|
METHYLPREDNISOLONE 4 MG TABLET
|
Facility
|
IP
|
$651.36
|
|
|
Service Code
|
HCPCS J7509
|
| Hospital Charge Code |
4993
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$423.38 |
| Max. Negotiated Rate |
$651.36 |
| Rate for Payer: Aetna Commercial |
$586.22
|
| Rate for Payer: Aetna Commercial |
$344.74
|
| Rate for Payer: Aetna Commercial |
$254.79
|
| Rate for Payer: Aetna Commercial |
$459.22
|
| Rate for Payer: Aetna Commercial |
$6.45
|
| Rate for Payer: Aetna Commercial |
$644.98
|
| Rate for Payer: ASR ASR |
$695.14
|
| Rate for Payer: ASR ASR |
$494.93
|
| Rate for Payer: ASR ASR |
$6.95
|
| Rate for Payer: ASR ASR |
$631.82
|
| Rate for Payer: ASR ASR |
$371.55
|
| Rate for Payer: ASR ASR |
$274.61
|
| Rate for Payer: ASR Commercial |
$6.95
|
| Rate for Payer: ASR Commercial |
$494.93
|
| Rate for Payer: ASR Commercial |
$695.14
|
| Rate for Payer: ASR Commercial |
$631.82
|
| Rate for Payer: ASR Commercial |
$371.55
|
| Rate for Payer: ASR Commercial |
$274.61
|
| Rate for Payer: BCBS Trust/PPO |
$312.14
|
| Rate for Payer: BCBS Trust/PPO |
$230.70
|
| Rate for Payer: BCBS Trust/PPO |
$583.99
|
| Rate for Payer: BCBS Trust/PPO |
$5.84
|
| Rate for Payer: BCBS Trust/PPO |
$530.79
|
| Rate for Payer: BCBS Trust/PPO |
$415.79
|
| Rate for Payer: BCN Commercial |
$505.00
|
| Rate for Payer: BCN Commercial |
$219.49
|
| Rate for Payer: BCN Commercial |
$296.97
|
| Rate for Payer: BCN Commercial |
$555.61
|
| Rate for Payer: BCN Commercial |
$395.59
|
| Rate for Payer: BCN Commercial |
$5.56
|
| Rate for Payer: Cash Price |
$306.43
|
| Rate for Payer: Cash Price |
$5.73
|
| Rate for Payer: Cash Price |
$521.09
|
| Rate for Payer: Cash Price |
$226.48
|
| Rate for Payer: Cash Price |
$573.31
|
| Rate for Payer: Cash Price |
$408.19
|
| Rate for Payer: Cofinity Commercial |
$673.64
|
| Rate for Payer: Cofinity Commercial |
$479.63
|
| Rate for Payer: Cofinity Commercial |
$266.11
|
| Rate for Payer: Cofinity Commercial |
$612.28
|
| Rate for Payer: Cofinity Commercial |
$360.06
|
| Rate for Payer: Cofinity Commercial |
$6.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$573.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$226.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$521.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.74
|
| Rate for Payer: Healthscope Commercial |
$283.10
|
| Rate for Payer: Healthscope Commercial |
$7.17
|
| Rate for Payer: Healthscope Commercial |
$510.24
|
| Rate for Payer: Healthscope Commercial |
$651.36
|
| Rate for Payer: Healthscope Commercial |
$383.04
|
| Rate for Payer: Healthscope Commercial |
$716.64
|
| Rate for Payer: Healthscope Whirlpool |
$631.82
|
| Rate for Payer: Healthscope Whirlpool |
$274.61
|
| Rate for Payer: Healthscope Whirlpool |
$371.55
|
| Rate for Payer: Healthscope Whirlpool |
$695.14
|
| Rate for Payer: Healthscope Whirlpool |
$494.93
|
| Rate for Payer: Healthscope Whirlpool |
$6.95
|
| Rate for Payer: Mclaren Commercial |
$459.22
|
| Rate for Payer: Mclaren Commercial |
$644.98
|
| Rate for Payer: Mclaren Commercial |
$586.22
|
| Rate for Payer: Mclaren Commercial |
$254.79
|
| Rate for Payer: Mclaren Commercial |
$6.45
|
| Rate for Payer: Mclaren Commercial |
$344.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$609.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$240.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$433.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$553.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.58
|
| Rate for Payer: Nomi Health Commercial |
$314.09
|
| Rate for Payer: Nomi Health Commercial |
$418.40
|
| Rate for Payer: Nomi Health Commercial |
$534.12
|
| Rate for Payer: Nomi Health Commercial |
$232.14
|
| Rate for Payer: Nomi Health Commercial |
$587.64
|
| Rate for Payer: Nomi Health Commercial |
$5.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$465.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$184.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$331.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$248.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$630.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$337.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$249.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$573.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$449.01
|
|
|
METHYLPREDNISOLONE 4 MG TABLET
|
Facility
|
OP
|
$7.17
|
|
|
Service Code
|
HCPCS J7509
|
| Hospital Charge Code |
4993
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.20 |
| Max. Negotiated Rate |
$7.17 |
| Rate for Payer: Aetna Commercial |
$6.45
|
| Rate for Payer: Aetna Commercial |
$254.79
|
| Rate for Payer: Aetna Commercial |
$586.22
|
| Rate for Payer: Aetna Commercial |
$344.74
|
| Rate for Payer: Aetna Commercial |
$459.22
|
| Rate for Payer: Aetna Commercial |
$644.98
|
| Rate for Payer: Aetna Medicare |
$141.55
|
| Rate for Payer: Aetna Medicare |
$358.32
|
| Rate for Payer: Aetna Medicare |
$191.52
|
| Rate for Payer: Aetna Medicare |
$325.68
|
| Rate for Payer: Aetna Medicare |
$255.12
|
| Rate for Payer: Aetna Medicare |
$3.58
|
| Rate for Payer: ASR ASR |
$274.61
|
| Rate for Payer: ASR ASR |
$631.82
|
| Rate for Payer: ASR ASR |
$494.93
|
| Rate for Payer: ASR ASR |
$6.95
|
| Rate for Payer: ASR ASR |
$695.14
|
| Rate for Payer: ASR ASR |
$371.55
|
| Rate for Payer: ASR Commercial |
$371.55
|
| Rate for Payer: ASR Commercial |
$494.93
|
| Rate for Payer: ASR Commercial |
$631.82
|
| Rate for Payer: ASR Commercial |
$695.14
|
| Rate for Payer: ASR Commercial |
$6.95
|
| Rate for Payer: ASR Commercial |
$274.61
|
| Rate for Payer: BCBS Complete |
$2.87
|
| Rate for Payer: BCBS Complete |
$113.24
|
| Rate for Payer: BCBS Complete |
$153.22
|
| Rate for Payer: BCBS Complete |
$260.54
|
| Rate for Payer: BCBS Complete |
$204.10
|
| Rate for Payer: BCBS Complete |
$286.66
|
| Rate for Payer: BCBS Trust/PPO |
$231.83
|
| Rate for Payer: BCBS Trust/PPO |
$313.67
|
| Rate for Payer: BCBS Trust/PPO |
$533.40
|
| Rate for Payer: BCBS Trust/PPO |
$417.84
|
| Rate for Payer: BCBS Trust/PPO |
$5.87
|
| Rate for Payer: BCBS Trust/PPO |
$586.86
|
| Rate for Payer: BCN Commercial |
$555.61
|
| Rate for Payer: BCN Commercial |
$219.49
|
| Rate for Payer: BCN Commercial |
$296.97
|
| Rate for Payer: BCN Commercial |
$395.59
|
| Rate for Payer: BCN Commercial |
$505.00
|
| Rate for Payer: BCN Commercial |
$5.56
|
| Rate for Payer: Cash Price |
$521.09
|
| Rate for Payer: Cash Price |
$573.31
|
| Rate for Payer: Cash Price |
$573.31
|
| Rate for Payer: Cash Price |
$521.09
|
| Rate for Payer: Cash Price |
$5.73
|
| Rate for Payer: Cash Price |
$408.19
|
| Rate for Payer: Cash Price |
$226.48
|
| Rate for Payer: Cash Price |
$306.43
|
| Rate for Payer: Cash Price |
$306.43
|
| Rate for Payer: Cash Price |
$226.48
|
| Rate for Payer: Cash Price |
$408.19
|
| Rate for Payer: Cash Price |
$5.73
|
| Rate for Payer: Cofinity Commercial |
$612.28
|
| Rate for Payer: Cofinity Commercial |
$6.74
|
| Rate for Payer: Cofinity Commercial |
$673.64
|
| Rate for Payer: Cofinity Commercial |
$360.06
|
| Rate for Payer: Cofinity Commercial |
$479.63
|
| Rate for Payer: Cofinity Commercial |
$266.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$226.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$573.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$521.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.74
|
| Rate for Payer: Healthscope Commercial |
$283.10
|
| Rate for Payer: Healthscope Commercial |
$7.17
|
| Rate for Payer: Healthscope Commercial |
$651.36
|
| Rate for Payer: Healthscope Commercial |
$383.04
|
| Rate for Payer: Healthscope Commercial |
$510.24
|
| Rate for Payer: Healthscope Commercial |
$716.64
|
| Rate for Payer: Healthscope Whirlpool |
$494.93
|
| Rate for Payer: Healthscope Whirlpool |
$274.61
|
| Rate for Payer: Healthscope Whirlpool |
$631.82
|
| Rate for Payer: Healthscope Whirlpool |
$695.14
|
| Rate for Payer: Healthscope Whirlpool |
$6.95
|
| Rate for Payer: Healthscope Whirlpool |
$371.55
|
| Rate for Payer: Mclaren Commercial |
$644.98
|
| Rate for Payer: Mclaren Commercial |
$586.22
|
| Rate for Payer: Mclaren Commercial |
$6.45
|
| Rate for Payer: Mclaren Commercial |
$254.79
|
| Rate for Payer: Mclaren Commercial |
$344.74
|
| Rate for Payer: Mclaren Commercial |
$459.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$609.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$433.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$240.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$553.66
|
| Rate for Payer: Nomi Health Commercial |
$314.09
|
| Rate for Payer: Nomi Health Commercial |
$418.40
|
| Rate for Payer: Nomi Health Commercial |
$5.88
|
| Rate for Payer: Nomi Health Commercial |
$587.64
|
| Rate for Payer: Nomi Health Commercial |
$534.12
|
| Rate for Payer: Nomi Health Commercial |
$232.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$184.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$465.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$331.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$248.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.25
|
| Rate for Payer: Priority Health Narrow Network |
$0.20
|
| Rate for Payer: Priority Health Narrow Network |
$0.20
|
| Rate for Payer: Priority Health Narrow Network |
$0.20
|
| Rate for Payer: Priority Health Narrow Network |
$0.20
|
| Rate for Payer: Priority Health Narrow Network |
$0.20
|
| Rate for Payer: Priority Health Narrow Network |
$0.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$337.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$449.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$249.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$630.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$573.20
|
|
|
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION
|
Facility
|
IP
|
$59.22
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
4996
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$38.49 |
| Max. Negotiated Rate |
$59.22 |
| Rate for Payer: Aetna Commercial |
$53.30
|
| Rate for Payer: Aetna Commercial |
$33.19
|
| Rate for Payer: Aetna Commercial |
$53.31
|
| Rate for Payer: Aetna Commercial |
$24.03
|
| Rate for Payer: ASR ASR |
$25.90
|
| Rate for Payer: ASR ASR |
$57.44
|
| Rate for Payer: ASR ASR |
$35.77
|
| Rate for Payer: ASR ASR |
$57.45
|
| Rate for Payer: ASR Commercial |
$57.44
|
| Rate for Payer: ASR Commercial |
$57.45
|
| Rate for Payer: ASR Commercial |
$35.77
|
| Rate for Payer: ASR Commercial |
$25.90
|
| Rate for Payer: BCBS Trust/PPO |
$48.27
|
| Rate for Payer: BCBS Trust/PPO |
$21.76
|
| Rate for Payer: BCBS Trust/PPO |
$30.05
|
| Rate for Payer: BCBS Trust/PPO |
$48.26
|
| Rate for Payer: BCN Commercial |
$45.92
|
| Rate for Payer: BCN Commercial |
$20.70
|
| Rate for Payer: BCN Commercial |
$45.91
|
| Rate for Payer: BCN Commercial |
$28.59
|
| Rate for Payer: Cash Price |
$29.51
|
| Rate for Payer: Cash Price |
$21.36
|
| Rate for Payer: Cash Price |
$47.38
|
| Rate for Payer: Cash Price |
$47.38
|
| Rate for Payer: Cofinity Commercial |
$55.67
|
| Rate for Payer: Cofinity Commercial |
$34.67
|
| Rate for Payer: Cofinity Commercial |
$55.68
|
| Rate for Payer: Cofinity Commercial |
$25.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.38
|
| Rate for Payer: Healthscope Commercial |
$36.88
|
| Rate for Payer: Healthscope Commercial |
$26.70
|
| Rate for Payer: Healthscope Commercial |
$59.22
|
| Rate for Payer: Healthscope Commercial |
$59.23
|
| Rate for Payer: Healthscope Whirlpool |
$57.45
|
| Rate for Payer: Healthscope Whirlpool |
$35.77
|
| Rate for Payer: Healthscope Whirlpool |
$57.44
|
| Rate for Payer: Healthscope Whirlpool |
$25.90
|
| Rate for Payer: Mclaren Commercial |
$53.30
|
| Rate for Payer: Mclaren Commercial |
$53.31
|
| Rate for Payer: Mclaren Commercial |
$33.19
|
| Rate for Payer: Mclaren Commercial |
$24.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.70
|
| Rate for Payer: Nomi Health Commercial |
$21.89
|
| Rate for Payer: Nomi Health Commercial |
$48.57
|
| Rate for Payer: Nomi Health Commercial |
$48.56
|
| Rate for Payer: Nomi Health Commercial |
$30.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$38.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$38.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$32.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$52.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$52.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.50
|
|
|
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION
|
Facility
|
OP
|
$36.88
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
4996
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.06 |
| Max. Negotiated Rate |
$36.88 |
| Rate for Payer: Aetna Commercial |
$33.19
|
| Rate for Payer: Aetna Commercial |
$53.31
|
| Rate for Payer: Aetna Commercial |
$24.03
|
| Rate for Payer: Aetna Commercial |
$53.30
|
| Rate for Payer: Aetna Medicare |
$0.12
|
| Rate for Payer: Aetna Medicare |
$0.12
|
| Rate for Payer: Aetna Medicare |
$0.12
|
| Rate for Payer: Aetna Medicare |
$0.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.15
|
| Rate for Payer: ASR ASR |
$57.45
|
| Rate for Payer: ASR ASR |
$25.90
|
| Rate for Payer: ASR ASR |
$35.77
|
| Rate for Payer: ASR ASR |
$57.44
|
| Rate for Payer: ASR Commercial |
$35.77
|
| Rate for Payer: ASR Commercial |
$57.44
|
| Rate for Payer: ASR Commercial |
$25.90
|
| Rate for Payer: ASR Commercial |
$57.45
|
| Rate for Payer: BCBS Complete |
$0.07
|
| Rate for Payer: BCBS Complete |
$0.07
|
| Rate for Payer: BCBS Complete |
$0.07
|
| Rate for Payer: BCBS Complete |
$0.07
|
| Rate for Payer: BCBS MAPPO |
$0.12
|
| Rate for Payer: BCBS MAPPO |
$0.12
|
| Rate for Payer: BCBS MAPPO |
$0.12
|
| Rate for Payer: BCBS MAPPO |
$0.12
|
| Rate for Payer: BCBS Trust/PPO |
$21.86
|
| Rate for Payer: BCBS Trust/PPO |
$30.20
|
| Rate for Payer: BCBS Trust/PPO |
$48.50
|
| Rate for Payer: BCBS Trust/PPO |
$48.50
|
| Rate for Payer: BCN Commercial |
$45.91
|
| Rate for Payer: BCN Commercial |
$20.70
|
| Rate for Payer: BCN Commercial |
$28.59
|
| Rate for Payer: BCN Commercial |
$45.92
|
| Rate for Payer: BCN Medicare Advantage |
$0.12
|
| Rate for Payer: BCN Medicare Advantage |
$0.12
|
| Rate for Payer: BCN Medicare Advantage |
$0.12
|
| Rate for Payer: BCN Medicare Advantage |
$0.12
|
| Rate for Payer: Cash Price |
$47.38
|
| Rate for Payer: Cash Price |
$29.51
|
| Rate for Payer: Cash Price |
$21.36
|
| Rate for Payer: Cash Price |
$21.36
|
| Rate for Payer: Cash Price |
$47.38
|
| Rate for Payer: Cash Price |
$47.38
|
| Rate for Payer: Cash Price |
$29.51
|
| Rate for Payer: Cash Price |
$47.38
|
| Rate for Payer: Cofinity Commercial |
$25.10
|
| Rate for Payer: Cofinity Commercial |
$34.67
|
| Rate for Payer: Cofinity Commercial |
$55.68
|
| Rate for Payer: Cofinity Commercial |
$55.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.12
|
| Rate for Payer: Healthscope Commercial |
$59.23
|
| Rate for Payer: Healthscope Commercial |
$36.88
|
| Rate for Payer: Healthscope Commercial |
$59.22
|
| Rate for Payer: Healthscope Commercial |
$26.70
|
| Rate for Payer: Healthscope Whirlpool |
$25.90
|
| Rate for Payer: Healthscope Whirlpool |
$35.77
|
| Rate for Payer: Healthscope Whirlpool |
$57.45
|
| Rate for Payer: Healthscope Whirlpool |
$57.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$0.12
|
| Rate for Payer: Humana Choice PPO Medicare |
$0.12
|
| Rate for Payer: Humana Choice PPO Medicare |
$0.12
|
| Rate for Payer: Humana Choice PPO Medicare |
$0.12
|
| Rate for Payer: Mclaren Commercial |
$24.03
|
| Rate for Payer: Mclaren Commercial |
$53.31
|
| Rate for Payer: Mclaren Commercial |
$53.30
|
| Rate for Payer: Mclaren Commercial |
$33.19
|
| Rate for Payer: Mclaren Medicaid |
$0.06
|
| Rate for Payer: Mclaren Medicaid |
$0.06
|
| Rate for Payer: Mclaren Medicaid |
$0.06
|
| Rate for Payer: Mclaren Medicaid |
$0.06
|
| Rate for Payer: Mclaren Medicare |
$0.12
|
| Rate for Payer: Mclaren Medicare |
$0.12
|
| Rate for Payer: Mclaren Medicare |
$0.12
|
| Rate for Payer: Mclaren Medicare |
$0.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.13
|
| Rate for Payer: Meridian Medicaid |
$0.07
|
| Rate for Payer: Meridian Medicaid |
$0.07
|
| Rate for Payer: Meridian Medicaid |
$0.07
|
| Rate for Payer: Meridian Medicaid |
$0.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.35
|
| Rate for Payer: Nomi Health Commercial |
$21.89
|
| Rate for Payer: Nomi Health Commercial |
$30.24
|
| Rate for Payer: Nomi Health Commercial |
$48.56
|
| Rate for Payer: Nomi Health Commercial |
$48.57
|
| Rate for Payer: PACE Medicare |
$0.11
|
| Rate for Payer: PACE Medicare |
$0.11
|
| Rate for Payer: PACE Medicare |
$0.11
|
| Rate for Payer: PACE Medicare |
$0.11
|
| Rate for Payer: PACE SWMI |
$0.12
|
| Rate for Payer: PACE SWMI |
$0.12
|
| Rate for Payer: PACE SWMI |
$0.12
|
| Rate for Payer: PACE SWMI |
$0.12
|
| Rate for Payer: PHP Commercial |
$0.13
|
| Rate for Payer: PHP Commercial |
$0.13
|
| Rate for Payer: PHP Commercial |
$0.13
|
| Rate for Payer: PHP Commercial |
$0.13
|
| Rate for Payer: PHP Medicaid |
$0.06
|
| Rate for Payer: PHP Medicaid |
$0.06
|
| Rate for Payer: PHP Medicaid |
$0.06
|
| Rate for Payer: PHP Medicaid |
$0.06
|
| Rate for Payer: PHP Medicare Advantage |
$0.12
|
| Rate for Payer: PHP Medicare Advantage |
$0.12
|
| Rate for Payer: PHP Medicare Advantage |
$0.12
|
| Rate for Payer: PHP Medicare Advantage |
$0.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$38.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$38.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.11
|
| Rate for Payer: Priority Health Medicare |
$0.12
|
| Rate for Payer: Priority Health Medicare |
$0.12
|
| Rate for Payer: Priority Health Medicare |
$0.12
|
| Rate for Payer: Priority Health Medicare |
$0.12
|
| Rate for Payer: Priority Health Narrow Network |
$0.09
|
| Rate for Payer: Priority Health Narrow Network |
$0.09
|
| Rate for Payer: Priority Health Narrow Network |
$0.09
|
| Rate for Payer: Priority Health Narrow Network |
$0.09
|
| Rate for Payer: Railroad Medicare Medicare |
$0.12
|
| Rate for Payer: Railroad Medicare Medicare |
$0.12
|
| Rate for Payer: Railroad Medicare Medicare |
$0.12
|
| Rate for Payer: Railroad Medicare Medicare |
$0.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$52.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$32.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$52.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.12
|
| Rate for Payer: UHC Exchange |
$0.19
|
| Rate for Payer: UHC Exchange |
$0.19
|
| Rate for Payer: UHC Exchange |
$0.19
|
| Rate for Payer: UHC Exchange |
$0.19
|
| Rate for Payer: UHC Medicare Advantage |
$0.12
|
| Rate for Payer: UHC Medicare Advantage |
$0.12
|
| Rate for Payer: UHC Medicare Advantage |
$0.12
|
| Rate for Payer: UHC Medicare Advantage |
$0.12
|
| Rate for Payer: UHCCP DNSP |
$0.12
|
| Rate for Payer: UHCCP DNSP |
$0.12
|
| Rate for Payer: UHCCP DNSP |
$0.12
|
| Rate for Payer: UHCCP DNSP |
$0.12
|
| Rate for Payer: UHCCP Medicaid |
$0.06
|
| Rate for Payer: UHCCP Medicaid |
$0.06
|
| Rate for Payer: UHCCP Medicaid |
$0.06
|
| Rate for Payer: UHCCP Medicaid |
$0.06
|
| Rate for Payer: VA VA |
$0.12
|
| Rate for Payer: VA VA |
$0.12
|
| Rate for Payer: VA VA |
$0.12
|
| Rate for Payer: VA VA |
$0.12
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$190.59
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10577
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$123.88 |
| Max. Negotiated Rate |
$190.59 |
| Rate for Payer: Aetna Commercial |
$171.53
|
| Rate for Payer: Aetna Commercial |
$127.44
|
| Rate for Payer: Aetna Commercial |
$50.30
|
| Rate for Payer: ASR ASR |
$137.35
|
| Rate for Payer: ASR ASR |
$184.87
|
| Rate for Payer: ASR ASR |
$54.21
|
| Rate for Payer: ASR Commercial |
$184.87
|
| Rate for Payer: ASR Commercial |
$137.35
|
| Rate for Payer: ASR Commercial |
$54.21
|
| Rate for Payer: BCBS Trust/PPO |
$45.54
|
| Rate for Payer: BCBS Trust/PPO |
$115.39
|
| Rate for Payer: BCBS Trust/PPO |
$155.31
|
| Rate for Payer: BCN Commercial |
$109.78
|
| Rate for Payer: BCN Commercial |
$43.33
|
| Rate for Payer: BCN Commercial |
$147.76
|
| Rate for Payer: Cash Price |
$152.48
|
| Rate for Payer: Cash Price |
$113.28
|
| Rate for Payer: Cash Price |
$44.71
|
| Rate for Payer: Cofinity Commercial |
$52.54
|
| Rate for Payer: Cofinity Commercial |
$133.10
|
| Rate for Payer: Cofinity Commercial |
$179.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$152.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$113.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.71
|
| Rate for Payer: Healthscope Commercial |
$141.60
|
| Rate for Payer: Healthscope Commercial |
$190.59
|
| Rate for Payer: Healthscope Commercial |
$55.89
|
| Rate for Payer: Healthscope Whirlpool |
$184.87
|
| Rate for Payer: Healthscope Whirlpool |
$137.35
|
| Rate for Payer: Healthscope Whirlpool |
$54.21
|
| Rate for Payer: Mclaren Commercial |
$171.53
|
| Rate for Payer: Mclaren Commercial |
$127.44
|
| Rate for Payer: Mclaren Commercial |
$50.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$162.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$120.36
|
| Rate for Payer: Nomi Health Commercial |
$156.28
|
| Rate for Payer: Nomi Health Commercial |
$116.11
|
| Rate for Payer: Nomi Health Commercial |
$45.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$123.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$167.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$49.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$124.61
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$190.59
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10577
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.14 |
| Max. Negotiated Rate |
$190.59 |
| Rate for Payer: Aetna Commercial |
$171.53
|
| Rate for Payer: Aetna Commercial |
$127.44
|
| Rate for Payer: Aetna Commercial |
$50.30
|
| Rate for Payer: Aetna Medicare |
$0.27
|
| Rate for Payer: Aetna Medicare |
$0.27
|
| Rate for Payer: Aetna Medicare |
$0.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.34
|
| Rate for Payer: ASR ASR |
$184.87
|
| Rate for Payer: ASR ASR |
$137.35
|
| Rate for Payer: ASR ASR |
$54.21
|
| Rate for Payer: ASR Commercial |
$184.87
|
| Rate for Payer: ASR Commercial |
$137.35
|
| Rate for Payer: ASR Commercial |
$54.21
|
| Rate for Payer: BCBS Complete |
$0.15
|
| Rate for Payer: BCBS Complete |
$0.15
|
| Rate for Payer: BCBS Complete |
$0.15
|
| Rate for Payer: BCBS MAPPO |
$0.27
|
| Rate for Payer: BCBS MAPPO |
$0.27
|
| Rate for Payer: BCBS MAPPO |
$0.27
|
| Rate for Payer: BCBS Trust/PPO |
$156.07
|
| Rate for Payer: BCBS Trust/PPO |
$45.77
|
| Rate for Payer: BCBS Trust/PPO |
$115.96
|
| Rate for Payer: BCN Commercial |
$147.76
|
| Rate for Payer: BCN Commercial |
$109.78
|
| Rate for Payer: BCN Commercial |
$43.33
|
| Rate for Payer: BCN Medicare Advantage |
$0.27
|
| Rate for Payer: BCN Medicare Advantage |
$0.27
|
| Rate for Payer: BCN Medicare Advantage |
$0.27
|
| Rate for Payer: Cash Price |
$113.28
|
| Rate for Payer: Cash Price |
$44.71
|
| Rate for Payer: Cash Price |
$152.48
|
| Rate for Payer: Cash Price |
$113.28
|
| Rate for Payer: Cash Price |
$152.48
|
| Rate for Payer: Cash Price |
$44.71
|
| Rate for Payer: Cofinity Commercial |
$133.10
|
| Rate for Payer: Cofinity Commercial |
$52.54
|
| Rate for Payer: Cofinity Commercial |
$179.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$152.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$113.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.27
|
| Rate for Payer: Healthscope Commercial |
$190.59
|
| Rate for Payer: Healthscope Commercial |
$141.60
|
| Rate for Payer: Healthscope Commercial |
$55.89
|
| Rate for Payer: Healthscope Whirlpool |
$184.87
|
| Rate for Payer: Healthscope Whirlpool |
$54.21
|
| Rate for Payer: Healthscope Whirlpool |
$137.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$0.27
|
| Rate for Payer: Humana Choice PPO Medicare |
$0.27
|
| Rate for Payer: Humana Choice PPO Medicare |
$0.27
|
| Rate for Payer: Mclaren Commercial |
$127.44
|
| Rate for Payer: Mclaren Commercial |
$50.30
|
| Rate for Payer: Mclaren Commercial |
$171.53
|
| Rate for Payer: Mclaren Medicaid |
$0.14
|
| Rate for Payer: Mclaren Medicaid |
$0.14
|
| Rate for Payer: Mclaren Medicaid |
$0.14
|
| Rate for Payer: Mclaren Medicare |
$0.27
|
| Rate for Payer: Mclaren Medicare |
$0.27
|
| Rate for Payer: Mclaren Medicare |
$0.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.28
|
| Rate for Payer: Meridian Medicaid |
$0.15
|
| Rate for Payer: Meridian Medicaid |
$0.15
|
| Rate for Payer: Meridian Medicaid |
$0.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$162.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$120.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.51
|
| Rate for Payer: Nomi Health Commercial |
$116.11
|
| Rate for Payer: Nomi Health Commercial |
$156.28
|
| Rate for Payer: Nomi Health Commercial |
$45.83
|
| Rate for Payer: PACE Medicare |
$0.26
|
| Rate for Payer: PACE Medicare |
$0.26
|
| Rate for Payer: PACE Medicare |
$0.26
|
| Rate for Payer: PACE SWMI |
$0.27
|
| Rate for Payer: PACE SWMI |
$0.27
|
| Rate for Payer: PACE SWMI |
$0.27
|
| Rate for Payer: PHP Commercial |
$0.30
|
| Rate for Payer: PHP Commercial |
$0.30
|
| Rate for Payer: PHP Commercial |
$0.30
|
| Rate for Payer: PHP Medicaid |
$0.14
|
| Rate for Payer: PHP Medicaid |
$0.14
|
| Rate for Payer: PHP Medicaid |
$0.14
|
| Rate for Payer: PHP Medicare Advantage |
$0.27
|
| Rate for Payer: PHP Medicare Advantage |
$0.27
|
| Rate for Payer: PHP Medicare Advantage |
$0.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$123.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.26
|
| Rate for Payer: Priority Health Medicare |
$0.27
|
| Rate for Payer: Priority Health Medicare |
$0.27
|
| Rate for Payer: Priority Health Medicare |
$0.27
|
| Rate for Payer: Priority Health Narrow Network |
$0.21
|
| Rate for Payer: Priority Health Narrow Network |
$0.21
|
| Rate for Payer: Priority Health Narrow Network |
$0.21
|
| Rate for Payer: Railroad Medicare Medicare |
$0.27
|
| Rate for Payer: Railroad Medicare Medicare |
$0.27
|
| Rate for Payer: Railroad Medicare Medicare |
$0.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$167.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$49.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$124.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.27
|
| Rate for Payer: UHC Exchange |
$0.42
|
| Rate for Payer: UHC Exchange |
$0.42
|
| Rate for Payer: UHC Exchange |
$0.42
|
| Rate for Payer: UHC Medicare Advantage |
$0.27
|
| Rate for Payer: UHC Medicare Advantage |
$0.27
|
| Rate for Payer: UHC Medicare Advantage |
$0.27
|
| Rate for Payer: UHCCP DNSP |
$0.27
|
| Rate for Payer: UHCCP DNSP |
$0.27
|
| Rate for Payer: UHCCP DNSP |
$0.27
|
| Rate for Payer: UHCCP Medicaid |
$0.14
|
| Rate for Payer: UHCCP Medicaid |
$0.14
|
| Rate for Payer: UHCCP Medicaid |
$0.14
|
| Rate for Payer: VA VA |
$0.27
|
| Rate for Payer: VA VA |
$0.27
|
| Rate for Payer: VA VA |
$0.27
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION
|
Facility
|
IP
|
$21.58
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10578
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$14.03 |
| Max. Negotiated Rate |
$21.58 |
| Rate for Payer: Aetna Commercial |
$19.42
|
| Rate for Payer: Aetna Commercial |
$16.10
|
| Rate for Payer: Aetna Commercial |
$43.35
|
| Rate for Payer: ASR ASR |
$17.35
|
| Rate for Payer: ASR ASR |
$20.93
|
| Rate for Payer: ASR ASR |
$46.72
|
| Rate for Payer: ASR Commercial |
$20.93
|
| Rate for Payer: ASR Commercial |
$17.35
|
| Rate for Payer: ASR Commercial |
$46.72
|
| Rate for Payer: BCBS Trust/PPO |
$39.25
|
| Rate for Payer: BCBS Trust/PPO |
$14.58
|
| Rate for Payer: BCBS Trust/PPO |
$17.59
|
| Rate for Payer: BCN Commercial |
$13.87
|
| Rate for Payer: BCN Commercial |
$37.35
|
| Rate for Payer: BCN Commercial |
$16.73
|
| Rate for Payer: Cash Price |
$17.26
|
| Rate for Payer: Cash Price |
$14.32
|
| Rate for Payer: Cash Price |
$38.54
|
| Rate for Payer: Cofinity Commercial |
$45.28
|
| Rate for Payer: Cofinity Commercial |
$16.82
|
| Rate for Payer: Cofinity Commercial |
$20.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.54
|
| Rate for Payer: Healthscope Commercial |
$17.89
|
| Rate for Payer: Healthscope Commercial |
$21.58
|
| Rate for Payer: Healthscope Commercial |
$48.17
|
| Rate for Payer: Healthscope Whirlpool |
$20.93
|
| Rate for Payer: Healthscope Whirlpool |
$17.35
|
| Rate for Payer: Healthscope Whirlpool |
$46.72
|
| Rate for Payer: Mclaren Commercial |
$19.42
|
| Rate for Payer: Mclaren Commercial |
$16.10
|
| Rate for Payer: Mclaren Commercial |
$43.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.21
|
| Rate for Payer: Nomi Health Commercial |
$17.70
|
| Rate for Payer: Nomi Health Commercial |
$14.67
|
| Rate for Payer: Nomi Health Commercial |
$39.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$18.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$42.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.74
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION
|
Facility
|
OP
|
$21.58
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10578
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.14 |
| Max. Negotiated Rate |
$21.58 |
| Rate for Payer: Aetna Commercial |
$19.42
|
| Rate for Payer: Aetna Commercial |
$16.10
|
| Rate for Payer: Aetna Commercial |
$43.35
|
| Rate for Payer: Aetna Medicare |
$0.27
|
| Rate for Payer: Aetna Medicare |
$0.27
|
| Rate for Payer: Aetna Medicare |
$0.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.34
|
| Rate for Payer: ASR ASR |
$20.93
|
| Rate for Payer: ASR ASR |
$17.35
|
| Rate for Payer: ASR ASR |
$46.72
|
| Rate for Payer: ASR Commercial |
$20.93
|
| Rate for Payer: ASR Commercial |
$17.35
|
| Rate for Payer: ASR Commercial |
$46.72
|
| Rate for Payer: BCBS Complete |
$0.15
|
| Rate for Payer: BCBS Complete |
$0.15
|
| Rate for Payer: BCBS Complete |
$0.15
|
| Rate for Payer: BCBS MAPPO |
$0.27
|
| Rate for Payer: BCBS MAPPO |
$0.27
|
| Rate for Payer: BCBS MAPPO |
$0.27
|
| Rate for Payer: BCBS Trust/PPO |
$17.67
|
| Rate for Payer: BCBS Trust/PPO |
$39.45
|
| Rate for Payer: BCBS Trust/PPO |
$14.65
|
| Rate for Payer: BCN Commercial |
$16.73
|
| Rate for Payer: BCN Commercial |
$13.87
|
| Rate for Payer: BCN Commercial |
$37.35
|
| Rate for Payer: BCN Medicare Advantage |
$0.27
|
| Rate for Payer: BCN Medicare Advantage |
$0.27
|
| Rate for Payer: BCN Medicare Advantage |
$0.27
|
| Rate for Payer: Cash Price |
$14.32
|
| Rate for Payer: Cash Price |
$38.54
|
| Rate for Payer: Cash Price |
$17.26
|
| Rate for Payer: Cash Price |
$14.32
|
| Rate for Payer: Cash Price |
$17.26
|
| Rate for Payer: Cash Price |
$38.54
|
| Rate for Payer: Cofinity Commercial |
$16.82
|
| Rate for Payer: Cofinity Commercial |
$45.28
|
| Rate for Payer: Cofinity Commercial |
$20.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.27
|
| Rate for Payer: Healthscope Commercial |
$21.58
|
| Rate for Payer: Healthscope Commercial |
$17.89
|
| Rate for Payer: Healthscope Commercial |
$48.17
|
| Rate for Payer: Healthscope Whirlpool |
$20.93
|
| Rate for Payer: Healthscope Whirlpool |
$46.72
|
| Rate for Payer: Healthscope Whirlpool |
$17.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$0.27
|
| Rate for Payer: Humana Choice PPO Medicare |
$0.27
|
| Rate for Payer: Humana Choice PPO Medicare |
$0.27
|
| Rate for Payer: Mclaren Commercial |
$16.10
|
| Rate for Payer: Mclaren Commercial |
$43.35
|
| Rate for Payer: Mclaren Commercial |
$19.42
|
| Rate for Payer: Mclaren Medicaid |
$0.14
|
| Rate for Payer: Mclaren Medicaid |
$0.14
|
| Rate for Payer: Mclaren Medicaid |
$0.14
|
| Rate for Payer: Mclaren Medicare |
$0.27
|
| Rate for Payer: Mclaren Medicare |
$0.27
|
| Rate for Payer: Mclaren Medicare |
$0.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.28
|
| Rate for Payer: Meridian Medicaid |
$0.15
|
| Rate for Payer: Meridian Medicaid |
$0.15
|
| Rate for Payer: Meridian Medicaid |
$0.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.94
|
| Rate for Payer: Nomi Health Commercial |
$14.67
|
| Rate for Payer: Nomi Health Commercial |
$17.70
|
| Rate for Payer: Nomi Health Commercial |
$39.50
|
| Rate for Payer: PACE Medicare |
$0.26
|
| Rate for Payer: PACE Medicare |
$0.26
|
| Rate for Payer: PACE Medicare |
$0.26
|
| Rate for Payer: PACE SWMI |
$0.27
|
| Rate for Payer: PACE SWMI |
$0.27
|
| Rate for Payer: PACE SWMI |
$0.27
|
| Rate for Payer: PHP Commercial |
$0.30
|
| Rate for Payer: PHP Commercial |
$0.30
|
| Rate for Payer: PHP Commercial |
$0.30
|
| Rate for Payer: PHP Medicaid |
$0.14
|
| Rate for Payer: PHP Medicaid |
$0.14
|
| Rate for Payer: PHP Medicaid |
$0.14
|
| Rate for Payer: PHP Medicare Advantage |
$0.27
|
| Rate for Payer: PHP Medicare Advantage |
$0.27
|
| Rate for Payer: PHP Medicare Advantage |
$0.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.26
|
| Rate for Payer: Priority Health Medicare |
$0.27
|
| Rate for Payer: Priority Health Medicare |
$0.27
|
| Rate for Payer: Priority Health Medicare |
$0.27
|
| Rate for Payer: Priority Health Narrow Network |
$0.21
|
| Rate for Payer: Priority Health Narrow Network |
$0.21
|
| Rate for Payer: Priority Health Narrow Network |
$0.21
|
| Rate for Payer: Railroad Medicare Medicare |
$0.27
|
| Rate for Payer: Railroad Medicare Medicare |
$0.27
|
| Rate for Payer: Railroad Medicare Medicare |
$0.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$18.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$42.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.27
|
| Rate for Payer: UHC Exchange |
$0.42
|
| Rate for Payer: UHC Exchange |
$0.42
|
| Rate for Payer: UHC Exchange |
$0.42
|
| Rate for Payer: UHC Medicare Advantage |
$0.27
|
| Rate for Payer: UHC Medicare Advantage |
$0.27
|
| Rate for Payer: UHC Medicare Advantage |
$0.27
|
| Rate for Payer: UHCCP DNSP |
$0.27
|
| Rate for Payer: UHCCP DNSP |
$0.27
|
| Rate for Payer: UHCCP DNSP |
$0.27
|
| Rate for Payer: UHCCP Medicaid |
$0.14
|
| Rate for Payer: UHCCP Medicaid |
$0.14
|
| Rate for Payer: UHCCP Medicaid |
$0.14
|
| Rate for Payer: VA VA |
$0.27
|
| Rate for Payer: VA VA |
$0.27
|
| Rate for Payer: VA VA |
$0.27
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION
|
Facility
|
OP
|
$17.20
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10580
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.14 |
| Max. Negotiated Rate |
$17.20 |
| Rate for Payer: Aetna Commercial |
$15.48
|
| Rate for Payer: Aetna Medicare |
$0.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.34
|
| Rate for Payer: ASR ASR |
$16.68
|
| Rate for Payer: ASR Commercial |
$16.68
|
| Rate for Payer: BCBS Complete |
$0.15
|
| Rate for Payer: BCBS MAPPO |
$0.27
|
| Rate for Payer: BCBS Trust/PPO |
$14.09
|
| Rate for Payer: BCN Commercial |
$13.34
|
| Rate for Payer: BCN Medicare Advantage |
$0.27
|
| Rate for Payer: Cash Price |
$13.76
|
| Rate for Payer: Cash Price |
$13.76
|
| Rate for Payer: Cofinity Commercial |
$16.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.27
|
| Rate for Payer: Healthscope Commercial |
$17.20
|
| Rate for Payer: Healthscope Whirlpool |
$16.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$0.27
|
| Rate for Payer: Mclaren Commercial |
$15.48
|
| Rate for Payer: Mclaren Medicaid |
$0.14
|
| Rate for Payer: Mclaren Medicare |
$0.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.28
|
| Rate for Payer: Meridian Medicaid |
$0.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.62
|
| Rate for Payer: Nomi Health Commercial |
$14.10
|
| Rate for Payer: PACE Medicare |
$0.26
|
| Rate for Payer: PACE SWMI |
$0.27
|
| Rate for Payer: PHP Commercial |
$0.30
|
| Rate for Payer: PHP Medicaid |
$0.14
|
| Rate for Payer: PHP Medicare Advantage |
$0.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.26
|
| Rate for Payer: Priority Health Medicare |
$0.27
|
| Rate for Payer: Priority Health Narrow Network |
$0.21
|
| Rate for Payer: Railroad Medicare Medicare |
$0.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.27
|
| Rate for Payer: UHC Exchange |
$0.42
|
| Rate for Payer: UHC Medicare Advantage |
$0.27
|
| Rate for Payer: UHCCP DNSP |
$0.27
|
| Rate for Payer: UHCCP Medicaid |
$0.14
|
| Rate for Payer: VA VA |
$0.27
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION
|
Facility
|
IP
|
$17.20
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10580
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.18 |
| Max. Negotiated Rate |
$17.20 |
| Rate for Payer: Aetna Commercial |
$15.48
|
| Rate for Payer: ASR ASR |
$16.68
|
| Rate for Payer: ASR Commercial |
$16.68
|
| Rate for Payer: BCBS Trust/PPO |
$14.02
|
| Rate for Payer: BCN Commercial |
$13.34
|
| Rate for Payer: Cash Price |
$13.76
|
| Rate for Payer: Cofinity Commercial |
$16.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.76
|
| Rate for Payer: Healthscope Commercial |
$17.20
|
| Rate for Payer: Healthscope Whirlpool |
$16.68
|
| Rate for Payer: Mclaren Commercial |
$15.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.62
|
| Rate for Payer: Nomi Health Commercial |
$14.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.14
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$62.26
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10581
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.14 |
| Max. Negotiated Rate |
$62.26 |
| Rate for Payer: Aetna Commercial |
$56.03
|
| Rate for Payer: Aetna Commercial |
$94.60
|
| Rate for Payer: Aetna Medicare |
$0.27
|
| Rate for Payer: Aetna Medicare |
$0.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.34
|
| Rate for Payer: ASR ASR |
$60.39
|
| Rate for Payer: ASR ASR |
$101.96
|
| Rate for Payer: ASR Commercial |
$101.96
|
| Rate for Payer: ASR Commercial |
$60.39
|
| Rate for Payer: BCBS Complete |
$0.15
|
| Rate for Payer: BCBS Complete |
$0.15
|
| Rate for Payer: BCBS MAPPO |
$0.27
|
| Rate for Payer: BCBS MAPPO |
$0.27
|
| Rate for Payer: BCBS Trust/PPO |
$50.98
|
| Rate for Payer: BCBS Trust/PPO |
$86.07
|
| Rate for Payer: BCN Commercial |
$81.49
|
| Rate for Payer: BCN Commercial |
$48.27
|
| Rate for Payer: BCN Medicare Advantage |
$0.27
|
| Rate for Payer: BCN Medicare Advantage |
$0.27
|
| Rate for Payer: Cash Price |
$49.80
|
| Rate for Payer: Cash Price |
$84.09
|
| Rate for Payer: Cash Price |
$49.80
|
| Rate for Payer: Cash Price |
$84.09
|
| Rate for Payer: Cofinity Commercial |
$98.80
|
| Rate for Payer: Cofinity Commercial |
$58.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.27
|
| Rate for Payer: Healthscope Commercial |
$105.11
|
| Rate for Payer: Healthscope Commercial |
$62.26
|
| Rate for Payer: Healthscope Whirlpool |
$101.96
|
| Rate for Payer: Healthscope Whirlpool |
$60.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$0.27
|
| Rate for Payer: Humana Choice PPO Medicare |
$0.27
|
| Rate for Payer: Mclaren Commercial |
$94.60
|
| Rate for Payer: Mclaren Commercial |
$56.03
|
| Rate for Payer: Mclaren Medicaid |
$0.14
|
| Rate for Payer: Mclaren Medicaid |
$0.14
|
| Rate for Payer: Mclaren Medicare |
$0.27
|
| Rate for Payer: Mclaren Medicare |
$0.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.28
|
| Rate for Payer: Meridian Medicaid |
$0.15
|
| Rate for Payer: Meridian Medicaid |
$0.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.34
|
| Rate for Payer: Nomi Health Commercial |
$51.05
|
| Rate for Payer: Nomi Health Commercial |
$86.19
|
| Rate for Payer: PACE Medicare |
$0.26
|
| Rate for Payer: PACE Medicare |
$0.26
|
| Rate for Payer: PACE SWMI |
$0.27
|
| Rate for Payer: PACE SWMI |
$0.27
|
| Rate for Payer: PHP Commercial |
$0.30
|
| Rate for Payer: PHP Commercial |
$0.30
|
| Rate for Payer: PHP Medicaid |
$0.14
|
| Rate for Payer: PHP Medicaid |
$0.14
|
| Rate for Payer: PHP Medicare Advantage |
$0.27
|
| Rate for Payer: PHP Medicare Advantage |
$0.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$68.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.47
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.26
|
| Rate for Payer: Priority Health Medicare |
$0.27
|
| Rate for Payer: Priority Health Medicare |
$0.27
|
| Rate for Payer: Priority Health Narrow Network |
$0.21
|
| Rate for Payer: Priority Health Narrow Network |
$0.21
|
| Rate for Payer: Railroad Medicare Medicare |
$0.27
|
| Rate for Payer: Railroad Medicare Medicare |
$0.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$92.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$54.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.27
|
| Rate for Payer: UHC Exchange |
$0.42
|
| Rate for Payer: UHC Exchange |
$0.42
|
| Rate for Payer: UHC Medicare Advantage |
$0.27
|
| Rate for Payer: UHC Medicare Advantage |
$0.27
|
| Rate for Payer: UHCCP DNSP |
$0.27
|
| Rate for Payer: UHCCP DNSP |
$0.27
|
| Rate for Payer: UHCCP Medicaid |
$0.14
|
| Rate for Payer: UHCCP Medicaid |
$0.14
|
| Rate for Payer: VA VA |
$0.27
|
| Rate for Payer: VA VA |
$0.27
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$105.11
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10581
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$68.32 |
| Max. Negotiated Rate |
$105.11 |
| Rate for Payer: Aetna Commercial |
$94.60
|
| Rate for Payer: Aetna Commercial |
$56.03
|
| Rate for Payer: ASR ASR |
$60.39
|
| Rate for Payer: ASR ASR |
$101.96
|
| Rate for Payer: ASR Commercial |
$60.39
|
| Rate for Payer: ASR Commercial |
$101.96
|
| Rate for Payer: BCBS Trust/PPO |
$50.74
|
| Rate for Payer: BCBS Trust/PPO |
$85.65
|
| Rate for Payer: BCN Commercial |
$48.27
|
| Rate for Payer: BCN Commercial |
$81.49
|
| Rate for Payer: Cash Price |
$84.09
|
| Rate for Payer: Cash Price |
$49.80
|
| Rate for Payer: Cofinity Commercial |
$58.52
|
| Rate for Payer: Cofinity Commercial |
$98.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.81
|
| Rate for Payer: Healthscope Commercial |
$105.11
|
| Rate for Payer: Healthscope Commercial |
$62.26
|
| Rate for Payer: Healthscope Whirlpool |
$60.39
|
| Rate for Payer: Healthscope Whirlpool |
$101.96
|
| Rate for Payer: Mclaren Commercial |
$94.60
|
| Rate for Payer: Mclaren Commercial |
$56.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.34
|
| Rate for Payer: Nomi Health Commercial |
$51.05
|
| Rate for Payer: Nomi Health Commercial |
$86.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$68.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$92.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$54.79
|
|
|
METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOL (CODE)
|
Facility
|
OP
|
$35.31
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
163731
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.14 |
| Max. Negotiated Rate |
$35.31 |
| Rate for Payer: Aetna Commercial |
$31.78
|
| Rate for Payer: Aetna Medicare |
$0.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.34
|
| Rate for Payer: ASR ASR |
$34.25
|
| Rate for Payer: ASR Commercial |
$34.25
|
| Rate for Payer: BCBS Complete |
$0.15
|
| Rate for Payer: BCBS MAPPO |
$0.27
|
| Rate for Payer: BCBS Trust/PPO |
$28.92
|
| Rate for Payer: BCN Commercial |
$27.38
|
| Rate for Payer: BCN Medicare Advantage |
$0.27
|
| Rate for Payer: Cash Price |
$28.25
|
| Rate for Payer: Cash Price |
$28.25
|
| Rate for Payer: Cofinity Commercial |
$33.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.27
|
| Rate for Payer: Healthscope Commercial |
$35.31
|
| Rate for Payer: Healthscope Whirlpool |
$34.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$0.27
|
| Rate for Payer: Mclaren Commercial |
$31.78
|
| Rate for Payer: Mclaren Medicaid |
$0.14
|
| Rate for Payer: Mclaren Medicare |
$0.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.28
|
| Rate for Payer: Meridian Medicaid |
$0.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.01
|
| Rate for Payer: Nomi Health Commercial |
$28.95
|
| Rate for Payer: PACE Medicare |
$0.26
|
| Rate for Payer: PACE SWMI |
$0.27
|
| Rate for Payer: PHP Commercial |
$0.30
|
| Rate for Payer: PHP Medicaid |
$0.14
|
| Rate for Payer: PHP Medicare Advantage |
$0.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.26
|
| Rate for Payer: Priority Health Medicare |
$0.27
|
| Rate for Payer: Priority Health Narrow Network |
$0.21
|
| Rate for Payer: Railroad Medicare Medicare |
$0.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$31.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.27
|
| Rate for Payer: UHC Exchange |
$0.42
|
| Rate for Payer: UHC Medicare Advantage |
$0.27
|
| Rate for Payer: UHCCP DNSP |
$0.27
|
| Rate for Payer: UHCCP Medicaid |
$0.14
|
| Rate for Payer: VA VA |
$0.27
|
|
|
METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOL (CODE)
|
Facility
|
IP
|
$35.31
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
163731
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$22.95 |
| Max. Negotiated Rate |
$35.31 |
| Rate for Payer: Aetna Commercial |
$31.78
|
| Rate for Payer: ASR ASR |
$34.25
|
| Rate for Payer: ASR Commercial |
$34.25
|
| Rate for Payer: BCBS Trust/PPO |
$28.77
|
| Rate for Payer: BCN Commercial |
$27.38
|
| Rate for Payer: Cash Price |
$28.25
|
| Rate for Payer: Cofinity Commercial |
$33.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.25
|
| Rate for Payer: Healthscope Commercial |
$35.31
|
| Rate for Payer: Healthscope Whirlpool |
$34.25
|
| Rate for Payer: Mclaren Commercial |
$31.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.01
|
| Rate for Payer: Nomi Health Commercial |
$28.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$31.07
|
|
|
METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION
|
Facility
|
IP
|
$35.31
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
119451
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$22.95 |
| Max. Negotiated Rate |
$35.31 |
| Rate for Payer: Aetna Commercial |
$31.78
|
| Rate for Payer: ASR ASR |
$34.25
|
| Rate for Payer: ASR Commercial |
$34.25
|
| Rate for Payer: BCBS Trust/PPO |
$28.77
|
| Rate for Payer: BCN Commercial |
$27.38
|
| Rate for Payer: Cash Price |
$28.25
|
| Rate for Payer: Cofinity Commercial |
$33.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.25
|
| Rate for Payer: Healthscope Commercial |
$35.31
|
| Rate for Payer: Healthscope Whirlpool |
$34.25
|
| Rate for Payer: Mclaren Commercial |
$31.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.01
|
| Rate for Payer: Nomi Health Commercial |
$28.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$31.07
|
|
|
METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION
|
Facility
|
OP
|
$35.31
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
119451
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.14 |
| Max. Negotiated Rate |
$35.31 |
| Rate for Payer: Aetna Commercial |
$31.78
|
| Rate for Payer: Aetna Medicare |
$0.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.34
|
| Rate for Payer: ASR ASR |
$34.25
|
| Rate for Payer: ASR Commercial |
$34.25
|
| Rate for Payer: BCBS Complete |
$0.15
|
| Rate for Payer: BCBS MAPPO |
$0.27
|
| Rate for Payer: BCBS Trust/PPO |
$28.92
|
| Rate for Payer: BCN Commercial |
$27.38
|
| Rate for Payer: BCN Medicare Advantage |
$0.27
|
| Rate for Payer: Cash Price |
$28.25
|
| Rate for Payer: Cash Price |
$28.25
|
| Rate for Payer: Cofinity Commercial |
$33.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.27
|
| Rate for Payer: Healthscope Commercial |
$35.31
|
| Rate for Payer: Healthscope Whirlpool |
$34.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$0.27
|
| Rate for Payer: Mclaren Commercial |
$31.78
|
| Rate for Payer: Mclaren Medicaid |
$0.14
|
| Rate for Payer: Mclaren Medicare |
$0.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.28
|
| Rate for Payer: Meridian Medicaid |
$0.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.01
|
| Rate for Payer: Nomi Health Commercial |
$28.95
|
| Rate for Payer: PACE Medicare |
$0.26
|
| Rate for Payer: PACE SWMI |
$0.27
|
| Rate for Payer: PHP Commercial |
$0.30
|
| Rate for Payer: PHP Medicaid |
$0.14
|
| Rate for Payer: PHP Medicare Advantage |
$0.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.26
|
| Rate for Payer: Priority Health Medicare |
$0.27
|
| Rate for Payer: Priority Health Narrow Network |
$0.21
|
| Rate for Payer: Railroad Medicare Medicare |
$0.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$31.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.27
|
| Rate for Payer: UHC Exchange |
$0.42
|
| Rate for Payer: UHC Medicare Advantage |
$0.27
|
| Rate for Payer: UHCCP DNSP |
$0.27
|
| Rate for Payer: UHCCP Medicaid |
$0.14
|
| Rate for Payer: VA VA |
$0.27
|
|
|
METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION
|
Facility
|
IP
|
$22.19
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
119450
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$14.42 |
| Max. Negotiated Rate |
$22.19 |
| Rate for Payer: Aetna Commercial |
$19.97
|
| Rate for Payer: ASR ASR |
$21.52
|
| Rate for Payer: ASR Commercial |
$21.52
|
| Rate for Payer: BCBS Trust/PPO |
$18.08
|
| Rate for Payer: BCN Commercial |
$17.20
|
| Rate for Payer: Cash Price |
$17.75
|
| Rate for Payer: Cofinity Commercial |
$20.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.75
|
| Rate for Payer: Healthscope Commercial |
$22.19
|
| Rate for Payer: Healthscope Whirlpool |
$21.52
|
| Rate for Payer: Mclaren Commercial |
$19.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.86
|
| Rate for Payer: Nomi Health Commercial |
$18.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19.53
|
|
|
METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION
|
Facility
|
OP
|
$22.19
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
119450
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.14 |
| Max. Negotiated Rate |
$22.19 |
| Rate for Payer: Aetna Commercial |
$19.97
|
| Rate for Payer: Aetna Medicare |
$0.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.34
|
| Rate for Payer: ASR ASR |
$21.52
|
| Rate for Payer: ASR Commercial |
$21.52
|
| Rate for Payer: BCBS Complete |
$0.15
|
| Rate for Payer: BCBS MAPPO |
$0.27
|
| Rate for Payer: BCBS Trust/PPO |
$18.17
|
| Rate for Payer: BCN Commercial |
$17.20
|
| Rate for Payer: BCN Medicare Advantage |
$0.27
|
| Rate for Payer: Cash Price |
$17.75
|
| Rate for Payer: Cash Price |
$17.75
|
| Rate for Payer: Cofinity Commercial |
$20.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.27
|
| Rate for Payer: Healthscope Commercial |
$22.19
|
| Rate for Payer: Healthscope Whirlpool |
$21.52
|
| Rate for Payer: Humana Choice PPO Medicare |
$0.27
|
| Rate for Payer: Mclaren Commercial |
$19.97
|
| Rate for Payer: Mclaren Medicaid |
$0.14
|
| Rate for Payer: Mclaren Medicare |
$0.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.28
|
| Rate for Payer: Meridian Medicaid |
$0.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.86
|
| Rate for Payer: Nomi Health Commercial |
$18.20
|
| Rate for Payer: PACE Medicare |
$0.26
|
| Rate for Payer: PACE SWMI |
$0.27
|
| Rate for Payer: PHP Commercial |
$0.30
|
| Rate for Payer: PHP Medicaid |
$0.14
|
| Rate for Payer: PHP Medicare Advantage |
$0.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.26
|
| Rate for Payer: Priority Health Medicare |
$0.27
|
| Rate for Payer: Priority Health Narrow Network |
$0.21
|
| Rate for Payer: Railroad Medicare Medicare |
$0.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.27
|
| Rate for Payer: UHC Exchange |
$0.42
|
| Rate for Payer: UHC Medicare Advantage |
$0.27
|
| Rate for Payer: UHCCP DNSP |
$0.27
|
| Rate for Payer: UHCCP Medicaid |
$0.14
|
| Rate for Payer: VA VA |
$0.27
|
|
|
METOCLOPRAMIDE 10 MG TABLET
|
Facility
|
OP
|
$2.62
|
|
|
Service Code
|
NDC 60687063111
|
| Hospital Charge Code |
5005
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.05 |
| Max. Negotiated Rate |
$2.62 |
| Rate for Payer: Aetna Commercial |
$2.36
|
| Rate for Payer: Aetna Medicare |
$1.31
|
| Rate for Payer: ASR ASR |
$2.54
|
| Rate for Payer: ASR Commercial |
$2.54
|
| Rate for Payer: BCBS Complete |
$1.05
|
| Rate for Payer: BCBS Trust/PPO |
$2.15
|
| Rate for Payer: BCN Commercial |
$2.03
|
| Rate for Payer: Cash Price |
$2.09
|
| Rate for Payer: Cofinity Commercial |
$2.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.10
|
| Rate for Payer: Healthscope Commercial |
$2.62
|
| Rate for Payer: Healthscope Whirlpool |
$2.54
|
| Rate for Payer: Mclaren Commercial |
$2.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.23
|
| Rate for Payer: Nomi Health Commercial |
$2.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.30
|
| Rate for Payer: Priority Health Narrow Network |
$1.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.31
|
|
|
METOCLOPRAMIDE 10 MG TABLET
|
Facility
|
IP
|
$2.50
|
|
|
Service Code
|
NDC 68084067611
|
| Hospital Charge Code |
5005
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.62 |
| Max. Negotiated Rate |
$2.50 |
| Rate for Payer: Aetna Commercial |
$2.25
|
| Rate for Payer: ASR ASR |
$2.42
|
| Rate for Payer: ASR Commercial |
$2.42
|
| Rate for Payer: BCBS Trust/PPO |
$2.04
|
| Rate for Payer: BCN Commercial |
$1.94
|
| Rate for Payer: Cash Price |
$2.00
|
| Rate for Payer: Cofinity Commercial |
$2.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.00
|
| Rate for Payer: Healthscope Commercial |
$2.50
|
| Rate for Payer: Healthscope Whirlpool |
$2.42
|
| Rate for Payer: Mclaren Commercial |
$2.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.12
|
| Rate for Payer: Nomi Health Commercial |
$2.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.20
|
|
|
METOCLOPRAMIDE 10 MG TABLET
|
Facility
|
IP
|
$261.60
|
|
|
Service Code
|
NDC 60687063101
|
| Hospital Charge Code |
5005
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$170.04 |
| Max. Negotiated Rate |
$261.60 |
| Rate for Payer: Aetna Commercial |
$235.44
|
| Rate for Payer: ASR ASR |
$253.75
|
| Rate for Payer: ASR Commercial |
$253.75
|
| Rate for Payer: BCBS Trust/PPO |
$213.18
|
| Rate for Payer: BCN Commercial |
$202.82
|
| Rate for Payer: Cash Price |
$209.28
|
| Rate for Payer: Cofinity Commercial |
$245.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$209.28
|
| Rate for Payer: Healthscope Commercial |
$261.60
|
| Rate for Payer: Healthscope Whirlpool |
$253.75
|
| Rate for Payer: Mclaren Commercial |
$235.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$222.36
|
| Rate for Payer: Nomi Health Commercial |
$214.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$170.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$230.21
|
|
|
METOCLOPRAMIDE 10 MG TABLET
|
Facility
|
IP
|
$2.62
|
|
|
Service Code
|
NDC 60687063111
|
| Hospital Charge Code |
5005
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.70 |
| Max. Negotiated Rate |
$2.62 |
| Rate for Payer: Aetna Commercial |
$2.36
|
| Rate for Payer: ASR ASR |
$2.54
|
| Rate for Payer: ASR Commercial |
$2.54
|
| Rate for Payer: BCBS Trust/PPO |
$2.14
|
| Rate for Payer: BCN Commercial |
$2.03
|
| Rate for Payer: Cash Price |
$2.09
|
| Rate for Payer: Cofinity Commercial |
$2.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.10
|
| Rate for Payer: Healthscope Commercial |
$2.62
|
| Rate for Payer: Healthscope Whirlpool |
$2.54
|
| Rate for Payer: Mclaren Commercial |
$2.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.23
|
| Rate for Payer: Nomi Health Commercial |
$2.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.31
|
|
|
METOCLOPRAMIDE 10 MG TABLET
|
Facility
|
OP
|
$2.50
|
|
|
Service Code
|
NDC 68084067611
|
| Hospital Charge Code |
5005
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.00 |
| Max. Negotiated Rate |
$2.50 |
| Rate for Payer: Aetna Commercial |
$2.25
|
| Rate for Payer: Aetna Medicare |
$1.25
|
| Rate for Payer: ASR ASR |
$2.42
|
| Rate for Payer: ASR Commercial |
$2.42
|
| Rate for Payer: BCBS Complete |
$1.00
|
| Rate for Payer: BCBS Trust/PPO |
$2.05
|
| Rate for Payer: BCN Commercial |
$1.94
|
| Rate for Payer: Cash Price |
$2.00
|
| Rate for Payer: Cofinity Commercial |
$2.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.00
|
| Rate for Payer: Healthscope Commercial |
$2.50
|
| Rate for Payer: Healthscope Whirlpool |
$2.42
|
| Rate for Payer: Mclaren Commercial |
$2.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.12
|
| Rate for Payer: Nomi Health Commercial |
$2.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.19
|
| Rate for Payer: Priority Health Narrow Network |
$1.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.20
|
|
|
METOCLOPRAMIDE 10 MG TABLET
|
Facility
|
IP
|
$249.60
|
|
|
Service Code
|
NDC 68084067601
|
| Hospital Charge Code |
5005
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$162.24 |
| Max. Negotiated Rate |
$249.60 |
| Rate for Payer: Aetna Commercial |
$224.64
|
| Rate for Payer: ASR ASR |
$242.11
|
| Rate for Payer: ASR Commercial |
$242.11
|
| Rate for Payer: BCBS Trust/PPO |
$203.40
|
| Rate for Payer: BCN Commercial |
$193.51
|
| Rate for Payer: Cash Price |
$199.68
|
| Rate for Payer: Cofinity Commercial |
$234.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$199.68
|
| Rate for Payer: Healthscope Commercial |
$249.60
|
| Rate for Payer: Healthscope Whirlpool |
$242.11
|
| Rate for Payer: Mclaren Commercial |
$224.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$212.16
|
| Rate for Payer: Nomi Health Commercial |
$204.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$162.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$219.65
|
|
|
METOCLOPRAMIDE 10 MG TABLET
|
Facility
|
OP
|
$261.60
|
|
|
Service Code
|
NDC 60687063101
|
| Hospital Charge Code |
5005
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$104.64 |
| Max. Negotiated Rate |
$261.60 |
| Rate for Payer: Aetna Commercial |
$235.44
|
| Rate for Payer: Aetna Medicare |
$130.80
|
| Rate for Payer: ASR ASR |
$253.75
|
| Rate for Payer: ASR Commercial |
$253.75
|
| Rate for Payer: BCBS Complete |
$104.64
|
| Rate for Payer: BCBS Trust/PPO |
$214.22
|
| Rate for Payer: BCN Commercial |
$202.82
|
| Rate for Payer: Cash Price |
$209.28
|
| Rate for Payer: Cofinity Commercial |
$245.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$209.28
|
| Rate for Payer: Healthscope Commercial |
$261.60
|
| Rate for Payer: Healthscope Whirlpool |
$253.75
|
| Rate for Payer: Mclaren Commercial |
$235.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$222.36
|
| Rate for Payer: Nomi Health Commercial |
$214.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$170.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$229.21
|
| Rate for Payer: Priority Health Narrow Network |
$183.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$230.21
|
|
