|
APREPITANT 40 MG CAPSULE
|
Facility
|
IP
|
$1,513.16
|
|
|
Service Code
|
NDC 68462058385
|
| Hospital Charge Code |
76843
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$665.79 |
| Max. Negotiated Rate |
$1,361.84 |
| Rate for Payer: Aetna American Axle |
$983.55
|
| Rate for Payer: Aetna Commercial |
$1,286.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$983.55
|
| Rate for Payer: Cash Price |
$1,210.53
|
| Rate for Payer: Cofinity Advantage |
$1,059.21
|
| Rate for Payer: Cofinity Commercial |
$1,301.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,210.53
|
| Rate for Payer: Healthscope Commercial |
$1,361.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,059.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,134.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,286.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,134.87
|
| Rate for Payer: PHP Commercial |
$1,286.19
|
| Rate for Payer: Priority Health SBD |
$953.29
|
| Rate for Payer: UMR Bronson Commercial |
$665.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,134.87
|
|
|
APREPITANT 40 MG CAPSULE
|
Facility
|
IP
|
$302.63
|
|
|
Service Code
|
NDC 68462058340
|
| Hospital Charge Code |
76843
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$133.16 |
| Max. Negotiated Rate |
$272.37 |
| Rate for Payer: Aetna American Axle |
$196.71
|
| Rate for Payer: Aetna Commercial |
$257.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$196.71
|
| Rate for Payer: Cash Price |
$242.10
|
| Rate for Payer: Cofinity Advantage |
$211.84
|
| Rate for Payer: Cofinity Commercial |
$260.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$242.10
|
| Rate for Payer: Healthscope Commercial |
$272.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$211.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$226.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$257.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$226.97
|
| Rate for Payer: PHP Commercial |
$257.24
|
| Rate for Payer: Priority Health SBD |
$190.66
|
| Rate for Payer: UMR Bronson Commercial |
$133.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$226.97
|
|
|
APREPITANT 40 MG CAPSULE
|
Facility
|
OP
|
$302.63
|
|
|
Service Code
|
NDC 68462058340
|
| Hospital Charge Code |
76843
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$111.97 |
| Max. Negotiated Rate |
$272.37 |
| Rate for Payer: Aetna American Axle |
$196.71
|
| Rate for Payer: Aetna Commercial |
$257.24
|
| Rate for Payer: Aetna Medicare |
$151.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$196.71
|
| Rate for Payer: BCBS Complete |
$121.05
|
| Rate for Payer: Cash Price |
$242.10
|
| Rate for Payer: Cofinity Advantage |
$211.84
|
| Rate for Payer: Cofinity Commercial |
$260.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$242.10
|
| Rate for Payer: Healthscope Commercial |
$272.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$211.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$226.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$242.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$257.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$226.97
|
| Rate for Payer: PHP Commercial |
$257.24
|
| Rate for Payer: Priority Health SBD |
$190.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$196.71
|
| Rate for Payer: UHC Core |
$157.67
|
| Rate for Payer: UHC Exchange |
$118.93
|
| Rate for Payer: UMR Bronson Commercial |
$111.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$226.97
|
|
|
APREPITANT 40 MG CAPSULE
|
Facility
|
OP
|
$1,276.73
|
|
|
Service Code
|
NDC 00781232151
|
| Hospital Charge Code |
76843
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$472.39 |
| Max. Negotiated Rate |
$1,149.06 |
| Rate for Payer: Aetna American Axle |
$829.87
|
| Rate for Payer: Aetna Commercial |
$1,085.22
|
| Rate for Payer: Aetna Medicare |
$638.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$829.87
|
| Rate for Payer: BCBS Complete |
$510.69
|
| Rate for Payer: Cash Price |
$1,021.38
|
| Rate for Payer: Cofinity Advantage |
$893.71
|
| Rate for Payer: Cofinity Commercial |
$1,097.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,021.38
|
| Rate for Payer: Healthscope Commercial |
$1,149.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$893.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$957.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,021.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,085.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$957.55
|
| Rate for Payer: PHP Commercial |
$1,085.22
|
| Rate for Payer: Priority Health SBD |
$804.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$829.87
|
| Rate for Payer: UHC Core |
$665.18
|
| Rate for Payer: UHC Exchange |
$501.75
|
| Rate for Payer: UMR Bronson Commercial |
$472.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$957.55
|
|
|
APREPITANT 40 MG CAPSULE
|
Facility
|
OP
|
$1,513.16
|
|
|
Service Code
|
NDC 68462058385
|
| Hospital Charge Code |
76843
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$559.87 |
| Max. Negotiated Rate |
$1,361.84 |
| Rate for Payer: Aetna American Axle |
$983.55
|
| Rate for Payer: Aetna Commercial |
$1,286.19
|
| Rate for Payer: Aetna Medicare |
$756.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$983.55
|
| Rate for Payer: BCBS Complete |
$605.26
|
| Rate for Payer: Cash Price |
$1,210.53
|
| Rate for Payer: Cofinity Advantage |
$1,059.21
|
| Rate for Payer: Cofinity Commercial |
$1,301.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,210.53
|
| Rate for Payer: Healthscope Commercial |
$1,361.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,059.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,134.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,210.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,286.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,134.87
|
| Rate for Payer: PHP Commercial |
$1,286.19
|
| Rate for Payer: Priority Health SBD |
$953.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$983.55
|
| Rate for Payer: UHC Core |
$788.36
|
| Rate for Payer: UHC Exchange |
$594.67
|
| Rate for Payer: UMR Bronson Commercial |
$559.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,134.87
|
|
|
APREPITANT 40 MG CAPSULE
|
Facility
|
OP
|
$255.38
|
|
|
Service Code
|
NDC 00781232106
|
| Hospital Charge Code |
76843
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$94.49 |
| Max. Negotiated Rate |
$229.84 |
| Rate for Payer: Aetna American Axle |
$166.00
|
| Rate for Payer: Aetna Commercial |
$217.07
|
| Rate for Payer: Aetna Medicare |
$127.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$166.00
|
| Rate for Payer: BCBS Complete |
$102.15
|
| Rate for Payer: Cash Price |
$204.30
|
| Rate for Payer: Cofinity Advantage |
$178.77
|
| Rate for Payer: Cofinity Commercial |
$219.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$204.30
|
| Rate for Payer: Healthscope Commercial |
$229.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$178.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$191.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$204.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$217.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$191.53
|
| Rate for Payer: PHP Commercial |
$217.07
|
| Rate for Payer: Priority Health SBD |
$160.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$166.00
|
| Rate for Payer: UHC Core |
$133.05
|
| Rate for Payer: UHC Exchange |
$100.36
|
| Rate for Payer: UMR Bronson Commercial |
$94.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$191.53
|
|
|
APREPITANT 40 MG CAPSULE
|
Facility
|
OP
|
$979.95
|
|
|
Service Code
|
NDC 13668059182
|
| Hospital Charge Code |
76843
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$362.58 |
| Max. Negotiated Rate |
$881.96 |
| Rate for Payer: Aetna American Axle |
$636.97
|
| Rate for Payer: Aetna Commercial |
$832.96
|
| Rate for Payer: Aetna Medicare |
$489.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$636.97
|
| Rate for Payer: BCBS Complete |
$391.98
|
| Rate for Payer: Cash Price |
$783.96
|
| Rate for Payer: Cofinity Advantage |
$685.97
|
| Rate for Payer: Cofinity Commercial |
$842.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$783.96
|
| Rate for Payer: Healthscope Commercial |
$881.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$685.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$734.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$783.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$832.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$734.96
|
| Rate for Payer: PHP Commercial |
$832.96
|
| Rate for Payer: Priority Health SBD |
$617.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$636.97
|
| Rate for Payer: UHC Core |
$510.55
|
| Rate for Payer: UHC Exchange |
$385.12
|
| Rate for Payer: UMR Bronson Commercial |
$362.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$734.96
|
|
|
APREPITANT 40 MG CAPSULE
|
Facility
|
IP
|
$979.95
|
|
|
Service Code
|
NDC 13668059182
|
| Hospital Charge Code |
76843
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$431.18 |
| Max. Negotiated Rate |
$881.96 |
| Rate for Payer: Aetna American Axle |
$636.97
|
| Rate for Payer: Aetna Commercial |
$832.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$636.97
|
| Rate for Payer: Cash Price |
$783.96
|
| Rate for Payer: Cofinity Advantage |
$685.97
|
| Rate for Payer: Cofinity Commercial |
$842.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$783.96
|
| Rate for Payer: Healthscope Commercial |
$881.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$685.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$734.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$832.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$734.96
|
| Rate for Payer: PHP Commercial |
$832.96
|
| Rate for Payer: Priority Health SBD |
$617.37
|
| Rate for Payer: UMR Bronson Commercial |
$431.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$734.96
|
|
|
APREPITANT 40 MG CAPSULE
|
Facility
|
IP
|
$255.38
|
|
|
Service Code
|
NDC 00781232106
|
| Hospital Charge Code |
76843
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$112.37 |
| Max. Negotiated Rate |
$229.84 |
| Rate for Payer: Aetna American Axle |
$166.00
|
| Rate for Payer: Aetna Commercial |
$217.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$166.00
|
| Rate for Payer: Cash Price |
$204.30
|
| Rate for Payer: Cofinity Advantage |
$178.77
|
| Rate for Payer: Cofinity Commercial |
$219.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$204.30
|
| Rate for Payer: Healthscope Commercial |
$229.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$178.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$191.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$217.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$191.53
|
| Rate for Payer: PHP Commercial |
$217.07
|
| Rate for Payer: Priority Health SBD |
$160.89
|
| Rate for Payer: UMR Bronson Commercial |
$112.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$191.53
|
|
|
APREPITANT 40 MG CAPSULE
|
Facility
|
IP
|
$176.12
|
|
|
Service Code
|
NDC 13668059180
|
| Hospital Charge Code |
76843
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$77.49 |
| Max. Negotiated Rate |
$158.51 |
| Rate for Payer: Aetna American Axle |
$114.48
|
| Rate for Payer: Aetna Commercial |
$149.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$114.48
|
| Rate for Payer: Cash Price |
$140.90
|
| Rate for Payer: Cofinity Advantage |
$123.28
|
| Rate for Payer: Cofinity Commercial |
$151.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$140.90
|
| Rate for Payer: Healthscope Commercial |
$158.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$123.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$132.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$149.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$132.09
|
| Rate for Payer: PHP Commercial |
$149.70
|
| Rate for Payer: Priority Health SBD |
$110.96
|
| Rate for Payer: UMR Bronson Commercial |
$77.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$132.09
|
|
|
APREPITANT 40 MG CAPSULE
|
Facility
|
OP
|
$176.12
|
|
|
Service Code
|
NDC 13668059180
|
| Hospital Charge Code |
76843
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$65.16 |
| Max. Negotiated Rate |
$158.51 |
| Rate for Payer: Aetna American Axle |
$114.48
|
| Rate for Payer: Aetna Commercial |
$149.70
|
| Rate for Payer: Aetna Medicare |
$88.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$114.48
|
| Rate for Payer: BCBS Complete |
$70.45
|
| Rate for Payer: Cash Price |
$140.90
|
| Rate for Payer: Cofinity Advantage |
$123.28
|
| Rate for Payer: Cofinity Commercial |
$151.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$140.90
|
| Rate for Payer: Healthscope Commercial |
$158.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$123.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$132.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$140.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$149.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$132.09
|
| Rate for Payer: PHP Commercial |
$149.70
|
| Rate for Payer: Priority Health SBD |
$110.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$114.48
|
| Rate for Payer: UHC Core |
$91.76
|
| Rate for Payer: UHC Exchange |
$69.22
|
| Rate for Payer: UMR Bronson Commercial |
$65.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$132.09
|
|
|
APREPITANT 40 MG CAPSULE
|
Facility
|
IP
|
$1,276.73
|
|
|
Service Code
|
NDC 00781232151
|
| Hospital Charge Code |
76843
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$561.76 |
| Max. Negotiated Rate |
$1,149.06 |
| Rate for Payer: Aetna American Axle |
$829.87
|
| Rate for Payer: Aetna Commercial |
$1,085.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$829.87
|
| Rate for Payer: Cash Price |
$1,021.38
|
| Rate for Payer: Cofinity Advantage |
$893.71
|
| Rate for Payer: Cofinity Commercial |
$1,097.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,021.38
|
| Rate for Payer: Healthscope Commercial |
$1,149.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$893.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$957.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,085.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$957.55
|
| Rate for Payer: PHP Commercial |
$1,085.22
|
| Rate for Payer: Priority Health SBD |
$804.34
|
| Rate for Payer: UMR Bronson Commercial |
$561.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$957.55
|
|
|
APREPITANT 80 MG CAPSULE
|
Facility
|
IP
|
$2,839.61
|
|
|
Service Code
|
NDC 00781232268
|
| Hospital Charge Code |
35488
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1,249.43 |
| Max. Negotiated Rate |
$2,555.65 |
| Rate for Payer: Aetna American Axle |
$1,845.75
|
| Rate for Payer: Aetna Commercial |
$2,413.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,845.75
|
| Rate for Payer: Cash Price |
$2,271.69
|
| Rate for Payer: Cofinity Advantage |
$1,987.73
|
| Rate for Payer: Cofinity Commercial |
$2,442.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,271.69
|
| Rate for Payer: Healthscope Commercial |
$2,555.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,987.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,129.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,413.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,129.71
|
| Rate for Payer: PHP Commercial |
$2,413.67
|
| Rate for Payer: Priority Health SBD |
$1,788.95
|
| Rate for Payer: UMR Bronson Commercial |
$1,249.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,129.71
|
|
|
APREPITANT 80 MG CAPSULE
|
Facility
|
OP
|
$473.33
|
|
|
Service Code
|
NDC 00781232206
|
| Hospital Charge Code |
35488
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$175.13 |
| Max. Negotiated Rate |
$426.00 |
| Rate for Payer: Aetna American Axle |
$307.66
|
| Rate for Payer: Aetna Commercial |
$402.33
|
| Rate for Payer: Aetna Medicare |
$236.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$307.66
|
| Rate for Payer: BCBS Complete |
$189.33
|
| Rate for Payer: Cash Price |
$378.66
|
| Rate for Payer: Cofinity Advantage |
$331.33
|
| Rate for Payer: Cofinity Commercial |
$407.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$378.66
|
| Rate for Payer: Healthscope Commercial |
$426.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$331.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$355.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$378.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$402.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$355.00
|
| Rate for Payer: PHP Commercial |
$402.33
|
| Rate for Payer: Priority Health SBD |
$298.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$307.66
|
| Rate for Payer: UHC Core |
$246.60
|
| Rate for Payer: UHC Exchange |
$186.02
|
| Rate for Payer: UMR Bronson Commercial |
$175.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$355.00
|
|
|
APREPITANT 80 MG CAPSULE
|
Facility
|
IP
|
$946.65
|
|
|
Service Code
|
NDC 00781232246
|
| Hospital Charge Code |
35488
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$416.53 |
| Max. Negotiated Rate |
$851.99 |
| Rate for Payer: Aetna American Axle |
$615.32
|
| Rate for Payer: Aetna Commercial |
$804.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$615.32
|
| Rate for Payer: Cash Price |
$757.32
|
| Rate for Payer: Cofinity Advantage |
$662.65
|
| Rate for Payer: Cofinity Commercial |
$814.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$757.32
|
| Rate for Payer: Healthscope Commercial |
$851.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$662.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$709.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$804.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$709.99
|
| Rate for Payer: PHP Commercial |
$804.65
|
| Rate for Payer: Priority Health SBD |
$596.39
|
| Rate for Payer: UMR Bronson Commercial |
$416.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$709.99
|
|
|
APREPITANT 80 MG CAPSULE
|
Facility
|
OP
|
$946.65
|
|
|
Service Code
|
NDC 00781232246
|
| Hospital Charge Code |
35488
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$350.26 |
| Max. Negotiated Rate |
$851.99 |
| Rate for Payer: Aetna American Axle |
$615.32
|
| Rate for Payer: Aetna Commercial |
$804.65
|
| Rate for Payer: Aetna Medicare |
$473.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$615.32
|
| Rate for Payer: BCBS Complete |
$378.66
|
| Rate for Payer: Cash Price |
$757.32
|
| Rate for Payer: Cofinity Advantage |
$662.65
|
| Rate for Payer: Cofinity Commercial |
$814.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$757.32
|
| Rate for Payer: Healthscope Commercial |
$851.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$662.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$709.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$757.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$804.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$709.99
|
| Rate for Payer: PHP Commercial |
$804.65
|
| Rate for Payer: Priority Health SBD |
$596.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$615.32
|
| Rate for Payer: UHC Core |
$493.20
|
| Rate for Payer: UHC Exchange |
$372.03
|
| Rate for Payer: UMR Bronson Commercial |
$350.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$709.99
|
|
|
APREPITANT 80 MG CAPSULE
|
Facility
|
OP
|
$2,839.61
|
|
|
Service Code
|
NDC 00781232268
|
| Hospital Charge Code |
35488
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1,050.66 |
| Max. Negotiated Rate |
$2,555.65 |
| Rate for Payer: Aetna American Axle |
$1,845.75
|
| Rate for Payer: Aetna Commercial |
$2,413.67
|
| Rate for Payer: Aetna Medicare |
$1,419.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,845.75
|
| Rate for Payer: BCBS Complete |
$1,135.84
|
| Rate for Payer: Cash Price |
$2,271.69
|
| Rate for Payer: Cofinity Advantage |
$1,987.73
|
| Rate for Payer: Cofinity Commercial |
$2,442.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,271.69
|
| Rate for Payer: Healthscope Commercial |
$2,555.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,987.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,129.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,271.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,413.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,129.71
|
| Rate for Payer: PHP Commercial |
$2,413.67
|
| Rate for Payer: Priority Health SBD |
$1,788.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,845.75
|
| Rate for Payer: UHC Core |
$1,479.44
|
| Rate for Payer: UHC Exchange |
$1,115.97
|
| Rate for Payer: UMR Bronson Commercial |
$1,050.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,129.71
|
|
|
APREPITANT 80 MG CAPSULE
|
Facility
|
OP
|
$560.06
|
|
|
Service Code
|
NDC 09900001115
|
| Hospital Charge Code |
35488
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$207.22 |
| Max. Negotiated Rate |
$504.05 |
| Rate for Payer: Aetna American Axle |
$364.04
|
| Rate for Payer: Aetna Commercial |
$476.05
|
| Rate for Payer: Aetna Medicare |
$280.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$364.04
|
| Rate for Payer: BCBS Complete |
$224.02
|
| Rate for Payer: Cash Price |
$448.05
|
| Rate for Payer: Cofinity Advantage |
$392.04
|
| Rate for Payer: Cofinity Commercial |
$481.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$448.05
|
| Rate for Payer: Healthscope Commercial |
$504.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$392.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$420.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$448.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$476.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$420.05
|
| Rate for Payer: PHP Commercial |
$476.05
|
| Rate for Payer: Priority Health SBD |
$352.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$364.04
|
| Rate for Payer: UHC Core |
$291.79
|
| Rate for Payer: UHC Exchange |
$220.10
|
| Rate for Payer: UMR Bronson Commercial |
$207.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$420.05
|
|
|
APREPITANT 80 MG CAPSULE
|
Facility
|
IP
|
$1,505.42
|
|
|
Service Code
|
NDC 00006046102
|
| Hospital Charge Code |
35488
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$662.38 |
| Max. Negotiated Rate |
$1,354.88 |
| Rate for Payer: Aetna American Axle |
$978.52
|
| Rate for Payer: Aetna Commercial |
$1,279.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$978.52
|
| Rate for Payer: Cash Price |
$1,204.34
|
| Rate for Payer: Cofinity Advantage |
$1,053.79
|
| Rate for Payer: Cofinity Commercial |
$1,294.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,204.34
|
| Rate for Payer: Healthscope Commercial |
$1,354.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,053.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,129.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,279.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,129.07
|
| Rate for Payer: PHP Commercial |
$1,279.61
|
| Rate for Payer: Priority Health SBD |
$948.41
|
| Rate for Payer: UMR Bronson Commercial |
$662.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,129.07
|
|
|
APREPITANT 80 MG CAPSULE
|
Facility
|
IP
|
$560.06
|
|
|
Service Code
|
NDC 09900001115
|
| Hospital Charge Code |
35488
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$246.43 |
| Max. Negotiated Rate |
$504.05 |
| Rate for Payer: Aetna American Axle |
$364.04
|
| Rate for Payer: Aetna Commercial |
$476.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$364.04
|
| Rate for Payer: Cash Price |
$448.05
|
| Rate for Payer: Cofinity Advantage |
$392.04
|
| Rate for Payer: Cofinity Commercial |
$481.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$448.05
|
| Rate for Payer: Healthscope Commercial |
$504.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$392.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$420.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$476.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$420.05
|
| Rate for Payer: PHP Commercial |
$476.05
|
| Rate for Payer: Priority Health SBD |
$352.84
|
| Rate for Payer: UMR Bronson Commercial |
$246.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$420.05
|
|
|
APREPITANT 80 MG CAPSULE
|
Facility
|
IP
|
$473.33
|
|
|
Service Code
|
NDC 00781232206
|
| Hospital Charge Code |
35488
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$208.27 |
| Max. Negotiated Rate |
$426.00 |
| Rate for Payer: Aetna American Axle |
$307.66
|
| Rate for Payer: Aetna Commercial |
$402.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$307.66
|
| Rate for Payer: Cash Price |
$378.66
|
| Rate for Payer: Cofinity Advantage |
$331.33
|
| Rate for Payer: Cofinity Commercial |
$407.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$378.66
|
| Rate for Payer: Healthscope Commercial |
$426.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$331.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$355.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$402.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$355.00
|
| Rate for Payer: PHP Commercial |
$402.33
|
| Rate for Payer: Priority Health SBD |
$298.20
|
| Rate for Payer: UMR Bronson Commercial |
$208.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$355.00
|
|
|
APREPITANT 80 MG CAPSULE
|
Facility
|
OP
|
$1,505.42
|
|
|
Service Code
|
NDC 00006046102
|
| Hospital Charge Code |
35488
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$557.01 |
| Max. Negotiated Rate |
$1,354.88 |
| Rate for Payer: Aetna American Axle |
$978.52
|
| Rate for Payer: Aetna Commercial |
$1,279.61
|
| Rate for Payer: Aetna Medicare |
$752.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$978.52
|
| Rate for Payer: BCBS Complete |
$602.17
|
| Rate for Payer: Cash Price |
$1,204.34
|
| Rate for Payer: Cofinity Advantage |
$1,053.79
|
| Rate for Payer: Cofinity Commercial |
$1,294.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,204.34
|
| Rate for Payer: Healthscope Commercial |
$1,354.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,053.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,129.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,204.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,279.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,129.07
|
| Rate for Payer: PHP Commercial |
$1,279.61
|
| Rate for Payer: Priority Health SBD |
$948.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$978.52
|
| Rate for Payer: UHC Core |
$784.32
|
| Rate for Payer: UHC Exchange |
$591.63
|
| Rate for Payer: UMR Bronson Commercial |
$557.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,129.07
|
|
|
AQUEOUS SHUNT TO EXTRAOCULAR EQUATORIAL PLATE RESERVOIR, EXTERNAL APPROACH; WITH GRAFT
|
Facility
|
OP
|
$17,146.74
|
|
|
Service Code
|
CPT 66180
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,773.03 |
| Max. Negotiated Rate |
$17,146.74 |
| Rate for Payer: Aetna Medicare |
$5,514.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,627.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,627.71
|
| Rate for Payer: BCBS Complete |
$2,911.95
|
| Rate for Payer: BCBS MAPPO |
$5,302.17
|
| Rate for Payer: BCBS Trust/PPO |
$7,738.77
|
| Rate for Payer: BCN Commercial |
$7,738.77
|
| Rate for Payer: BCN Medicare Advantage |
$5,302.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,302.17
|
| Rate for Payer: Mclaren Medicaid |
$5,302.17
|
| Rate for Payer: Mclaren Medicare |
$5,302.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,567.28
|
| Rate for Payer: Meridian Medicaid |
$5,567.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,097.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$5,832.39
|
| Rate for Payer: Nomi Health Commercial |
$15,906.51
|
| Rate for Payer: PACE Medicare |
$5,037.06
|
| Rate for Payer: PACE SWMI |
$5,302.17
|
| Rate for Payer: PHP Medicare Advantage |
$5,302.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,773.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$17,146.74
|
| Rate for Payer: Priority Health Medicare |
$5,302.17
|
| Rate for Payer: Priority Health Tiered Network |
$13,717.39
|
| Rate for Payer: Railroad Medicare Medicare |
$5,302.17
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,302.17
|
| Rate for Payer: UHC Medicaid |
$2,773.03
|
| Rate for Payer: UHCCP Medicaid |
$2,773.03
|
| Rate for Payer: VA VA |
$5,302.17
|
|
|
ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION
|
Facility
|
IP
|
$8.03
|
|
|
Service Code
|
HCPCS J7605
|
| Hospital Charge Code |
77581
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$3.53 |
| Max. Negotiated Rate |
$7.23 |
| Rate for Payer: Aetna American Axle |
$5.22
|
| Rate for Payer: Aetna American Axle |
$16.40
|
| Rate for Payer: Aetna American Axle |
$5.60
|
| Rate for Payer: Aetna American Axle |
$14.35
|
| Rate for Payer: Aetna American Axle |
$10.52
|
| Rate for Payer: Aetna Commercial |
$13.76
|
| Rate for Payer: Aetna Commercial |
$21.45
|
| Rate for Payer: Aetna Commercial |
$6.83
|
| Rate for Payer: Aetna Commercial |
$7.32
|
| Rate for Payer: Aetna Commercial |
$18.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.60
|
| Rate for Payer: Cash Price |
$20.18
|
| Rate for Payer: Cash Price |
$17.66
|
| Rate for Payer: Cash Price |
$6.89
|
| Rate for Payer: Cash Price |
$6.42
|
| Rate for Payer: Cash Price |
$12.95
|
| Rate for Payer: Cofinity Advantage |
$11.33
|
| Rate for Payer: Cofinity Advantage |
$6.03
|
| Rate for Payer: Cofinity Advantage |
$15.46
|
| Rate for Payer: Cofinity Advantage |
$5.62
|
| Rate for Payer: Cofinity Advantage |
$17.66
|
| Rate for Payer: Cofinity Commercial |
$7.40
|
| Rate for Payer: Cofinity Commercial |
$13.92
|
| Rate for Payer: Cofinity Commercial |
$18.99
|
| Rate for Payer: Cofinity Commercial |
$21.70
|
| Rate for Payer: Cofinity Commercial |
$6.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.89
|
| Rate for Payer: Healthscope Commercial |
$14.57
|
| Rate for Payer: Healthscope Commercial |
$19.87
|
| Rate for Payer: Healthscope Commercial |
$22.71
|
| Rate for Payer: Healthscope Commercial |
$7.23
|
| Rate for Payer: Healthscope Commercial |
$7.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.02
|
| Rate for Payer: PHP Commercial |
$21.45
|
| Rate for Payer: PHP Commercial |
$13.76
|
| Rate for Payer: PHP Commercial |
$6.83
|
| Rate for Payer: PHP Commercial |
$7.32
|
| Rate for Payer: PHP Commercial |
$18.77
|
| Rate for Payer: Priority Health SBD |
$5.06
|
| Rate for Payer: Priority Health SBD |
$5.42
|
| Rate for Payer: Priority Health SBD |
$13.91
|
| Rate for Payer: Priority Health SBD |
$10.20
|
| Rate for Payer: Priority Health SBD |
$15.89
|
| Rate for Payer: UMR Bronson Commercial |
$9.72
|
| Rate for Payer: UMR Bronson Commercial |
$3.79
|
| Rate for Payer: UMR Bronson Commercial |
$11.10
|
| Rate for Payer: UMR Bronson Commercial |
$7.12
|
| Rate for Payer: UMR Bronson Commercial |
$3.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.56
|
|
|
ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION
|
Facility
|
OP
|
$8.03
|
|
|
Service Code
|
HCPCS J7605
|
| Hospital Charge Code |
77581
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.58 |
| Max. Negotiated Rate |
$7.23 |
| Rate for Payer: Aetna American Axle |
$5.22
|
| Rate for Payer: Aetna American Axle |
$5.60
|
| Rate for Payer: Aetna American Axle |
$14.35
|
| Rate for Payer: Aetna American Axle |
$16.40
|
| Rate for Payer: Aetna American Axle |
$10.52
|
| Rate for Payer: Aetna Commercial |
$18.77
|
| Rate for Payer: Aetna Commercial |
$21.45
|
| Rate for Payer: Aetna Commercial |
$13.76
|
| Rate for Payer: Aetna Commercial |
$7.32
|
| Rate for Payer: Aetna Commercial |
$6.83
|
| Rate for Payer: Aetna Medicare |
$4.01
|
| Rate for Payer: Aetna Medicare |
$11.04
|
| Rate for Payer: Aetna Medicare |
$8.10
|
| Rate for Payer: Aetna Medicare |
$12.62
|
| Rate for Payer: Aetna Medicare |
$4.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.35
|
| Rate for Payer: BCBS Complete |
$10.09
|
| Rate for Payer: BCBS Complete |
$3.44
|
| Rate for Payer: BCBS Complete |
$6.48
|
| Rate for Payer: BCBS Complete |
$8.83
|
| Rate for Payer: BCBS Complete |
$3.21
|
| Rate for Payer: Cash Price |
$12.95
|
| Rate for Payer: Cash Price |
$17.66
|
| Rate for Payer: Cash Price |
$6.42
|
| Rate for Payer: Cash Price |
$6.89
|
| Rate for Payer: Cash Price |
$20.18
|
| Rate for Payer: Cash Price |
$17.66
|
| Rate for Payer: Cash Price |
$20.18
|
| Rate for Payer: Cash Price |
$12.95
|
| Rate for Payer: Cash Price |
$6.89
|
| Rate for Payer: Cash Price |
$6.42
|
| Rate for Payer: Cofinity Advantage |
$6.03
|
| Rate for Payer: Cofinity Advantage |
$11.33
|
| Rate for Payer: Cofinity Advantage |
$17.66
|
| Rate for Payer: Cofinity Advantage |
$15.46
|
| Rate for Payer: Cofinity Advantage |
$5.62
|
| Rate for Payer: Cofinity Commercial |
$13.92
|
| Rate for Payer: Cofinity Commercial |
$21.70
|
| Rate for Payer: Cofinity Commercial |
$6.91
|
| Rate for Payer: Cofinity Commercial |
$7.40
|
| Rate for Payer: Cofinity Commercial |
$18.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.95
|
| Rate for Payer: Healthscope Commercial |
$14.57
|
| Rate for Payer: Healthscope Commercial |
$19.87
|
| Rate for Payer: Healthscope Commercial |
$22.71
|
| Rate for Payer: Healthscope Commercial |
$7.23
|
| Rate for Payer: Healthscope Commercial |
$7.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.92
|
| Rate for Payer: PHP Commercial |
$6.83
|
| Rate for Payer: PHP Commercial |
$7.32
|
| Rate for Payer: PHP Commercial |
$21.45
|
| Rate for Payer: PHP Commercial |
$13.76
|
| Rate for Payer: PHP Commercial |
$18.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$0.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$0.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$0.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$0.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$0.72
|
| Rate for Payer: Priority Health SBD |
$5.06
|
| Rate for Payer: Priority Health SBD |
$10.20
|
| Rate for Payer: Priority Health SBD |
$13.91
|
| Rate for Payer: Priority Health SBD |
$15.89
|
| Rate for Payer: Priority Health SBD |
$5.42
|
| Rate for Payer: Priority Health Tiered Network |
$0.58
|
| Rate for Payer: Priority Health Tiered Network |
$0.58
|
| Rate for Payer: Priority Health Tiered Network |
$0.58
|
| Rate for Payer: Priority Health Tiered Network |
$0.58
|
| Rate for Payer: Priority Health Tiered Network |
$0.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.60
|
| Rate for Payer: UHC Core |
$4.49
|
| Rate for Payer: UHC Core |
$8.43
|
| Rate for Payer: UHC Core |
$11.50
|
| Rate for Payer: UHC Core |
$4.18
|
| Rate for Payer: UHC Core |
$13.14
|
| Rate for Payer: UHC Exchange |
$8.68
|
| Rate for Payer: UHC Exchange |
$9.92
|
| Rate for Payer: UHC Exchange |
$6.36
|
| Rate for Payer: UHC Exchange |
$3.16
|
| Rate for Payer: UHC Exchange |
$3.38
|
| Rate for Payer: UMR Bronson Commercial |
$5.99
|
| Rate for Payer: UMR Bronson Commercial |
$9.34
|
| Rate for Payer: UMR Bronson Commercial |
$3.19
|
| Rate for Payer: UMR Bronson Commercial |
$2.97
|
| Rate for Payer: UMR Bronson Commercial |
$8.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.46
|
|
