|
LAMOTRIGINE 150 MG TABLET
|
Facility
|
OP
|
$115.62
|
|
|
Service Code
|
NDC 13668004860
|
| Hospital Charge Code |
14266
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$42.78 |
| Max. Negotiated Rate |
$104.06 |
| Rate for Payer: Aetna American Axle |
$75.15
|
| Rate for Payer: Aetna Commercial |
$98.28
|
| Rate for Payer: Aetna Medicare |
$57.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$75.15
|
| Rate for Payer: BCBS Complete |
$46.25
|
| Rate for Payer: Cash Price |
$92.50
|
| Rate for Payer: Cofinity Advantage |
$80.93
|
| Rate for Payer: Cofinity Commercial |
$99.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$92.50
|
| Rate for Payer: Healthscope Commercial |
$104.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$80.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$86.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$92.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$98.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$86.72
|
| Rate for Payer: PHP Commercial |
$98.28
|
| Rate for Payer: Priority Health SBD |
$72.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$75.15
|
| Rate for Payer: UHC Core |
$60.24
|
| Rate for Payer: UHC Exchange |
$45.44
|
| Rate for Payer: UMR Bronson Commercial |
$42.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$86.72
|
|
|
LAMOTRIGINE 150 MG TABLET
|
Facility
|
IP
|
$101.52
|
|
|
Service Code
|
NDC 65862022960
|
| Hospital Charge Code |
14266
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$44.67 |
| Max. Negotiated Rate |
$91.37 |
| Rate for Payer: Aetna American Axle |
$65.99
|
| Rate for Payer: Aetna Commercial |
$86.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.99
|
| Rate for Payer: Cash Price |
$81.22
|
| Rate for Payer: Cofinity Advantage |
$71.06
|
| Rate for Payer: Cofinity Commercial |
$87.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$81.22
|
| Rate for Payer: Healthscope Commercial |
$91.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$71.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$76.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$86.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$76.14
|
| Rate for Payer: PHP Commercial |
$86.29
|
| Rate for Payer: Priority Health SBD |
$63.96
|
| Rate for Payer: UMR Bronson Commercial |
$44.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$76.14
|
|
|
LAMOTRIGINE 150 MG TABLET
|
Facility
|
IP
|
$115.62
|
|
|
Service Code
|
NDC 13668004860
|
| Hospital Charge Code |
14266
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$50.87 |
| Max. Negotiated Rate |
$104.06 |
| Rate for Payer: Aetna American Axle |
$75.15
|
| Rate for Payer: Aetna Commercial |
$98.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$75.15
|
| Rate for Payer: Cash Price |
$92.50
|
| Rate for Payer: Cofinity Advantage |
$80.93
|
| Rate for Payer: Cofinity Commercial |
$99.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$92.50
|
| Rate for Payer: Healthscope Commercial |
$104.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$80.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$86.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$98.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$86.72
|
| Rate for Payer: PHP Commercial |
$98.28
|
| Rate for Payer: Priority Health SBD |
$72.84
|
| Rate for Payer: UMR Bronson Commercial |
$50.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$86.72
|
|
|
LAMOTRIGINE 150 MG TABLET
|
Facility
|
OP
|
$86.01
|
|
|
Service Code
|
NDC 59746024760
|
| Hospital Charge Code |
14266
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$31.82 |
| Max. Negotiated Rate |
$77.41 |
| Rate for Payer: Aetna American Axle |
$55.91
|
| Rate for Payer: Aetna Commercial |
$73.11
|
| Rate for Payer: Aetna Medicare |
$43.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.91
|
| Rate for Payer: BCBS Complete |
$34.40
|
| Rate for Payer: Cash Price |
$68.81
|
| Rate for Payer: Cofinity Advantage |
$60.21
|
| Rate for Payer: Cofinity Commercial |
$73.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.81
|
| Rate for Payer: Healthscope Commercial |
$77.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$60.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$64.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$68.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$64.51
|
| Rate for Payer: PHP Commercial |
$73.11
|
| Rate for Payer: Priority Health SBD |
$54.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.91
|
| Rate for Payer: UHC Core |
$44.81
|
| Rate for Payer: UHC Exchange |
$33.80
|
| Rate for Payer: UMR Bronson Commercial |
$31.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$64.51
|
|
|
LAMOTRIGINE 25 MG TABLET
|
Facility
|
IP
|
$321.95
|
|
|
Service Code
|
NDC 00904700761
|
| Hospital Charge Code |
13981
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$141.66 |
| Max. Negotiated Rate |
$289.75 |
| Rate for Payer: Aetna American Axle |
$209.27
|
| Rate for Payer: Aetna Commercial |
$273.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$209.27
|
| Rate for Payer: Cash Price |
$257.56
|
| Rate for Payer: Cofinity Advantage |
$225.37
|
| Rate for Payer: Cofinity Commercial |
$276.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$257.56
|
| Rate for Payer: Healthscope Commercial |
$289.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$225.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$241.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$273.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$241.46
|
| Rate for Payer: PHP Commercial |
$273.66
|
| Rate for Payer: Priority Health SBD |
$202.83
|
| Rate for Payer: UMR Bronson Commercial |
$141.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$241.46
|
|
|
LAMOTRIGINE 25 MG TABLET
|
Facility
|
OP
|
$321.95
|
|
|
Service Code
|
NDC 00904700761
|
| Hospital Charge Code |
13981
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$119.12 |
| Max. Negotiated Rate |
$289.75 |
| Rate for Payer: Aetna American Axle |
$209.27
|
| Rate for Payer: Aetna Commercial |
$273.66
|
| Rate for Payer: Aetna Medicare |
$160.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$209.27
|
| Rate for Payer: BCBS Complete |
$128.78
|
| Rate for Payer: Cash Price |
$257.56
|
| Rate for Payer: Cofinity Advantage |
$225.37
|
| Rate for Payer: Cofinity Commercial |
$276.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$257.56
|
| Rate for Payer: Healthscope Commercial |
$289.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$225.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$241.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$257.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$273.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$241.46
|
| Rate for Payer: PHP Commercial |
$273.66
|
| Rate for Payer: Priority Health SBD |
$202.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$209.27
|
| Rate for Payer: UHC Core |
$167.74
|
| Rate for Payer: UHC Exchange |
$126.53
|
| Rate for Payer: UMR Bronson Commercial |
$119.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$241.46
|
|
|
LAMOTRIGINE 5 MG CHEWABLE DISPERSIBLE TABLET
|
Facility
|
OP
|
$265.05
|
|
|
Service Code
|
NDC 68462022801
|
| Hospital Charge Code |
104568
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$98.07 |
| Max. Negotiated Rate |
$238.54 |
| Rate for Payer: Aetna American Axle |
$172.28
|
| Rate for Payer: Aetna Commercial |
$225.29
|
| Rate for Payer: Aetna Medicare |
$132.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$172.28
|
| Rate for Payer: BCBS Complete |
$106.02
|
| Rate for Payer: Cash Price |
$212.04
|
| Rate for Payer: Cofinity Advantage |
$185.53
|
| Rate for Payer: Cofinity Commercial |
$227.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.04
|
| Rate for Payer: Healthscope Commercial |
$238.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$185.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$198.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$212.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$225.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$198.79
|
| Rate for Payer: PHP Commercial |
$225.29
|
| Rate for Payer: Priority Health SBD |
$166.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$172.28
|
| Rate for Payer: UHC Core |
$138.09
|
| Rate for Payer: UHC Exchange |
$104.16
|
| Rate for Payer: UMR Bronson Commercial |
$98.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$198.79
|
|
|
LAMOTRIGINE 5 MG CHEWABLE DISPERSIBLE TABLET
|
Facility
|
IP
|
$265.05
|
|
|
Service Code
|
NDC 68462022801
|
| Hospital Charge Code |
104568
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$116.62 |
| Max. Negotiated Rate |
$238.54 |
| Rate for Payer: Aetna American Axle |
$172.28
|
| Rate for Payer: Aetna Commercial |
$225.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$172.28
|
| Rate for Payer: Cash Price |
$212.04
|
| Rate for Payer: Cofinity Advantage |
$185.53
|
| Rate for Payer: Cofinity Commercial |
$227.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.04
|
| Rate for Payer: Healthscope Commercial |
$238.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$185.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$198.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$225.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$198.79
|
| Rate for Payer: PHP Commercial |
$225.29
|
| Rate for Payer: Priority Health SBD |
$166.98
|
| Rate for Payer: UMR Bronson Commercial |
$116.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$198.79
|
|
|
LANOLIN ALCOHOLS-MINERAL OIL-W.PETROLATUM-CERESIN TOPICAL CREAM
|
Facility
|
IP
|
$18.39
|
|
|
Service Code
|
NDC 00904775127
|
| Hospital Charge Code |
118468
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$8.09 |
| Max. Negotiated Rate |
$16.55 |
| Rate for Payer: Aetna American Axle |
$11.95
|
| Rate for Payer: Aetna Commercial |
$15.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.95
|
| Rate for Payer: Cash Price |
$14.71
|
| Rate for Payer: Cofinity Advantage |
$12.87
|
| Rate for Payer: Cofinity Commercial |
$15.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.71
|
| Rate for Payer: Healthscope Commercial |
$16.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.79
|
| Rate for Payer: PHP Commercial |
$15.63
|
| Rate for Payer: Priority Health SBD |
$11.59
|
| Rate for Payer: UMR Bronson Commercial |
$8.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.79
|
|
|
LANOLIN ALCOHOLS-MINERAL OIL-W.PETROLATUM-CERESIN TOPICAL CREAM
|
Facility
|
OP
|
$18.39
|
|
|
Service Code
|
NDC 00904775127
|
| Hospital Charge Code |
118468
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$6.80 |
| Max. Negotiated Rate |
$16.55 |
| Rate for Payer: Aetna American Axle |
$11.95
|
| Rate for Payer: Aetna Commercial |
$15.63
|
| Rate for Payer: Aetna Medicare |
$9.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.95
|
| Rate for Payer: BCBS Complete |
$7.36
|
| Rate for Payer: Cash Price |
$14.71
|
| Rate for Payer: Cofinity Advantage |
$12.87
|
| Rate for Payer: Cofinity Commercial |
$15.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.71
|
| Rate for Payer: Healthscope Commercial |
$16.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.79
|
| Rate for Payer: PHP Commercial |
$15.63
|
| Rate for Payer: Priority Health SBD |
$11.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.95
|
| Rate for Payer: UHC Core |
$9.58
|
| Rate for Payer: UHC Exchange |
$7.23
|
| Rate for Payer: UMR Bronson Commercial |
$6.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.79
|
|
|
LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE
|
Facility
|
IP
|
$44,648.56
|
|
|
Service Code
|
HCPCS J1930
|
| Hospital Charge Code |
87861
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$19,645.37 |
| Max. Negotiated Rate |
$40,183.70 |
| Rate for Payer: Aetna American Axle |
$29,021.56
|
| Rate for Payer: Aetna Commercial |
$37,951.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29,021.56
|
| Rate for Payer: Cash Price |
$35,718.85
|
| Rate for Payer: Cofinity Advantage |
$31,253.99
|
| Rate for Payer: Cofinity Commercial |
$38,397.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35,718.85
|
| Rate for Payer: Healthscope Commercial |
$40,183.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31,253.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33,486.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37,951.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33,486.42
|
| Rate for Payer: PHP Commercial |
$37,951.28
|
| Rate for Payer: Priority Health SBD |
$28,128.59
|
| Rate for Payer: UMR Bronson Commercial |
$19,645.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33,486.42
|
|
|
LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE
|
Facility
|
OP
|
$44,648.56
|
|
|
Service Code
|
HCPCS J1930
|
| Hospital Charge Code |
87861
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$18.68 |
| Max. Negotiated Rate |
$40,183.70 |
| Rate for Payer: Aetna American Axle |
$29,021.56
|
| Rate for Payer: Aetna Commercial |
$37,951.28
|
| Rate for Payer: Aetna Medicare |
$37.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29,021.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44.65
|
| Rate for Payer: BCBS Complete |
$19.62
|
| Rate for Payer: BCBS MAPPO |
$35.72
|
| Rate for Payer: BCBS Trust/PPO |
$114.73
|
| Rate for Payer: BCN Commercial |
$114.73
|
| Rate for Payer: BCN Medicare Advantage |
$35.72
|
| Rate for Payer: Cash Price |
$35,718.85
|
| Rate for Payer: Cash Price |
$35,718.85
|
| Rate for Payer: Cofinity Advantage |
$31,253.99
|
| Rate for Payer: Cofinity Commercial |
$38,397.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35,718.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.72
|
| Rate for Payer: Healthscope Commercial |
$40,183.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$31,253.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33,486.42
|
| Rate for Payer: Mclaren Medicaid |
$35.72
|
| Rate for Payer: Mclaren Medicare |
$35.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.51
|
| Rate for Payer: Meridian Medicaid |
$37.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$39.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37,951.28
|
| Rate for Payer: Nomi Health Commercial |
$107.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33,486.42
|
| Rate for Payer: PACE Medicare |
$33.93
|
| Rate for Payer: PACE SWMI |
$35.72
|
| Rate for Payer: PHP Commercial |
$37,951.28
|
| Rate for Payer: PHP Medicare Advantage |
$35.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$107.37
|
| Rate for Payer: Priority Health Medicare |
$35.72
|
| Rate for Payer: Priority Health SBD |
$28,128.59
|
| Rate for Payer: Priority Health Tiered Network |
$85.90
|
| Rate for Payer: Railroad Medicare Medicare |
$35.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.39
|
| Rate for Payer: UHC Core |
$58.39
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.72
|
| Rate for Payer: UHC Exchange |
$58.39
|
| Rate for Payer: UHC Medicaid |
$18.68
|
| Rate for Payer: UHCCP Medicaid |
$18.68
|
| Rate for Payer: UMR Bronson Commercial |
$16,519.97
|
| Rate for Payer: VA VA |
$35.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33,486.42
|
|
|
LANREOTIDE 60 MG/0.2 ML SUBCUTANEOUS SYRINGE
|
Facility
|
OP
|
$28,430.68
|
|
|
Service Code
|
HCPCS J1930
|
| Hospital Charge Code |
88570
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$18.68 |
| Max. Negotiated Rate |
$25,587.61 |
| Rate for Payer: Aetna American Axle |
$18,479.94
|
| Rate for Payer: Aetna Commercial |
$24,166.08
|
| Rate for Payer: Aetna Medicare |
$37.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18,479.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44.65
|
| Rate for Payer: BCBS Complete |
$19.62
|
| Rate for Payer: BCBS MAPPO |
$35.72
|
| Rate for Payer: BCBS Trust/PPO |
$114.73
|
| Rate for Payer: BCN Commercial |
$114.73
|
| Rate for Payer: BCN Medicare Advantage |
$35.72
|
| Rate for Payer: Cash Price |
$22,744.54
|
| Rate for Payer: Cash Price |
$22,744.54
|
| Rate for Payer: Cofinity Advantage |
$19,901.48
|
| Rate for Payer: Cofinity Commercial |
$24,450.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22,744.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.72
|
| Rate for Payer: Healthscope Commercial |
$25,587.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19,901.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21,323.01
|
| Rate for Payer: Mclaren Medicaid |
$35.72
|
| Rate for Payer: Mclaren Medicare |
$35.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.51
|
| Rate for Payer: Meridian Medicaid |
$37.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$39.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24,166.08
|
| Rate for Payer: Nomi Health Commercial |
$107.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21,323.01
|
| Rate for Payer: PACE Medicare |
$33.93
|
| Rate for Payer: PACE SWMI |
$35.72
|
| Rate for Payer: PHP Commercial |
$24,166.08
|
| Rate for Payer: PHP Medicare Advantage |
$35.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$107.37
|
| Rate for Payer: Priority Health Medicare |
$35.72
|
| Rate for Payer: Priority Health SBD |
$17,911.33
|
| Rate for Payer: Priority Health Tiered Network |
$85.90
|
| Rate for Payer: Railroad Medicare Medicare |
$35.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.39
|
| Rate for Payer: UHC Core |
$58.39
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.72
|
| Rate for Payer: UHC Exchange |
$58.39
|
| Rate for Payer: UHC Medicaid |
$18.68
|
| Rate for Payer: UHCCP Medicaid |
$18.68
|
| Rate for Payer: UMR Bronson Commercial |
$10,519.35
|
| Rate for Payer: VA VA |
$35.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21,323.01
|
|
|
LANREOTIDE 60 MG/0.2 ML SUBCUTANEOUS SYRINGE
|
Facility
|
IP
|
$28,430.68
|
|
|
Service Code
|
HCPCS J1930
|
| Hospital Charge Code |
88570
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$12,509.50 |
| Max. Negotiated Rate |
$25,587.61 |
| Rate for Payer: Aetna American Axle |
$18,479.94
|
| Rate for Payer: Aetna Commercial |
$24,166.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18,479.94
|
| Rate for Payer: Cash Price |
$22,744.54
|
| Rate for Payer: Cofinity Advantage |
$19,901.48
|
| Rate for Payer: Cofinity Commercial |
$24,450.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22,744.54
|
| Rate for Payer: Healthscope Commercial |
$25,587.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19,901.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21,323.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24,166.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21,323.01
|
| Rate for Payer: PHP Commercial |
$24,166.08
|
| Rate for Payer: Priority Health SBD |
$17,911.33
|
| Rate for Payer: UMR Bronson Commercial |
$12,509.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21,323.01
|
|
|
LANREOTIDE 90 MG/0.3 ML SUBCUTANEOUS SYRINGE
|
Facility
|
OP
|
$21,923.21
|
|
|
Service Code
|
HCPCS J1930
|
| Hospital Charge Code |
87860
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$18.68 |
| Max. Negotiated Rate |
$19,730.89 |
| Rate for Payer: Aetna American Axle |
$14,250.09
|
| Rate for Payer: Aetna Commercial |
$18,634.73
|
| Rate for Payer: Aetna Medicare |
$37.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14,250.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44.65
|
| Rate for Payer: BCBS Complete |
$19.62
|
| Rate for Payer: BCBS MAPPO |
$35.72
|
| Rate for Payer: BCBS Trust/PPO |
$114.73
|
| Rate for Payer: BCN Commercial |
$114.73
|
| Rate for Payer: BCN Medicare Advantage |
$35.72
|
| Rate for Payer: Cash Price |
$17,538.57
|
| Rate for Payer: Cash Price |
$17,538.57
|
| Rate for Payer: Cofinity Advantage |
$15,346.25
|
| Rate for Payer: Cofinity Commercial |
$18,853.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,538.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.72
|
| Rate for Payer: Healthscope Commercial |
$19,730.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15,346.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16,442.41
|
| Rate for Payer: Mclaren Medicaid |
$35.72
|
| Rate for Payer: Mclaren Medicare |
$35.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.51
|
| Rate for Payer: Meridian Medicaid |
$37.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$39.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,634.73
|
| Rate for Payer: Nomi Health Commercial |
$107.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16,442.41
|
| Rate for Payer: PACE Medicare |
$33.93
|
| Rate for Payer: PACE SWMI |
$35.72
|
| Rate for Payer: PHP Commercial |
$18,634.73
|
| Rate for Payer: PHP Medicare Advantage |
$35.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$107.37
|
| Rate for Payer: Priority Health Medicare |
$35.72
|
| Rate for Payer: Priority Health SBD |
$13,811.62
|
| Rate for Payer: Priority Health Tiered Network |
$85.90
|
| Rate for Payer: Railroad Medicare Medicare |
$35.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.39
|
| Rate for Payer: UHC Core |
$58.39
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.72
|
| Rate for Payer: UHC Exchange |
$58.39
|
| Rate for Payer: UHC Medicaid |
$18.68
|
| Rate for Payer: UHCCP Medicaid |
$18.68
|
| Rate for Payer: UMR Bronson Commercial |
$8,111.59
|
| Rate for Payer: VA VA |
$35.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,442.41
|
|
|
LANREOTIDE 90 MG/0.3 ML SUBCUTANEOUS SYRINGE
|
Facility
|
IP
|
$21,923.21
|
|
|
Service Code
|
HCPCS J1930
|
| Hospital Charge Code |
87860
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9,646.21 |
| Max. Negotiated Rate |
$19,730.89 |
| Rate for Payer: Aetna American Axle |
$14,250.09
|
| Rate for Payer: Aetna Commercial |
$18,634.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14,250.09
|
| Rate for Payer: Cash Price |
$17,538.57
|
| Rate for Payer: Cofinity Advantage |
$15,346.25
|
| Rate for Payer: Cofinity Commercial |
$18,853.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17,538.57
|
| Rate for Payer: Healthscope Commercial |
$19,730.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15,346.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16,442.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,634.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16,442.41
|
| Rate for Payer: PHP Commercial |
$18,634.73
|
| Rate for Payer: Priority Health SBD |
$13,811.62
|
| Rate for Payer: UMR Bronson Commercial |
$9,646.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16,442.41
|
|
|
LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE
|
Facility
|
IP
|
$4,761.16
|
|
|
Service Code
|
NDC 64764004613
|
| Hospital Charge Code |
27692
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2,094.91 |
| Max. Negotiated Rate |
$4,285.04 |
| Rate for Payer: Aetna American Axle |
$3,094.75
|
| Rate for Payer: Aetna Commercial |
$4,046.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,094.75
|
| Rate for Payer: Cash Price |
$3,808.93
|
| Rate for Payer: Cofinity Advantage |
$3,332.81
|
| Rate for Payer: Cofinity Commercial |
$4,094.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,808.93
|
| Rate for Payer: Healthscope Commercial |
$4,285.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,332.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,570.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,046.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,570.87
|
| Rate for Payer: PHP Commercial |
$4,046.99
|
| Rate for Payer: Priority Health SBD |
$2,999.53
|
| Rate for Payer: UMR Bronson Commercial |
$2,094.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,570.87
|
|
|
LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE
|
Facility
|
OP
|
$4,761.16
|
|
|
Service Code
|
NDC 64764004613
|
| Hospital Charge Code |
27692
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1,761.63 |
| Max. Negotiated Rate |
$4,285.04 |
| Rate for Payer: Aetna American Axle |
$3,094.75
|
| Rate for Payer: Aetna Commercial |
$4,046.99
|
| Rate for Payer: Aetna Medicare |
$2,380.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,094.75
|
| Rate for Payer: BCBS Complete |
$1,904.46
|
| Rate for Payer: Cash Price |
$3,808.93
|
| Rate for Payer: Cofinity Advantage |
$3,332.81
|
| Rate for Payer: Cofinity Commercial |
$4,094.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,808.93
|
| Rate for Payer: Healthscope Commercial |
$4,285.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,332.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,570.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,808.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,046.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,570.87
|
| Rate for Payer: PHP Commercial |
$4,046.99
|
| Rate for Payer: Priority Health SBD |
$2,999.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,094.75
|
| Rate for Payer: UHC Core |
$2,480.56
|
| Rate for Payer: UHC Exchange |
$1,871.14
|
| Rate for Payer: UMR Bronson Commercial |
$1,761.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,570.87
|
|
|
LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET
|
Facility
|
IP
|
$47.62
|
|
|
Service Code
|
NDC 64764054430
|
| Hospital Charge Code |
34595
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$20.95 |
| Max. Negotiated Rate |
$42.86 |
| Rate for Payer: Aetna American Axle |
$30.95
|
| Rate for Payer: Aetna Commercial |
$40.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.95
|
| Rate for Payer: Cash Price |
$38.10
|
| Rate for Payer: Cofinity Advantage |
$33.33
|
| Rate for Payer: Cofinity Commercial |
$40.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.10
|
| Rate for Payer: Healthscope Commercial |
$42.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$33.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.72
|
| Rate for Payer: PHP Commercial |
$40.48
|
| Rate for Payer: Priority Health SBD |
$30.00
|
| Rate for Payer: UMR Bronson Commercial |
$20.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.72
|
|
|
LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET
|
Facility
|
OP
|
$47.62
|
|
|
Service Code
|
NDC 64764054430
|
| Hospital Charge Code |
34595
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$17.62 |
| Max. Negotiated Rate |
$42.86 |
| Rate for Payer: Aetna American Axle |
$30.95
|
| Rate for Payer: Aetna Commercial |
$40.48
|
| Rate for Payer: Aetna Medicare |
$23.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.95
|
| Rate for Payer: BCBS Complete |
$19.05
|
| Rate for Payer: Cash Price |
$38.10
|
| Rate for Payer: Cofinity Advantage |
$33.33
|
| Rate for Payer: Cofinity Commercial |
$40.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.10
|
| Rate for Payer: Healthscope Commercial |
$42.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$33.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.72
|
| Rate for Payer: PHP Commercial |
$40.48
|
| Rate for Payer: Priority Health SBD |
$30.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.95
|
| Rate for Payer: UHC Core |
$24.81
|
| Rate for Payer: UHC Exchange |
$18.71
|
| Rate for Payer: UMR Bronson Commercial |
$17.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.72
|
|
|
LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET
|
Facility
|
IP
|
$1,576.57
|
|
|
Service Code
|
NDC 65862089678
|
| Hospital Charge Code |
34595
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$693.69 |
| Max. Negotiated Rate |
$1,418.91 |
| Rate for Payer: Aetna American Axle |
$1,024.77
|
| Rate for Payer: Aetna Commercial |
$1,340.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,024.77
|
| Rate for Payer: Cash Price |
$1,261.26
|
| Rate for Payer: Cofinity Advantage |
$1,103.60
|
| Rate for Payer: Cofinity Commercial |
$1,355.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,261.26
|
| Rate for Payer: Healthscope Commercial |
$1,418.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,103.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,182.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,340.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,182.43
|
| Rate for Payer: PHP Commercial |
$1,340.08
|
| Rate for Payer: Priority Health SBD |
$993.24
|
| Rate for Payer: UMR Bronson Commercial |
$693.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,182.43
|
|
|
LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET
|
Facility
|
OP
|
$4,761.16
|
|
|
Service Code
|
NDC 64764054411
|
| Hospital Charge Code |
34595
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1,761.63 |
| Max. Negotiated Rate |
$4,285.04 |
| Rate for Payer: Aetna American Axle |
$3,094.75
|
| Rate for Payer: Aetna Commercial |
$4,046.99
|
| Rate for Payer: Aetna Medicare |
$2,380.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,094.75
|
| Rate for Payer: BCBS Complete |
$1,904.46
|
| Rate for Payer: Cash Price |
$3,808.93
|
| Rate for Payer: Cofinity Advantage |
$3,332.81
|
| Rate for Payer: Cofinity Commercial |
$4,094.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,808.93
|
| Rate for Payer: Healthscope Commercial |
$4,285.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,332.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,570.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,808.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,046.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,570.87
|
| Rate for Payer: PHP Commercial |
$4,046.99
|
| Rate for Payer: Priority Health SBD |
$2,999.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,094.75
|
| Rate for Payer: UHC Core |
$2,480.56
|
| Rate for Payer: UHC Exchange |
$1,871.14
|
| Rate for Payer: UMR Bronson Commercial |
$1,761.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,570.87
|
|
|
LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET
|
Facility
|
OP
|
$15.77
|
|
|
Service Code
|
NDC 65862089610
|
| Hospital Charge Code |
34595
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$5.83 |
| Max. Negotiated Rate |
$14.19 |
| Rate for Payer: Aetna American Axle |
$10.25
|
| Rate for Payer: Aetna Commercial |
$13.40
|
| Rate for Payer: Aetna Medicare |
$7.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.25
|
| Rate for Payer: BCBS Complete |
$6.31
|
| Rate for Payer: Cash Price |
$12.62
|
| Rate for Payer: Cofinity Advantage |
$11.04
|
| Rate for Payer: Cofinity Commercial |
$13.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.62
|
| Rate for Payer: Healthscope Commercial |
$14.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.83
|
| Rate for Payer: PHP Commercial |
$13.40
|
| Rate for Payer: Priority Health SBD |
$9.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.25
|
| Rate for Payer: UHC Core |
$8.22
|
| Rate for Payer: UHC Exchange |
$6.20
|
| Rate for Payer: UMR Bronson Commercial |
$5.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.83
|
|
|
LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET
|
Facility
|
IP
|
$4,761.16
|
|
|
Service Code
|
NDC 64764054411
|
| Hospital Charge Code |
34595
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2,094.91 |
| Max. Negotiated Rate |
$4,285.04 |
| Rate for Payer: Aetna American Axle |
$3,094.75
|
| Rate for Payer: Aetna Commercial |
$4,046.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,094.75
|
| Rate for Payer: Cash Price |
$3,808.93
|
| Rate for Payer: Cofinity Advantage |
$3,332.81
|
| Rate for Payer: Cofinity Commercial |
$4,094.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,808.93
|
| Rate for Payer: Healthscope Commercial |
$4,285.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,332.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,570.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,046.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,570.87
|
| Rate for Payer: PHP Commercial |
$4,046.99
|
| Rate for Payer: Priority Health SBD |
$2,999.53
|
| Rate for Payer: UMR Bronson Commercial |
$2,094.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,570.87
|
|
|
LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET
|
Facility
|
OP
|
$1,576.57
|
|
|
Service Code
|
NDC 65862089678
|
| Hospital Charge Code |
34595
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$583.33 |
| Max. Negotiated Rate |
$1,418.91 |
| Rate for Payer: Aetna American Axle |
$1,024.77
|
| Rate for Payer: Aetna Commercial |
$1,340.08
|
| Rate for Payer: Aetna Medicare |
$788.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,024.77
|
| Rate for Payer: BCBS Complete |
$630.63
|
| Rate for Payer: Cash Price |
$1,261.26
|
| Rate for Payer: Cofinity Advantage |
$1,103.60
|
| Rate for Payer: Cofinity Commercial |
$1,355.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,261.26
|
| Rate for Payer: Healthscope Commercial |
$1,418.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,103.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,182.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,261.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,340.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,182.43
|
| Rate for Payer: PHP Commercial |
$1,340.08
|
| Rate for Payer: Priority Health SBD |
$993.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,024.77
|
| Rate for Payer: UHC Core |
$821.39
|
| Rate for Payer: UHC Exchange |
$619.59
|
| Rate for Payer: UMR Bronson Commercial |
$583.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,182.43
|
|
