|
NAFCILLIN 2 GRAM SOLUTION FOR INJECTION
|
Facility
|
IP
|
$94.39
|
|
|
Service Code
|
NDC 0781-3125-95
|
| Hospital Charge Code |
5335
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$41.53 |
| Max. Negotiated Rate |
$84.95 |
| Rate for Payer: Aetna American Axle |
$61.35
|
| Rate for Payer: Aetna Commercial |
$80.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$61.35
|
| Rate for Payer: Cash Price |
$75.51
|
| Rate for Payer: Cofinity Commercial |
$66.07
|
| Rate for Payer: Cofinity Commercial |
$81.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$75.51
|
| Rate for Payer: Healthscope Commercial |
$84.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$66.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$70.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$80.23
|
| Rate for Payer: PHP Commercial |
$80.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.07
|
| Rate for Payer: Priority Health SBD |
$59.47
|
| Rate for Payer: UMR Bronson Commercial |
$41.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$70.79
|
|
|
NAFCILLIN 2 GRAM SOLUTION FOR INJECTION
|
Facility
|
IP
|
$24.09
|
|
|
Service Code
|
NDC 55150-123-15
|
| Hospital Charge Code |
5335
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$10.60 |
| Max. Negotiated Rate |
$21.68 |
| Rate for Payer: Aetna American Axle |
$15.66
|
| Rate for Payer: Aetna Commercial |
$20.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.66
|
| Rate for Payer: Cash Price |
$19.27
|
| Rate for Payer: Cofinity Commercial |
$16.86
|
| Rate for Payer: Cofinity Commercial |
$20.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.27
|
| Rate for Payer: Healthscope Commercial |
$21.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$20.48
|
| Rate for Payer: PHP Commercial |
$20.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.86
|
| Rate for Payer: Priority Health SBD |
$15.18
|
| Rate for Payer: UMR Bronson Commercial |
$10.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.07
|
|
|
NALBUPHINE 10 MG/ML INJECTION SOLUTION
|
Facility
|
IP
|
$22.20
|
|
|
Service Code
|
HCPCS J2300
|
| Hospital Charge Code |
5339
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9.77 |
| Max. Negotiated Rate |
$19.98 |
| Rate for Payer: Aetna American Axle |
$14.43
|
| Rate for Payer: Aetna Commercial |
$18.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.43
|
| Rate for Payer: Cash Price |
$17.76
|
| Rate for Payer: Cofinity Commercial |
$15.54
|
| Rate for Payer: Cofinity Commercial |
$19.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.76
|
| Rate for Payer: Healthscope Commercial |
$19.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$18.87
|
| Rate for Payer: PHP Commercial |
$18.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.54
|
| Rate for Payer: Priority Health SBD |
$13.99
|
| Rate for Payer: UMR Bronson Commercial |
$9.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.65
|
|
|
NALOXEGOL 12.5 MG TABLET
|
Facility
|
IP
|
$1,430.13
|
|
|
Service Code
|
NDC 82625-8801-1
|
| Hospital Charge Code |
173967
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$629.26 |
| Max. Negotiated Rate |
$1,287.12 |
| Rate for Payer: Aetna American Axle |
$929.58
|
| Rate for Payer: Aetna Commercial |
$1,215.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$929.58
|
| Rate for Payer: Cash Price |
$1,144.10
|
| Rate for Payer: Cofinity Commercial |
$1,001.09
|
| Rate for Payer: Cofinity Commercial |
$1,229.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,144.10
|
| Rate for Payer: Healthscope Commercial |
$1,287.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,001.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,072.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,215.61
|
| Rate for Payer: PHP Commercial |
$1,215.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,001.09
|
| Rate for Payer: Priority Health SBD |
$900.98
|
| Rate for Payer: UMR Bronson Commercial |
$629.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,072.60
|
|
|
NALOXEGOL 12.5 MG TABLET
|
Facility
|
IP
|
$1,361.97
|
|
|
Service Code
|
NDC 57841-1300-1
|
| Hospital Charge Code |
173967
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$599.27 |
| Max. Negotiated Rate |
$1,225.77 |
| Rate for Payer: Aetna American Axle |
$885.28
|
| Rate for Payer: Aetna Commercial |
$1,157.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$885.28
|
| Rate for Payer: Cash Price |
$1,089.58
|
| Rate for Payer: Cofinity Commercial |
$1,171.29
|
| Rate for Payer: Cofinity Commercial |
$953.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,089.58
|
| Rate for Payer: Healthscope Commercial |
$1,225.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$953.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,021.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,157.67
|
| Rate for Payer: PHP Commercial |
$1,157.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$953.38
|
| Rate for Payer: Priority Health SBD |
$858.04
|
| Rate for Payer: UMR Bronson Commercial |
$599.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,021.48
|
|
|
NALOXEGOL 25 MG TABLET
|
Facility
|
IP
|
$1,430.13
|
|
|
Service Code
|
NDC 82625-8802-1
|
| Hospital Charge Code |
173968
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$629.26 |
| Max. Negotiated Rate |
$1,287.12 |
| Rate for Payer: Aetna American Axle |
$929.58
|
| Rate for Payer: Aetna Commercial |
$1,215.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$929.58
|
| Rate for Payer: Cash Price |
$1,144.10
|
| Rate for Payer: Cofinity Commercial |
$1,001.09
|
| Rate for Payer: Cofinity Commercial |
$1,229.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,144.10
|
| Rate for Payer: Healthscope Commercial |
$1,287.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,001.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,072.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,215.61
|
| Rate for Payer: PHP Commercial |
$1,215.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,001.09
|
| Rate for Payer: Priority Health SBD |
$900.98
|
| Rate for Payer: UMR Bronson Commercial |
$629.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,072.60
|
|
|
NALOXEGOL 25 MG TABLET
|
Facility
|
IP
|
$1,361.97
|
|
|
Service Code
|
NDC 57841-1301-1
|
| Hospital Charge Code |
173968
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$599.27 |
| Max. Negotiated Rate |
$1,225.77 |
| Rate for Payer: Aetna American Axle |
$885.28
|
| Rate for Payer: Aetna Commercial |
$1,157.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$885.28
|
| Rate for Payer: Cash Price |
$1,089.58
|
| Rate for Payer: Cofinity Commercial |
$1,171.29
|
| Rate for Payer: Cofinity Commercial |
$953.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,089.58
|
| Rate for Payer: Healthscope Commercial |
$1,225.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$953.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,021.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,157.67
|
| Rate for Payer: PHP Commercial |
$1,157.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$953.38
|
| Rate for Payer: Priority Health SBD |
$858.04
|
| Rate for Payer: UMR Bronson Commercial |
$599.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,021.48
|
|
|
NALOXONE 0.4 MG/ML INJECTION (CODE)
|
Facility
|
IP
|
$63.57
|
|
|
Service Code
|
HCPCS J2310
|
| Hospital Charge Code |
163714
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$27.97 |
| Max. Negotiated Rate |
$57.21 |
| Rate for Payer: Aetna American Axle |
$41.32
|
| Rate for Payer: Aetna Commercial |
$54.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.32
|
| Rate for Payer: Cash Price |
$50.86
|
| Rate for Payer: Cofinity Commercial |
$44.50
|
| Rate for Payer: Cofinity Commercial |
$54.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.86
|
| Rate for Payer: Healthscope Commercial |
$57.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$44.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$54.03
|
| Rate for Payer: PHP Commercial |
$54.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$44.50
|
| Rate for Payer: Priority Health SBD |
$40.05
|
| Rate for Payer: UMR Bronson Commercial |
$27.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.68
|
|
|
NALOXONE 0.4 MG/ML INJECTION SOLUTION
|
Facility
|
IP
|
$18.21
|
|
|
Service Code
|
HCPCS J2310
|
| Hospital Charge Code |
5373
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$8.01 |
| Max. Negotiated Rate |
$16.39 |
| Rate for Payer: Aetna American Axle |
$11.84
|
| Rate for Payer: Aetna American Axle |
$12.70
|
| Rate for Payer: Aetna American Axle |
$12.27
|
| Rate for Payer: Aetna American Axle |
$158.20
|
| Rate for Payer: Aetna American Axle |
$35.23
|
| Rate for Payer: Aetna American Axle |
$41.32
|
| Rate for Payer: Aetna Commercial |
$206.88
|
| Rate for Payer: Aetna Commercial |
$15.48
|
| Rate for Payer: Aetna Commercial |
$16.04
|
| Rate for Payer: Aetna Commercial |
$16.61
|
| Rate for Payer: Aetna Commercial |
$46.07
|
| Rate for Payer: Aetna Commercial |
$54.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$158.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.27
|
| Rate for Payer: Cash Price |
$15.63
|
| Rate for Payer: Cash Price |
$15.10
|
| Rate for Payer: Cash Price |
$43.36
|
| Rate for Payer: Cash Price |
$194.71
|
| Rate for Payer: Cash Price |
$14.57
|
| Rate for Payer: Cash Price |
$50.86
|
| Rate for Payer: Cofinity Commercial |
$209.32
|
| Rate for Payer: Cofinity Commercial |
$12.75
|
| Rate for Payer: Cofinity Commercial |
$15.66
|
| Rate for Payer: Cofinity Commercial |
$54.67
|
| Rate for Payer: Cofinity Commercial |
$44.50
|
| Rate for Payer: Cofinity Commercial |
$13.21
|
| Rate for Payer: Cofinity Commercial |
$16.23
|
| Rate for Payer: Cofinity Commercial |
$13.68
|
| Rate for Payer: Cofinity Commercial |
$16.80
|
| Rate for Payer: Cofinity Commercial |
$46.61
|
| Rate for Payer: Cofinity Commercial |
$37.94
|
| Rate for Payer: Cofinity Commercial |
$170.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$194.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.10
|
| Rate for Payer: Healthscope Commercial |
$16.98
|
| Rate for Payer: Healthscope Commercial |
$17.59
|
| Rate for Payer: Healthscope Commercial |
$219.05
|
| Rate for Payer: Healthscope Commercial |
$57.21
|
| Rate for Payer: Healthscope Commercial |
$16.39
|
| Rate for Payer: Healthscope Commercial |
$48.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$170.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$44.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$182.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$54.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$16.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$15.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$46.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$206.88
|
| Rate for Payer: PHP Commercial |
$54.03
|
| Rate for Payer: PHP Commercial |
$16.61
|
| Rate for Payer: PHP Commercial |
$206.88
|
| Rate for Payer: PHP Commercial |
$15.48
|
| Rate for Payer: PHP Commercial |
$16.04
|
| Rate for Payer: PHP Commercial |
$46.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$44.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$170.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.21
|
| Rate for Payer: Priority Health SBD |
$11.89
|
| Rate for Payer: Priority Health SBD |
$11.47
|
| Rate for Payer: Priority Health SBD |
$12.31
|
| Rate for Payer: Priority Health SBD |
$153.34
|
| Rate for Payer: Priority Health SBD |
$40.05
|
| Rate for Payer: Priority Health SBD |
$34.15
|
| Rate for Payer: UMR Bronson Commercial |
$27.97
|
| Rate for Payer: UMR Bronson Commercial |
$107.09
|
| Rate for Payer: UMR Bronson Commercial |
$8.60
|
| Rate for Payer: UMR Bronson Commercial |
$8.30
|
| Rate for Payer: UMR Bronson Commercial |
$23.85
|
| Rate for Payer: UMR Bronson Commercial |
$8.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$182.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.68
|
|
|
NALOXONE 0.4 MG/ML INJECTION SOLUTION
|
Facility
|
OP
|
$63.57
|
|
|
Service Code
|
HCPCS J2310
|
| Hospital Charge Code |
5373
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$23.52 |
| Max. Negotiated Rate |
$57.21 |
| Rate for Payer: Aetna American Axle |
$41.32
|
| Rate for Payer: Aetna American Axle |
$13.02
|
| Rate for Payer: Aetna Commercial |
$17.03
|
| Rate for Payer: Aetna Commercial |
$54.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.02
|
| Rate for Payer: BCBS Complete |
$25.43
|
| Rate for Payer: BCBS Complete |
$8.01
|
| Rate for Payer: BCBS Trust/PPO |
$23.53
|
| Rate for Payer: BCBS Trust/PPO |
$23.53
|
| Rate for Payer: Cash Price |
$16.02
|
| Rate for Payer: Cash Price |
$50.86
|
| Rate for Payer: Cash Price |
$50.86
|
| Rate for Payer: Cash Price |
$16.02
|
| Rate for Payer: Cofinity Commercial |
$17.23
|
| Rate for Payer: Cofinity Commercial |
$14.02
|
| Rate for Payer: Cofinity Commercial |
$54.67
|
| Rate for Payer: Cofinity Commercial |
$44.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.86
|
| Rate for Payer: Healthscope Commercial |
$57.21
|
| Rate for Payer: Healthscope Commercial |
$18.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$44.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$54.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$17.03
|
| Rate for Payer: PHP Commercial |
$54.03
|
| Rate for Payer: PHP Commercial |
$17.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$44.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.02
|
| Rate for Payer: Priority Health SBD |
$12.62
|
| Rate for Payer: Priority Health SBD |
$40.05
|
| Rate for Payer: UMR Bronson Commercial |
$23.52
|
| Rate for Payer: UMR Bronson Commercial |
$7.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.02
|
|
|
NALOXONE 1 MG/ML INJECTION SYRINGE
|
Facility
|
IP
|
$76.59
|
|
|
Service Code
|
HCPCS J2310
|
| Hospital Charge Code |
5374
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$33.70 |
| Max. Negotiated Rate |
$68.93 |
| Rate for Payer: Aetna American Axle |
$49.78
|
| Rate for Payer: Aetna American Axle |
$56.36
|
| Rate for Payer: Aetna Commercial |
$73.70
|
| Rate for Payer: Aetna Commercial |
$65.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.78
|
| Rate for Payer: Cash Price |
$69.37
|
| Rate for Payer: Cash Price |
$61.27
|
| Rate for Payer: Cofinity Commercial |
$60.70
|
| Rate for Payer: Cofinity Commercial |
$74.57
|
| Rate for Payer: Cofinity Commercial |
$53.61
|
| Rate for Payer: Cofinity Commercial |
$65.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.27
|
| Rate for Payer: Healthscope Commercial |
$78.04
|
| Rate for Payer: Healthscope Commercial |
$68.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$53.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$60.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$65.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$73.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$65.10
|
| Rate for Payer: PHP Commercial |
$65.10
|
| Rate for Payer: PHP Commercial |
$73.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$60.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.61
|
| Rate for Payer: Priority Health SBD |
$54.63
|
| Rate for Payer: Priority Health SBD |
$48.25
|
| Rate for Payer: UMR Bronson Commercial |
$33.70
|
| Rate for Payer: UMR Bronson Commercial |
$38.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$65.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.44
|
|
|
NALOXONE 1 MG/ML ORAL SOLUTION
|
Facility
|
IP
|
$95.60
|
|
|
Service Code
|
HCPCS J2310
|
| Hospital Charge Code |
180148
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$42.06 |
| Max. Negotiated Rate |
$86.04 |
| Rate for Payer: Aetna American Axle |
$62.14
|
| Rate for Payer: Aetna Commercial |
$81.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.14
|
| Rate for Payer: Cash Price |
$76.48
|
| Rate for Payer: Cofinity Commercial |
$66.92
|
| Rate for Payer: Cofinity Commercial |
$82.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$76.48
|
| Rate for Payer: Healthscope Commercial |
$86.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$66.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$71.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$81.26
|
| Rate for Payer: PHP Commercial |
$81.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.92
|
| Rate for Payer: Priority Health SBD |
$60.23
|
| Rate for Payer: UMR Bronson Commercial |
$42.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$71.70
|
|
|
NALTREXONE 50 MG TABLET
|
Facility
|
IP
|
$98.36
|
|
|
Service Code
|
NDC 47335-326-83
|
| Hospital Charge Code |
10685
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$43.28 |
| Max. Negotiated Rate |
$88.52 |
| Rate for Payer: Aetna American Axle |
$63.93
|
| Rate for Payer: Aetna Commercial |
$83.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.93
|
| Rate for Payer: Cash Price |
$78.69
|
| Rate for Payer: Cofinity Commercial |
$68.85
|
| Rate for Payer: Cofinity Commercial |
$84.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$78.69
|
| Rate for Payer: Healthscope Commercial |
$88.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$68.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$73.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$83.61
|
| Rate for Payer: PHP Commercial |
$83.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$68.85
|
| Rate for Payer: Priority Health SBD |
$61.97
|
| Rate for Payer: UMR Bronson Commercial |
$43.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$73.77
|
|
|
NALTREXONE 50 MG TABLET
|
Facility
|
IP
|
$205.20
|
|
|
Service Code
|
NDC 0406-1170-03
|
| Hospital Charge Code |
10685
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$90.29 |
| Max. Negotiated Rate |
$184.68 |
| Rate for Payer: Aetna American Axle |
$133.38
|
| Rate for Payer: Aetna Commercial |
$174.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$133.38
|
| Rate for Payer: Cash Price |
$164.16
|
| Rate for Payer: Cofinity Commercial |
$143.64
|
| Rate for Payer: Cofinity Commercial |
$176.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$164.16
|
| Rate for Payer: Healthscope Commercial |
$184.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$143.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$153.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$174.42
|
| Rate for Payer: PHP Commercial |
$174.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$143.64
|
| Rate for Payer: Priority Health SBD |
$129.28
|
| Rate for Payer: UMR Bronson Commercial |
$90.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$153.90
|
|
|
NALTREXONE 50 MG TABLET
|
Facility
|
IP
|
$200.88
|
|
|
Service Code
|
NDC 16729-081-10
|
| Hospital Charge Code |
10685
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$88.39 |
| Max. Negotiated Rate |
$180.79 |
| Rate for Payer: Aetna American Axle |
$130.57
|
| Rate for Payer: Aetna Commercial |
$170.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$130.57
|
| Rate for Payer: Cash Price |
$160.70
|
| Rate for Payer: Cofinity Commercial |
$140.62
|
| Rate for Payer: Cofinity Commercial |
$172.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$160.70
|
| Rate for Payer: Healthscope Commercial |
$180.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$140.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$150.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$170.75
|
| Rate for Payer: PHP Commercial |
$170.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$140.62
|
| Rate for Payer: Priority Health SBD |
$126.55
|
| Rate for Payer: UMR Bronson Commercial |
$88.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$150.66
|
|
|
NALTREXONE 50 MG TABLET
|
Facility
|
IP
|
$118.37
|
|
|
Service Code
|
NDC 51224-206-30
|
| Hospital Charge Code |
10685
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$52.08 |
| Max. Negotiated Rate |
$106.53 |
| Rate for Payer: Aetna American Axle |
$76.94
|
| Rate for Payer: Aetna Commercial |
$100.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.94
|
| Rate for Payer: Cash Price |
$94.70
|
| Rate for Payer: Cofinity Commercial |
$101.80
|
| Rate for Payer: Cofinity Commercial |
$82.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.70
|
| Rate for Payer: Healthscope Commercial |
$106.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$82.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$88.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$100.61
|
| Rate for Payer: PHP Commercial |
$100.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$82.86
|
| Rate for Payer: Priority Health SBD |
$74.57
|
| Rate for Payer: UMR Bronson Commercial |
$52.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$88.78
|
|
|
NALTREXONE ER 380 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE
|
Facility
|
IP
|
$4,883.94
|
|
|
Service Code
|
HCPCS J2315
|
| Hospital Charge Code |
76527
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2,148.93 |
| Max. Negotiated Rate |
$4,395.55 |
| Rate for Payer: Aetna American Axle |
$3,174.56
|
| Rate for Payer: Aetna Commercial |
$4,151.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,174.56
|
| Rate for Payer: Cash Price |
$3,907.15
|
| Rate for Payer: Cofinity Commercial |
$3,418.76
|
| Rate for Payer: Cofinity Commercial |
$4,200.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,907.15
|
| Rate for Payer: Healthscope Commercial |
$4,395.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,418.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,662.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,151.35
|
| Rate for Payer: PHP Commercial |
$4,151.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,418.76
|
| Rate for Payer: Priority Health SBD |
$3,076.88
|
| Rate for Payer: UMR Bronson Commercial |
$2,148.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,662.96
|
|
|
NALTREXONE ER 380 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE
|
Facility
|
OP
|
$4,883.94
|
|
|
Service Code
|
HCPCS J2315
|
| Hospital Charge Code |
76527
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.17 |
| Max. Negotiated Rate |
$4,395.55 |
| Rate for Payer: Aetna American Axle |
$3,174.56
|
| Rate for Payer: Aetna Commercial |
$4,151.35
|
| Rate for Payer: Aetna Medicare |
$4.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,174.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.95
|
| Rate for Payer: BCBS Complete |
$2.27
|
| Rate for Payer: BCBS MAPPO |
$3.96
|
| Rate for Payer: BCBS Trust/PPO |
$12.78
|
| Rate for Payer: BCN Medicare Advantage |
$3.96
|
| Rate for Payer: Cash Price |
$3,907.15
|
| Rate for Payer: Cash Price |
$3,907.15
|
| Rate for Payer: Cofinity Commercial |
$4,200.19
|
| Rate for Payer: Cofinity Commercial |
$3,418.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,907.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.96
|
| Rate for Payer: Healthscope Commercial |
$4,395.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,418.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,662.96
|
| Rate for Payer: Mclaren Medicaid |
$2.17
|
| Rate for Payer: Mclaren Medicare |
$3.96
|
| Rate for Payer: Meridian Medicaid |
$2.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$4.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,151.35
|
| Rate for Payer: PACE Medicare |
$3.76
|
| Rate for Payer: PACE SWMI |
$3.96
|
| Rate for Payer: PHP Commercial |
$4,151.35
|
| Rate for Payer: PHP Medicare Advantage |
$3.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,418.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11.63
|
| Rate for Payer: Priority Health Medicare |
$3.96
|
| Rate for Payer: Priority Health Narrow Network |
$9.30
|
| Rate for Payer: Priority Health SBD |
$3,076.88
|
| Rate for Payer: Railroad Medicare Medicare |
$3.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$3.96
|
| Rate for Payer: UHC Medicare Advantage |
$4.08
|
| Rate for Payer: UMR Bronson Commercial |
$1,807.06
|
| Rate for Payer: VA VA |
$3.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,662.96
|
|
|
NAPHAZOLINE-PHENIRAMINE 0.02675 %-0.315 % EYE DROPS
|
Facility
|
IP
|
$24.00
|
|
|
Service Code
|
NDC 1011902090
|
| Hospital Charge Code |
15058
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$10.56 |
| Max. Negotiated Rate |
$21.60 |
| Rate for Payer: Aetna American Axle |
$15.60
|
| Rate for Payer: Aetna Commercial |
$20.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.60
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cofinity Commercial |
$16.80
|
| Rate for Payer: Cofinity Commercial |
$20.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.20
|
| Rate for Payer: Healthscope Commercial |
$21.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$20.40
|
| Rate for Payer: PHP Commercial |
$20.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.80
|
| Rate for Payer: Priority Health SBD |
$15.12
|
| Rate for Payer: UMR Bronson Commercial |
$10.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.00
|
|
|
NAPROXEN 125 MG/5 ML ORAL SUSPENSION
|
Facility
|
IP
|
$3,606.96
|
|
|
Service Code
|
NDC 71511-701-16
|
| Hospital Charge Code |
10691
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1,587.06 |
| Max. Negotiated Rate |
$3,246.26 |
| Rate for Payer: Aetna American Axle |
$2,344.52
|
| Rate for Payer: Aetna Commercial |
$3,065.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,344.52
|
| Rate for Payer: Cash Price |
$2,885.57
|
| Rate for Payer: Cofinity Commercial |
$2,524.87
|
| Rate for Payer: Cofinity Commercial |
$3,101.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,885.57
|
| Rate for Payer: Healthscope Commercial |
$3,246.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,524.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,705.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,065.92
|
| Rate for Payer: PHP Commercial |
$3,065.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,524.87
|
| Rate for Payer: Priority Health SBD |
$2,272.38
|
| Rate for Payer: UMR Bronson Commercial |
$1,587.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,705.22
|
|
|
NAPROXEN 125 MG/5 ML ORAL SUSPENSION
|
Facility
|
IP
|
$2,088.00
|
|
|
Service Code
|
NDC 68134-201-16
|
| Hospital Charge Code |
10691
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$918.72 |
| Max. Negotiated Rate |
$1,879.20 |
| Rate for Payer: Aetna American Axle |
$1,357.20
|
| Rate for Payer: Aetna Commercial |
$1,774.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,357.20
|
| Rate for Payer: Cash Price |
$1,670.40
|
| Rate for Payer: Cofinity Commercial |
$1,461.60
|
| Rate for Payer: Cofinity Commercial |
$1,795.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,670.40
|
| Rate for Payer: Healthscope Commercial |
$1,879.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,461.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,566.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,774.80
|
| Rate for Payer: PHP Commercial |
$1,774.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,461.60
|
| Rate for Payer: Priority Health SBD |
$1,315.44
|
| Rate for Payer: UMR Bronson Commercial |
$918.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,566.00
|
|
|
NAPROXEN 125 MG/5 ML ORAL SUSPENSION
|
Facility
|
IP
|
$1,285.05
|
|
|
Service Code
|
NDC 69238-1730-2
|
| Hospital Charge Code |
10691
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$565.42 |
| Max. Negotiated Rate |
$1,156.54 |
| Rate for Payer: Aetna American Axle |
$835.28
|
| Rate for Payer: Aetna Commercial |
$1,092.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$835.28
|
| Rate for Payer: Cash Price |
$1,028.04
|
| Rate for Payer: Cofinity Commercial |
$1,105.14
|
| Rate for Payer: Cofinity Commercial |
$899.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,028.04
|
| Rate for Payer: Healthscope Commercial |
$1,156.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$899.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$963.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,092.29
|
| Rate for Payer: PHP Commercial |
$1,092.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$899.54
|
| Rate for Payer: Priority Health SBD |
$809.58
|
| Rate for Payer: UMR Bronson Commercial |
$565.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$963.79
|
|
|
NAPROXEN 125 MG/5 ML ORAL SUSPENSION
|
Facility
|
IP
|
$2,189.76
|
|
|
Service Code
|
NDC 42192-619-16
|
| Hospital Charge Code |
10691
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$963.49 |
| Max. Negotiated Rate |
$1,970.78 |
| Rate for Payer: Aetna American Axle |
$1,423.34
|
| Rate for Payer: Aetna Commercial |
$1,861.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,423.34
|
| Rate for Payer: Cash Price |
$1,751.81
|
| Rate for Payer: Cofinity Commercial |
$1,532.83
|
| Rate for Payer: Cofinity Commercial |
$1,883.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,751.81
|
| Rate for Payer: Healthscope Commercial |
$1,970.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,532.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,642.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,861.30
|
| Rate for Payer: PHP Commercial |
$1,861.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,532.83
|
| Rate for Payer: Priority Health SBD |
$1,379.55
|
| Rate for Payer: UMR Bronson Commercial |
$963.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,642.32
|
|
|
NAPROXEN 250 MG TABLET
|
Facility
|
IP
|
$185.65
|
|
|
Service Code
|
NDC 68462-188-01
|
| Hospital Charge Code |
5391
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$81.69 |
| Max. Negotiated Rate |
$167.08 |
| Rate for Payer: Aetna American Axle |
$120.67
|
| Rate for Payer: Aetna Commercial |
$157.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$120.67
|
| Rate for Payer: Cash Price |
$148.52
|
| Rate for Payer: Cofinity Commercial |
$129.96
|
| Rate for Payer: Cofinity Commercial |
$159.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$148.52
|
| Rate for Payer: Healthscope Commercial |
$167.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$129.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$139.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$157.80
|
| Rate for Payer: PHP Commercial |
$157.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$129.96
|
| Rate for Payer: Priority Health SBD |
$116.96
|
| Rate for Payer: UMR Bronson Commercial |
$81.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$139.24
|
|
|
NAPROXEN 250 MG TABLET
|
Facility
|
IP
|
$155.10
|
|
|
Service Code
|
NDC 65162-188-10
|
| Hospital Charge Code |
5391
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$68.24 |
| Max. Negotiated Rate |
$139.59 |
| Rate for Payer: Aetna American Axle |
$100.82
|
| Rate for Payer: Aetna Commercial |
$131.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.82
|
| Rate for Payer: Cash Price |
$124.08
|
| Rate for Payer: Cofinity Commercial |
$108.57
|
| Rate for Payer: Cofinity Commercial |
$133.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$124.08
|
| Rate for Payer: Healthscope Commercial |
$139.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$108.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$116.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$131.84
|
| Rate for Payer: PHP Commercial |
$131.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$108.57
|
| Rate for Payer: Priority Health SBD |
$97.71
|
| Rate for Payer: UMR Bronson Commercial |
$68.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$116.32
|
|
