercial |
$6.76
|
| Rate for Payer: UMR Bronson Commercial |
$9.50
|
| Rate for Payer: UMR Bronson Commercial |
$3.02
|
| Rate for Payer: UMR Bronson Commercial |
$5.49
|
| Rate for Payer: UMR Bronson Commercial |
$8.13
|
| Rate for Payer: UMR Bronson Commercial |
$7.62
|
| Rate for Payer: UMR Bronson Commercial |
$4.51
|
| Rate for Payer: UMR Bronson Commercial |
$8.27
|
| Rate for Payer: UMR Bronson Commercial |
$5.19
|
| Rate for Payer: UMR Bronson Commercial |
$3.81
|
| Rate for Payer: UMR Bronson Commercial |
$3.80
|
| Rate for Payer: UMR Bronson Commercial |
$4.03
|
| Rate for Payer: UMR Bronson Commercial |
$9.87
|
| Rate for Payer: UMR Bronson Commercial |
$4.96
|
| Rate for Payer: UMR Bronson Commercial |
$4.49
|
| Rate for Payer: UMR Bronson Commercial |
$8.25
|
| Rate for Payer: UMR Bronson Commercial |
$4.85
|
| Rate for Payer: UMR Bronson Commercial |
$10.43
|
| Rate for Payer: UMR Bronson Commercial |
$9.42
|
| Rate for Payer: UMR Bronson Commercial |
$5.09
|
| Rate for Payer: UMR Bronson Commercial |
$6.01
|
| Rate for Payer: UMR Bronson Commercial |
$2.94
|
| Rate for Payer: UMR Bronson Commercial |
$5.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.05
|
|
|
FUROSEMIDE 10 MG/ML INJECTION SOLUTION
|
Facility
|
IP
|
$25.47
|
|
|
Service Code
|
HCPCS J1940
|
| Hospital Charge Code |
3291
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.21 |
| Max. Negotiated Rate |
$22.92 |
| Rate for Payer: Aetna American Axle |
$14.29
|
| Rate for Payer: Aetna American Axle |
$16.56
|
| Rate for Payer: Aetna American Axle |
$9.13
|
| Rate for Payer: Aetna American Axle |
$17.34
|
| Rate for Payer: Aetna American Axle |
$7.08
|
| Rate for Payer: Aetna American Axle |
$14.50
|
| Rate for Payer: Aetna American Axle |
$8.94
|
| Rate for Payer: Aetna American Axle |
$8.52
|
| Rate for Payer: Aetna American Axle |
$7.93
|
| Rate for Payer: Aetna American Axle |
$6.68
|
| Rate for Payer: Aetna American Axle |
$10.56
|
| Rate for Payer: Aetna American Axle |
$14.52
|
| Rate for Payer: Aetna American Axle |
$11.88
|
| Rate for Payer: Aetna American Axle |
$5.17
|
| Rate for Payer: Aetna American Axle |
$16.69
|
| Rate for Payer: Aetna American Axle |
$9.65
|
| Rate for Payer: Aetna American Axle |
$8.71
|
| Rate for Payer: Aetna American Axle |
$13.38
|
| Rate for Payer: Aetna American Axle |
$7.88
|
| Rate for Payer: Aetna American Axle |
$6.70
|
| Rate for Payer: Aetna Commercial |
$12.62
|
| Rate for Payer: Aetna Commercial |
$10.31
|
| Rate for Payer: Aetna Commercial |
$13.80
|
| Rate for Payer: Aetna Commercial |
$21.65
|
| Rate for Payer: Aetna Commercial |
$10.37
|
| Rate for Payer: Aetna Commercial |
$11.93
|
| Rate for Payer: Aetna Commercial |
$17.50
|
| Rate for Payer: Aetna Commercial |
$11.69
|
| Rate for Payer: Aetna Commercial |
$18.68
|
| Rate for Payer: Aetna Commercial |
$9.26
|
| Rate for Payer: Aetna Commercial |
$8.73
|
| Rate for Payer: Aetna Commercial |
$11.39
|
| Rate for Payer: Aetna Commercial |
$15.53
|
| Rate for Payer: Aetna Commercial |
$6.76
|
| Rate for Payer: Aetna Commercial |
$18.96
|
| Rate for Payer: Aetna Commercial |
$8.76
|
| Rate for Payer: Aetna Commercial |
$22.68
|
| Rate for Payer: Aetna Commercial |
$11.14
|
| Rate for Payer: Aetna Commercial |
$18.99
|
| Rate for Payer: Aetna Commercial |
$21.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.88
|
| Rate for Payer: Cash Price |
$11.23
|
| Rate for Payer: Cash Price |
$12.99
|
| Rate for Payer: Cash Price |
$8.24
|
| Rate for Payer: Cash Price |
$8.72
|
| Rate for Payer: Cash Price |
$8.22
|
| Rate for Payer: Cash Price |
$9.70
|
| Rate for Payer: Cash Price |
$6.36
|
| Rate for Payer: Cash Price |
$21.34
|
| Rate for Payer: Cash Price |
$20.54
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cash Price |
$9.76
|
| Rate for Payer: Cash Price |
$17.87
|
| Rate for Payer: Cash Price |
$10.49
|
| Rate for Payer: Cash Price |
$17.85
|
| Rate for Payer: Cash Price |
$10.72
|
| Rate for Payer: Cash Price |
$17.58
|
| Rate for Payer: Cash Price |
$11.00
|
| Rate for Payer: Cash Price |
$16.47
|
| Rate for Payer: Cash Price |
$14.62
|
| Rate for Payer: Cash Price |
$11.88
|
| Rate for Payer: Cofinity Commercial |
$11.27
|
| Rate for Payer: Cofinity Commercial |
$9.18
|
| Rate for Payer: Cofinity Commercial |
$7.19
|
| Rate for Payer: Cofinity Commercial |
$11.82
|
| Rate for Payer: Cofinity Commercial |
$9.62
|
| Rate for Payer: Cofinity Commercial |
$8.54
|
| Rate for Payer: Cofinity Commercial |
$7.21
|
| Rate for Payer: Cofinity Commercial |
$18.68
|
| Rate for Payer: Cofinity Commercial |
$22.94
|
| Rate for Payer: Cofinity Commercial |
$8.86
|
| Rate for Payer: Cofinity Commercial |
$10.49
|
| Rate for Payer: Cofinity Commercial |
$17.71
|
| Rate for Payer: Cofinity Commercial |
$14.41
|
| Rate for Payer: Cofinity Commercial |
$10.40
|
| Rate for Payer: Cofinity Commercial |
$8.83
|
| Rate for Payer: Cofinity Commercial |
$9.37
|
| Rate for Payer: Cofinity Commercial |
$19.21
|
| Rate for Payer: Cofinity Commercial |
$19.19
|
| Rate for Payer: Cofinity Commercial |
$15.62
|
| Rate for Payer: Cofinity Commercial |
$13.97
|
| Rate for Payer: Cofinity Commercial |
$17.97
|
| Rate for Payer: Cofinity Commercial |
$12.77
|
| Rate for Payer: Cofinity Commercial |
$5.56
|
| Rate for Payer: Cofinity Commercial |
$6.84
|
| Rate for Payer: Cofinity Commercial |
$22.08
|
| Rate for Payer: Cofinity Commercial |
$15.64
|
| Rate for Payer: Cofinity Commercial |
$11.52
|
| Rate for Payer: Cofinity Commercial |
$9.38
|
| Rate for Payer: Cofinity Commercial |
$21.90
|
| Rate for Payer: Cofinity Commercial |
$17.83
|
| Rate for Payer: Cofinity Commercial |
$12.79
|
| Rate for Payer: Cofinity Commercial |
$15.71
|
| Rate for Payer: Cofinity Commercial |
$8.49
|
| Rate for Payer: Cofinity Commercial |
$11.37
|
| Rate for Payer: Cofinity Commercial |
$18.90
|
| Rate for Payer: Cofinity Commercial |
$15.39
|
| Rate for Payer: Cofinity Commercial |
$10.43
|
| Rate for Payer: Cofinity Commercial |
$9.83
|
| Rate for Payer: Cofinity Commercial |
$12.07
|
| Rate for Payer: Cofinity Commercial |
$7.63
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$9.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.68
|
| Rate for Payer: Cofinity Medicare Advantage |
$5.56
|
| Rate for Payer: Cofinity Medicare Advantage |
$11.37
|
| Rate for Payer: Cofinity Medicare Advantage |
$9.38
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.39
|
| Rate for Payer: Cofinity Medicare Advantage |
$7.19
|
| Rate for Payer: Cofinity Medicare Advantage |
$8.49
|
| Rate for Payer: Cofinity Medicare Advantage |
$10.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$9.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$7.63
|
| Rate for Payer: Cofinity Medicare Advantage |
$7.21
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.41
|
| Rate for Payer: Cofinity Medicare Advantage |
$9.83
|
| Rate for Payer: Cofinity Medicare Advantage |
$12.79
|
| Rate for Payer: Cofinity Medicare Advantage |
$8.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.88
|
| Rate for Payer: Healthscope Commercial |
$23.10
|
| Rate for Payer: Healthscope Commercial |
$9.24
|
| Rate for Payer: Healthscope Commercial |
$9.27
|
| Rate for Payer: Healthscope Commercial |
$9.81
|
| Rate for Payer: Healthscope Commercial |
$10.92
|
| Rate for Payer: Healthscope Commercial |
$10.98
|
| Rate for Payer: Healthscope Commercial |
$11.80
|
| Rate for Payer: Healthscope Commercial |
$12.06
|
| Rate for Payer: Healthscope Commercial |
$12.38
|
| Rate for Payer: Healthscope Commercial |
$12.64
|
| Rate for Payer: Healthscope Commercial |
$13.36
|
| Rate for Payer: Healthscope Commercial |
$14.62
|
| Rate for Payer: Healthscope Commercial |
$16.44
|
| Rate for Payer: Healthscope Commercial |
$18.53
|
| Rate for Payer: Healthscope Commercial |
$19.78
|
| Rate for Payer: Healthscope Commercial |
$20.08
|
| Rate for Payer: Healthscope Commercial |
$20.11
|
| Rate for Payer: Healthscope Commercial |
$22.92
|
| Rate for Payer: Healthscope Commercial |
$24.01
|
| Rate for Payer: Healthscope Commercial |
$7.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.68
|
| Rate for Payer: PHP Commercial |
$8.73
|
| Rate for Payer: PHP Commercial |
$10.37
|
| Rate for Payer: PHP Commercial |
$15.53
|
| Rate for Payer: PHP Commercial |
$8.76
|
| Rate for Payer: PHP Commercial |
$11.93
|
| Rate for Payer: PHP Commercial |
$11.14
|
| Rate for Payer: PHP Commercial |
$11.39
|
| Rate for Payer: PHP Commercial |
$11.69
|
| Rate for Payer: PHP Commercial |
$18.99
|
| Rate for Payer: PHP Commercial |
$21.65
|
| Rate for Payer: PHP Commercial |
$6.76
|
| Rate for Payer: PHP Commercial |
$13.80
|
| Rate for Payer: PHP Commercial |
$21.82
|
| Rate for Payer: PHP Commercial |
$18.68
|
| Rate for Payer: PHP Commercial |
$22.68
|
| Rate for Payer: PHP Commercial |
$17.50
|
| Rate for Payer: PHP Commercial |
$18.96
|
| Rate for Payer: PHP Commercial |
$9.26
|
| Rate for Payer: PHP Commercial |
$12.62
|
| Rate for Payer: PHP Commercial |
$10.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.65
|
| Rate for Payer: Priority Health SBD |
$14.07
|
| Rate for Payer: Priority Health SBD |
$14.06
|
| Rate for Payer: Priority Health SBD |
$7.64
|
| Rate for Payer: Priority Health SBD |
$16.17
|
| Rate for Payer: Priority Health SBD |
$7.69
|
| Rate for Payer: Priority Health SBD |
$12.97
|
| Rate for Payer: Priority Health SBD |
$8.26
|
| Rate for Payer: Priority Health SBD |
$16.05
|
| Rate for Payer: Priority Health SBD |
$5.01
|
| Rate for Payer: Priority Health SBD |
$8.44
|
| Rate for Payer: Priority Health SBD |
$6.87
|
| Rate for Payer: Priority Health SBD |
$13.85
|
| Rate for Payer: Priority Health SBD |
$6.49
|
| Rate for Payer: Priority Health SBD |
$6.47
|
| Rate for Payer: Priority Health SBD |
$9.36
|
| Rate for Payer: Priority Health SBD |
$10.23
|
| Rate for Payer: Priority Health SBD |
$8.85
|
| Rate for Payer: Priority Health SBD |
$11.51
|
| Rate for Payer: Priority Health SBD |
$8.66
|
| Rate for Payer: Priority Health SBD |
$16.81
|
| Rate for Payer: UMR Bronson Commercial |
$9.06
|
| Rate for Payer: UMR Bronson Commercial |
$9.83
|
| Rate for Payer: UMR Bronson Commercial |
$5.37
|
| Rate for Payer: UMR Bronson Commercial |
$6.53
|
| Rate for Payer: UMR Bronson Commercial |
$11.21
|
| Rate for Payer: UMR Bronson Commercial |
$4.80
|
| Rate for Payer: UMR Bronson Commercial |
$4.53
|
| Rate for Payer: UMR Bronson Commercial |
$9.82
|
| Rate for Payer: UMR Bronson Commercial |
$7.15
|
| Rate for Payer: UMR Bronson Commercial |
$11.29
|
| Rate for Payer: UMR Bronson Commercial |
$5.77
|
| Rate for Payer: UMR Bronson Commercial |
$9.67
|
| Rate for Payer: UMR Bronson Commercial |
$5.90
|
| Rate for Payer: UMR Bronson Commercial |
$3.50
|
| Rate for Payer: UMR Bronson Commercial |
$11.74
|
| Rate for Payer: UMR Bronson Commercial |
$6.05
|
| Rate for Payer: UMR Bronson Commercial |
$8.04
|
| Rate for Payer: UMR Bronson Commercial |
$6.18
|
| Rate for Payer: UMR Bronson Commercial |
$5.34
|
| Rate for Payer: UMR Bronson Commercial |
$4.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.96
|
|
|
FUROSEMIDE 10 MG/ML INJECTION SYRINGE
|
Facility
|
IP
|
$46.02
|
|
|
Service Code
|
HCPCS J1940
|
| Hospital Charge Code |
111372
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$20.25 |
| Max. Negotiated Rate |
$41.42 |
| Rate for Payer: Aetna American Axle |
$29.91
|
| Rate for Payer: Aetna Commercial |
$39.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.91
|
| Rate for Payer: Cash Price |
$36.82
|
| Rate for Payer: Cofinity Commercial |
$32.21
|
| Rate for Payer: Cofinity Commercial |
$39.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$32.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.82
|
| Rate for Payer: Healthscope Commercial |
$41.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$32.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.12
|
| Rate for Payer: PHP Commercial |
$39.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.91
|
| Rate for Payer: Priority Health SBD |
$28.99
|
| Rate for Payer: UMR Bronson Commercial |
$20.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.52
|
|
|
FUROSEMIDE 10 MG/ML INJECTION SYRINGE
|
Facility
|
OP
|
$46.02
|
|
|
Service Code
|
HCPCS J1940
|
| Hospital Charge Code |
111372
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.06 |
| Max. Negotiated Rate |
$41.42 |
| Rate for Payer: Aetna American Axle |
$29.91
|
| Rate for Payer: Aetna Commercial |
$39.12
|
| Rate for Payer: Aetna Medicare |
$23.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.91
|
| Rate for Payer: BCBS Complete |
$18.41
|
| Rate for Payer: BCBS Trust/PPO |
$1.06
|
| Rate for Payer: BCN Commercial |
$1.06
|
| Rate for Payer: Cash Price |
$36.82
|
| Rate for Payer: Cash Price |
$36.82
|
| Rate for Payer: Cofinity Commercial |
$32.21
|
| Rate for Payer: Cofinity Commercial |
$39.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$32.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.82
|
| Rate for Payer: Healthscope Commercial |
$41.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$32.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$34.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.12
|
| Rate for Payer: PHP Commercial |
$39.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.91
|
| Rate for Payer: Priority Health SBD |
$28.99
|
| Rate for Payer: UMR Bronson Commercial |
$17.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$34.52
|
|
|
FUROSEMIDE 10 MG/ML ORAL SOLUTION
|
Facility
|
OP
|
$160.74
|
|
|
Service Code
|
NDC 60432061360
|
| Hospital Charge Code |
3292
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$59.47 |
| Max. Negotiated Rate |
$144.67 |
| Rate for Payer: Aetna American Axle |
$104.48
|
| Rate for Payer: Aetna Commercial |
$136.63
|
| Rate for Payer: Aetna Medicare |
$80.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.48
|
| Rate for Payer: BCBS Complete |
$64.30
|
| Rate for Payer: Cash Price |
$128.59
|
| Rate for Payer: Cofinity Commercial |
$112.52
|
| Rate for Payer: Cofinity Commercial |
$138.24
|
| Rate for Payer: Cofinity Medicare Advantage |
$112.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$128.59
|
| Rate for Payer: Healthscope Commercial |
$144.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$112.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136.63
|
| Rate for Payer: PHP Commercial |
$136.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$104.48
|
| Rate for Payer: Priority Health SBD |
$101.27
|
| Rate for Payer: UMR Bronson Commercial |
$59.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.56
|
|
|
FUROSEMIDE 10 MG/ML ORAL SOLUTION
|
Facility
|
OP
|
$126.90
|
|
|
Service Code
|
NDC 00054329446
|
| Hospital Charge Code |
3292
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$46.95 |
| Max. Negotiated Rate |
$114.21 |
| Rate for Payer: Aetna American Axle |
$82.48
|
| Rate for Payer: Aetna Commercial |
$107.86
|
| Rate for Payer: Aetna Medicare |
$63.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$82.48
|
| Rate for Payer: BCBS Complete |
$50.76
|
| Rate for Payer: Cash Price |
$101.52
|
| Rate for Payer: Cofinity Commercial |
$109.13
|
| Rate for Payer: Cofinity Commercial |
$88.83
|
| Rate for Payer: Cofinity Medicare Advantage |
$88.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$101.52
|
| Rate for Payer: Healthscope Commercial |
$114.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$88.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$95.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$107.86
|
| Rate for Payer: PHP Commercial |
$107.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$82.48
|
| Rate for Payer: Priority Health SBD |
$79.95
|
| Rate for Payer: UMR Bronson Commercial |
$46.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$95.18
|
|
|
FUROSEMIDE 10 MG/ML ORAL SOLUTION
|
Facility
|
IP
|
$160.74
|
|
|
Service Code
|
NDC 60432061360
|
| Hospital Charge Code |
3292
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$70.73 |
| Max. Negotiated Rate |
$144.67 |
| Rate for Payer: Aetna American Axle |
$104.48
|
| Rate for Payer: Aetna Commercial |
$136.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.48
|
| Rate for Payer: Cash Price |
$128.59
|
| Rate for Payer: Cofinity Commercial |
$112.52
|
| Rate for Payer: Cofinity Commercial |
$138.24
|
| Rate for Payer: Cofinity Medicare Advantage |
$112.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$128.59
|
| Rate for Payer: Healthscope Commercial |
$144.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$112.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136.63
|
| Rate for Payer: PHP Commercial |
$136.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$104.48
|
| Rate for Payer: Priority Health SBD |
$101.27
|
| Rate for Payer: UMR Bronson Commercial |
$70.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.56
|
|
|
FUROSEMIDE 10 MG/ML ORAL SOLUTION
|
Facility
|
IP
|
$126.90
|
|
|
Service Code
|
NDC 00054329446
|
| Hospital Charge Code |
3292
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$55.84 |
| Max. Negotiated Rate |
$114.21 |
| Rate for Payer: Aetna American Axle |
$82.48
|
| Rate for Payer: Aetna Commercial |
$107.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$82.48
|
| Rate for Payer: Cash Price |
$101.52
|
| Rate for Payer: Cofinity Commercial |
$109.13
|
| Rate for Payer: Cofinity Commercial |
$88.83
|
| Rate for Payer: Cofinity Medicare Advantage |
$88.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$101.52
|
| Rate for Payer: Healthscope Commercial |
$114.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$88.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$95.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$107.86
|
| Rate for Payer: PHP Commercial |
$107.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$82.48
|
| Rate for Payer: Priority Health SBD |
$79.95
|
| Rate for Payer: UMR Bronson Commercial |
$55.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$95.18
|
|
|
FUROSEMIDE 20 MG TABLET
|
Facility
|
IP
|
$65.80
|
|
|
Service Code
|
NDC 43547040110
|
| Hospital Charge Code |
3294
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$59.22 |
| Rate for Payer: Aetna American Axle |
$42.77
|
| Rate for Payer: Aetna Commercial |
$55.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.77
|
| Rate for Payer: Cash Price |
$52.64
|
| Rate for Payer: Cofinity Commercial |
$46.06
|
| Rate for Payer: Cofinity Commercial |
$56.59
|
| Rate for Payer: Cofinity Medicare Advantage |
$46.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.64
|
| Rate for Payer: Healthscope Commercial |
$59.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.93
|
| Rate for Payer: PHP Commercial |
$55.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.77
|
| Rate for Payer: Priority Health SBD |
$41.45
|
| Rate for Payer: UMR Bronson Commercial |
$28.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.35
|
|
|
FUROSEMIDE 20 MG TABLET
|
Facility
|
OP
|
$65.80
|
|
|
Service Code
|
NDC 43547040110
|
| Hospital Charge Code |
3294
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$24.35 |
| Max. Negotiated Rate |
$59.22 |
| Rate for Payer: Aetna American Axle |
$42.77
|
| Rate for Payer: Aetna Commercial |
$55.93
|
| Rate for Payer: Aetna Medicare |
$32.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.77
|
| Rate for Payer: BCBS Complete |
$26.32
|
| Rate for Payer: Cash Price |
$52.64
|
| Rate for Payer: Cofinity Commercial |
$46.06
|
| Rate for Payer: Cofinity Commercial |
$56.59
|
| Rate for Payer: Cofinity Medicare Advantage |
$46.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.64
|
| Rate for Payer: Healthscope Commercial |
$59.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.93
|
| Rate for Payer: PHP Commercial |
$55.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.77
|
| Rate for Payer: Priority Health SBD |
$41.45
|
| Rate for Payer: UMR Bronson Commercial |
$24.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.35
|
|
