|
IPL FACE FIRST
|
Professional
|
Both
|
$230.00
|
|
|
Service Code
|
HCPCS 00130
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$92.00 |
| Max. Negotiated Rate |
$149.50 |
| Rate for Payer: Aetna Medicare |
$115.00
|
| Rate for Payer: BCBS Complete |
$92.00
|
| Rate for Payer: Cash Price |
$184.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$149.50
|
| Rate for Payer: UMR Bronson Commercial |
$105.80
|
|
|
IPL FACE, NECK, CHEST FIRST
|
Professional
|
Both
|
$408.00
|
|
|
Service Code
|
HCPCS 00132
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$163.20 |
| Max. Negotiated Rate |
$265.20 |
| Rate for Payer: Aetna Medicare |
$204.00
|
| Rate for Payer: BCBS Complete |
$163.20
|
| Rate for Payer: Cash Price |
$326.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$265.20
|
| Rate for Payer: UMR Bronson Commercial |
$187.68
|
|
|
IPL FACE, NECK, CHEST SECOND
|
Professional
|
Both
|
$281.00
|
|
|
Service Code
|
HCPCS 00133
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$112.40 |
| Max. Negotiated Rate |
$182.65 |
| Rate for Payer: Aetna Medicare |
$140.50
|
| Rate for Payer: BCBS Complete |
$112.40
|
| Rate for Payer: Cash Price |
$224.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$182.65
|
| Rate for Payer: UMR Bronson Commercial |
$129.26
|
|
|
IPL FACE & NECK FIRST
|
Professional
|
Both
|
$255.00
|
|
|
Service Code
|
HCPCS 00134
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$102.00 |
| Max. Negotiated Rate |
$165.75 |
| Rate for Payer: Aetna Medicare |
$127.50
|
| Rate for Payer: BCBS Complete |
$102.00
|
| Rate for Payer: Cash Price |
$204.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$165.75
|
| Rate for Payer: UMR Bronson Commercial |
$117.30
|
|
|
IPL FACE & NECK SECOND
|
Professional
|
Both
|
$179.00
|
|
|
Service Code
|
HCPCS 00135
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$71.60 |
| Max. Negotiated Rate |
$116.35 |
| Rate for Payer: Aetna Medicare |
$89.50
|
| Rate for Payer: BCBS Complete |
$71.60
|
| Rate for Payer: Cash Price |
$143.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$116.35
|
| Rate for Payer: UMR Bronson Commercial |
$82.34
|
|
|
IPL FACE SECOND
|
Professional
|
Both
|
$102.00
|
|
|
Service Code
|
HCPCS 00131
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$40.80 |
| Max. Negotiated Rate |
$66.30 |
| Rate for Payer: Aetna Medicare |
$51.00
|
| Rate for Payer: BCBS Complete |
$40.80
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.30
|
| Rate for Payer: UMR Bronson Commercial |
$46.92
|
|
|
IPL HANDS & ARMS FIRST
|
Professional
|
Both
|
$357.00
|
|
|
Service Code
|
HCPCS 00136
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$142.80 |
| Max. Negotiated Rate |
$232.05 |
| Rate for Payer: Aetna Medicare |
$178.50
|
| Rate for Payer: BCBS Complete |
$142.80
|
| Rate for Payer: Cash Price |
$285.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$232.05
|
| Rate for Payer: UMR Bronson Commercial |
$164.22
|
|
|
IPL HANDS & ARMS SECOND
|
Professional
|
Both
|
$230.00
|
|
|
Service Code
|
HCPCS 00137
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$92.00 |
| Max. Negotiated Rate |
$149.50 |
| Rate for Payer: Aetna Medicare |
$115.00
|
| Rate for Payer: BCBS Complete |
$92.00
|
| Rate for Payer: Cash Price |
$184.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$149.50
|
| Rate for Payer: UMR Bronson Commercial |
$105.80
|
|
|
IPL NECK
|
Professional
|
Both
|
$102.00
|
|
|
Service Code
|
HCPCS 00138
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$40.80 |
| Max. Negotiated Rate |
$66.30 |
| Rate for Payer: Aetna Medicare |
$51.00
|
| Rate for Payer: BCBS Complete |
$40.80
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.30
|
| Rate for Payer: UMR Bronson Commercial |
$46.92
|
|
|
IPL NOSE & CHEEKS FIRST
|
Professional
|
Both
|
$153.00
|
|
|
Service Code
|
HCPCS 00127
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$61.20 |
| Max. Negotiated Rate |
$99.45 |
| Rate for Payer: Aetna Medicare |
$76.50
|
| Rate for Payer: BCBS Complete |
$61.20
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$99.45
|
| Rate for Payer: UMR Bronson Commercial |
$70.38
|
|
|
IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN
|
Facility
|
IP
|
$2.91
|
|
|
Service Code
|
HCPCS J7620
|
| Hospital Charge Code |
30510
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$1.28 |
| Max. Negotiated Rate |
$2.62 |
| Rate for Payer: Aetna American Axle |
$1.89
|
| Rate for Payer: Aetna American Axle |
$1.58
|
| Rate for Payer: Aetna American Axle |
$1.88
|
| Rate for Payer: Aetna American Axle |
$1.95
|
| Rate for Payer: Aetna American Axle |
$2.35
|
| Rate for Payer: Aetna American Axle |
$2.87
|
| Rate for Payer: Aetna American Axle |
$2.30
|
| Rate for Payer: Aetna American Axle |
$1.91
|
| Rate for Payer: Aetna American Axle |
$2.89
|
| Rate for Payer: Aetna American Axle |
$1.50
|
| Rate for Payer: Aetna Commercial |
$2.47
|
| Rate for Payer: Aetna Commercial |
$2.55
|
| Rate for Payer: Aetna Commercial |
$2.50
|
| Rate for Payer: Aetna Commercial |
$2.46
|
| Rate for Payer: Aetna Commercial |
$2.07
|
| Rate for Payer: Aetna Commercial |
$1.96
|
| Rate for Payer: Aetna Commercial |
$3.78
|
| Rate for Payer: Aetna Commercial |
$3.76
|
| Rate for Payer: Aetna Commercial |
$3.08
|
| Rate for Payer: Aetna Commercial |
$3.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.89
|
| Rate for Payer: Cash Price |
$1.94
|
| Rate for Payer: Cash Price |
$2.40
|
| Rate for Payer: Cash Price |
$2.90
|
| Rate for Payer: Cash Price |
$2.35
|
| Rate for Payer: Cash Price |
$3.56
|
| Rate for Payer: Cash Price |
$2.32
|
| Rate for Payer: Cash Price |
$2.83
|
| Rate for Payer: Cash Price |
$1.85
|
| Rate for Payer: Cash Price |
$3.54
|
| Rate for Payer: Cash Price |
$2.33
|
| Rate for Payer: Cofinity Commercial |
$2.09
|
| Rate for Payer: Cofinity Commercial |
$1.62
|
| Rate for Payer: Cofinity Commercial |
$2.50
|
| Rate for Payer: Cofinity Commercial |
$2.04
|
| Rate for Payer: Cofinity Commercial |
$2.03
|
| Rate for Payer: Cofinity Commercial |
$1.70
|
| Rate for Payer: Cofinity Commercial |
$2.49
|
| Rate for Payer: Cofinity Commercial |
$1.99
|
| Rate for Payer: Cofinity Commercial |
$2.06
|
| Rate for Payer: Cofinity Commercial |
$2.53
|
| Rate for Payer: Cofinity Commercial |
$2.10
|
| Rate for Payer: Cofinity Commercial |
$2.58
|
| Rate for Payer: Cofinity Commercial |
$2.48
|
| Rate for Payer: Cofinity Commercial |
$3.04
|
| Rate for Payer: Cofinity Commercial |
$2.53
|
| Rate for Payer: Cofinity Commercial |
$3.11
|
| Rate for Payer: Cofinity Commercial |
$3.09
|
| Rate for Payer: Cofinity Commercial |
$3.80
|
| Rate for Payer: Cofinity Commercial |
$3.12
|
| Rate for Payer: Cofinity Commercial |
$3.83
|
| Rate for Payer: Cofinity Medicare Advantage |
$1.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.48
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.53
|
| Rate for Payer: Cofinity Medicare Advantage |
$3.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.06
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$1.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$3.09
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.03
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.40
|
| Rate for Payer: Healthscope Commercial |
$2.08
|
| Rate for Payer: Healthscope Commercial |
$2.19
|
| Rate for Payer: Healthscope Commercial |
$2.61
|
| Rate for Payer: Healthscope Commercial |
$2.62
|
| Rate for Payer: Healthscope Commercial |
$3.19
|
| Rate for Payer: Healthscope Commercial |
$4.00
|
| Rate for Payer: Healthscope Commercial |
$3.98
|
| Rate for Payer: Healthscope Commercial |
$2.65
|
| Rate for Payer: Healthscope Commercial |
$2.70
|
| Rate for Payer: Healthscope Commercial |
$3.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.76
|
| Rate for Payer: PHP Commercial |
$3.76
|
| Rate for Payer: PHP Commercial |
$2.47
|
| Rate for Payer: PHP Commercial |
$2.50
|
| Rate for Payer: PHP Commercial |
$2.07
|
| Rate for Payer: PHP Commercial |
$3.78
|
| Rate for Payer: PHP Commercial |
$3.08
|
| Rate for Payer: PHP Commercial |
$1.96
|
| Rate for Payer: PHP Commercial |
$2.46
|
| Rate for Payer: PHP Commercial |
$3.01
|
| Rate for Payer: PHP Commercial |
$2.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.50
|
| Rate for Payer: Priority Health SBD |
$2.23
|
| Rate for Payer: Priority Health SBD |
$1.46
|
| Rate for Payer: Priority Health SBD |
$1.53
|
| Rate for Payer: Priority Health SBD |
$1.85
|
| Rate for Payer: Priority Health SBD |
$1.83
|
| Rate for Payer: Priority Health SBD |
$2.28
|
| Rate for Payer: Priority Health SBD |
$2.80
|
| Rate for Payer: Priority Health SBD |
$1.83
|
| Rate for Payer: Priority Health SBD |
$2.78
|
| Rate for Payer: Priority Health SBD |
$1.89
|
| Rate for Payer: UMR Bronson Commercial |
$1.28
|
| Rate for Payer: UMR Bronson Commercial |
$1.94
|
| Rate for Payer: UMR Bronson Commercial |
$1.02
|
| Rate for Payer: UMR Bronson Commercial |
$1.96
|
| Rate for Payer: UMR Bronson Commercial |
$1.59
|
| Rate for Payer: UMR Bronson Commercial |
$1.29
|
| Rate for Payer: UMR Bronson Commercial |
$1.56
|
| Rate for Payer: UMR Bronson Commercial |
$1.32
|
| Rate for Payer: UMR Bronson Commercial |
$1.28
|
| Rate for Payer: UMR Bronson Commercial |
$1.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.72
|
|
|
IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN
|
Facility
|
OP
|
$4.45
|
|
|
Service Code
|
HCPCS J7620
|
| Hospital Charge Code |
30510
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.15 |
| Max. Negotiated Rate |
$4.00 |
| Rate for Payer: Aetna American Axle |
$2.89
|
| Rate for Payer: Aetna American Axle |
$2.35
|
| Rate for Payer: Aetna American Axle |
$1.95
|
| Rate for Payer: Aetna American Axle |
$1.88
|
| Rate for Payer: Aetna American Axle |
$2.30
|
| Rate for Payer: Aetna American Axle |
$1.89
|
| Rate for Payer: Aetna American Axle |
$1.50
|
| Rate for Payer: Aetna American Axle |
$1.58
|
| Rate for Payer: Aetna American Axle |
$2.87
|
| Rate for Payer: Aetna American Axle |
$1.91
|
| Rate for Payer: Aetna Commercial |
$2.46
|
| Rate for Payer: Aetna Commercial |
$3.78
|
| Rate for Payer: Aetna Commercial |
$1.96
|
| Rate for Payer: Aetna Commercial |
$2.07
|
| Rate for Payer: Aetna Commercial |
$2.50
|
| Rate for Payer: Aetna Commercial |
$2.55
|
| Rate for Payer: Aetna Commercial |
$2.47
|
| Rate for Payer: Aetna Commercial |
$3.01
|
| Rate for Payer: Aetna Commercial |
$3.08
|
| Rate for Payer: Aetna Commercial |
$3.76
|
| Rate for Payer: Aetna Medicare |
$1.16
|
| Rate for Payer: Aetna Medicare |
$1.77
|
| Rate for Payer: Aetna Medicare |
$1.47
|
| Rate for Payer: Aetna Medicare |
$1.22
|
| Rate for Payer: Aetna Medicare |
$1.81
|
| Rate for Payer: Aetna Medicare |
$1.45
|
| Rate for Payer: Aetna Medicare |
$1.46
|
| Rate for Payer: Aetna Medicare |
$2.22
|
| Rate for Payer: Aetna Medicare |
$2.21
|
| Rate for Payer: Aetna Medicare |
$1.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.95
|
| Rate for Payer: BCBS Complete |
$1.78
|
| Rate for Payer: BCBS Complete |
$1.45
|
| Rate for Payer: BCBS Complete |
$1.16
|
| Rate for Payer: BCBS Complete |
$1.42
|
| Rate for Payer: BCBS Complete |
$0.92
|
| Rate for Payer: BCBS Complete |
$1.16
|
| Rate for Payer: BCBS Complete |
$0.97
|
| Rate for Payer: BCBS Complete |
$1.77
|
| Rate for Payer: BCBS Complete |
$1.18
|
| Rate for Payer: BCBS Complete |
$1.20
|
| Rate for Payer: Cash Price |
$2.32
|
| Rate for Payer: Cash Price |
$3.54
|
| Rate for Payer: Cash Price |
$3.54
|
| Rate for Payer: Cash Price |
$2.90
|
| Rate for Payer: Cash Price |
$2.90
|
| Rate for Payer: Cash Price |
$2.83
|
| Rate for Payer: Cash Price |
$2.35
|
| Rate for Payer: Cash Price |
$1.94
|
| Rate for Payer: Cash Price |
$2.32
|
| Rate for Payer: Cash Price |
$2.83
|
| Rate for Payer: Cash Price |
$2.33
|
| Rate for Payer: Cash Price |
$1.94
|
| Rate for Payer: Cash Price |
$1.85
|
| Rate for Payer: Cash Price |
$1.85
|
| Rate for Payer: Cash Price |
$2.35
|
| Rate for Payer: Cash Price |
$2.33
|
| Rate for Payer: Cash Price |
$2.40
|
| Rate for Payer: Cash Price |
$2.40
|
| Rate for Payer: Cash Price |
$3.56
|
| Rate for Payer: Cash Price |
$3.56
|
| Rate for Payer: Cofinity Commercial |
$1.99
|
| Rate for Payer: Cofinity Commercial |
$3.83
|
| Rate for Payer: Cofinity Commercial |
$3.12
|
| Rate for Payer: Cofinity Commercial |
$2.06
|
| Rate for Payer: Cofinity Commercial |
$2.49
|
| Rate for Payer: Cofinity Commercial |
$2.03
|
| Rate for Payer: Cofinity Commercial |
$2.53
|
| Rate for Payer: Cofinity Commercial |
$3.04
|
| Rate for Payer: Cofinity Commercial |
$2.48
|
| Rate for Payer: Cofinity Commercial |
$2.04
|
| Rate for Payer: Cofinity Commercial |
$2.09
|
| Rate for Payer: Cofinity Commercial |
$2.50
|
| Rate for Payer: Cofinity Commercial |
$1.62
|
| Rate for Payer: Cofinity Commercial |
$3.09
|
| Rate for Payer: Cofinity Commercial |
$3.80
|
| Rate for Payer: Cofinity Commercial |
$2.53
|
| Rate for Payer: Cofinity Commercial |
$3.11
|
| Rate for Payer: Cofinity Commercial |
$2.58
|
| Rate for Payer: Cofinity Commercial |
$2.10
|
| Rate for Payer: Cofinity Commercial |
$1.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$1.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$1.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.03
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.04
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.06
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.48
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.53
|
| Rate for Payer: Cofinity Medicare Advantage |
$3.09
|
| Rate for Payer: Cofinity Medicare Advantage |
$3.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.54
|
| Rate for Payer: Healthscope Commercial |
$2.62
|
| Rate for Payer: Healthscope Commercial |
$3.19
|
| Rate for Payer: Healthscope Commercial |
$3.98
|
| Rate for Payer: Healthscope Commercial |
$2.65
|
| Rate for Payer: Healthscope Commercial |
$2.08
|
| Rate for Payer: Healthscope Commercial |
$4.00
|
| Rate for Payer: Healthscope Commercial |
$3.26
|
| Rate for Payer: Healthscope Commercial |
$2.70
|
| Rate for Payer: Healthscope Commercial |
$2.61
|
| Rate for Payer: Healthscope Commercial |
$2.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.46
|
| Rate for Payer: PHP Commercial |
$3.01
|
| Rate for Payer: PHP Commercial |
$3.76
|
| Rate for Payer: PHP Commercial |
$2.07
|
| Rate for Payer: PHP Commercial |
$3.78
|
| Rate for Payer: PHP Commercial |
$2.46
|
| Rate for Payer: PHP Commercial |
$2.50
|
| Rate for Payer: PHP Commercial |
$2.55
|
| Rate for Payer: PHP Commercial |
$3.08
|
| Rate for Payer: PHP Commercial |
$1.96
|
| Rate for Payer: PHP Commercial |
$2.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.19
|
| Rate for Payer: Priority Health Narrow Network |
$0.15
|
| Rate for Payer: Priority Health Narrow Network |
$0.15
|
| Rate for Payer: Priority Health Narrow Network |
$0.15
|
| Rate for Payer: Priority Health Narrow Network |
$0.15
|
| Rate for Payer: Priority Health Narrow Network |
$0.15
|
| Rate for Payer: Priority Health Narrow Network |
$0.15
|
| Rate for Payer: Priority Health Narrow Network |
$0.15
|
| Rate for Payer: Priority Health Narrow Network |
$0.15
|
| Rate for Payer: Priority Health Narrow Network |
$0.15
|
| Rate for Payer: Priority Health Narrow Network |
$0.15
|
| Rate for Payer: Priority Health SBD |
$2.28
|
| Rate for Payer: Priority Health SBD |
$2.23
|
| Rate for Payer: Priority Health SBD |
$2.80
|
| Rate for Payer: Priority Health SBD |
$1.89
|
| Rate for Payer: Priority Health SBD |
$1.83
|
| Rate for Payer: Priority Health SBD |
$1.53
|
| Rate for Payer: Priority Health SBD |
$2.78
|
| Rate for Payer: Priority Health SBD |
$1.46
|
| Rate for Payer: Priority Health SBD |
$1.85
|
| Rate for Payer: Priority Health SBD |
$1.83
|
| Rate for Payer: UMR Bronson Commercial |
$1.64
|
| Rate for Payer: UMR Bronson Commercial |
$1.07
|
| Rate for Payer: UMR Bronson Commercial |
$1.08
|
| Rate for Payer: UMR Bronson Commercial |
$1.65
|
| Rate for Payer: UMR Bronson Commercial |
$0.85
|
| Rate for Payer: UMR Bronson Commercial |
$1.11
|
| Rate for Payer: UMR Bronson Commercial |
$0.90
|
| Rate for Payer: UMR Bronson Commercial |
$1.31
|
| Rate for Payer: UMR Bronson Commercial |
$1.09
|
| Rate for Payer: UMR Bronson Commercial |
$1.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.18
|
|
|
IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION
|
Facility
|
IP
|
$3.53
|
|
|
Service Code
|
HCPCS J7644
|
| Hospital Charge Code |
12580
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$1.55 |
| Max. Negotiated Rate |
$3.18 |
| Rate for Payer: Aetna American Axle |
$2.29
|
| Rate for Payer: Aetna American Axle |
$4.39
|
| Rate for Payer: Aetna American Axle |
$3.56
|
| Rate for Payer: Aetna American Axle |
$2.72
|
| Rate for Payer: Aetna American Axle |
$2.64
|
| Rate for Payer: Aetna American Axle |
$2.98
|
| Rate for Payer: Aetna American Axle |
$5.69
|
| Rate for Payer: Aetna Commercial |
$5.75
|
| Rate for Payer: Aetna Commercial |
$3.45
|
| Rate for Payer: Aetna Commercial |
$3.90
|
| Rate for Payer: Aetna Commercial |
$4.65
|
| Rate for Payer: Aetna Commercial |
$7.45
|
| Rate for Payer: Aetna Commercial |
$3.55
|
| Rate for Payer: Aetna Commercial |
$3.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4.39
|
| Rate for Payer: Cash Price |
$3.67
|
| Rate for Payer: Cash Price |
$5.41
|
| Rate for Payer: Cash Price |
$3.25
|
| Rate for Payer: Cash Price |
$2.82
|
| Rate for Payer: Cash Price |
$3.34
|
| Rate for Payer: Cash Price |
$4.38
|
| Rate for Payer: Cash Price |
$7.01
|
| Rate for Payer: Cofinity Commercial |
$5.81
|
| Rate for Payer: Cofinity Commercial |
$2.47
|
| Rate for Payer: Cofinity Commercial |
$3.95
|
| Rate for Payer: Cofinity Commercial |
$3.21
|
| Rate for Payer: Cofinity Commercial |
$2.93
|
| Rate for Payer: Cofinity Commercial |
$2.84
|
| Rate for Payer: Cofinity Commercial |
$3.49
|
| Rate for Payer: Cofinity Commercial |
$3.59
|
| Rate for Payer: Cofinity Commercial |
$3.04
|
| Rate for Payer: Cofinity Commercial |
$3.83
|
| Rate for Payer: Cofinity Commercial |
$4.70
|
| Rate for Payer: Cofinity Commercial |
$4.73
|
| Rate for Payer: Cofinity Commercial |
$6.13
|
| Rate for Payer: Cofinity Commercial |
$7.53
|
| Rate for Payer: Cofinity Medicare Advantage |
$6.13
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.93
|
| Rate for Payer: Cofinity Medicare Advantage |
$3.21
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.47
|
| Rate for Payer: Cofinity Medicare Advantage |
$4.73
|
| Rate for Payer: Cofinity Medicare Advantage |
$3.83
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.82
|
| Rate for Payer: Healthscope Commercial |
$7.88
|
| Rate for Payer: Healthscope Commercial |
$4.92
|
| Rate for Payer: Healthscope Commercial |
$3.76
|
| Rate for Payer: Healthscope Commercial |
$4.13
|
| Rate for Payer: Healthscope Commercial |
$3.65
|
| Rate for Payer: Healthscope Commercial |
$3.18
|
| Rate for Payer: Healthscope Commercial |
$6.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.75
|
| Rate for Payer: PHP Commercial |
$4.65
|
| Rate for Payer: PHP Commercial |
$3.55
|
| Rate for Payer: PHP Commercial |
$3.90
|
| Rate for Payer: PHP Commercial |
$3.00
|
| Rate for Payer: PHP Commercial |
$3.45
|
| Rate for Payer: PHP Commercial |
$7.45
|
| Rate for Payer: PHP Commercial |
$5.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.56
|
| Rate for Payer: Priority Health SBD |
$2.63
|
| Rate for Payer: Priority Health SBD |
$2.56
|
| Rate for Payer: Priority Health SBD |
$2.22
|
| Rate for Payer: Priority Health SBD |
$5.52
|
| Rate for Payer: Priority Health SBD |
$4.26
|
| Rate for Payer: Priority Health SBD |
$3.45
|
| Rate for Payer: Priority Health SBD |
$2.89
|
| Rate for Payer: UMR Bronson Commercial |
$2.02
|
| Rate for Payer: UMR Bronson Commercial |
$3.85
|
| Rate for Payer: UMR Bronson Commercial |
$2.41
|
| Rate for Payer: UMR Bronson Commercial |
$2.97
|
| Rate for Payer: UMR Bronson Commercial |
$1.55
|
| Rate for Payer: UMR Bronson Commercial |
$1.84
|
| Rate for Payer: UMR Bronson Commercial |
$1.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.65
|
|
|
IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION
|
Facility
|
OP
|
$8.76
|
|
|
Service Code
|
HCPCS J7644
|
| Hospital Charge Code |
12580
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.30 |
| Max. Negotiated Rate |
$7.88 |
| Rate for Payer: Aetna American Axle |
$5.69
|
| Rate for Payer: Aetna American Axle |
$4.39
|
| Rate for Payer: Aetna American Axle |
$2.98
|
| Rate for Payer: Aetna American Axle |
$2.64
|
| Rate for Payer: Aetna American Axle |
$3.56
|
| Rate for Payer: Aetna American Axle |
$2.72
|
| Rate for Payer: Aetna American Axle |
$2.29
|
| Rate for Payer: Aetna Commercial |
$3.55
|
| Rate for Payer: Aetna Commercial |
$3.45
|
| Rate for Payer: Aetna Commercial |
$4.65
|
| Rate for Payer: Aetna Commercial |
$3.90
|
| Rate for Payer: Aetna Commercial |
$5.75
|
| Rate for Payer: Aetna Commercial |
$7.45
|
| Rate for Payer: Aetna Commercial |
$3.00
|
| Rate for Payer: Aetna Medicare |
$4.38
|
| Rate for Payer: Aetna Medicare |
$3.38
|
| Rate for Payer: Aetna Medicare |
$2.03
|
| Rate for Payer: Aetna Medicare |
$2.09
|
| Rate for Payer: Aetna Medicare |
$2.30
|
| Rate for Payer: Aetna Medicare |
$2.74
|
| Rate for Payer: Aetna Medicare |
$1.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.98
|
| Rate for Payer: BCBS Complete |
$3.50
|
| Rate for Payer: BCBS Complete |
$2.70
|
| Rate for Payer: BCBS Complete |
$1.62
|
| Rate for Payer: BCBS Complete |
$1.67
|
| Rate for Payer: BCBS Complete |
$2.19
|
| Rate for Payer: BCBS Complete |
$1.84
|
| Rate for Payer: BCBS Complete |
$1.41
|
| Rate for Payer: BCBS Trust/PPO |
$0.49
|
| Rate for Payer: BCBS Trust/PPO |
$0.49
|
| Rate for Payer: BCBS Trust/PPO |
$0.49
|
| Rate for Payer: BCBS Trust/PPO |
$0.49
|
| Rate for Payer: BCBS Trust/PPO |
$0.49
|
| Rate for Payer: BCBS Trust/PPO |
$0.49
|
| Rate for Payer: BCBS Trust/PPO |
$0.49
|
| Rate for Payer: BCN Commercial |
$0.49
|
| Rate for Payer: BCN Commercial |
$0.49
|
| Rate for Payer: BCN Commercial |
$0.49
|
| Rate for Payer: BCN Commercial |
$0.49
|
| Rate for Payer: BCN Commercial |
$0.49
|
| Rate for Payer: BCN Commercial |
$0.49
|
| Rate for Payer: BCN Commercial |
$0.49
|
| Rate for Payer: Cash Price |
$3.34
|
| Rate for Payer: Cash Price |
$3.25
|
| Rate for Payer: Cash Price |
$3.34
|
| Rate for Payer: Cash Price |
$3.25
|
| Rate for Payer: Cash Price |
$2.82
|
| Rate for Payer: Cash Price |
$2.82
|
| Rate for Payer: Cash Price |
$3.67
|
| Rate for Payer: Cash Price |
$3.67
|
| Rate for Payer: Cash Price |
$4.38
|
| Rate for Payer: Cash Price |
$4.38
|
| Rate for Payer: Cash Price |
$5.41
|
| Rate for Payer: Cash Price |
$5.41
|
| Rate for Payer: Cash Price |
$7.01
|
| Rate for Payer: Cash Price |
$7.01
|
| Rate for Payer: Cofinity Commercial |
$3.21
|
| Rate for Payer: Cofinity Commercial |
$3.83
|
| Rate for Payer: Cofinity Commercial |
$7.53
|
| Rate for Payer: Cofinity Commercial |
$2.93
|
| Rate for Payer: Cofinity Commercial |
$4.73
|
| Rate for Payer: Cofinity Commercial |
$2.47
|
| Rate for Payer: Cofinity Commercial |
$3.49
|
| Rate for Payer: Cofinity Commercial |
$3.95
|
| Rate for Payer: Cofinity Commercial |
$6.13
|
| Rate for Payer: Cofinity Commercial |
$5.81
|
| Rate for Payer: Cofinity Commercial |
$3.04
|
| Rate for Payer: Cofinity Commercial |
$2.84
|
| Rate for Payer: Cofinity Commercial |
$3.59
|
| Rate for Payer: Cofinity Commercial |
$4.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$3.21
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.93
|
| Rate for Payer: Cofinity Medicare Advantage |
$6.13
|
| Rate for Payer: Cofinity Medicare Advantage |
$3.83
|
| Rate for Payer: Cofinity Medicare Advantage |
$4.73
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.84
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.38
|
| Rate for Payer: Healthscope Commercial |
$3.76
|
| Rate for Payer: Healthscope Commercial |
$4.92
|
| Rate for Payer: Healthscope Commercial |
$6.08
|
| Rate for Payer: Healthscope Commercial |
$3.65
|
| Rate for Payer: Healthscope Commercial |
$7.88
|
| Rate for Payer: Healthscope Commercial |
$4.13
|
| Rate for Payer: Healthscope Commercial |
$3.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.55
|
| Rate for Payer: PHP Commercial |
$5.75
|
| Rate for Payer: PHP Commercial |
$3.55
|
| Rate for Payer: PHP Commercial |
$3.00
|
| Rate for Payer: PHP Commercial |
$3.45
|
| Rate for Payer: PHP Commercial |
$3.90
|
| Rate for Payer: PHP Commercial |
$7.45
|
| Rate for Payer: PHP Commercial |
$4.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.37
|
| Rate for Payer: Priority Health Narrow Network |
$0.30
|
| Rate for Payer: Priority Health Narrow Network |
$0.30
|
| Rate for Payer: Priority Health Narrow Network |
$0.30
|
| Rate for Payer: Priority Health Narrow Network |
$0.30
|
| Rate for Payer: Priority Health Narrow Network |
$0.30
|
| Rate for Payer: Priority Health Narrow Network |
$0.30
|
| Rate for Payer: Priority Health Narrow Network |
$0.30
|
| Rate for Payer: Priority Health SBD |
$2.22
|
| Rate for Payer: Priority Health SBD |
$2.89
|
| Rate for Payer: Priority Health SBD |
$2.63
|
| Rate for Payer: Priority Health SBD |
$2.56
|
| Rate for Payer: Priority Health SBD |
$3.45
|
| Rate for Payer: Priority Health SBD |
$4.26
|
| Rate for Payer: Priority Health SBD |
$5.52
|
| Rate for Payer: UMR Bronson Commercial |
$3.24
|
| Rate for Payer: UMR Bronson Commercial |
$2.02
|
| Rate for Payer: UMR Bronson Commercial |
$1.70
|
| Rate for Payer: UMR Bronson Commercial |
$1.55
|
| Rate for Payer: UMR Bronson Commercial |
$1.50
|
| Rate for Payer: UMR Bronson Commercial |
$1.31
|
| Rate for Payer: UMR Bronson Commercial |
$2.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.04
|
|
|
IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY
|
Facility
|
IP
|
$61.95
|
|
|
Service Code
|
NDC 69238201603
|
| Hospital Charge Code |
16070
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$27.26 |
| Max. Negotiated Rate |
$55.76 |
| Rate for Payer: Aetna American Axle |
$40.27
|
| Rate for Payer: Aetna Commercial |
$52.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.27
|
| Rate for Payer: Cash Price |
$49.56
|
| Rate for Payer: Cofinity Commercial |
$43.36
|
| Rate for Payer: Cofinity Commercial |
$53.28
|
| Rate for Payer: Cofinity Medicare Advantage |
$43.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.56
|
| Rate for Payer: Healthscope Commercial |
$55.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$43.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.66
|
| Rate for Payer: PHP Commercial |
$52.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.27
|
| Rate for Payer: Priority Health SBD |
$39.03
|
| Rate for Payer: UMR Bronson Commercial |
$27.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46.46
|
|
|
IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY
|
Facility
|
OP
|
$126.00
|
|
|
Service Code
|
NDC 00054004544
|
| Hospital Charge Code |
16070
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$46.62 |
| Max. Negotiated Rate |
$113.40 |
| Rate for Payer: Aetna American Axle |
$81.90
|
| Rate for Payer: Aetna Commercial |
$107.10
|
| Rate for Payer: Aetna Medicare |
$63.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$81.90
|
| Rate for Payer: BCBS Complete |
$50.40
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Cofinity Commercial |
$108.36
|
| Rate for Payer: Cofinity Commercial |
$88.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$88.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$100.80
|
| Rate for Payer: Healthscope Commercial |
$113.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$88.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$94.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$107.10
|
| Rate for Payer: PHP Commercial |
$107.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$81.90
|
| Rate for Payer: Priority Health SBD |
$79.38
|
| Rate for Payer: UMR Bronson Commercial |
$46.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$94.50
|
|
|
IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY
|
Facility
|
OP
|
$61.95
|
|
|
Service Code
|
NDC 69238201603
|
| Hospital Charge Code |
16070
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$22.92 |
| Max. Negotiated Rate |
$55.76 |
| Rate for Payer: Aetna American Axle |
$40.27
|
| Rate for Payer: Aetna Commercial |
$52.66
|
| Rate for Payer: Aetna Medicare |
$30.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.27
|
| Rate for Payer: BCBS Complete |
$24.78
|
| Rate for Payer: Cash Price |
$49.56
|
| Rate for Payer: Cofinity Commercial |
$43.36
|
| Rate for Payer: Cofinity Commercial |
$53.28
|
| Rate for Payer: Cofinity Medicare Advantage |
$43.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.56
|
| Rate for Payer: Healthscope Commercial |
$55.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$43.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.66
|
| Rate for Payer: PHP Commercial |
$52.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.27
|
| Rate for Payer: Priority Health SBD |
$39.03
|
| Rate for Payer: UMR Bronson Commercial |
$22.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46.46
|
|
|
IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY
|
Facility
|
IP
|
$126.00
|
|
|
Service Code
|
NDC 00054004544
|
| Hospital Charge Code |
16070
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$55.44 |
| Max. Negotiated Rate |
$113.40 |
| Rate for Payer: Aetna American Axle |
$81.90
|
| Rate for Payer: Aetna Commercial |
$107.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$81.90
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Cofinity Commercial |
$108.36
|
| Rate for Payer: Cofinity Commercial |
$88.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$88.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$100.80
|
| Rate for Payer: Healthscope Commercial |
$113.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$88.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$94.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$107.10
|
| Rate for Payer: PHP Commercial |
$107.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$81.90
|
| Rate for Payer: Priority Health SBD |
$79.38
|
| Rate for Payer: UMR Bronson Commercial |
$55.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$94.50
|
|
|
IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY
|
Facility
|
IP
|
$121.38
|
|
|
Service Code
|
NDC 24208039915
|
| Hospital Charge Code |
16071
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$53.41 |
| Max. Negotiated Rate |
$109.24 |
| Rate for Payer: Aetna American Axle |
$78.90
|
| Rate for Payer: Aetna Commercial |
$103.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.90
|
| Rate for Payer: Cash Price |
$97.10
|
| Rate for Payer: Cofinity Commercial |
$104.39
|
| Rate for Payer: Cofinity Commercial |
$84.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$84.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.10
|
| Rate for Payer: Healthscope Commercial |
$109.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$84.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$91.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.17
|
| Rate for Payer: PHP Commercial |
$103.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$78.90
|
| Rate for Payer: Priority Health SBD |
$76.47
|
| Rate for Payer: UMR Bronson Commercial |
$53.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$91.04
|
|
|
IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY
|
Facility
|
OP
|
$125.95
|
|
|
Service Code
|
NDC 00054004641
|
| Hospital Charge Code |
16071
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$46.60 |
| Max. Negotiated Rate |
$113.36 |
| Rate for Payer: Aetna American Axle |
$81.87
|
| Rate for Payer: Aetna Commercial |
$107.06
|
| Rate for Payer: Aetna Medicare |
$62.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$81.87
|
| Rate for Payer: BCBS Complete |
$50.38
|
| Rate for Payer: Cash Price |
$100.76
|
| Rate for Payer: Cofinity Commercial |
$108.32
|
| Rate for Payer: Cofinity Commercial |
$88.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$88.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$100.76
|
| Rate for Payer: Healthscope Commercial |
$113.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$88.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$94.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$107.06
|
| Rate for Payer: PHP Commercial |
$107.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$81.87
|
| Rate for Payer: Priority Health SBD |
$79.35
|
| Rate for Payer: UMR Bronson Commercial |
$46.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$94.46
|
|
|
IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY
|
Facility
|
OP
|
$121.38
|
|
|
Service Code
|
NDC 24208039915
|
| Hospital Charge Code |
16071
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$44.91 |
| Max. Negotiated Rate |
$109.24 |
| Rate for Payer: Aetna American Axle |
$78.90
|
| Rate for Payer: Aetna Commercial |
$103.17
|
| Rate for Payer: Aetna Medicare |
$60.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.90
|
| Rate for Payer: BCBS Complete |
$48.55
|
| Rate for Payer: Cash Price |
$97.10
|
| Rate for Payer: Cofinity Commercial |
$104.39
|
| Rate for Payer: Cofinity Commercial |
$84.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$84.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.10
|
| Rate for Payer: Healthscope Commercial |
$109.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$84.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$91.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.17
|
| Rate for Payer: PHP Commercial |
$103.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$78.90
|
| Rate for Payer: Priority Health SBD |
$76.47
|
| Rate for Payer: UMR Bronson Commercial |
$44.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$91.04
|
|
|
IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY
|
Facility
|
IP
|
$125.95
|
|
|
Service Code
|
NDC 00054004641
|
| Hospital Charge Code |
16071
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$55.42 |
| Max. Negotiated Rate |
$113.36 |
| Rate for Payer: Aetna American Axle |
$81.87
|
| Rate for Payer: Aetna Commercial |
$107.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$81.87
|
| Rate for Payer: Cash Price |
$100.76
|
| Rate for Payer: Cofinity Commercial |
$108.32
|
| Rate for Payer: Cofinity Commercial |
$88.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$88.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$100.76
|
| Rate for Payer: Healthscope Commercial |
$113.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$88.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$94.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$107.06
|
| Rate for Payer: PHP Commercial |
$107.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$81.87
|
| Rate for Payer: Priority Health SBD |
$79.35
|
| Rate for Payer: UMR Bronson Commercial |
$55.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$94.46
|
|
|
IRBESARTAN 150 MG TABLET
|
Facility
|
IP
|
$79.67
|
|
|
Service Code
|
NDC 43547037503
|
| Hospital Charge Code |
21848
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$35.05 |
| Max. Negotiated Rate |
$71.70 |
| Rate for Payer: Aetna American Axle |
$51.79
|
| Rate for Payer: Aetna Commercial |
$67.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.79
|
| Rate for Payer: Cash Price |
$63.74
|
| Rate for Payer: Cofinity Commercial |
$55.77
|
| Rate for Payer: Cofinity Commercial |
$68.52
|
| Rate for Payer: Cofinity Medicare Advantage |
$55.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$63.74
|
| Rate for Payer: Healthscope Commercial |
$71.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$55.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$59.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$67.72
|
| Rate for Payer: PHP Commercial |
$67.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.79
|
| Rate for Payer: Priority Health SBD |
$50.19
|
| Rate for Payer: UMR Bronson Commercial |
$35.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$59.75
|
|
|
IRBESARTAN 150 MG TABLET
|
Facility
|
IP
|
$98.04
|
|
|
Service Code
|
NDC 59746044830
|
| Hospital Charge Code |
21848
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$43.14 |
| Max. Negotiated Rate |
$88.24 |
| Rate for Payer: Aetna American Axle |
$63.73
|
| Rate for Payer: Aetna Commercial |
$83.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.73
|
| Rate for Payer: Cash Price |
$78.43
|
| Rate for Payer: Cofinity Commercial |
$68.63
|
| Rate for Payer: Cofinity Commercial |
$84.31
|
| Rate for Payer: Cofinity Medicare Advantage |
$68.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$78.43
|
| Rate for Payer: Healthscope Commercial |
$88.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$68.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$73.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$83.33
|
| Rate for Payer: PHP Commercial |
$83.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.73
|
| Rate for Payer: Priority Health SBD |
$61.77
|
| Rate for Payer: UMR Bronson Commercial |
$43.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$73.53
|
|
|
IRBESARTAN 150 MG TABLET
|
Facility
|
OP
|
$79.67
|
|
|
Service Code
|
NDC 43547037503
|
| Hospital Charge Code |
21848
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$29.48 |
| Max. Negotiated Rate |
$71.70 |
| Rate for Payer: Aetna American Axle |
$51.79
|
| Rate for Payer: Aetna Commercial |
$67.72
|
| Rate for Payer: Aetna Medicare |
$39.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.79
|
| Rate for Payer: BCBS Complete |
$31.87
|
| Rate for Payer: Cash Price |
$63.74
|
| Rate for Payer: Cofinity Commercial |
$55.77
|
| Rate for Payer: Cofinity Commercial |
$68.52
|
| Rate for Payer: Cofinity Medicare Advantage |
$55.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$63.74
|
| Rate for Payer: Healthscope Commercial |
$71.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$55.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$59.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$67.72
|
| Rate for Payer: PHP Commercial |
$67.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.79
|
| Rate for Payer: Priority Health SBD |
$50.19
|
| Rate for Payer: UMR Bronson Commercial |
$29.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$59.75
|
|
