|
MESALAMINE ER 250 MG CAPSULE,EXTENDED RELEASE
|
Facility
|
OP
|
$2,507.72
|
|
|
Service Code
|
NDC 54092018981
|
| Hospital Charge Code |
10533
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$927.86 |
| Max. Negotiated Rate |
$2,256.95 |
| Rate for Payer: Aetna American Axle |
$1,630.02
|
| Rate for Payer: Aetna Commercial |
$2,131.56
|
| Rate for Payer: Aetna Medicare |
$1,253.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,630.02
|
| Rate for Payer: BCBS Complete |
$1,003.09
|
| Rate for Payer: Cash Price |
$2,006.18
|
| Rate for Payer: Cofinity Advantage |
$1,755.40
|
| Rate for Payer: Cofinity Commercial |
$2,156.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,006.18
|
| Rate for Payer: Healthscope Commercial |
$2,256.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,755.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,880.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,006.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,131.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,880.79
|
| Rate for Payer: PHP Commercial |
$2,131.56
|
| Rate for Payer: Priority Health SBD |
$1,579.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,630.02
|
| Rate for Payer: UHC Core |
$1,306.52
|
| Rate for Payer: UHC Exchange |
$985.53
|
| Rate for Payer: UMR Bronson Commercial |
$927.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,880.79
|
|
|
MESNA 100 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$32.09
|
|
|
Service Code
|
HCPCS J9209
|
| Hospital Charge Code |
10537
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.81 |
| Max. Negotiated Rate |
$28.88 |
| Rate for Payer: Aetna American Axle |
$20.86
|
| Rate for Payer: Aetna American Axle |
$20.51
|
| Rate for Payer: Aetna American Axle |
$21.90
|
| Rate for Payer: Aetna Commercial |
$27.28
|
| Rate for Payer: Aetna Commercial |
$28.64
|
| Rate for Payer: Aetna Commercial |
$26.83
|
| Rate for Payer: Aetna Medicare |
$16.05
|
| Rate for Payer: Aetna Medicare |
$15.78
|
| Rate for Payer: Aetna Medicare |
$16.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.90
|
| Rate for Payer: BCBS Complete |
$12.62
|
| Rate for Payer: BCBS Complete |
$12.84
|
| Rate for Payer: BCBS Complete |
$13.48
|
| Rate for Payer: BCBS Trust/PPO |
$5.51
|
| Rate for Payer: BCBS Trust/PPO |
$5.51
|
| Rate for Payer: BCBS Trust/PPO |
$5.51
|
| Rate for Payer: BCN Commercial |
$5.51
|
| Rate for Payer: BCN Commercial |
$5.51
|
| Rate for Payer: BCN Commercial |
$5.51
|
| Rate for Payer: Cash Price |
$25.25
|
| Rate for Payer: Cash Price |
$25.25
|
| Rate for Payer: Cash Price |
$26.95
|
| Rate for Payer: Cash Price |
$26.95
|
| Rate for Payer: Cash Price |
$25.67
|
| Rate for Payer: Cash Price |
$25.67
|
| Rate for Payer: Cofinity Advantage |
$23.58
|
| Rate for Payer: Cofinity Advantage |
$22.46
|
| Rate for Payer: Cofinity Advantage |
$22.09
|
| Rate for Payer: Cofinity Commercial |
$27.14
|
| Rate for Payer: Cofinity Commercial |
$27.60
|
| Rate for Payer: Cofinity Commercial |
$28.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.67
|
| Rate for Payer: Healthscope Commercial |
$28.40
|
| Rate for Payer: Healthscope Commercial |
$28.88
|
| Rate for Payer: Healthscope Commercial |
$30.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.27
|
| Rate for Payer: PHP Commercial |
$27.28
|
| Rate for Payer: PHP Commercial |
$26.83
|
| Rate for Payer: PHP Commercial |
$28.64
|
| Rate for Payer: Priority Health SBD |
$19.88
|
| Rate for Payer: Priority Health SBD |
$21.22
|
| Rate for Payer: Priority Health SBD |
$20.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.81
|
| Rate for Payer: UHC Core |
$2.81
|
| Rate for Payer: UHC Core |
$2.81
|
| Rate for Payer: UHC Core |
$2.81
|
| Rate for Payer: UHC Exchange |
$2.81
|
| Rate for Payer: UHC Exchange |
$2.81
|
| Rate for Payer: UHC Exchange |
$2.81
|
| Rate for Payer: UMR Bronson Commercial |
$12.47
|
| Rate for Payer: UMR Bronson Commercial |
$11.68
|
| Rate for Payer: UMR Bronson Commercial |
$11.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.27
|
|
|
MESNA 100 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$31.56
|
|
|
Service Code
|
HCPCS J9209
|
| Hospital Charge Code |
10537
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$13.89 |
| Max. Negotiated Rate |
$28.40 |
| Rate for Payer: Aetna American Axle |
$20.51
|
| Rate for Payer: Aetna American Axle |
$21.90
|
| Rate for Payer: Aetna American Axle |
$20.86
|
| Rate for Payer: Aetna Commercial |
$27.28
|
| Rate for Payer: Aetna Commercial |
$26.83
|
| Rate for Payer: Aetna Commercial |
$28.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.86
|
| Rate for Payer: Cash Price |
$25.67
|
| Rate for Payer: Cash Price |
$25.25
|
| Rate for Payer: Cash Price |
$26.95
|
| Rate for Payer: Cofinity Advantage |
$23.58
|
| Rate for Payer: Cofinity Advantage |
$22.09
|
| Rate for Payer: Cofinity Advantage |
$22.46
|
| Rate for Payer: Cofinity Commercial |
$28.97
|
| Rate for Payer: Cofinity Commercial |
$27.14
|
| Rate for Payer: Cofinity Commercial |
$27.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.95
|
| Rate for Payer: Healthscope Commercial |
$28.88
|
| Rate for Payer: Healthscope Commercial |
$30.32
|
| Rate for Payer: Healthscope Commercial |
$28.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.27
|
| Rate for Payer: PHP Commercial |
$27.28
|
| Rate for Payer: PHP Commercial |
$26.83
|
| Rate for Payer: PHP Commercial |
$28.64
|
| Rate for Payer: Priority Health SBD |
$19.88
|
| Rate for Payer: Priority Health SBD |
$20.22
|
| Rate for Payer: Priority Health SBD |
$21.22
|
| Rate for Payer: UMR Bronson Commercial |
$13.89
|
| Rate for Payer: UMR Bronson Commercial |
$14.82
|
| Rate for Payer: UMR Bronson Commercial |
$14.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.27
|
|
|
MESNA 50 MG/0.5 ML ORAL SOLN
|
Facility
|
IP
|
$166.65
|
|
|
Service Code
|
HCPCS J9209
|
| Hospital Charge Code |
150702
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$73.33 |
| Max. Negotiated Rate |
$149.99 |
| Rate for Payer: Aetna American Axle |
$108.32
|
| Rate for Payer: Aetna Commercial |
$141.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$108.32
|
| Rate for Payer: Cash Price |
$133.32
|
| Rate for Payer: Cofinity Advantage |
$116.66
|
| Rate for Payer: Cofinity Commercial |
$143.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$133.32
|
| Rate for Payer: Healthscope Commercial |
$149.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$116.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$124.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$141.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$124.99
|
| Rate for Payer: PHP Commercial |
$141.65
|
| Rate for Payer: Priority Health SBD |
$104.99
|
| Rate for Payer: UMR Bronson Commercial |
$73.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$124.99
|
|
|
MESNA 50 MG/0.5 ML ORAL SOLN
|
Facility
|
OP
|
$166.65
|
|
|
Service Code
|
HCPCS J9209
|
| Hospital Charge Code |
150702
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.81 |
| Max. Negotiated Rate |
$149.99 |
| Rate for Payer: Aetna American Axle |
$108.32
|
| Rate for Payer: Aetna Commercial |
$141.65
|
| Rate for Payer: Aetna Medicare |
$83.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$108.32
|
| Rate for Payer: BCBS Complete |
$66.66
|
| Rate for Payer: BCBS Trust/PPO |
$5.51
|
| Rate for Payer: BCN Commercial |
$5.51
|
| Rate for Payer: Cash Price |
$133.32
|
| Rate for Payer: Cash Price |
$133.32
|
| Rate for Payer: Cofinity Advantage |
$116.66
|
| Rate for Payer: Cofinity Commercial |
$143.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$133.32
|
| Rate for Payer: Healthscope Commercial |
$149.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$116.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$124.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$133.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$141.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$124.99
|
| Rate for Payer: PHP Commercial |
$141.65
|
| Rate for Payer: Priority Health SBD |
$104.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.81
|
| Rate for Payer: UHC Core |
$2.81
|
| Rate for Payer: UHC Exchange |
$2.81
|
| Rate for Payer: UMR Bronson Commercial |
$61.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$124.99
|
|
|
METFORMIN 500 MG TABLET
|
Facility
|
IP
|
$54.05
|
|
|
Service Code
|
NDC 65862000801
|
| Hospital Charge Code |
10544
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$23.78 |
| Max. Negotiated Rate |
$48.65 |
| Rate for Payer: Aetna American Axle |
$35.13
|
| Rate for Payer: Aetna Commercial |
$45.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.13
|
| Rate for Payer: Cash Price |
$43.24
|
| Rate for Payer: Cofinity Advantage |
$37.84
|
| Rate for Payer: Cofinity Commercial |
$46.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.24
|
| Rate for Payer: Healthscope Commercial |
$48.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.54
|
| Rate for Payer: PHP Commercial |
$45.94
|
| Rate for Payer: Priority Health SBD |
$34.05
|
| Rate for Payer: UMR Bronson Commercial |
$23.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.54
|
|
|
METFORMIN 500 MG TABLET
|
Facility
|
IP
|
$162.15
|
|
|
Service Code
|
NDC 00904716261
|
| Hospital Charge Code |
10544
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$71.35 |
| Max. Negotiated Rate |
$145.94 |
| Rate for Payer: Aetna American Axle |
$105.40
|
| Rate for Payer: Aetna Commercial |
$137.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$105.40
|
| Rate for Payer: Cash Price |
$129.72
|
| Rate for Payer: Cofinity Advantage |
$113.50
|
| Rate for Payer: Cofinity Commercial |
$139.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$129.72
|
| Rate for Payer: Healthscope Commercial |
$145.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$113.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$121.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$137.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$121.61
|
| Rate for Payer: PHP Commercial |
$137.83
|
| Rate for Payer: Priority Health SBD |
$102.15
|
| Rate for Payer: UMR Bronson Commercial |
$71.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$121.61
|
|
|
METFORMIN 500 MG TABLET
|
Facility
|
OP
|
$2.31
|
|
|
Service Code
|
NDC 60687015511
|
| Hospital Charge Code |
10544
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.85 |
| Max. Negotiated Rate |
$2.08 |
| Rate for Payer: Aetna American Axle |
$1.50
|
| Rate for Payer: Aetna Commercial |
$1.96
|
| Rate for Payer: Aetna Medicare |
$1.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.50
|
| Rate for Payer: BCBS Complete |
$0.92
|
| Rate for Payer: Cash Price |
$1.85
|
| Rate for Payer: Cofinity Advantage |
$1.62
|
| Rate for Payer: Cofinity Commercial |
$1.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.85
|
| Rate for Payer: Healthscope Commercial |
$2.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.73
|
| Rate for Payer: PHP Commercial |
$1.96
|
| Rate for Payer: Priority Health SBD |
$1.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.50
|
| Rate for Payer: UHC Core |
$1.20
|
| Rate for Payer: UHC Exchange |
$0.91
|
| Rate for Payer: UMR Bronson Commercial |
$0.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.73
|
|
|
METFORMIN 500 MG TABLET
|
Facility
|
OP
|
$51.70
|
|
|
Service Code
|
NDC 70010006301
|
| Hospital Charge Code |
10544
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$19.13 |
| Max. Negotiated Rate |
$46.53 |
| Rate for Payer: Aetna American Axle |
$33.60
|
| Rate for Payer: Aetna Commercial |
$43.95
|
| Rate for Payer: Aetna Medicare |
$25.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.60
|
| Rate for Payer: BCBS Complete |
$20.68
|
| Rate for Payer: Cash Price |
$41.36
|
| Rate for Payer: Cofinity Advantage |
$36.19
|
| Rate for Payer: Cofinity Commercial |
$44.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.36
|
| Rate for Payer: Healthscope Commercial |
$46.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$36.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$38.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$38.77
|
| Rate for Payer: PHP Commercial |
$43.95
|
| Rate for Payer: Priority Health SBD |
$32.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.60
|
| Rate for Payer: UHC Core |
$26.94
|
| Rate for Payer: UHC Exchange |
$20.32
|
| Rate for Payer: UMR Bronson Commercial |
$19.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$38.77
|
|
|
METFORMIN 500 MG TABLET
|
Facility
|
IP
|
$51.70
|
|
|
Service Code
|
NDC 70010006301
|
| Hospital Charge Code |
10544
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$22.75 |
| Max. Negotiated Rate |
$46.53 |
| Rate for Payer: Aetna American Axle |
$33.60
|
| Rate for Payer: Aetna Commercial |
$43.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.60
|
| Rate for Payer: Cash Price |
$41.36
|
| Rate for Payer: Cofinity Advantage |
$36.19
|
| Rate for Payer: Cofinity Commercial |
$44.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.36
|
| Rate for Payer: Healthscope Commercial |
$46.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$36.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$38.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$38.77
|
| Rate for Payer: PHP Commercial |
$43.95
|
| Rate for Payer: Priority Health SBD |
$32.57
|
| Rate for Payer: UMR Bronson Commercial |
$22.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$38.77
|
|
|
METFORMIN 500 MG TABLET
|
Facility
|
OP
|
$54.05
|
|
|
Service Code
|
NDC 65862000801
|
| Hospital Charge Code |
10544
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$20.00 |
| Max. Negotiated Rate |
$48.65 |
| Rate for Payer: Aetna American Axle |
$35.13
|
| Rate for Payer: Aetna Commercial |
$45.94
|
| Rate for Payer: Aetna Medicare |
$27.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.13
|
| Rate for Payer: BCBS Complete |
$21.62
|
| Rate for Payer: Cash Price |
$43.24
|
| Rate for Payer: Cofinity Advantage |
$37.84
|
| Rate for Payer: Cofinity Commercial |
$46.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.24
|
| Rate for Payer: Healthscope Commercial |
$48.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.54
|
| Rate for Payer: PHP Commercial |
$45.94
|
| Rate for Payer: Priority Health SBD |
$34.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.13
|
| Rate for Payer: UHC Core |
$28.16
|
| Rate for Payer: UHC Exchange |
$21.24
|
| Rate for Payer: UMR Bronson Commercial |
$20.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.54
|
|
|
METFORMIN 500 MG TABLET
|
Facility
|
OP
|
$162.15
|
|
|
Service Code
|
NDC 00904716261
|
| Hospital Charge Code |
10544
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$60.00 |
| Max. Negotiated Rate |
$145.94 |
| Rate for Payer: Aetna American Axle |
$105.40
|
| Rate for Payer: Aetna Commercial |
$137.83
|
| Rate for Payer: Aetna Medicare |
$81.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$105.40
|
| Rate for Payer: BCBS Complete |
$64.86
|
| Rate for Payer: Cash Price |
$129.72
|
| Rate for Payer: Cofinity Advantage |
$113.50
|
| Rate for Payer: Cofinity Commercial |
$139.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$129.72
|
| Rate for Payer: Healthscope Commercial |
$145.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$113.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$121.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$129.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$137.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$121.61
|
| Rate for Payer: PHP Commercial |
$137.83
|
| Rate for Payer: Priority Health SBD |
$102.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$105.40
|
| Rate for Payer: UHC Core |
$84.48
|
| Rate for Payer: UHC Exchange |
$63.72
|
| Rate for Payer: UMR Bronson Commercial |
$60.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$121.61
|
|
|
METFORMIN 500 MG TABLET
|
Facility
|
OP
|
$86.95
|
|
|
Service Code
|
NDC 23155010201
|
| Hospital Charge Code |
10544
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$32.17 |
| Max. Negotiated Rate |
$78.25 |
| Rate for Payer: Aetna American Axle |
$56.52
|
| Rate for Payer: Aetna Commercial |
$73.91
|
| Rate for Payer: Aetna Medicare |
$43.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.52
|
| Rate for Payer: BCBS Complete |
$34.78
|
| Rate for Payer: Cash Price |
$69.56
|
| Rate for Payer: Cofinity Advantage |
$60.87
|
| Rate for Payer: Cofinity Commercial |
$74.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.56
|
| Rate for Payer: Healthscope Commercial |
$78.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$60.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$65.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$69.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$65.21
|
| Rate for Payer: PHP Commercial |
$73.91
|
| Rate for Payer: Priority Health SBD |
$54.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.52
|
| Rate for Payer: UHC Core |
$45.30
|
| Rate for Payer: UHC Exchange |
$34.17
|
| Rate for Payer: UMR Bronson Commercial |
$32.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$65.21
|
|
|
METFORMIN 500 MG TABLET
|
Facility
|
OP
|
$230.30
|
|
|
Service Code
|
NDC 60687015501
|
| Hospital Charge Code |
10544
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$85.21 |
| Max. Negotiated Rate |
$207.27 |
| Rate for Payer: Aetna American Axle |
$149.69
|
| Rate for Payer: Aetna Commercial |
$195.75
|
| Rate for Payer: Aetna Medicare |
$115.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$149.69
|
| Rate for Payer: BCBS Complete |
$92.12
|
| Rate for Payer: Cash Price |
$184.24
|
| Rate for Payer: Cofinity Advantage |
$161.21
|
| Rate for Payer: Cofinity Commercial |
$198.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$184.24
|
| Rate for Payer: Healthscope Commercial |
$207.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$161.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$172.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$184.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$195.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$172.72
|
| Rate for Payer: PHP Commercial |
$195.75
|
| Rate for Payer: Priority Health SBD |
$145.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$149.69
|
| Rate for Payer: UHC Core |
$119.99
|
| Rate for Payer: UHC Exchange |
$90.51
|
| Rate for Payer: UMR Bronson Commercial |
$85.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$172.72
|
|
|
METFORMIN 500 MG TABLET
|
Facility
|
IP
|
$2.31
|
|
|
Service Code
|
NDC 60687015511
|
| Hospital Charge Code |
10544
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.02 |
| Max. Negotiated Rate |
$2.08 |
| Rate for Payer: Aetna American Axle |
$1.50
|
| Rate for Payer: Aetna Commercial |
$1.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.50
|
| Rate for Payer: Cash Price |
$1.85
|
| Rate for Payer: Cofinity Advantage |
$1.62
|
| Rate for Payer: Cofinity Commercial |
$1.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.85
|
| Rate for Payer: Healthscope Commercial |
$2.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.73
|
| Rate for Payer: PHP Commercial |
$1.96
|
| Rate for Payer: Priority Health SBD |
$1.46
|
| Rate for Payer: UMR Bronson Commercial |
$1.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.73
|
|
|
METFORMIN 500 MG TABLET
|
Facility
|
IP
|
$230.30
|
|
|
Service Code
|
NDC 60687015501
|
| Hospital Charge Code |
10544
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$101.33 |
| Max. Negotiated Rate |
$207.27 |
| Rate for Payer: Aetna American Axle |
$149.69
|
| Rate for Payer: Aetna Commercial |
$195.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$149.69
|
| Rate for Payer: Cash Price |
$184.24
|
| Rate for Payer: Cofinity Advantage |
$161.21
|
| Rate for Payer: Cofinity Commercial |
$198.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$184.24
|
| Rate for Payer: Healthscope Commercial |
$207.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$161.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$172.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$195.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$172.72
|
| Rate for Payer: PHP Commercial |
$195.75
|
| Rate for Payer: Priority Health SBD |
$145.09
|
| Rate for Payer: UMR Bronson Commercial |
$101.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$172.72
|
|
|
METFORMIN 500 MG TABLET
|
Facility
|
IP
|
$86.95
|
|
|
Service Code
|
NDC 23155010201
|
| Hospital Charge Code |
10544
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$38.26 |
| Max. Negotiated Rate |
$78.25 |
| Rate for Payer: Aetna American Axle |
$56.52
|
| Rate for Payer: Aetna Commercial |
$73.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.52
|
| Rate for Payer: Cash Price |
$69.56
|
| Rate for Payer: Cofinity Advantage |
$60.87
|
| Rate for Payer: Cofinity Commercial |
$74.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.56
|
| Rate for Payer: Healthscope Commercial |
$78.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$60.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$65.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$65.21
|
| Rate for Payer: PHP Commercial |
$73.91
|
| Rate for Payer: Priority Health SBD |
$54.78
|
| Rate for Payer: UMR Bronson Commercial |
$38.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$65.21
|
|
|
METFORMIN 850 MG TABLET
|
Facility
|
IP
|
$432.40
|
|
|
Service Code
|
NDC 00904716361
|
| Hospital Charge Code |
14719
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$190.26 |
| Max. Negotiated Rate |
$389.16 |
| Rate for Payer: Aetna American Axle |
$281.06
|
| Rate for Payer: Aetna Commercial |
$367.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$281.06
|
| Rate for Payer: Cash Price |
$345.92
|
| Rate for Payer: Cofinity Advantage |
$302.68
|
| Rate for Payer: Cofinity Commercial |
$371.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$345.92
|
| Rate for Payer: Healthscope Commercial |
$389.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$302.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$324.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$367.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$324.30
|
| Rate for Payer: PHP Commercial |
$367.54
|
| Rate for Payer: Priority Health SBD |
$272.41
|
| Rate for Payer: UMR Bronson Commercial |
$190.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$324.30
|
|
|
METFORMIN 850 MG TABLET
|
Facility
|
OP
|
$432.40
|
|
|
Service Code
|
NDC 00904716361
|
| Hospital Charge Code |
14719
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$159.99 |
| Max. Negotiated Rate |
$389.16 |
| Rate for Payer: Aetna American Axle |
$281.06
|
| Rate for Payer: Aetna Commercial |
$367.54
|
| Rate for Payer: Aetna Medicare |
$216.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$281.06
|
| Rate for Payer: BCBS Complete |
$172.96
|
| Rate for Payer: Cash Price |
$345.92
|
| Rate for Payer: Cofinity Advantage |
$302.68
|
| Rate for Payer: Cofinity Commercial |
$371.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$345.92
|
| Rate for Payer: Healthscope Commercial |
$389.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$302.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$324.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$345.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$367.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$324.30
|
| Rate for Payer: PHP Commercial |
$367.54
|
| Rate for Payer: Priority Health SBD |
$272.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$281.06
|
| Rate for Payer: UHC Core |
$225.28
|
| Rate for Payer: UHC Exchange |
$169.93
|
| Rate for Payer: UMR Bronson Commercial |
$159.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$324.30
|
|
|
METFORMIN 850 MG TABLET
|
Facility
|
IP
|
$191.90
|
|
|
Service Code
|
NDC 60687014301
|
| Hospital Charge Code |
14719
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$84.44 |
| Max. Negotiated Rate |
$172.71 |
| Rate for Payer: Aetna American Axle |
$124.73
|
| Rate for Payer: Aetna Commercial |
$163.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$124.73
|
| Rate for Payer: Cash Price |
$153.52
|
| Rate for Payer: Cofinity Advantage |
$134.33
|
| Rate for Payer: Cofinity Commercial |
$165.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$153.52
|
| Rate for Payer: Healthscope Commercial |
$172.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$134.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$143.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$163.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$143.93
|
| Rate for Payer: PHP Commercial |
$163.12
|
| Rate for Payer: Priority Health SBD |
$120.90
|
| Rate for Payer: UMR Bronson Commercial |
$84.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$143.93
|
|
|
METFORMIN 850 MG TABLET
|
Facility
|
OP
|
$191.90
|
|
|
Service Code
|
NDC 60687014301
|
| Hospital Charge Code |
14719
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$71.00 |
| Max. Negotiated Rate |
$172.71 |
| Rate for Payer: Aetna American Axle |
$124.73
|
| Rate for Payer: Aetna Commercial |
$163.12
|
| Rate for Payer: Aetna Medicare |
$95.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$124.73
|
| Rate for Payer: BCBS Complete |
$76.76
|
| Rate for Payer: Cash Price |
$153.52
|
| Rate for Payer: Cofinity Advantage |
$134.33
|
| Rate for Payer: Cofinity Commercial |
$165.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$153.52
|
| Rate for Payer: Healthscope Commercial |
$172.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$134.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$143.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$153.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$163.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$143.93
|
| Rate for Payer: PHP Commercial |
$163.12
|
| Rate for Payer: Priority Health SBD |
$120.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$124.73
|
| Rate for Payer: UHC Core |
$99.98
|
| Rate for Payer: UHC Exchange |
$75.42
|
| Rate for Payer: UMR Bronson Commercial |
$71.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$143.93
|
|
|
METFORMIN 850 MG TABLET
|
Facility
|
OP
|
$1.92
|
|
|
Service Code
|
NDC 60687014311
|
| Hospital Charge Code |
14719
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.71 |
| Max. Negotiated Rate |
$1.73 |
| Rate for Payer: Aetna American Axle |
$1.25
|
| Rate for Payer: Aetna Commercial |
$1.63
|
| Rate for Payer: Aetna Medicare |
$0.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.25
|
| Rate for Payer: BCBS Complete |
$0.77
|
| Rate for Payer: Cash Price |
$1.54
|
| Rate for Payer: Cofinity Advantage |
$1.34
|
| Rate for Payer: Cofinity Commercial |
$1.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.54
|
| Rate for Payer: Healthscope Commercial |
$1.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.44
|
| Rate for Payer: PHP Commercial |
$1.63
|
| Rate for Payer: Priority Health SBD |
$1.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.25
|
| Rate for Payer: UHC Core |
$1.00
|
| Rate for Payer: UHC Exchange |
$0.75
|
| Rate for Payer: UMR Bronson Commercial |
$0.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.44
|
|
|
METFORMIN 850 MG TABLET
|
Facility
|
IP
|
$1.92
|
|
|
Service Code
|
NDC 60687014311
|
| Hospital Charge Code |
14719
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.84 |
| Max. Negotiated Rate |
$1.73 |
| Rate for Payer: Aetna American Axle |
$1.25
|
| Rate for Payer: Aetna Commercial |
$1.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.25
|
| Rate for Payer: Cash Price |
$1.54
|
| Rate for Payer: Cofinity Advantage |
$1.34
|
| Rate for Payer: Cofinity Commercial |
$1.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.54
|
| Rate for Payer: Healthscope Commercial |
$1.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.44
|
| Rate for Payer: PHP Commercial |
$1.63
|
| Rate for Payer: Priority Health SBD |
$1.21
|
| Rate for Payer: UMR Bronson Commercial |
$0.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.44
|
|
|
METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR
|
Facility
|
OP
|
$370.50
|
|
|
Service Code
|
NDC 60687064001
|
| Hospital Charge Code |
28995
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$137.09 |
| Max. Negotiated Rate |
$333.45 |
| Rate for Payer: Aetna American Axle |
$240.82
|
| Rate for Payer: Aetna Commercial |
$314.93
|
| Rate for Payer: Aetna Medicare |
$185.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$240.82
|
| Rate for Payer: BCBS Complete |
$148.20
|
| Rate for Payer: Cash Price |
$296.40
|
| Rate for Payer: Cofinity Advantage |
$259.35
|
| Rate for Payer: Cofinity Commercial |
$318.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$296.40
|
| Rate for Payer: Healthscope Commercial |
$333.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$259.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$277.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$296.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$314.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$277.88
|
| Rate for Payer: PHP Commercial |
$314.93
|
| Rate for Payer: Priority Health SBD |
$233.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$240.82
|
| Rate for Payer: UHC Core |
$193.03
|
| Rate for Payer: UHC Exchange |
$145.61
|
| Rate for Payer: UMR Bronson Commercial |
$137.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$277.88
|
|
|
METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR
|
Facility
|
OP
|
$79.90
|
|
|
Service Code
|
NDC 67877041301
|
| Hospital Charge Code |
28995
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$29.56 |
| Max. Negotiated Rate |
$71.91 |
| Rate for Payer: Aetna American Axle |
$51.94
|
| Rate for Payer: Aetna Commercial |
$67.92
|
| Rate for Payer: Aetna Medicare |
$39.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.94
|
| Rate for Payer: BCBS Complete |
$31.96
|
| Rate for Payer: Cash Price |
$63.92
|
| Rate for Payer: Cofinity Advantage |
$55.93
|
| Rate for Payer: Cofinity Commercial |
$68.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$63.92
|
| Rate for Payer: Healthscope Commercial |
$71.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$55.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$59.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$63.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$67.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$59.92
|
| Rate for Payer: PHP Commercial |
$67.92
|
| Rate for Payer: Priority Health SBD |
$50.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.94
|
| Rate for Payer: UHC Core |
$41.63
|
| Rate for Payer: UHC Exchange |
$31.40
|
| Rate for Payer: UMR Bronson Commercial |
$29.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$59.92
|
|
