|
IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$42.00
|
|
|
Service Code
|
HCPCS Q9967
|
| Hospital Charge Code |
27737
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$27.30 |
| Max. Negotiated Rate |
$42.00 |
| Rate for Payer: Aetna Commercial |
$37.80
|
| Rate for Payer: ASR ASR |
$40.74
|
| Rate for Payer: ASR Commercial |
$40.74
|
| Rate for Payer: BCBS Trust/PPO |
$34.23
|
| Rate for Payer: BCN Commercial |
$32.56
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cofinity Commercial |
$39.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.60
|
| Rate for Payer: Healthscope Commercial |
$42.00
|
| Rate for Payer: Healthscope Whirlpool |
$40.74
|
| Rate for Payer: Mclaren Commercial |
$37.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.70
|
| Rate for Payer: Nomi Health Commercial |
$34.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$36.96
|
|
|
IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$42.00
|
|
|
Service Code
|
HCPCS Q9967
|
| Hospital Charge Code |
27737
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$16.80 |
| Max. Negotiated Rate |
$42.00 |
| Rate for Payer: Aetna Commercial |
$37.80
|
| Rate for Payer: Aetna Medicare |
$21.00
|
| Rate for Payer: ASR ASR |
$40.74
|
| Rate for Payer: ASR Commercial |
$40.74
|
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: BCBS Trust/PPO |
$34.39
|
| Rate for Payer: BCN Commercial |
$32.56
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cofinity Commercial |
$39.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.60
|
| Rate for Payer: Healthscope Commercial |
$42.00
|
| Rate for Payer: Healthscope Whirlpool |
$40.74
|
| Rate for Payer: Mclaren Commercial |
$37.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.70
|
| Rate for Payer: Nomi Health Commercial |
$34.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36.80
|
| Rate for Payer: Priority Health Narrow Network |
$29.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$36.96
|
|
|
IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$280.00
|
|
|
Service Code
|
HCPCS Q9967
|
| Hospital Charge Code |
10328
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$182.00 |
| Max. Negotiated Rate |
$280.00 |
| Rate for Payer: Aetna Commercial |
$252.00
|
| Rate for Payer: Aetna Commercial |
$126.00
|
| Rate for Payer: Aetna Commercial |
$630.00
|
| Rate for Payer: ASR ASR |
$135.80
|
| Rate for Payer: ASR ASR |
$271.60
|
| Rate for Payer: ASR ASR |
$679.00
|
| Rate for Payer: ASR Commercial |
$271.60
|
| Rate for Payer: ASR Commercial |
$135.80
|
| Rate for Payer: ASR Commercial |
$679.00
|
| Rate for Payer: BCBS Trust/PPO |
$570.43
|
| Rate for Payer: BCBS Trust/PPO |
$114.09
|
| Rate for Payer: BCBS Trust/PPO |
$228.17
|
| Rate for Payer: BCN Commercial |
$108.54
|
| Rate for Payer: BCN Commercial |
$542.71
|
| Rate for Payer: BCN Commercial |
$217.08
|
| Rate for Payer: Cash Price |
$224.00
|
| Rate for Payer: Cash Price |
$112.00
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cofinity Commercial |
$658.00
|
| Rate for Payer: Cofinity Commercial |
$131.60
|
| Rate for Payer: Cofinity Commercial |
$263.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$224.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$112.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$560.00
|
| Rate for Payer: Healthscope Commercial |
$140.00
|
| Rate for Payer: Healthscope Commercial |
$280.00
|
| Rate for Payer: Healthscope Commercial |
$700.00
|
| Rate for Payer: Healthscope Whirlpool |
$271.60
|
| Rate for Payer: Healthscope Whirlpool |
$135.80
|
| Rate for Payer: Healthscope Whirlpool |
$679.00
|
| Rate for Payer: Mclaren Commercial |
$252.00
|
| Rate for Payer: Mclaren Commercial |
$126.00
|
| Rate for Payer: Mclaren Commercial |
$630.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$595.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$238.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$119.00
|
| Rate for Payer: Nomi Health Commercial |
$229.60
|
| Rate for Payer: Nomi Health Commercial |
$114.80
|
| Rate for Payer: Nomi Health Commercial |
$574.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$91.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$455.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$182.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$246.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$616.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$123.20
|
|
|
IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$140.00
|
|
|
Service Code
|
HCPCS Q9967
|
| Hospital Charge Code |
10328
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$56.00 |
| Max. Negotiated Rate |
$140.00 |
| Rate for Payer: Aetna Commercial |
$126.00
|
| Rate for Payer: Aetna Commercial |
$252.00
|
| Rate for Payer: Aetna Commercial |
$630.00
|
| Rate for Payer: Aetna Medicare |
$140.00
|
| Rate for Payer: Aetna Medicare |
$350.00
|
| Rate for Payer: Aetna Medicare |
$70.00
|
| Rate for Payer: ASR ASR |
$271.60
|
| Rate for Payer: ASR ASR |
$135.80
|
| Rate for Payer: ASR ASR |
$679.00
|
| Rate for Payer: ASR Commercial |
$679.00
|
| Rate for Payer: ASR Commercial |
$271.60
|
| Rate for Payer: ASR Commercial |
$135.80
|
| Rate for Payer: BCBS Complete |
$56.00
|
| Rate for Payer: BCBS Complete |
$112.00
|
| Rate for Payer: BCBS Complete |
$280.00
|
| Rate for Payer: BCBS Trust/PPO |
$114.65
|
| Rate for Payer: BCBS Trust/PPO |
$229.29
|
| Rate for Payer: BCBS Trust/PPO |
$573.23
|
| Rate for Payer: BCN Commercial |
$542.71
|
| Rate for Payer: BCN Commercial |
$108.54
|
| Rate for Payer: BCN Commercial |
$217.08
|
| Rate for Payer: Cash Price |
$224.00
|
| Rate for Payer: Cash Price |
$112.00
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cofinity Commercial |
$658.00
|
| Rate for Payer: Cofinity Commercial |
$131.60
|
| Rate for Payer: Cofinity Commercial |
$263.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$224.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$112.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$560.00
|
| Rate for Payer: Healthscope Commercial |
$140.00
|
| Rate for Payer: Healthscope Commercial |
$280.00
|
| Rate for Payer: Healthscope Commercial |
$700.00
|
| Rate for Payer: Healthscope Whirlpool |
$271.60
|
| Rate for Payer: Healthscope Whirlpool |
$135.80
|
| Rate for Payer: Healthscope Whirlpool |
$679.00
|
| Rate for Payer: Mclaren Commercial |
$126.00
|
| Rate for Payer: Mclaren Commercial |
$252.00
|
| Rate for Payer: Mclaren Commercial |
$630.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$238.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$119.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$595.00
|
| Rate for Payer: Nomi Health Commercial |
$114.80
|
| Rate for Payer: Nomi Health Commercial |
$229.60
|
| Rate for Payer: Nomi Health Commercial |
$574.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$455.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$182.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$91.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$245.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$122.67
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$613.34
|
| Rate for Payer: Priority Health Narrow Network |
$490.70
|
| Rate for Payer: Priority Health Narrow Network |
$98.14
|
| Rate for Payer: Priority Health Narrow Network |
$196.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$123.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$246.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$616.00
|
|
|
IPL CHEEKS FIRST
|
Professional
|
Both
|
$128.00
|
|
|
Service Code
|
HCPCS 00126
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$51.20 |
| Max. Negotiated Rate |
$83.20 |
| Rate for Payer: Aetna Medicare |
$64.00
|
| Rate for Payer: BCBS Complete |
$51.20
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$83.20
|
|
|
IPL CHEST FIRST
|
Professional
|
Both
|
$306.00
|
|
|
Service Code
|
HCPCS 00128
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$122.40 |
| Max. Negotiated Rate |
$198.90 |
| Rate for Payer: Aetna Medicare |
$153.00
|
| Rate for Payer: BCBS Complete |
$122.40
|
| Rate for Payer: Cash Price |
$244.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.90
|
|
|
IPL CHEST SECOND
|
Professional
|
Both
|
$204.00
|
|
|
Service Code
|
HCPCS 00129
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$81.60 |
| Max. Negotiated Rate |
$132.60 |
| Rate for Payer: Aetna Medicare |
$102.00
|
| Rate for Payer: BCBS Complete |
$81.60
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$132.60
|
|
|
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
|
|
|
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
|
|
|
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
|
|
|
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
|
|
|
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
|
|
|
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
|
|
|
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
|
|
|
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
|
|
|
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
|
|
|
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
|
|
|
IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN
|
Facility
|
OP
|
$4.42
|
|
|
Service Code
|
HCPCS J7620
|
| Hospital Charge Code |
30510
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$1.77 |
| Max. Negotiated Rate |
$4.42 |
| Rate for Payer: Aetna Commercial |
$3.98
|
| Rate for Payer: Aetna Commercial |
$2.38
|
| Rate for Payer: Aetna Commercial |
$2.41
|
| Rate for Payer: Aetna Commercial |
$2.62
|
| Rate for Payer: Aetna Commercial |
$2.61
|
| Rate for Payer: Aetna Commercial |
$2.18
|
| Rate for Payer: Aetna Commercial |
$3.18
|
| Rate for Payer: Aetna Medicare |
$2.21
|
| Rate for Payer: Aetna Medicare |
$1.32
|
| Rate for Payer: Aetna Medicare |
$1.76
|
| Rate for Payer: Aetna Medicare |
$1.21
|
| Rate for Payer: Aetna Medicare |
$1.46
|
| Rate for Payer: Aetna Medicare |
$1.34
|
| Rate for Payer: Aetna Medicare |
$1.45
|
| Rate for Payer: ASR ASR |
$2.60
|
| Rate for Payer: ASR ASR |
$3.42
|
| Rate for Payer: ASR ASR |
$4.29
|
| Rate for Payer: ASR ASR |
$2.82
|
| Rate for Payer: ASR ASR |
$2.57
|
| Rate for Payer: ASR ASR |
$2.81
|
| Rate for Payer: ASR ASR |
$2.35
|
| Rate for Payer: ASR Commercial |
$2.60
|
| Rate for Payer: ASR Commercial |
$2.35
|
| Rate for Payer: ASR Commercial |
$2.82
|
| Rate for Payer: ASR Commercial |
$4.29
|
| Rate for Payer: ASR Commercial |
$3.42
|
| Rate for Payer: ASR Commercial |
$2.57
|
| Rate for Payer: ASR Commercial |
$2.81
|
| Rate for Payer: BCBS Complete |
$1.16
|
| Rate for Payer: BCBS Complete |
$0.97
|
| Rate for Payer: BCBS Complete |
$1.16
|
| Rate for Payer: BCBS Complete |
$1.07
|
| Rate for Payer: BCBS Complete |
$1.06
|
| Rate for Payer: BCBS Complete |
$1.77
|
| Rate for Payer: BCBS Complete |
$1.41
|
| Rate for Payer: BCBS Trust/PPO |
$2.89
|
| Rate for Payer: BCBS Trust/PPO |
$2.37
|
| Rate for Payer: BCBS Trust/PPO |
$1.98
|
| Rate for Payer: BCBS Trust/PPO |
$2.17
|
| Rate for Payer: BCBS Trust/PPO |
$2.19
|
| Rate for Payer: BCBS Trust/PPO |
$2.38
|
| Rate for Payer: BCBS Trust/PPO |
$3.62
|
| Rate for Payer: BCN Commercial |
$2.74
|
| Rate for Payer: BCN Commercial |
$2.26
|
| Rate for Payer: BCN Commercial |
$3.43
|
| Rate for Payer: BCN Commercial |
$2.25
|
| Rate for Payer: BCN Commercial |
$2.05
|
| Rate for Payer: BCN Commercial |
$1.88
|
| Rate for Payer: BCN Commercial |
$2.08
|
| 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 |
$2.12
|
| Rate for Payer: Cash Price |
$2.14
|
| Rate for Payer: Cash Price |
$3.53
|
| Rate for Payer: Cofinity Commercial |
$4.15
|
| Rate for Payer: Cofinity Commercial |
$2.74
|
| Rate for Payer: Cofinity Commercial |
$3.32
|
| Rate for Payer: Cofinity Commercial |
$2.27
|
| Rate for Payer: Cofinity Commercial |
$2.49
|
| Rate for Payer: Cofinity Commercial |
$2.73
|
| Rate for Payer: Cofinity Commercial |
$2.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.33
|
| Rate for Payer: Healthscope Commercial |
$2.42
|
| Rate for Payer: Healthscope Commercial |
$4.42
|
| Rate for Payer: Healthscope Commercial |
$3.53
|
| Rate for Payer: Healthscope Commercial |
$2.90
|
| Rate for Payer: Healthscope Commercial |
$2.65
|
| Rate for Payer: Healthscope Commercial |
$2.91
|
| Rate for Payer: Healthscope Commercial |
$2.68
|
| Rate for Payer: Healthscope Whirlpool |
$2.60
|
| Rate for Payer: Healthscope Whirlpool |
$2.35
|
| Rate for Payer: Healthscope Whirlpool |
$2.81
|
| Rate for Payer: Healthscope Whirlpool |
$2.82
|
| Rate for Payer: Healthscope Whirlpool |
$3.42
|
| Rate for Payer: Healthscope Whirlpool |
$4.29
|
| Rate for Payer: Healthscope Whirlpool |
$2.57
|
| Rate for Payer: Mclaren Commercial |
$2.41
|
| Rate for Payer: Mclaren Commercial |
$2.62
|
| Rate for Payer: Mclaren Commercial |
$3.18
|
| Rate for Payer: Mclaren Commercial |
$3.98
|
| Rate for Payer: Mclaren Commercial |
$2.61
|
| Rate for Payer: Mclaren Commercial |
$2.18
|
| Rate for Payer: Mclaren Commercial |
$2.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.76
|
| Rate for Payer: Nomi Health Commercial |
$2.20
|
| Rate for Payer: Nomi Health Commercial |
$2.89
|
| Rate for Payer: Nomi Health Commercial |
$2.39
|
| Rate for Payer: Nomi Health Commercial |
$3.62
|
| Rate for Payer: Nomi Health Commercial |
$2.17
|
| Rate for Payer: Nomi Health Commercial |
$1.98
|
| Rate for Payer: Nomi Health Commercial |
$2.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3.87
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.54
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.32
|
| Rate for Payer: Priority Health Narrow Network |
$1.86
|
| Rate for Payer: Priority Health Narrow Network |
$2.03
|
| Rate for Payer: Priority Health Narrow Network |
$1.88
|
| Rate for Payer: Priority Health Narrow Network |
$1.70
|
| Rate for Payer: Priority Health Narrow Network |
$2.47
|
| Rate for Payer: Priority Health Narrow Network |
$2.04
|
| Rate for Payer: Priority Health Narrow Network |
$3.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.13
|
|
|
IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN
|
Facility
|
IP
|
$2.65
|
|
|
Service Code
|
HCPCS J7620
|
| Hospital Charge Code |
30510
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$1.72 |
| Max. Negotiated Rate |
$2.65 |
| Rate for Payer: Aetna Commercial |
$2.38
|
| Rate for Payer: Aetna Commercial |
$2.61
|
| Rate for Payer: Aetna Commercial |
$2.41
|
| Rate for Payer: Aetna Commercial |
$2.62
|
| Rate for Payer: Aetna Commercial |
$3.98
|
| Rate for Payer: Aetna Commercial |
$2.18
|
| Rate for Payer: Aetna Commercial |
$3.18
|
| Rate for Payer: ASR ASR |
$2.81
|
| Rate for Payer: ASR ASR |
$2.60
|
| Rate for Payer: ASR ASR |
$4.29
|
| Rate for Payer: ASR ASR |
$2.82
|
| Rate for Payer: ASR ASR |
$2.57
|
| Rate for Payer: ASR ASR |
$2.35
|
| Rate for Payer: ASR ASR |
$3.42
|
| Rate for Payer: ASR Commercial |
$4.29
|
| Rate for Payer: ASR Commercial |
$3.42
|
| Rate for Payer: ASR Commercial |
$2.60
|
| Rate for Payer: ASR Commercial |
$2.82
|
| Rate for Payer: ASR Commercial |
$2.81
|
| Rate for Payer: ASR Commercial |
$2.57
|
| Rate for Payer: ASR Commercial |
$2.35
|
| Rate for Payer: BCBS Trust/PPO |
$2.88
|
| Rate for Payer: BCBS Trust/PPO |
$2.37
|
| Rate for Payer: BCBS Trust/PPO |
$1.97
|
| Rate for Payer: BCBS Trust/PPO |
$2.16
|
| Rate for Payer: BCBS Trust/PPO |
$2.36
|
| Rate for Payer: BCBS Trust/PPO |
$2.18
|
| Rate for Payer: BCBS Trust/PPO |
$3.60
|
| Rate for Payer: BCN Commercial |
$2.08
|
| Rate for Payer: BCN Commercial |
$3.43
|
| Rate for Payer: BCN Commercial |
$2.26
|
| Rate for Payer: BCN Commercial |
$1.88
|
| Rate for Payer: BCN Commercial |
$2.05
|
| Rate for Payer: BCN Commercial |
$2.74
|
| Rate for Payer: BCN Commercial |
$2.25
|
| Rate for Payer: Cash Price |
$2.83
|
| Rate for Payer: Cash Price |
$2.32
|
| Rate for Payer: Cash Price |
$1.94
|
| Rate for Payer: Cash Price |
$2.14
|
| Rate for Payer: Cash Price |
$2.33
|
| Rate for Payer: Cash Price |
$2.12
|
| Rate for Payer: Cash Price |
$3.53
|
| Rate for Payer: Cofinity Commercial |
$2.74
|
| Rate for Payer: Cofinity Commercial |
$2.52
|
| Rate for Payer: Cofinity Commercial |
$2.27
|
| Rate for Payer: Cofinity Commercial |
$2.73
|
| Rate for Payer: Cofinity Commercial |
$2.49
|
| Rate for Payer: Cofinity Commercial |
$3.32
|
| Rate for Payer: Cofinity Commercial |
$4.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.33
|
| Rate for Payer: Healthscope Commercial |
$2.91
|
| Rate for Payer: Healthscope Commercial |
$4.42
|
| Rate for Payer: Healthscope Commercial |
$2.68
|
| Rate for Payer: Healthscope Commercial |
$2.90
|
| Rate for Payer: Healthscope Commercial |
$3.53
|
| Rate for Payer: Healthscope Commercial |
$2.65
|
| Rate for Payer: Healthscope Commercial |
$2.42
|
| Rate for Payer: Healthscope Whirlpool |
$3.42
|
| Rate for Payer: Healthscope Whirlpool |
$2.82
|
| Rate for Payer: Healthscope Whirlpool |
$2.81
|
| Rate for Payer: Healthscope Whirlpool |
$2.57
|
| Rate for Payer: Healthscope Whirlpool |
$2.60
|
| Rate for Payer: Healthscope Whirlpool |
$2.35
|
| Rate for Payer: Healthscope Whirlpool |
$4.29
|
| Rate for Payer: Mclaren Commercial |
$2.62
|
| Rate for Payer: Mclaren Commercial |
$3.98
|
| Rate for Payer: Mclaren Commercial |
$2.18
|
| Rate for Payer: Mclaren Commercial |
$3.18
|
| Rate for Payer: Mclaren Commercial |
$2.41
|
| Rate for Payer: Mclaren Commercial |
$2.38
|
| Rate for Payer: Mclaren Commercial |
$2.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.00
|
| Rate for Payer: Nomi Health Commercial |
$1.98
|
| Rate for Payer: Nomi Health Commercial |
$2.89
|
| Rate for Payer: Nomi Health Commercial |
$3.62
|
| Rate for Payer: Nomi Health Commercial |
$2.38
|
| Rate for Payer: Nomi Health Commercial |
$2.20
|
| Rate for Payer: Nomi Health Commercial |
$2.17
|
| Rate for Payer: Nomi Health Commercial |
$2.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.36
|
|
|
IPRATROPIUM 20 MCG-ALBUTEROL 100 MCG/ACTUATION MIST FOR INHALATION
|
Facility
|
IP
|
$1,640.59
|
|
|
Service Code
|
NDC 00597002402
|
| Hospital Charge Code |
172696
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1,066.38 |
| Max. Negotiated Rate |
$1,640.59 |
| Rate for Payer: Aetna Commercial |
$1,476.53
|
| Rate for Payer: ASR ASR |
$1,591.37
|
| Rate for Payer: ASR Commercial |
$1,591.37
|
| Rate for Payer: BCBS Trust/PPO |
$1,336.92
|
| Rate for Payer: BCN Commercial |
$1,271.95
|
| Rate for Payer: Cash Price |
$1,312.47
|
| Rate for Payer: Cofinity Commercial |
$1,542.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,312.47
|
| Rate for Payer: Healthscope Commercial |
$1,640.59
|
| Rate for Payer: Healthscope Whirlpool |
$1,591.37
|
| Rate for Payer: Mclaren Commercial |
$1,476.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,394.50
|
| Rate for Payer: Nomi Health Commercial |
$1,345.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,066.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,443.72
|
|
|
IPRATROPIUM 20 MCG-ALBUTEROL 100 MCG/ACTUATION MIST FOR INHALATION
|
Facility
|
OP
|
$1,640.59
|
|
|
Service Code
|
NDC 00597002402
|
| Hospital Charge Code |
172696
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$656.24 |
| Max. Negotiated Rate |
$1,640.59 |
| Rate for Payer: Aetna Commercial |
$1,476.53
|
| Rate for Payer: Aetna Medicare |
$820.29
|
| Rate for Payer: ASR ASR |
$1,591.37
|
| Rate for Payer: ASR Commercial |
$1,591.37
|
| Rate for Payer: BCBS Complete |
$656.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,343.48
|
| Rate for Payer: BCN Commercial |
$1,271.95
|
| Rate for Payer: Cash Price |
$1,312.47
|
| Rate for Payer: Cofinity Commercial |
$1,542.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,312.47
|
| Rate for Payer: Healthscope Commercial |
$1,640.59
|
| Rate for Payer: Healthscope Whirlpool |
$1,591.37
|
| Rate for Payer: Mclaren Commercial |
$1,476.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,394.50
|
| Rate for Payer: Nomi Health Commercial |
$1,345.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,066.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,437.48
|
| Rate for Payer: Priority Health Narrow Network |
$1,150.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,443.72
|
|
|
IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION
|
Facility
|
OP
|
$4.58
|
|
|
Service Code
|
HCPCS J7644
|
| Hospital Charge Code |
12580
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$1.83 |
| Max. Negotiated Rate |
$4.58 |
| Rate for Payer: Aetna Commercial |
$4.12
|
| Rate for Payer: Aetna Commercial |
$5.39
|
| Rate for Payer: Aetna Commercial |
$6.08
|
| Rate for Payer: Aetna Medicare |
$3.00
|
| Rate for Payer: Aetna Medicare |
$3.38
|
| Rate for Payer: Aetna Medicare |
$2.29
|
| Rate for Payer: ASR ASR |
$5.81
|
| Rate for Payer: ASR ASR |
$4.44
|
| Rate for Payer: ASR ASR |
$6.56
|
| Rate for Payer: ASR Commercial |
$6.56
|
| Rate for Payer: ASR Commercial |
$5.81
|
| Rate for Payer: ASR Commercial |
$4.44
|
| Rate for Payer: BCBS Complete |
$1.83
|
| Rate for Payer: BCBS Complete |
$2.40
|
| Rate for Payer: BCBS Complete |
$2.70
|
| Rate for Payer: BCBS Trust/PPO |
$3.75
|
| Rate for Payer: BCBS Trust/PPO |
$4.91
|
| Rate for Payer: BCBS Trust/PPO |
$5.54
|
| Rate for Payer: BCN Commercial |
$5.24
|
| Rate for Payer: BCN Commercial |
$3.55
|
| Rate for Payer: BCN Commercial |
$4.64
|
| Rate for Payer: Cash Price |
$4.79
|
| Rate for Payer: Cash Price |
$3.67
|
| Rate for Payer: Cash Price |
$5.41
|
| Rate for Payer: Cofinity Commercial |
$6.35
|
| Rate for Payer: Cofinity Commercial |
$4.31
|
| Rate for Payer: Cofinity Commercial |
$5.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.41
|
| Rate for Payer: Healthscope Commercial |
$4.58
|
| Rate for Payer: Healthscope Commercial |
$5.99
|
| Rate for Payer: Healthscope Commercial |
$6.76
|
| Rate for Payer: Healthscope Whirlpool |
$5.81
|
| Rate for Payer: Healthscope Whirlpool |
$4.44
|
| Rate for Payer: Healthscope Whirlpool |
$6.56
|
| Rate for Payer: Mclaren Commercial |
$4.12
|
| Rate for Payer: Mclaren Commercial |
$5.39
|
| Rate for Payer: Mclaren Commercial |
$6.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.75
|
| Rate for Payer: Nomi Health Commercial |
$3.76
|
| Rate for Payer: Nomi Health Commercial |
$4.91
|
| Rate for Payer: Nomi Health Commercial |
$5.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5.92
|
| Rate for Payer: Priority Health Narrow Network |
$4.74
|
| Rate for Payer: Priority Health Narrow Network |
$3.21
|
| Rate for Payer: Priority Health Narrow Network |
$4.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5.95
|
|
|
IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION
|
Facility
|
IP
|
$5.99
|
|
|
Service Code
|
HCPCS J7644
|
| Hospital Charge Code |
12580
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$3.89 |
| Max. Negotiated Rate |
$5.99 |
| Rate for Payer: Aetna Commercial |
$5.39
|
| Rate for Payer: Aetna Commercial |
$4.12
|
| Rate for Payer: Aetna Commercial |
$6.08
|
| Rate for Payer: ASR ASR |
$4.44
|
| Rate for Payer: ASR ASR |
$5.81
|
| Rate for Payer: ASR ASR |
$6.56
|
| Rate for Payer: ASR Commercial |
$5.81
|
| Rate for Payer: ASR Commercial |
$4.44
|
| Rate for Payer: ASR Commercial |
$6.56
|
| Rate for Payer: BCBS Trust/PPO |
$5.51
|
| Rate for Payer: BCBS Trust/PPO |
$3.73
|
| Rate for Payer: BCBS Trust/PPO |
$4.88
|
| Rate for Payer: BCN Commercial |
$3.55
|
| Rate for Payer: BCN Commercial |
$5.24
|
| Rate for Payer: BCN Commercial |
$4.64
|
| Rate for Payer: Cash Price |
$4.79
|
| Rate for Payer: Cash Price |
$3.67
|
| Rate for Payer: Cash Price |
$5.41
|
| Rate for Payer: Cofinity Commercial |
$6.35
|
| Rate for Payer: Cofinity Commercial |
$4.31
|
| Rate for Payer: Cofinity Commercial |
$5.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.41
|
| Rate for Payer: Healthscope Commercial |
$4.58
|
| Rate for Payer: Healthscope Commercial |
$5.99
|
| Rate for Payer: Healthscope Commercial |
$6.76
|
| Rate for Payer: Healthscope Whirlpool |
$5.81
|
| Rate for Payer: Healthscope Whirlpool |
$4.44
|
| Rate for Payer: Healthscope Whirlpool |
$6.56
|
| Rate for Payer: Mclaren Commercial |
$5.39
|
| Rate for Payer: Mclaren Commercial |
$4.12
|
| Rate for Payer: Mclaren Commercial |
$6.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.89
|
| Rate for Payer: Nomi Health Commercial |
$4.91
|
| Rate for Payer: Nomi Health Commercial |
$3.76
|
| Rate for Payer: Nomi Health Commercial |
$5.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4.03
|
|
|
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 |
$40.27 |
| Max. Negotiated Rate |
$61.95 |
| Rate for Payer: Aetna Commercial |
$55.76
|
| Rate for Payer: ASR ASR |
$60.09
|
| Rate for Payer: ASR Commercial |
$60.09
|
| Rate for Payer: BCBS Trust/PPO |
$50.48
|
| Rate for Payer: BCN Commercial |
$48.03
|
| Rate for Payer: Cash Price |
$49.56
|
| Rate for Payer: Cofinity Commercial |
$58.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.56
|
| Rate for Payer: Healthscope Commercial |
$61.95
|
| Rate for Payer: Healthscope Whirlpool |
$60.09
|
| Rate for Payer: Mclaren Commercial |
$55.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.66
|
| Rate for Payer: Nomi Health Commercial |
$50.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$54.52
|
|
|
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 |
$24.78 |
| Max. Negotiated Rate |
$61.95 |
| Rate for Payer: Aetna Commercial |
$55.76
|
| Rate for Payer: Aetna Medicare |
$30.98
|
| Rate for Payer: ASR ASR |
$60.09
|
| Rate for Payer: ASR Commercial |
$60.09
|
| Rate for Payer: BCBS Complete |
$24.78
|
| Rate for Payer: BCBS Trust/PPO |
$50.73
|
| Rate for Payer: BCN Commercial |
$48.03
|
| Rate for Payer: Cash Price |
$49.56
|
| Rate for Payer: Cofinity Commercial |
$58.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.56
|
| Rate for Payer: Healthscope Commercial |
$61.95
|
| Rate for Payer: Healthscope Whirlpool |
$60.09
|
| Rate for Payer: Mclaren Commercial |
$55.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.66
|
| Rate for Payer: Nomi Health Commercial |
$50.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.27
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$54.28
|
| Rate for Payer: Priority Health Narrow Network |
$43.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$54.52
|
|
