|
MEDROXYPROGESTERONE 10 MG TABLET
|
Facility
|
OP
|
$209.00
|
|
|
Service Code
|
NDC 59762374202
|
| Hospital Charge Code |
4854
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$77.33 |
| Max. Negotiated Rate |
$188.10 |
| Rate for Payer: Aetna American Axle |
$135.85
|
| Rate for Payer: Aetna Commercial |
$177.65
|
| Rate for Payer: Aetna Medicare |
$104.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$135.85
|
| Rate for Payer: BCBS Complete |
$83.60
|
| Rate for Payer: Cash Price |
$167.20
|
| Rate for Payer: Cofinity Commercial |
$146.30
|
| Rate for Payer: Cofinity Commercial |
$179.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$146.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$167.20
|
| Rate for Payer: Healthscope Commercial |
$188.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$146.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$156.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$177.65
|
| Rate for Payer: PHP Commercial |
$177.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$135.85
|
| Rate for Payer: Priority Health SBD |
$131.67
|
| Rate for Payer: UMR Bronson Commercial |
$77.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$156.75
|
|
|
MEDROXYPROGESTERONE 10 MG TABLET
|
Facility
|
IP
|
$439.45
|
|
|
Service Code
|
NDC 00555077902
|
| Hospital Charge Code |
4854
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$193.36 |
| Max. Negotiated Rate |
$395.50 |
| Rate for Payer: Aetna American Axle |
$285.64
|
| Rate for Payer: Aetna Commercial |
$373.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$285.64
|
| Rate for Payer: Cash Price |
$351.56
|
| Rate for Payer: Cofinity Commercial |
$307.62
|
| Rate for Payer: Cofinity Commercial |
$377.93
|
| Rate for Payer: Cofinity Medicare Advantage |
$307.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$351.56
|
| Rate for Payer: Healthscope Commercial |
$395.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$307.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$329.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$373.53
|
| Rate for Payer: PHP Commercial |
$373.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$285.64
|
| Rate for Payer: Priority Health SBD |
$276.85
|
| Rate for Payer: UMR Bronson Commercial |
$193.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$329.59
|
|
|
MEDROXYPROGESTERONE 10 MG TABLET
|
Facility
|
OP
|
$439.45
|
|
|
Service Code
|
NDC 00555077902
|
| Hospital Charge Code |
4854
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$162.60 |
| Max. Negotiated Rate |
$395.50 |
| Rate for Payer: Aetna American Axle |
$285.64
|
| Rate for Payer: Aetna Commercial |
$373.53
|
| Rate for Payer: Aetna Medicare |
$219.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$285.64
|
| Rate for Payer: BCBS Complete |
$175.78
|
| Rate for Payer: Cash Price |
$351.56
|
| Rate for Payer: Cofinity Commercial |
$307.62
|
| Rate for Payer: Cofinity Commercial |
$377.93
|
| Rate for Payer: Cofinity Medicare Advantage |
$307.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$351.56
|
| Rate for Payer: Healthscope Commercial |
$395.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$307.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$329.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$373.53
|
| Rate for Payer: PHP Commercial |
$373.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$285.64
|
| Rate for Payer: Priority Health SBD |
$276.85
|
| Rate for Payer: UMR Bronson Commercial |
$162.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$329.59
|
|
|
MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SYRINGE
|
Facility
|
OP
|
$239.06
|
|
|
Service Code
|
HCPCS J1050
|
| Hospital Charge Code |
112224
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.37 |
| Max. Negotiated Rate |
$215.15 |
| Rate for Payer: Aetna American Axle |
$155.39
|
| Rate for Payer: Aetna American Axle |
$154.51
|
| Rate for Payer: Aetna American Axle |
$123.64
|
| Rate for Payer: Aetna American Axle |
$128.34
|
| Rate for Payer: Aetna Commercial |
$203.20
|
| Rate for Payer: Aetna Commercial |
$167.83
|
| Rate for Payer: Aetna Commercial |
$161.68
|
| Rate for Payer: Aetna Commercial |
$202.05
|
| Rate for Payer: Aetna Medicare |
$118.86
|
| Rate for Payer: Aetna Medicare |
$98.72
|
| Rate for Payer: Aetna Medicare |
$95.10
|
| Rate for Payer: Aetna Medicare |
$119.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$155.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$123.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$154.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$128.34
|
| Rate for Payer: BCBS Complete |
$95.08
|
| Rate for Payer: BCBS Complete |
$76.08
|
| Rate for Payer: BCBS Complete |
$95.62
|
| Rate for Payer: BCBS Complete |
$78.98
|
| Rate for Payer: BCBS Trust/PPO |
$0.37
|
| Rate for Payer: BCBS Trust/PPO |
$0.37
|
| Rate for Payer: BCBS Trust/PPO |
$0.37
|
| Rate for Payer: BCBS Trust/PPO |
$0.37
|
| Rate for Payer: BCN Commercial |
$0.37
|
| Rate for Payer: BCN Commercial |
$0.37
|
| Rate for Payer: BCN Commercial |
$0.37
|
| Rate for Payer: BCN Commercial |
$0.37
|
| Rate for Payer: Cash Price |
$157.96
|
| Rate for Payer: Cash Price |
$191.25
|
| Rate for Payer: Cash Price |
$190.17
|
| Rate for Payer: Cash Price |
$157.96
|
| Rate for Payer: Cash Price |
$152.17
|
| Rate for Payer: Cash Price |
$152.17
|
| Rate for Payer: Cash Price |
$190.17
|
| Rate for Payer: Cash Price |
$191.25
|
| Rate for Payer: Cofinity Commercial |
$205.59
|
| Rate for Payer: Cofinity Commercial |
$169.81
|
| Rate for Payer: Cofinity Commercial |
$133.15
|
| Rate for Payer: Cofinity Commercial |
$163.58
|
| Rate for Payer: Cofinity Commercial |
$138.22
|
| Rate for Payer: Cofinity Commercial |
$166.40
|
| Rate for Payer: Cofinity Commercial |
$204.43
|
| Rate for Payer: Cofinity Commercial |
$167.34
|
| Rate for Payer: Cofinity Medicare Advantage |
$138.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$166.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$133.15
|
| Rate for Payer: Cofinity Medicare Advantage |
$167.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$157.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$191.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$190.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$152.17
|
| Rate for Payer: Healthscope Commercial |
$171.19
|
| Rate for Payer: Healthscope Commercial |
$215.15
|
| Rate for Payer: Healthscope Commercial |
$213.94
|
| Rate for Payer: Healthscope Commercial |
$177.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$166.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$133.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$138.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$167.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$179.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$142.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$178.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$148.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$167.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$203.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$202.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$161.68
|
| Rate for Payer: PHP Commercial |
$203.20
|
| Rate for Payer: PHP Commercial |
$167.83
|
| Rate for Payer: PHP Commercial |
$161.68
|
| Rate for Payer: PHP Commercial |
$202.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$155.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$128.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$123.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$154.51
|
| Rate for Payer: Priority Health SBD |
$119.83
|
| Rate for Payer: Priority Health SBD |
$149.76
|
| Rate for Payer: Priority Health SBD |
$124.39
|
| Rate for Payer: Priority Health SBD |
$150.61
|
| Rate for Payer: UMR Bronson Commercial |
$70.38
|
| Rate for Payer: UMR Bronson Commercial |
$87.95
|
| Rate for Payer: UMR Bronson Commercial |
$88.45
|
| Rate for Payer: UMR Bronson Commercial |
$73.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$178.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$148.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$142.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$179.30
|
|
|
MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SYRINGE
|
Facility
|
IP
|
$237.71
|
|
|
Service Code
|
HCPCS J1050
|
| Hospital Charge Code |
112224
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$104.59 |
| Max. Negotiated Rate |
$213.94 |
| Rate for Payer: Aetna American Axle |
$154.51
|
| Rate for Payer: Aetna American Axle |
$128.34
|
| Rate for Payer: Aetna American Axle |
$123.64
|
| Rate for Payer: Aetna American Axle |
$155.39
|
| Rate for Payer: Aetna Commercial |
$202.05
|
| Rate for Payer: Aetna Commercial |
$203.20
|
| Rate for Payer: Aetna Commercial |
$167.83
|
| Rate for Payer: Aetna Commercial |
$161.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$123.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$128.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$155.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$154.51
|
| Rate for Payer: Cash Price |
$157.96
|
| Rate for Payer: Cash Price |
$190.17
|
| Rate for Payer: Cash Price |
$152.17
|
| Rate for Payer: Cash Price |
$191.25
|
| Rate for Payer: Cofinity Commercial |
$133.15
|
| Rate for Payer: Cofinity Commercial |
$205.59
|
| Rate for Payer: Cofinity Commercial |
$167.34
|
| Rate for Payer: Cofinity Commercial |
$166.40
|
| Rate for Payer: Cofinity Commercial |
$138.22
|
| Rate for Payer: Cofinity Commercial |
$169.81
|
| Rate for Payer: Cofinity Commercial |
$204.43
|
| Rate for Payer: Cofinity Commercial |
$163.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$138.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$166.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$167.34
|
| Rate for Payer: Cofinity Medicare Advantage |
$133.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$152.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$191.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$190.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$157.96
|
| Rate for Payer: Healthscope Commercial |
$213.94
|
| Rate for Payer: Healthscope Commercial |
$171.19
|
| Rate for Payer: Healthscope Commercial |
$177.70
|
| Rate for Payer: Healthscope Commercial |
$215.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$133.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$138.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$167.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$166.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$148.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$142.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$178.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$179.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$203.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$161.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$167.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$202.05
|
| Rate for Payer: PHP Commercial |
$202.05
|
| Rate for Payer: PHP Commercial |
$203.20
|
| Rate for Payer: PHP Commercial |
$161.68
|
| Rate for Payer: PHP Commercial |
$167.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$154.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$155.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$128.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$123.64
|
| Rate for Payer: Priority Health SBD |
$150.61
|
| Rate for Payer: Priority Health SBD |
$119.83
|
| Rate for Payer: Priority Health SBD |
$124.39
|
| Rate for Payer: Priority Health SBD |
$149.76
|
| Rate for Payer: UMR Bronson Commercial |
$104.59
|
| Rate for Payer: UMR Bronson Commercial |
$105.19
|
| Rate for Payer: UMR Bronson Commercial |
$86.88
|
| Rate for Payer: UMR Bronson Commercial |
$83.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$179.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$142.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$148.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$178.28
|
|
|
MEDROXYPROGESTERONE 2.5 MG TABLET
|
Facility
|
IP
|
$282.00
|
|
|
Service Code
|
NDC 00555087202
|
| Hospital Charge Code |
4855
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$124.08 |
| Max. Negotiated Rate |
$253.80 |
| Rate for Payer: Aetna American Axle |
$183.30
|
| Rate for Payer: Aetna Commercial |
$239.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$183.30
|
| Rate for Payer: Cash Price |
$225.60
|
| Rate for Payer: Cofinity Commercial |
$197.40
|
| Rate for Payer: Cofinity Commercial |
$242.52
|
| Rate for Payer: Cofinity Medicare Advantage |
$197.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$225.60
|
| Rate for Payer: Healthscope Commercial |
$253.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$197.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$211.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$239.70
|
| Rate for Payer: PHP Commercial |
$239.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$183.30
|
| Rate for Payer: Priority Health SBD |
$177.66
|
| Rate for Payer: UMR Bronson Commercial |
$124.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$211.50
|
|
|
MEDROXYPROGESTERONE 2.5 MG TABLET
|
Facility
|
OP
|
$282.00
|
|
|
Service Code
|
NDC 00555087202
|
| Hospital Charge Code |
4855
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$104.34 |
| Max. Negotiated Rate |
$253.80 |
| Rate for Payer: Aetna American Axle |
$183.30
|
| Rate for Payer: Aetna Commercial |
$239.70
|
| Rate for Payer: Aetna Medicare |
$141.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$183.30
|
| Rate for Payer: BCBS Complete |
$112.80
|
| Rate for Payer: Cash Price |
$225.60
|
| Rate for Payer: Cofinity Commercial |
$197.40
|
| Rate for Payer: Cofinity Commercial |
$242.52
|
| Rate for Payer: Cofinity Medicare Advantage |
$197.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$225.60
|
| Rate for Payer: Healthscope Commercial |
$253.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$197.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$211.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$239.70
|
| Rate for Payer: PHP Commercial |
$239.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$183.30
|
| Rate for Payer: Priority Health SBD |
$177.66
|
| Rate for Payer: UMR Bronson Commercial |
$104.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$211.50
|
|
|
MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION
|
Facility
|
OP
|
$699.36
|
|
|
Service Code
|
NDC 64380016001
|
| Hospital Charge Code |
10521
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$258.76 |
| Max. Negotiated Rate |
$629.42 |
| Rate for Payer: Aetna American Axle |
$454.58
|
| Rate for Payer: Aetna Commercial |
$594.46
|
| Rate for Payer: Aetna Medicare |
$349.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$454.58
|
| Rate for Payer: BCBS Complete |
$279.74
|
| Rate for Payer: Cash Price |
$559.49
|
| Rate for Payer: Cofinity Commercial |
$489.55
|
| Rate for Payer: Cofinity Commercial |
$601.45
|
| Rate for Payer: Cofinity Medicare Advantage |
$489.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$559.49
|
| Rate for Payer: Healthscope Commercial |
$629.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$489.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$524.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$594.46
|
| Rate for Payer: PHP Commercial |
$594.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$454.58
|
| Rate for Payer: Priority Health SBD |
$440.60
|
| Rate for Payer: UMR Bronson Commercial |
$258.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$524.52
|
|
|
MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION
|
Facility
|
OP
|
$360.96
|
|
|
Service Code
|
NDC 00054354250
|
| Hospital Charge Code |
10521
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$133.56 |
| Max. Negotiated Rate |
$324.86 |
| Rate for Payer: Aetna American Axle |
$234.62
|
| Rate for Payer: Aetna Commercial |
$306.82
|
| Rate for Payer: Aetna Medicare |
$180.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$234.62
|
| Rate for Payer: BCBS Complete |
$144.38
|
| Rate for Payer: Cash Price |
$288.77
|
| Rate for Payer: Cofinity Commercial |
$252.67
|
| Rate for Payer: Cofinity Commercial |
$310.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$252.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$288.77
|
| Rate for Payer: Healthscope Commercial |
$324.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$252.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$270.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$306.82
|
| Rate for Payer: PHP Commercial |
$306.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$234.62
|
| Rate for Payer: Priority Health SBD |
$227.40
|
| Rate for Payer: UMR Bronson Commercial |
$133.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$270.72
|
|
|
MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION
|
Facility
|
OP
|
$659.88
|
|
|
Service Code
|
NDC 60432012608
|
| Hospital Charge Code |
10521
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$244.16 |
| Max. Negotiated Rate |
$593.89 |
| Rate for Payer: Aetna American Axle |
$428.92
|
| Rate for Payer: Aetna Commercial |
$560.90
|
| Rate for Payer: Aetna Medicare |
$329.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$428.92
|
| Rate for Payer: BCBS Complete |
$263.95
|
| Rate for Payer: Cash Price |
$527.90
|
| Rate for Payer: Cofinity Commercial |
$461.92
|
| Rate for Payer: Cofinity Commercial |
$567.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$461.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$527.90
|
| Rate for Payer: Healthscope Commercial |
$593.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$461.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$494.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$560.90
|
| Rate for Payer: PHP Commercial |
$560.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$428.92
|
| Rate for Payer: Priority Health SBD |
$415.72
|
| Rate for Payer: UMR Bronson Commercial |
$244.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$494.91
|
|
|
MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION
|
Facility
|
IP
|
$699.36
|
|
|
Service Code
|
NDC 64380016001
|
| Hospital Charge Code |
10521
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$307.72 |
| Max. Negotiated Rate |
$629.42 |
| Rate for Payer: Aetna American Axle |
$454.58
|
| Rate for Payer: Aetna Commercial |
$594.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$454.58
|
| Rate for Payer: Cash Price |
$559.49
|
| Rate for Payer: Cofinity Commercial |
$489.55
|
| Rate for Payer: Cofinity Commercial |
$601.45
|
| Rate for Payer: Cofinity Medicare Advantage |
$489.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$559.49
|
| Rate for Payer: Healthscope Commercial |
$629.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$489.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$524.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$594.46
|
| Rate for Payer: PHP Commercial |
$594.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$454.58
|
| Rate for Payer: Priority Health SBD |
$440.60
|
| Rate for Payer: UMR Bronson Commercial |
$307.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$524.52
|
|
|
MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION
|
Facility
|
OP
|
$783.96
|
|
|
Service Code
|
NDC 49884090738
|
| Hospital Charge Code |
10521
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$290.07 |
| Max. Negotiated Rate |
$705.56 |
| Rate for Payer: Aetna American Axle |
$509.57
|
| Rate for Payer: Aetna Commercial |
$666.37
|
| Rate for Payer: Aetna Medicare |
$391.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$509.57
|
| Rate for Payer: BCBS Complete |
$313.58
|
| Rate for Payer: Cash Price |
$627.17
|
| Rate for Payer: Cofinity Commercial |
$548.77
|
| Rate for Payer: Cofinity Commercial |
$674.21
|
| Rate for Payer: Cofinity Medicare Advantage |
$548.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$627.17
|
| Rate for Payer: Healthscope Commercial |
$705.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$548.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$587.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$666.37
|
| Rate for Payer: PHP Commercial |
$666.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$509.57
|
| Rate for Payer: Priority Health SBD |
$493.89
|
| Rate for Payer: UMR Bronson Commercial |
$290.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$587.97
|
|
|
MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION
|
Facility
|
IP
|
$659.88
|
|
|
Service Code
|
NDC 60432012608
|
| Hospital Charge Code |
10521
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$290.35 |
| Max. Negotiated Rate |
$593.89 |
| Rate for Payer: Aetna American Axle |
$428.92
|
| Rate for Payer: Aetna Commercial |
$560.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$428.92
|
| Rate for Payer: Cash Price |
$527.90
|
| Rate for Payer: Cofinity Commercial |
$461.92
|
| Rate for Payer: Cofinity Commercial |
$567.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$461.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$527.90
|
| Rate for Payer: Healthscope Commercial |
$593.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$461.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$494.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$560.90
|
| Rate for Payer: PHP Commercial |
$560.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$428.92
|
| Rate for Payer: Priority Health SBD |
$415.72
|
| Rate for Payer: UMR Bronson Commercial |
$290.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$494.91
|
|
|
MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION
|
Facility
|
IP
|
$360.96
|
|
|
Service Code
|
NDC 00054354250
|
| Hospital Charge Code |
10521
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$158.82 |
| Max. Negotiated Rate |
$324.86 |
| Rate for Payer: Aetna American Axle |
$234.62
|
| Rate for Payer: Aetna Commercial |
$306.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$234.62
|
| Rate for Payer: Cash Price |
$288.77
|
| Rate for Payer: Cofinity Commercial |
$252.67
|
| Rate for Payer: Cofinity Commercial |
$310.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$252.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$288.77
|
| Rate for Payer: Healthscope Commercial |
$324.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$252.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$270.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$306.82
|
| Rate for Payer: PHP Commercial |
$306.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$234.62
|
| Rate for Payer: Priority Health SBD |
$227.40
|
| Rate for Payer: UMR Bronson Commercial |
$158.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$270.72
|
|
|
MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION
|
Facility
|
IP
|
$783.96
|
|
|
Service Code
|
NDC 49884090738
|
| Hospital Charge Code |
10521
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$344.94 |
| Max. Negotiated Rate |
$705.56 |
| Rate for Payer: Aetna American Axle |
$509.57
|
| Rate for Payer: Aetna Commercial |
$666.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$509.57
|
| Rate for Payer: Cash Price |
$627.17
|
| Rate for Payer: Cofinity Commercial |
$548.77
|
| Rate for Payer: Cofinity Commercial |
$674.21
|
| Rate for Payer: Cofinity Medicare Advantage |
$548.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$627.17
|
| Rate for Payer: Healthscope Commercial |
$705.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$548.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$587.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$666.37
|
| Rate for Payer: PHP Commercial |
$666.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$509.57
|
| Rate for Payer: Priority Health SBD |
$493.89
|
| Rate for Payer: UMR Bronson Commercial |
$344.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$587.97
|
|
|
MEGESTROL 40 MG TABLET
|
Facility
|
OP
|
$217.55
|
|
|
Service Code
|
NDC 00555060702
|
| Hospital Charge Code |
4871
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$80.49 |
| Max. Negotiated Rate |
$195.80 |
| Rate for Payer: Aetna American Axle |
$141.41
|
| Rate for Payer: Aetna Commercial |
$184.92
|
| Rate for Payer: Aetna Medicare |
$108.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$141.41
|
| Rate for Payer: BCBS Complete |
$87.02
|
| Rate for Payer: Cash Price |
$174.04
|
| Rate for Payer: Cofinity Commercial |
$152.28
|
| Rate for Payer: Cofinity Commercial |
$187.09
|
| Rate for Payer: Cofinity Medicare Advantage |
$152.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$174.04
|
| Rate for Payer: Healthscope Commercial |
$195.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$152.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$163.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$184.92
|
| Rate for Payer: PHP Commercial |
$184.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$141.41
|
| Rate for Payer: Priority Health SBD |
$137.06
|
| Rate for Payer: UMR Bronson Commercial |
$80.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$163.16
|
|
|
MEGESTROL 40 MG TABLET
|
Facility
|
OP
|
$427.70
|
|
|
Service Code
|
NDC 00904357161
|
| Hospital Charge Code |
4871
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$158.25 |
| Max. Negotiated Rate |
$384.93 |
| Rate for Payer: Aetna American Axle |
$278.00
|
| Rate for Payer: Aetna Commercial |
$363.54
|
| Rate for Payer: Aetna Medicare |
$213.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$278.00
|
| Rate for Payer: BCBS Complete |
$171.08
|
| Rate for Payer: Cash Price |
$342.16
|
| Rate for Payer: Cofinity Commercial |
$299.39
|
| Rate for Payer: Cofinity Commercial |
$367.82
|
| Rate for Payer: Cofinity Medicare Advantage |
$299.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$342.16
|
| Rate for Payer: Healthscope Commercial |
$384.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$299.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$320.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$363.54
|
| Rate for Payer: PHP Commercial |
$363.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$278.00
|
| Rate for Payer: Priority Health SBD |
$269.45
|
| Rate for Payer: UMR Bronson Commercial |
$158.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$320.78
|
|
|
MEGESTROL 40 MG TABLET
|
Facility
|
IP
|
$283.10
|
|
|
Service Code
|
NDC 64380015901
|
| Hospital Charge Code |
4871
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$124.56 |
| Max. Negotiated Rate |
$254.79 |
| Rate for Payer: Aetna American Axle |
$184.02
|
| Rate for Payer: Aetna Commercial |
$240.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$184.02
|
| Rate for Payer: Cash Price |
$226.48
|
| Rate for Payer: Cofinity Commercial |
$198.17
|
| Rate for Payer: Cofinity Commercial |
$243.47
|
| Rate for Payer: Cofinity Medicare Advantage |
$198.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$226.48
|
| Rate for Payer: Healthscope Commercial |
$254.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$198.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$212.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$240.64
|
| Rate for Payer: PHP Commercial |
$240.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$184.02
|
| Rate for Payer: Priority Health SBD |
$178.35
|
| Rate for Payer: UMR Bronson Commercial |
$124.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$212.32
|
|
|
MEGESTROL 40 MG TABLET
|
Facility
|
OP
|
$437.10
|
|
|
Service Code
|
NDC 00904723661
|
| Hospital Charge Code |
4871
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$161.73 |
| Max. Negotiated Rate |
$393.39 |
| Rate for Payer: Aetna American Axle |
$284.12
|
| Rate for Payer: Aetna Commercial |
$371.54
|
| Rate for Payer: Aetna Medicare |
$218.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$284.12
|
| Rate for Payer: BCBS Complete |
$174.84
|
| Rate for Payer: Cash Price |
$349.68
|
| Rate for Payer: Cofinity Commercial |
$305.97
|
| Rate for Payer: Cofinity Commercial |
$375.91
|
| Rate for Payer: Cofinity Medicare Advantage |
$305.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$349.68
|
| Rate for Payer: Healthscope Commercial |
$393.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$305.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$327.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$371.54
|
| Rate for Payer: PHP Commercial |
$371.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$284.12
|
| Rate for Payer: Priority Health SBD |
$275.37
|
| Rate for Payer: UMR Bronson Commercial |
$161.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$327.82
|
|
|
MEGESTROL 40 MG TABLET
|
Facility
|
IP
|
$217.55
|
|
|
Service Code
|
NDC 00555060702
|
| Hospital Charge Code |
4871
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$95.72 |
| Max. Negotiated Rate |
$195.80 |
| Rate for Payer: Aetna American Axle |
$141.41
|
| Rate for Payer: Aetna Commercial |
$184.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$141.41
|
| Rate for Payer: Cash Price |
$174.04
|
| Rate for Payer: Cofinity Commercial |
$152.28
|
| Rate for Payer: Cofinity Commercial |
$187.09
|
| Rate for Payer: Cofinity Medicare Advantage |
$152.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$174.04
|
| Rate for Payer: Healthscope Commercial |
$195.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$152.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$163.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$184.92
|
| Rate for Payer: PHP Commercial |
$184.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$141.41
|
| Rate for Payer: Priority Health SBD |
$137.06
|
| Rate for Payer: UMR Bronson Commercial |
$95.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$163.16
|
|
|
MEGESTROL 40 MG TABLET
|
Facility
|
OP
|
$283.10
|
|
|
Service Code
|
NDC 64380015901
|
| Hospital Charge Code |
4871
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$104.75 |
| Max. Negotiated Rate |
$254.79 |
| Rate for Payer: Aetna American Axle |
$184.02
|
| Rate for Payer: Aetna Commercial |
$240.64
|
| Rate for Payer: Aetna Medicare |
$141.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$184.02
|
| Rate for Payer: BCBS Complete |
$113.24
|
| Rate for Payer: Cash Price |
$226.48
|
| Rate for Payer: Cofinity Commercial |
$198.17
|
| Rate for Payer: Cofinity Commercial |
$243.47
|
| Rate for Payer: Cofinity Medicare Advantage |
$198.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$226.48
|
| Rate for Payer: Healthscope Commercial |
$254.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$198.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$212.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$240.64
|
| Rate for Payer: PHP Commercial |
$240.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$184.02
|
| Rate for Payer: Priority Health SBD |
$178.35
|
| Rate for Payer: UMR Bronson Commercial |
$104.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$212.32
|
|
|
MEGESTROL 40 MG TABLET
|
Facility
|
IP
|
$437.10
|
|
|
Service Code
|
NDC 00904723661
|
| Hospital Charge Code |
4871
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$192.32 |
| Max. Negotiated Rate |
$393.39 |
| Rate for Payer: Aetna American Axle |
$284.12
|
| Rate for Payer: Aetna Commercial |
$371.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$284.12
|
| Rate for Payer: Cash Price |
$349.68
|
| Rate for Payer: Cofinity Commercial |
$305.97
|
| Rate for Payer: Cofinity Commercial |
$375.91
|
| Rate for Payer: Cofinity Medicare Advantage |
$305.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$349.68
|
| Rate for Payer: Healthscope Commercial |
$393.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$305.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$327.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$371.54
|
| Rate for Payer: PHP Commercial |
$371.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$284.12
|
| Rate for Payer: Priority Health SBD |
$275.37
|
| Rate for Payer: UMR Bronson Commercial |
$192.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$327.82
|
|
|
MEGESTROL 40 MG TABLET
|
Facility
|
IP
|
$427.70
|
|
|
Service Code
|
NDC 00904357161
|
| Hospital Charge Code |
4871
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$188.19 |
| Max. Negotiated Rate |
$384.93 |
| Rate for Payer: Aetna American Axle |
$278.00
|
| Rate for Payer: Aetna Commercial |
$363.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$278.00
|
| Rate for Payer: Cash Price |
$342.16
|
| Rate for Payer: Cofinity Commercial |
$299.39
|
| Rate for Payer: Cofinity Commercial |
$367.82
|
| Rate for Payer: Cofinity Medicare Advantage |
$299.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$342.16
|
| Rate for Payer: Healthscope Commercial |
$384.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$299.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$320.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$363.54
|
| Rate for Payer: PHP Commercial |
$363.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$278.00
|
| Rate for Payer: Priority Health SBD |
$269.45
|
| Rate for Payer: UMR Bronson Commercial |
$188.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$320.78
|
|
|
MELATONIN 1 MG/ML ORAL LIQUID
|
Facility
|
OP
|
$96.48
|
|
|
Service Code
|
NDC 58438000571
|
| Hospital Charge Code |
163646
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$35.70 |
| Max. Negotiated Rate |
$86.83 |
| Rate for Payer: Aetna American Axle |
$62.71
|
| Rate for Payer: Aetna Commercial |
$82.01
|
| Rate for Payer: Aetna Medicare |
$48.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.71
|
| Rate for Payer: BCBS Complete |
$38.59
|
| Rate for Payer: Cash Price |
$77.18
|
| Rate for Payer: Cofinity Commercial |
$67.54
|
| Rate for Payer: Cofinity Commercial |
$82.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$67.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.18
|
| Rate for Payer: Healthscope Commercial |
$86.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$67.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$72.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.01
|
| Rate for Payer: PHP Commercial |
$82.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$62.71
|
| Rate for Payer: Priority Health SBD |
$60.78
|
| Rate for Payer: UMR Bronson Commercial |
$35.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$72.36
|
|
|
MELATONIN 1 MG/ML ORAL LIQUID
|
Facility
|
IP
|
$75.76
|
|
|
Service Code
|
NDC 30768016836
|
| Hospital Charge Code |
163646
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$33.33 |
| Max. Negotiated Rate |
$68.18 |
| Rate for Payer: Aetna American Axle |
$49.24
|
| Rate for Payer: Aetna Commercial |
$64.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.24
|
| Rate for Payer: Cash Price |
$60.61
|
| Rate for Payer: Cofinity Commercial |
$53.03
|
| Rate for Payer: Cofinity Commercial |
$65.15
|
| Rate for Payer: Cofinity Medicare Advantage |
$53.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.61
|
| Rate for Payer: Healthscope Commercial |
$68.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$53.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.40
|
| Rate for Payer: PHP Commercial |
$64.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$49.24
|
| Rate for Payer: Priority Health SBD |
$47.73
|
| Rate for Payer: UMR Bronson Commercial |
$33.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.82
|
|
