|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
OP
|
$105.67
|
|
|
Service Code
|
NDC 61314063705
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$39.10 |
| Max. Negotiated Rate |
$105.67 |
| Rate for Payer: Aetna Commercial |
$95.10
|
| Rate for Payer: Aetna Medicare |
$39.10
|
| Rate for Payer: ASR ASR |
$102.50
|
| Rate for Payer: BCBS Complete |
$42.27
|
| Rate for Payer: BCBS Trust/PPO |
$87.12
|
| Rate for Payer: BCN Commercial |
$87.12
|
| Rate for Payer: Cash Price |
$84.53
|
| Rate for Payer: Cofinity Commercial |
$99.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.53
|
| Rate for Payer: Healthscope Commercial |
$102.50
|
| Rate for Payer: Healthscope Whirlpool |
$105.67
|
| Rate for Payer: Mclaren Commercial |
$95.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$84.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.82
|
| Rate for Payer: Nomi Health Commercial |
$86.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$79.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$92.58
|
| Rate for Payer: Priority Health Narrow Network |
$74.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$92.99
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
IP
|
$845.85
|
|
|
Service Code
|
NDC 11980018010
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$634.38 |
| Max. Negotiated Rate |
$845.85 |
| Rate for Payer: Aetna Commercial |
$761.26
|
| Rate for Payer: ASR ASR |
$820.47
|
| Rate for Payer: BCBS Trust/PPO |
$694.61
|
| Rate for Payer: BCN Commercial |
$694.61
|
| Rate for Payer: Cash Price |
$676.68
|
| Rate for Payer: Cofinity Commercial |
$795.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$676.68
|
| Rate for Payer: Healthscope Commercial |
$820.47
|
| Rate for Payer: Healthscope Whirlpool |
$845.85
|
| Rate for Payer: Mclaren Commercial |
$761.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$718.97
|
| Rate for Payer: Nomi Health Commercial |
$693.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$634.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$744.34
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
IP
|
$173.46
|
|
|
Service Code
|
NDC 61314063710
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$130.09 |
| Max. Negotiated Rate |
$173.46 |
| Rate for Payer: Aetna Commercial |
$156.11
|
| Rate for Payer: ASR ASR |
$168.26
|
| Rate for Payer: BCBS Trust/PPO |
$142.45
|
| Rate for Payer: BCN Commercial |
$142.45
|
| Rate for Payer: Cash Price |
$138.77
|
| Rate for Payer: Cofinity Commercial |
$163.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$138.77
|
| Rate for Payer: Healthscope Commercial |
$168.26
|
| Rate for Payer: Healthscope Whirlpool |
$173.46
|
| Rate for Payer: Mclaren Commercial |
$156.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147.44
|
| Rate for Payer: Nomi Health Commercial |
$142.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$130.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$152.64
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
IP
|
$143.22
|
|
|
Service Code
|
NDC 60758011905
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$107.42 |
| Max. Negotiated Rate |
$143.22 |
| Rate for Payer: Aetna Commercial |
$128.90
|
| Rate for Payer: ASR ASR |
$138.92
|
| Rate for Payer: BCBS Trust/PPO |
$117.61
|
| Rate for Payer: BCN Commercial |
$117.61
|
| Rate for Payer: Cash Price |
$114.58
|
| Rate for Payer: Cofinity Commercial |
$134.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$114.58
|
| Rate for Payer: Healthscope Commercial |
$138.92
|
| Rate for Payer: Healthscope Whirlpool |
$143.22
|
| Rate for Payer: Mclaren Commercial |
$128.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$121.74
|
| Rate for Payer: Nomi Health Commercial |
$117.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$107.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$126.03
|
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION
|
Facility
|
IP
|
$19.15
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
29302
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$14.36 |
| Max. Negotiated Rate |
$19.15 |
| Rate for Payer: Aetna Commercial |
$17.24
|
| Rate for Payer: Aetna Commercial |
$731.83
|
| Rate for Payer: ASR ASR |
$788.75
|
| Rate for Payer: ASR ASR |
$18.58
|
| Rate for Payer: BCBS Trust/PPO |
$667.76
|
| Rate for Payer: BCBS Trust/PPO |
$15.73
|
| Rate for Payer: BCN Commercial |
$667.76
|
| Rate for Payer: BCN Commercial |
$15.73
|
| Rate for Payer: Cash Price |
$650.52
|
| Rate for Payer: Cash Price |
$15.32
|
| Rate for Payer: Cofinity Commercial |
$18.00
|
| Rate for Payer: Cofinity Commercial |
$764.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$650.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.32
|
| Rate for Payer: Healthscope Commercial |
$18.58
|
| Rate for Payer: Healthscope Commercial |
$788.75
|
| Rate for Payer: Healthscope Whirlpool |
$813.15
|
| Rate for Payer: Healthscope Whirlpool |
$19.15
|
| Rate for Payer: Mclaren Commercial |
$731.83
|
| Rate for Payer: Mclaren Commercial |
$17.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$691.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.28
|
| Rate for Payer: Nomi Health Commercial |
$666.78
|
| Rate for Payer: Nomi Health Commercial |
$15.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$609.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$715.57
|
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION
|
Facility
|
OP
|
$813.15
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
29302
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.76 |
| Max. Negotiated Rate |
$813.15 |
| Rate for Payer: Aetna Commercial |
$731.83
|
| Rate for Payer: Aetna Commercial |
$17.24
|
| Rate for Payer: Aetna Medicare |
$7.09
|
| Rate for Payer: Aetna Medicare |
$300.86
|
| Rate for Payer: ASR ASR |
$788.75
|
| Rate for Payer: ASR ASR |
$18.58
|
| Rate for Payer: BCBS Complete |
$7.66
|
| Rate for Payer: BCBS Complete |
$325.26
|
| Rate for Payer: BCBS Trust/PPO |
$670.44
|
| Rate for Payer: BCBS Trust/PPO |
$15.79
|
| Rate for Payer: BCN Commercial |
$15.79
|
| Rate for Payer: BCN Commercial |
$670.44
|
| Rate for Payer: Cash Price |
$650.52
|
| Rate for Payer: Cash Price |
$15.32
|
| Rate for Payer: Cash Price |
$650.52
|
| Rate for Payer: Cash Price |
$15.32
|
| Rate for Payer: Cofinity Commercial |
$18.00
|
| Rate for Payer: Cofinity Commercial |
$764.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$650.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.32
|
| Rate for Payer: Healthscope Commercial |
$788.75
|
| Rate for Payer: Healthscope Commercial |
$18.58
|
| Rate for Payer: Healthscope Whirlpool |
$813.15
|
| Rate for Payer: Healthscope Whirlpool |
$19.15
|
| Rate for Payer: Mclaren Commercial |
$731.83
|
| Rate for Payer: Mclaren Commercial |
$17.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$650.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$691.17
|
| Rate for Payer: Nomi Health Commercial |
$15.71
|
| Rate for Payer: Nomi Health Commercial |
$666.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$609.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.95
|
| Rate for Payer: Priority Health Narrow Network |
$0.76
|
| Rate for Payer: Priority Health Narrow Network |
$0.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$715.57
|
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (5 ML) ORAL SOLUTION
|
Facility
|
OP
|
$30.53
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
162294
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.76 |
| Max. Negotiated Rate |
$30.53 |
| Rate for Payer: Aetna Commercial |
$27.48
|
| Rate for Payer: Aetna Medicare |
$11.30
|
| Rate for Payer: ASR ASR |
$29.61
|
| Rate for Payer: BCBS Complete |
$12.21
|
| Rate for Payer: BCBS Trust/PPO |
$25.17
|
| Rate for Payer: BCN Commercial |
$25.17
|
| Rate for Payer: Cash Price |
$24.42
|
| Rate for Payer: Cash Price |
$24.42
|
| Rate for Payer: Cofinity Commercial |
$28.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.42
|
| Rate for Payer: Healthscope Commercial |
$29.61
|
| Rate for Payer: Healthscope Whirlpool |
$30.53
|
| Rate for Payer: Mclaren Commercial |
$27.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.95
|
| Rate for Payer: Nomi Health Commercial |
$25.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.95
|
| Rate for Payer: Priority Health Narrow Network |
$0.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$26.86
|
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (5 ML) ORAL SOLUTION
|
Facility
|
IP
|
$30.53
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
162294
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$22.90 |
| Max. Negotiated Rate |
$30.53 |
| Rate for Payer: Aetna Commercial |
$27.48
|
| Rate for Payer: ASR ASR |
$29.61
|
| Rate for Payer: BCBS Trust/PPO |
$25.07
|
| Rate for Payer: BCN Commercial |
$25.07
|
| Rate for Payer: Cash Price |
$24.42
|
| Rate for Payer: Cofinity Commercial |
$28.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.42
|
| Rate for Payer: Healthscope Commercial |
$29.61
|
| Rate for Payer: Healthscope Whirlpool |
$30.53
|
| Rate for Payer: Mclaren Commercial |
$27.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.95
|
| Rate for Payer: Nomi Health Commercial |
$25.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$26.86
|
|
|
PREDNISONE 10 MG TABLET
|
Facility
|
IP
|
$173.90
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6494
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$130.43 |
| Max. Negotiated Rate |
$173.90 |
| Rate for Payer: Aetna Commercial |
$156.51
|
| Rate for Payer: Aetna Commercial |
$289.75
|
| Rate for Payer: Aetna Commercial |
$346.86
|
| Rate for Payer: Aetna Commercial |
$3.47
|
| Rate for Payer: Aetna Commercial |
$42.09
|
| Rate for Payer: Aetna Commercial |
$342.63
|
| Rate for Payer: ASR ASR |
$369.28
|
| Rate for Payer: ASR ASR |
$168.68
|
| Rate for Payer: ASR ASR |
$373.84
|
| Rate for Payer: ASR ASR |
$312.29
|
| Rate for Payer: ASR ASR |
$3.74
|
| Rate for Payer: ASR ASR |
$45.36
|
| Rate for Payer: BCBS Trust/PPO |
$142.81
|
| Rate for Payer: BCBS Trust/PPO |
$3.16
|
| Rate for Payer: BCBS Trust/PPO |
$312.63
|
| Rate for Payer: BCBS Trust/PPO |
$38.40
|
| Rate for Payer: BCBS Trust/PPO |
$316.49
|
| Rate for Payer: BCBS Trust/PPO |
$264.39
|
| Rate for Payer: BCN Commercial |
$316.49
|
| Rate for Payer: BCN Commercial |
$142.81
|
| Rate for Payer: BCN Commercial |
$38.40
|
| Rate for Payer: BCN Commercial |
$312.63
|
| Rate for Payer: BCN Commercial |
$264.39
|
| Rate for Payer: BCN Commercial |
$3.16
|
| Rate for Payer: Cash Price |
$308.32
|
| Rate for Payer: Cash Price |
$139.12
|
| Rate for Payer: Cash Price |
$304.56
|
| Rate for Payer: Cash Price |
$3.08
|
| Rate for Payer: Cash Price |
$257.56
|
| Rate for Payer: Cash Price |
$37.41
|
| Rate for Payer: Cofinity Commercial |
$302.63
|
| Rate for Payer: Cofinity Commercial |
$3.62
|
| Rate for Payer: Cofinity Commercial |
$163.47
|
| Rate for Payer: Cofinity Commercial |
$357.86
|
| Rate for Payer: Cofinity Commercial |
$362.28
|
| Rate for Payer: Cofinity Commercial |
$43.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$139.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$257.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$304.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$308.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.41
|
| Rate for Payer: Healthscope Commercial |
$168.68
|
| Rate for Payer: Healthscope Commercial |
$3.74
|
| Rate for Payer: Healthscope Commercial |
$312.29
|
| Rate for Payer: Healthscope Commercial |
$45.36
|
| Rate for Payer: Healthscope Commercial |
$369.28
|
| Rate for Payer: Healthscope Commercial |
$373.84
|
| Rate for Payer: Healthscope Whirlpool |
$380.70
|
| Rate for Payer: Healthscope Whirlpool |
$3.85
|
| Rate for Payer: Healthscope Whirlpool |
$321.95
|
| Rate for Payer: Healthscope Whirlpool |
$385.40
|
| Rate for Payer: Healthscope Whirlpool |
$173.90
|
| Rate for Payer: Healthscope Whirlpool |
$46.77
|
| Rate for Payer: Mclaren Commercial |
$346.86
|
| Rate for Payer: Mclaren Commercial |
$42.09
|
| Rate for Payer: Mclaren Commercial |
$342.63
|
| Rate for Payer: Mclaren Commercial |
$156.51
|
| Rate for Payer: Mclaren Commercial |
$289.75
|
| Rate for Payer: Mclaren Commercial |
$3.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$323.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$273.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$327.59
|
| Rate for Payer: Nomi Health Commercial |
$264.00
|
| Rate for Payer: Nomi Health Commercial |
$3.16
|
| Rate for Payer: Nomi Health Commercial |
$142.60
|
| Rate for Payer: Nomi Health Commercial |
$316.03
|
| Rate for Payer: Nomi Health Commercial |
$38.35
|
| Rate for Payer: Nomi Health Commercial |
$312.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$130.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$285.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$241.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$289.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$41.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$335.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$283.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$153.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$339.15
|
|
|
PREDNISONE 10 MG TABLET
|
Facility
|
OP
|
$46.77
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6494
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$46.77 |
| Rate for Payer: Aetna Commercial |
$42.09
|
| Rate for Payer: Aetna Commercial |
$289.75
|
| Rate for Payer: Aetna Commercial |
$346.86
|
| Rate for Payer: Aetna Commercial |
$342.63
|
| Rate for Payer: Aetna Commercial |
$3.47
|
| Rate for Payer: Aetna Commercial |
$156.51
|
| Rate for Payer: Aetna Medicare |
$1.43
|
| Rate for Payer: Aetna Medicare |
$140.86
|
| Rate for Payer: Aetna Medicare |
$119.12
|
| Rate for Payer: Aetna Medicare |
$142.60
|
| Rate for Payer: Aetna Medicare |
$17.30
|
| Rate for Payer: Aetna Medicare |
$64.34
|
| Rate for Payer: ASR ASR |
$312.29
|
| Rate for Payer: ASR ASR |
$45.36
|
| Rate for Payer: ASR ASR |
$373.84
|
| Rate for Payer: ASR ASR |
$168.68
|
| Rate for Payer: ASR ASR |
$369.28
|
| Rate for Payer: ASR ASR |
$3.74
|
| Rate for Payer: BCBS Complete |
$128.78
|
| Rate for Payer: BCBS Complete |
$69.56
|
| Rate for Payer: BCBS Complete |
$154.16
|
| Rate for Payer: BCBS Complete |
$1.54
|
| Rate for Payer: BCBS Complete |
$18.71
|
| Rate for Payer: BCBS Complete |
$152.28
|
| Rate for Payer: BCBS Trust/PPO |
$317.76
|
| Rate for Payer: BCBS Trust/PPO |
$3.18
|
| Rate for Payer: BCBS Trust/PPO |
$313.89
|
| Rate for Payer: BCBS Trust/PPO |
$143.38
|
| Rate for Payer: BCBS Trust/PPO |
$265.45
|
| Rate for Payer: BCBS Trust/PPO |
$38.56
|
| Rate for Payer: BCN Commercial |
$38.56
|
| Rate for Payer: BCN Commercial |
$265.45
|
| Rate for Payer: BCN Commercial |
$143.38
|
| Rate for Payer: BCN Commercial |
$313.89
|
| Rate for Payer: BCN Commercial |
$317.76
|
| Rate for Payer: BCN Commercial |
$3.18
|
| Rate for Payer: Cash Price |
$308.32
|
| Rate for Payer: Cash Price |
$304.56
|
| Rate for Payer: Cash Price |
$139.12
|
| Rate for Payer: Cash Price |
$257.56
|
| Rate for Payer: Cash Price |
$257.56
|
| Rate for Payer: Cash Price |
$139.12
|
| Rate for Payer: Cash Price |
$304.56
|
| Rate for Payer: Cash Price |
$3.08
|
| Rate for Payer: Cash Price |
$3.08
|
| Rate for Payer: Cash Price |
$308.32
|
| Rate for Payer: Cash Price |
$37.41
|
| Rate for Payer: Cash Price |
$37.41
|
| Rate for Payer: Cofinity Commercial |
$163.47
|
| Rate for Payer: Cofinity Commercial |
$43.96
|
| Rate for Payer: Cofinity Commercial |
$302.63
|
| Rate for Payer: Cofinity Commercial |
$362.28
|
| Rate for Payer: Cofinity Commercial |
$3.62
|
| Rate for Payer: Cofinity Commercial |
$357.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$308.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$139.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$257.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$304.56
|
| Rate for Payer: Healthscope Commercial |
$369.28
|
| Rate for Payer: Healthscope Commercial |
$3.74
|
| Rate for Payer: Healthscope Commercial |
$168.68
|
| Rate for Payer: Healthscope Commercial |
$312.29
|
| Rate for Payer: Healthscope Commercial |
$373.84
|
| Rate for Payer: Healthscope Commercial |
$45.36
|
| Rate for Payer: Healthscope Whirlpool |
$3.85
|
| Rate for Payer: Healthscope Whirlpool |
$321.95
|
| Rate for Payer: Healthscope Whirlpool |
$173.90
|
| Rate for Payer: Healthscope Whirlpool |
$380.70
|
| Rate for Payer: Healthscope Whirlpool |
$385.40
|
| Rate for Payer: Healthscope Whirlpool |
$46.77
|
| Rate for Payer: Mclaren Commercial |
$289.75
|
| Rate for Payer: Mclaren Commercial |
$42.09
|
| Rate for Payer: Mclaren Commercial |
$346.86
|
| Rate for Payer: Mclaren Commercial |
$156.51
|
| Rate for Payer: Mclaren Commercial |
$342.63
|
| Rate for Payer: Mclaren Commercial |
$3.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$139.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$304.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$257.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$308.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$273.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$327.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$323.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147.81
|
| Rate for Payer: Nomi Health Commercial |
$142.60
|
| Rate for Payer: Nomi Health Commercial |
$316.03
|
| Rate for Payer: Nomi Health Commercial |
$3.16
|
| Rate for Payer: Nomi Health Commercial |
$312.17
|
| Rate for Payer: Nomi Health Commercial |
$38.35
|
| Rate for Payer: Nomi Health Commercial |
$264.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$285.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$241.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$130.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$289.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$339.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$283.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$153.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$335.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$41.15
|
|
|
PREDNISONE 1 MG TABLET
|
Facility
|
IP
|
$196.65
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6493
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$147.49 |
| Max. Negotiated Rate |
$196.65 |
| Rate for Payer: Aetna Commercial |
$176.99
|
| Rate for Payer: Aetna Commercial |
$397.62
|
| Rate for Payer: ASR ASR |
$428.55
|
| Rate for Payer: ASR ASR |
$190.75
|
| Rate for Payer: BCBS Trust/PPO |
$362.81
|
| Rate for Payer: BCBS Trust/PPO |
$161.49
|
| Rate for Payer: BCN Commercial |
$362.81
|
| Rate for Payer: BCN Commercial |
$161.49
|
| Rate for Payer: Cash Price |
$353.44
|
| Rate for Payer: Cash Price |
$157.32
|
| Rate for Payer: Cofinity Commercial |
$184.85
|
| Rate for Payer: Cofinity Commercial |
$415.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$353.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$157.32
|
| Rate for Payer: Healthscope Commercial |
$190.75
|
| Rate for Payer: Healthscope Commercial |
$428.55
|
| Rate for Payer: Healthscope Whirlpool |
$441.80
|
| Rate for Payer: Healthscope Whirlpool |
$196.65
|
| Rate for Payer: Mclaren Commercial |
$397.62
|
| Rate for Payer: Mclaren Commercial |
$176.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$375.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$167.15
|
| Rate for Payer: Nomi Health Commercial |
$362.28
|
| Rate for Payer: Nomi Health Commercial |
$161.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$147.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$331.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$173.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$388.78
|
|
|
PREDNISONE 1 MG TABLET
|
Facility
|
OP
|
$441.80
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6493
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$441.80 |
| Rate for Payer: Aetna Commercial |
$397.62
|
| Rate for Payer: Aetna Commercial |
$176.99
|
| Rate for Payer: Aetna Medicare |
$72.76
|
| Rate for Payer: Aetna Medicare |
$163.47
|
| Rate for Payer: ASR ASR |
$428.55
|
| Rate for Payer: ASR ASR |
$190.75
|
| Rate for Payer: BCBS Complete |
$78.66
|
| Rate for Payer: BCBS Complete |
$176.72
|
| Rate for Payer: BCBS Trust/PPO |
$364.26
|
| Rate for Payer: BCBS Trust/PPO |
$162.14
|
| Rate for Payer: BCN Commercial |
$162.14
|
| Rate for Payer: BCN Commercial |
$364.26
|
| Rate for Payer: Cash Price |
$353.44
|
| Rate for Payer: Cash Price |
$157.32
|
| Rate for Payer: Cash Price |
$353.44
|
| Rate for Payer: Cash Price |
$157.32
|
| Rate for Payer: Cofinity Commercial |
$184.85
|
| Rate for Payer: Cofinity Commercial |
$415.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$353.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$157.32
|
| Rate for Payer: Healthscope Commercial |
$428.55
|
| Rate for Payer: Healthscope Commercial |
$190.75
|
| Rate for Payer: Healthscope Whirlpool |
$441.80
|
| Rate for Payer: Healthscope Whirlpool |
$196.65
|
| Rate for Payer: Mclaren Commercial |
$397.62
|
| Rate for Payer: Mclaren Commercial |
$176.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$353.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$157.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$167.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$375.53
|
| Rate for Payer: Nomi Health Commercial |
$161.25
|
| Rate for Payer: Nomi Health Commercial |
$362.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$147.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$331.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$173.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$388.78
|
|
|
PREDNISONE 20 MG TABLET
|
Facility
|
IP
|
$453.55
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6496
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$340.16 |
| Max. Negotiated Rate |
$453.55 |
| Rate for Payer: Aetna Commercial |
$408.19
|
| Rate for Payer: Aetna Commercial |
$3.85
|
| Rate for Payer: Aetna Commercial |
$384.93
|
| Rate for Payer: Aetna Commercial |
$268.61
|
| Rate for Payer: Aetna Commercial |
$18.13
|
| Rate for Payer: ASR ASR |
$4.15
|
| Rate for Payer: ASR ASR |
$19.54
|
| Rate for Payer: ASR ASR |
$439.94
|
| Rate for Payer: ASR ASR |
$289.50
|
| Rate for Payer: ASR ASR |
$414.87
|
| Rate for Payer: BCBS Trust/PPO |
$372.46
|
| Rate for Payer: BCBS Trust/PPO |
$245.09
|
| Rate for Payer: BCBS Trust/PPO |
$16.54
|
| Rate for Payer: BCBS Trust/PPO |
$351.23
|
| Rate for Payer: BCBS Trust/PPO |
$3.51
|
| Rate for Payer: BCN Commercial |
$3.51
|
| Rate for Payer: BCN Commercial |
$245.09
|
| Rate for Payer: BCN Commercial |
$351.23
|
| Rate for Payer: BCN Commercial |
$372.46
|
| Rate for Payer: BCN Commercial |
$16.54
|
| Rate for Payer: Cash Price |
$16.11
|
| Rate for Payer: Cash Price |
$3.42
|
| Rate for Payer: Cash Price |
$342.16
|
| Rate for Payer: Cash Price |
$238.76
|
| Rate for Payer: Cash Price |
$362.84
|
| Rate for Payer: Cofinity Commercial |
$280.54
|
| Rate for Payer: Cofinity Commercial |
$402.04
|
| Rate for Payer: Cofinity Commercial |
$18.93
|
| Rate for Payer: Cofinity Commercial |
$4.02
|
| Rate for Payer: Cofinity Commercial |
$426.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$342.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$238.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$362.84
|
| Rate for Payer: Healthscope Commercial |
$4.15
|
| Rate for Payer: Healthscope Commercial |
$289.50
|
| Rate for Payer: Healthscope Commercial |
$414.87
|
| Rate for Payer: Healthscope Commercial |
$19.54
|
| Rate for Payer: Healthscope Commercial |
$439.94
|
| Rate for Payer: Healthscope Whirlpool |
$427.70
|
| Rate for Payer: Healthscope Whirlpool |
$453.55
|
| Rate for Payer: Healthscope Whirlpool |
$20.14
|
| Rate for Payer: Healthscope Whirlpool |
$298.45
|
| Rate for Payer: Healthscope Whirlpool |
$4.28
|
| Rate for Payer: Mclaren Commercial |
$268.61
|
| Rate for Payer: Mclaren Commercial |
$384.93
|
| Rate for Payer: Mclaren Commercial |
$18.13
|
| Rate for Payer: Mclaren Commercial |
$408.19
|
| Rate for Payer: Mclaren Commercial |
$3.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$253.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$363.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$385.52
|
| Rate for Payer: Nomi Health Commercial |
$350.71
|
| Rate for Payer: Nomi Health Commercial |
$3.51
|
| Rate for Payer: Nomi Health Commercial |
$244.73
|
| Rate for Payer: Nomi Health Commercial |
$16.51
|
| Rate for Payer: Nomi Health Commercial |
$371.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$223.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$320.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$340.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$399.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$262.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$376.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17.72
|
|
|
PREDNISONE 20 MG TABLET
|
Facility
|
OP
|
$4.28
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6496
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$4.28 |
| Rate for Payer: Aetna Commercial |
$3.85
|
| Rate for Payer: Aetna Commercial |
$408.19
|
| Rate for Payer: Aetna Commercial |
$268.61
|
| Rate for Payer: Aetna Commercial |
$18.13
|
| Rate for Payer: Aetna Commercial |
$384.93
|
| Rate for Payer: Aetna Medicare |
$167.81
|
| Rate for Payer: Aetna Medicare |
$7.45
|
| Rate for Payer: Aetna Medicare |
$158.25
|
| Rate for Payer: Aetna Medicare |
$1.58
|
| Rate for Payer: Aetna Medicare |
$110.43
|
| Rate for Payer: ASR ASR |
$4.15
|
| Rate for Payer: ASR ASR |
$439.94
|
| Rate for Payer: ASR ASR |
$414.87
|
| Rate for Payer: ASR ASR |
$289.50
|
| Rate for Payer: ASR ASR |
$19.54
|
| Rate for Payer: BCBS Complete |
$171.08
|
| Rate for Payer: BCBS Complete |
$8.06
|
| Rate for Payer: BCBS Complete |
$181.42
|
| Rate for Payer: BCBS Complete |
$1.71
|
| Rate for Payer: BCBS Complete |
$119.38
|
| Rate for Payer: BCBS Trust/PPO |
$16.61
|
| Rate for Payer: BCBS Trust/PPO |
$246.07
|
| Rate for Payer: BCBS Trust/PPO |
$352.64
|
| Rate for Payer: BCBS Trust/PPO |
$373.95
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCN Commercial |
$352.64
|
| Rate for Payer: BCN Commercial |
$246.07
|
| Rate for Payer: BCN Commercial |
$16.61
|
| Rate for Payer: BCN Commercial |
$373.95
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: Cash Price |
$342.16
|
| Rate for Payer: Cash Price |
$3.42
|
| Rate for Payer: Cash Price |
$16.11
|
| Rate for Payer: Cash Price |
$238.76
|
| Rate for Payer: Cash Price |
$238.76
|
| Rate for Payer: Cash Price |
$16.11
|
| Rate for Payer: Cash Price |
$3.42
|
| Rate for Payer: Cash Price |
$342.16
|
| Rate for Payer: Cash Price |
$362.84
|
| Rate for Payer: Cash Price |
$362.84
|
| Rate for Payer: Cofinity Commercial |
$18.93
|
| Rate for Payer: Cofinity Commercial |
$426.34
|
| Rate for Payer: Cofinity Commercial |
$280.54
|
| Rate for Payer: Cofinity Commercial |
$4.02
|
| Rate for Payer: Cofinity Commercial |
$402.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$342.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$362.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$238.76
|
| Rate for Payer: Healthscope Commercial |
$19.54
|
| Rate for Payer: Healthscope Commercial |
$289.50
|
| Rate for Payer: Healthscope Commercial |
$439.94
|
| Rate for Payer: Healthscope Commercial |
$4.15
|
| Rate for Payer: Healthscope Commercial |
$414.87
|
| Rate for Payer: Healthscope Whirlpool |
$4.28
|
| Rate for Payer: Healthscope Whirlpool |
$20.14
|
| Rate for Payer: Healthscope Whirlpool |
$298.45
|
| Rate for Payer: Healthscope Whirlpool |
$453.55
|
| Rate for Payer: Healthscope Whirlpool |
$427.70
|
| Rate for Payer: Mclaren Commercial |
$268.61
|
| Rate for Payer: Mclaren Commercial |
$18.13
|
| Rate for Payer: Mclaren Commercial |
$408.19
|
| Rate for Payer: Mclaren Commercial |
$384.93
|
| Rate for Payer: Mclaren Commercial |
$3.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$342.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$238.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$362.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$253.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$363.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$385.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.64
|
| Rate for Payer: Nomi Health Commercial |
$244.73
|
| Rate for Payer: Nomi Health Commercial |
$16.51
|
| Rate for Payer: Nomi Health Commercial |
$371.91
|
| Rate for Payer: Nomi Health Commercial |
$350.71
|
| Rate for Payer: Nomi Health Commercial |
$3.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$320.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$223.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$340.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$262.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$376.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$399.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.76
|
|
|
PREDNISONE 50 MG TABLET
|
Facility
|
OP
|
$3.83
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6498
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$3.83 |
| Rate for Payer: Aetna Commercial |
$3.45
|
| Rate for Payer: Aetna Commercial |
$344.56
|
| Rate for Payer: Aetna Medicare |
$141.65
|
| Rate for Payer: Aetna Medicare |
$1.42
|
| Rate for Payer: ASR ASR |
$3.71
|
| Rate for Payer: ASR ASR |
$371.36
|
| Rate for Payer: BCBS Complete |
$153.14
|
| Rate for Payer: BCBS Complete |
$1.53
|
| Rate for Payer: BCBS Trust/PPO |
$3.16
|
| Rate for Payer: BCBS Trust/PPO |
$315.66
|
| Rate for Payer: BCN Commercial |
$315.66
|
| Rate for Payer: BCN Commercial |
$3.16
|
| Rate for Payer: Cash Price |
$3.06
|
| Rate for Payer: Cash Price |
$306.28
|
| Rate for Payer: Cash Price |
$3.06
|
| Rate for Payer: Cash Price |
$306.28
|
| Rate for Payer: Cofinity Commercial |
$359.88
|
| Rate for Payer: Cofinity Commercial |
$3.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.28
|
| Rate for Payer: Healthscope Commercial |
$3.71
|
| Rate for Payer: Healthscope Commercial |
$371.36
|
| Rate for Payer: Healthscope Whirlpool |
$3.83
|
| Rate for Payer: Healthscope Whirlpool |
$382.85
|
| Rate for Payer: Mclaren Commercial |
$3.45
|
| Rate for Payer: Mclaren Commercial |
$344.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$306.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.25
|
| Rate for Payer: Nomi Health Commercial |
$313.94
|
| Rate for Payer: Nomi Health Commercial |
$3.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$287.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$336.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.37
|
|
|
PREDNISONE 50 MG TABLET
|
Facility
|
IP
|
$382.85
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6498
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$287.14 |
| Max. Negotiated Rate |
$382.85 |
| Rate for Payer: Aetna Commercial |
$344.56
|
| Rate for Payer: Aetna Commercial |
$3.45
|
| Rate for Payer: ASR ASR |
$3.71
|
| Rate for Payer: ASR ASR |
$371.36
|
| Rate for Payer: BCBS Trust/PPO |
$3.14
|
| Rate for Payer: BCBS Trust/PPO |
$314.40
|
| Rate for Payer: BCN Commercial |
$3.14
|
| Rate for Payer: BCN Commercial |
$314.40
|
| Rate for Payer: Cash Price |
$3.06
|
| Rate for Payer: Cash Price |
$306.28
|
| Rate for Payer: Cofinity Commercial |
$359.88
|
| Rate for Payer: Cofinity Commercial |
$3.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.28
|
| Rate for Payer: Healthscope Commercial |
$371.36
|
| Rate for Payer: Healthscope Commercial |
$3.71
|
| Rate for Payer: Healthscope Whirlpool |
$3.83
|
| Rate for Payer: Healthscope Whirlpool |
$382.85
|
| Rate for Payer: Mclaren Commercial |
$3.45
|
| Rate for Payer: Mclaren Commercial |
$344.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.42
|
| Rate for Payer: Nomi Health Commercial |
$3.14
|
| Rate for Payer: Nomi Health Commercial |
$313.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$287.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$336.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.37
|
|
|
PREDNISONE 5 MG/5 ML ORAL SOLUTION
|
Facility
|
OP
|
$18.05
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6492
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$18.05 |
| Rate for Payer: Aetna Commercial |
$16.25
|
| Rate for Payer: Aetna Commercial |
$20.30
|
| Rate for Payer: Aetna Commercial |
$300.15
|
| Rate for Payer: Aetna Medicare |
$8.35
|
| Rate for Payer: Aetna Medicare |
$6.68
|
| Rate for Payer: Aetna Medicare |
$123.40
|
| Rate for Payer: ASR ASR |
$323.50
|
| Rate for Payer: ASR ASR |
$17.51
|
| Rate for Payer: ASR ASR |
$21.88
|
| Rate for Payer: BCBS Complete |
$7.22
|
| Rate for Payer: BCBS Complete |
$133.40
|
| Rate for Payer: BCBS Complete |
$9.02
|
| Rate for Payer: BCBS Trust/PPO |
$14.88
|
| Rate for Payer: BCBS Trust/PPO |
$18.60
|
| Rate for Payer: BCBS Trust/PPO |
$274.97
|
| Rate for Payer: BCN Commercial |
$14.88
|
| Rate for Payer: BCN Commercial |
$18.60
|
| Rate for Payer: BCN Commercial |
$274.97
|
| Rate for Payer: Cash Price |
$18.05
|
| Rate for Payer: Cash Price |
$14.44
|
| Rate for Payer: Cash Price |
$18.05
|
| Rate for Payer: Cash Price |
$266.80
|
| Rate for Payer: Cash Price |
$266.80
|
| Rate for Payer: Cash Price |
$14.44
|
| Rate for Payer: Cofinity Commercial |
$21.21
|
| Rate for Payer: Cofinity Commercial |
$16.97
|
| Rate for Payer: Cofinity Commercial |
$313.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.05
|
| Rate for Payer: Healthscope Commercial |
$323.50
|
| Rate for Payer: Healthscope Commercial |
$17.51
|
| Rate for Payer: Healthscope Commercial |
$21.88
|
| Rate for Payer: Healthscope Whirlpool |
$22.56
|
| Rate for Payer: Healthscope Whirlpool |
$18.05
|
| Rate for Payer: Healthscope Whirlpool |
$333.50
|
| Rate for Payer: Mclaren Commercial |
$300.15
|
| Rate for Payer: Mclaren Commercial |
$20.30
|
| Rate for Payer: Mclaren Commercial |
$16.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$266.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$283.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.34
|
| Rate for Payer: Nomi Health Commercial |
$273.47
|
| Rate for Payer: Nomi Health Commercial |
$14.80
|
| Rate for Payer: Nomi Health Commercial |
$18.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$250.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$293.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.88
|
|
|
PREDNISONE 5 MG/5 ML ORAL SOLUTION
|
Facility
|
IP
|
$18.05
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6492
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$13.54 |
| Max. Negotiated Rate |
$18.05 |
| Rate for Payer: Aetna Commercial |
$16.25
|
| Rate for Payer: Aetna Commercial |
$300.15
|
| Rate for Payer: Aetna Commercial |
$20.30
|
| Rate for Payer: ASR ASR |
$323.50
|
| Rate for Payer: ASR ASR |
$17.51
|
| Rate for Payer: ASR ASR |
$21.88
|
| Rate for Payer: BCBS Trust/PPO |
$273.87
|
| Rate for Payer: BCBS Trust/PPO |
$14.82
|
| Rate for Payer: BCBS Trust/PPO |
$18.53
|
| Rate for Payer: BCN Commercial |
$18.53
|
| Rate for Payer: BCN Commercial |
$14.82
|
| Rate for Payer: BCN Commercial |
$273.87
|
| Rate for Payer: Cash Price |
$266.80
|
| Rate for Payer: Cash Price |
$14.44
|
| Rate for Payer: Cash Price |
$18.05
|
| Rate for Payer: Cofinity Commercial |
$16.97
|
| Rate for Payer: Cofinity Commercial |
$21.21
|
| Rate for Payer: Cofinity Commercial |
$313.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.05
|
| Rate for Payer: Healthscope Commercial |
$21.88
|
| Rate for Payer: Healthscope Commercial |
$17.51
|
| Rate for Payer: Healthscope Commercial |
$323.50
|
| Rate for Payer: Healthscope Whirlpool |
$22.56
|
| Rate for Payer: Healthscope Whirlpool |
$333.50
|
| Rate for Payer: Healthscope Whirlpool |
$18.05
|
| Rate for Payer: Mclaren Commercial |
$20.30
|
| Rate for Payer: Mclaren Commercial |
$16.25
|
| Rate for Payer: Mclaren Commercial |
$300.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$283.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.34
|
| Rate for Payer: Nomi Health Commercial |
$18.50
|
| Rate for Payer: Nomi Health Commercial |
$14.80
|
| Rate for Payer: Nomi Health Commercial |
$273.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$250.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$293.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.88
|
|
|
PREDNISONE 5 MG TABLET
|
Facility
|
IP
|
$3.67
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6497
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.75 |
| Max. Negotiated Rate |
$3.67 |
| Rate for Payer: Aetna Commercial |
$3.30
|
| Rate for Payer: Aetna Commercial |
$39.13
|
| Rate for Payer: Aetna Commercial |
$329.94
|
| Rate for Payer: ASR ASR |
$42.17
|
| Rate for Payer: ASR ASR |
$3.56
|
| Rate for Payer: ASR ASR |
$355.60
|
| Rate for Payer: BCBS Trust/PPO |
$35.70
|
| Rate for Payer: BCBS Trust/PPO |
$3.01
|
| Rate for Payer: BCBS Trust/PPO |
$301.05
|
| Rate for Payer: BCN Commercial |
$301.05
|
| Rate for Payer: BCN Commercial |
$3.01
|
| Rate for Payer: BCN Commercial |
$35.70
|
| Rate for Payer: Cash Price |
$34.78
|
| Rate for Payer: Cash Price |
$2.93
|
| Rate for Payer: Cash Price |
$293.28
|
| Rate for Payer: Cofinity Commercial |
$3.45
|
| Rate for Payer: Cofinity Commercial |
$344.60
|
| Rate for Payer: Cofinity Commercial |
$40.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.28
|
| Rate for Payer: Healthscope Commercial |
$355.60
|
| Rate for Payer: Healthscope Commercial |
$3.56
|
| Rate for Payer: Healthscope Commercial |
$42.17
|
| Rate for Payer: Healthscope Whirlpool |
$366.60
|
| Rate for Payer: Healthscope Whirlpool |
$43.48
|
| Rate for Payer: Healthscope Whirlpool |
$3.67
|
| Rate for Payer: Mclaren Commercial |
$329.94
|
| Rate for Payer: Mclaren Commercial |
$3.30
|
| Rate for Payer: Mclaren Commercial |
$39.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.12
|
| Rate for Payer: Nomi Health Commercial |
$300.61
|
| Rate for Payer: Nomi Health Commercial |
$3.01
|
| Rate for Payer: Nomi Health Commercial |
$35.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$274.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$322.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.23
|
|
|
PREDNISONE 5 MG TABLET
|
Facility
|
OP
|
$3.67
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6497
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$3.67 |
| Rate for Payer: Aetna Commercial |
$3.30
|
| Rate for Payer: Aetna Commercial |
$329.94
|
| Rate for Payer: Aetna Commercial |
$39.13
|
| Rate for Payer: Aetna Medicare |
$135.64
|
| Rate for Payer: Aetna Medicare |
$1.36
|
| Rate for Payer: Aetna Medicare |
$16.09
|
| Rate for Payer: ASR ASR |
$42.17
|
| Rate for Payer: ASR ASR |
$3.56
|
| Rate for Payer: ASR ASR |
$355.60
|
| Rate for Payer: BCBS Complete |
$1.47
|
| Rate for Payer: BCBS Complete |
$17.39
|
| Rate for Payer: BCBS Complete |
$146.64
|
| Rate for Payer: BCBS Trust/PPO |
$3.02
|
| Rate for Payer: BCBS Trust/PPO |
$302.26
|
| Rate for Payer: BCBS Trust/PPO |
$35.85
|
| Rate for Payer: BCN Commercial |
$3.02
|
| Rate for Payer: BCN Commercial |
$302.26
|
| Rate for Payer: BCN Commercial |
$35.85
|
| Rate for Payer: Cash Price |
$293.28
|
| Rate for Payer: Cash Price |
$2.93
|
| Rate for Payer: Cash Price |
$293.28
|
| Rate for Payer: Cash Price |
$34.78
|
| Rate for Payer: Cash Price |
$34.78
|
| Rate for Payer: Cash Price |
$2.93
|
| Rate for Payer: Cofinity Commercial |
$344.60
|
| Rate for Payer: Cofinity Commercial |
$3.45
|
| Rate for Payer: Cofinity Commercial |
$40.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.28
|
| Rate for Payer: Healthscope Commercial |
$42.17
|
| Rate for Payer: Healthscope Commercial |
$3.56
|
| Rate for Payer: Healthscope Commercial |
$355.60
|
| Rate for Payer: Healthscope Whirlpool |
$366.60
|
| Rate for Payer: Healthscope Whirlpool |
$3.67
|
| Rate for Payer: Healthscope Whirlpool |
$43.48
|
| Rate for Payer: Mclaren Commercial |
$39.13
|
| Rate for Payer: Mclaren Commercial |
$329.94
|
| Rate for Payer: Mclaren Commercial |
$3.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$293.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.12
|
| Rate for Payer: Nomi Health Commercial |
$35.65
|
| Rate for Payer: Nomi Health Commercial |
$3.01
|
| Rate for Payer: Nomi Health Commercial |
$300.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$274.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: Priority Health Narrow Network |
$0.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$322.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.23
|
|
|
PR EDUCATION&TRAINING PT SELF-MGMT NQHP 2-4 PTS
|
Professional
|
Both
|
$24.00
|
|
|
Service Code
|
HCPCS 98961
|
| Min. Negotiated Rate |
$9.60 |
| Max. Negotiated Rate |
$20.67 |
| Rate for Payer: Aetna Commercial |
$13.91
|
| Rate for Payer: BCBS Complete |
$9.60
|
| Rate for Payer: BCN Commercial |
$14.34
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$20.67
|
| Rate for Payer: Priority Health Narrow Network |
$20.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19.72
|
| Rate for Payer: UHC Exchange |
$19.72
|
|
|
PR EDUCATION&TRAINING PT SELF-MGMT NQHP 5-8 PTS
|
Professional
|
Both
|
$18.00
|
|
|
Service Code
|
HCPCS 98962
|
| Min. Negotiated Rate |
$7.20 |
| Max. Negotiated Rate |
$15.15 |
| Rate for Payer: Aetna Commercial |
$10.35
|
| Rate for Payer: BCBS Complete |
$7.20
|
| Rate for Payer: BCN Commercial |
$10.66
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$15.15
|
| Rate for Payer: Priority Health Narrow Network |
$15.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$14.41
|
| Rate for Payer: UHC Exchange |
$14.41
|
|
|
PR EDUCATION&TRAINING PT SELF-MGMT NQHP INDIV PT
|
Professional
|
Both
|
$49.00
|
|
|
Service Code
|
HCPCS 98960
|
| Min. Negotiated Rate |
$19.60 |
| Max. Negotiated Rate |
$46.81 |
| Rate for Payer: Aetna Commercial |
$28.53
|
| Rate for Payer: BCBS Complete |
$19.60
|
| Rate for Payer: BCN Commercial |
$46.81
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$43.18
|
| Rate for Payer: Priority Health Narrow Network |
$43.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$41.04
|
| Rate for Payer: UHC Exchange |
$41.04
|
|
|
PR EEG,ALL NIGHT RECORD
|
Professional
|
Both
|
$1,385.00
|
|
|
Service Code
|
HCPCS 95827
|
| Min. Negotiated Rate |
$554.00 |
| Max. Negotiated Rate |
$1,038.75 |
| Rate for Payer: BCBS Complete |
$554.00
|
| Rate for Payer: Cash Price |
$1,108.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,038.75
|
|
|
PR EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/O VIDEO
|
Professional
|
Both
|
$441.00
|
|
|
Service Code
|
HCPCS 95721
|
| Min. Negotiated Rate |
$112.68 |
| Max. Negotiated Rate |
$335.17 |
| Rate for Payer: Aetna Commercial |
$234.39
|
| Rate for Payer: Aetna Medicare |
$174.92
|
| Rate for Payer: BCBS Complete |
$118.31
|
| Rate for Payer: BCBS MAPPO |
$174.92
|
| Rate for Payer: BCN Commercial |
$302.77
|
| Rate for Payer: BCN Medicare Advantage |
$174.92
|
| Rate for Payer: Cash Price |
$352.80
|
| Rate for Payer: Cash Price |
$352.80
|
| Rate for Payer: Cofinity Commercial |
$251.88
|
| Rate for Payer: Cofinity Commercial |
$234.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.92
|
| Rate for Payer: Healthscope Commercial |
$209.90
|
| Rate for Payer: Healthscope Whirlpool |
$209.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.67
|
| Rate for Payer: Meridian Medicaid |
$118.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$192.41
|
| Rate for Payer: Nomi Health Commercial |
$209.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$330.75
|
| Rate for Payer: PACE SWMI |
$174.92
|
| Rate for Payer: PHP Medicare Advantage |
$174.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$279.23
|
| Rate for Payer: Priority Health Medicare |
$174.92
|
| Rate for Payer: Priority Health Narrow Network |
$279.23
|
| Rate for Payer: Railroad Medicare Medicare |
$174.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$335.17
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$174.92
|
| Rate for Payer: UHC Exchange |
$335.17
|
| Rate for Payer: UHC Medicaid |
$112.68
|
| Rate for Payer: UHCCP DNSP |
$174.92
|
| Rate for Payer: UHCCP Medicaid |
$112.68
|
|
