|
DOXYCYCLINE HYCLATE 100 MG CAPSULE
|
Facility
|
OP
|
$162.93
|
|
|
Service Code
|
NDC 143314250
|
| Hospital Charge Code |
2623
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$60.28 |
| Max. Negotiated Rate |
$162.93 |
| Rate for Payer: Aetna Commercial |
$146.63
|
| Rate for Payer: Aetna Medicare |
$60.28
|
| Rate for Payer: ASR ASR |
$158.04
|
| Rate for Payer: BCBS Complete |
$65.17
|
| Rate for Payer: BCBS Trust/PPO |
$134.33
|
| Rate for Payer: BCN Commercial |
$134.33
|
| Rate for Payer: Cash Price |
$130.34
|
| Rate for Payer: Cofinity Commercial |
$153.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$130.34
|
| Rate for Payer: Healthscope Commercial |
$158.04
|
| Rate for Payer: Healthscope Whirlpool |
$162.93
|
| Rate for Payer: Mclaren Commercial |
$146.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$130.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$138.49
|
| Rate for Payer: Nomi Health Commercial |
$133.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$122.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$142.75
|
| Rate for Payer: Priority Health Narrow Network |
$114.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$143.37
|
|
|
DOXYCYCLINE HYCLATE 100 MG CAPSULE
|
Facility
|
OP
|
$274.80
|
|
|
Service Code
|
NDC 53489011902
|
| Hospital Charge Code |
2623
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$101.68 |
| Max. Negotiated Rate |
$274.80 |
| Rate for Payer: Aetna Commercial |
$247.32
|
| Rate for Payer: Aetna Medicare |
$101.68
|
| Rate for Payer: ASR ASR |
$266.56
|
| Rate for Payer: BCBS Complete |
$109.92
|
| Rate for Payer: BCBS Trust/PPO |
$226.57
|
| Rate for Payer: BCN Commercial |
$226.57
|
| Rate for Payer: Cash Price |
$219.84
|
| Rate for Payer: Cofinity Commercial |
$258.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$219.84
|
| Rate for Payer: Healthscope Commercial |
$266.56
|
| Rate for Payer: Healthscope Whirlpool |
$274.80
|
| Rate for Payer: Mclaren Commercial |
$247.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$219.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$233.58
|
| Rate for Payer: Nomi Health Commercial |
$225.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$206.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$240.78
|
| Rate for Payer: Priority Health Narrow Network |
$192.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$241.82
|
|
|
DOXYCYCLINE HYCLATE 100 MG CAPSULE
|
Facility
|
IP
|
$6.47
|
|
|
Service Code
|
NDC 50268027811
|
| Hospital Charge Code |
2623
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$4.85 |
| Max. Negotiated Rate |
$6.47 |
| Rate for Payer: Aetna Commercial |
$5.82
|
| Rate for Payer: ASR ASR |
$6.28
|
| Rate for Payer: BCBS Trust/PPO |
$5.31
|
| Rate for Payer: BCN Commercial |
$5.31
|
| Rate for Payer: Cash Price |
$5.18
|
| Rate for Payer: Cofinity Commercial |
$6.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.18
|
| Rate for Payer: Healthscope Commercial |
$6.28
|
| Rate for Payer: Healthscope Whirlpool |
$6.47
|
| Rate for Payer: Mclaren Commercial |
$5.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.50
|
| Rate for Payer: Nomi Health Commercial |
$5.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5.69
|
|
|
DOXYCYCLINE HYCLATE 100 MG CAPSULE
|
Facility
|
OP
|
$323.52
|
|
|
Service Code
|
NDC 50268027815
|
| Hospital Charge Code |
2623
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$119.70 |
| Max. Negotiated Rate |
$323.52 |
| Rate for Payer: Aetna Commercial |
$291.17
|
| Rate for Payer: Aetna Medicare |
$119.70
|
| Rate for Payer: ASR ASR |
$313.81
|
| Rate for Payer: BCBS Complete |
$129.41
|
| Rate for Payer: BCBS Trust/PPO |
$266.74
|
| Rate for Payer: BCN Commercial |
$266.74
|
| Rate for Payer: Cash Price |
$258.82
|
| Rate for Payer: Cofinity Commercial |
$304.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$258.82
|
| Rate for Payer: Healthscope Commercial |
$313.81
|
| Rate for Payer: Healthscope Whirlpool |
$323.52
|
| Rate for Payer: Mclaren Commercial |
$291.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$258.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$274.99
|
| Rate for Payer: Nomi Health Commercial |
$265.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$242.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$283.47
|
| Rate for Payer: Priority Health Narrow Network |
$226.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$284.70
|
|
|
DOXYCYCLINE HYCLATE 100 MG CAPSULE
|
Facility
|
IP
|
$6.71
|
|
|
Service Code
|
NDC 60687051311
|
| Hospital Charge Code |
2623
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$5.03 |
| Max. Negotiated Rate |
$6.71 |
| Rate for Payer: Aetna Commercial |
$6.04
|
| Rate for Payer: ASR ASR |
$6.51
|
| Rate for Payer: BCBS Trust/PPO |
$5.51
|
| Rate for Payer: BCN Commercial |
$5.51
|
| Rate for Payer: Cash Price |
$5.37
|
| Rate for Payer: Cofinity Commercial |
$6.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.37
|
| Rate for Payer: Healthscope Commercial |
$6.51
|
| Rate for Payer: Healthscope Whirlpool |
$6.71
|
| Rate for Payer: Mclaren Commercial |
$6.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.70
|
| Rate for Payer: Nomi Health Commercial |
$5.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5.91
|
|
|
DOXYCYCLINE HYCLATE 100 MG CAPSULE
|
Facility
|
IP
|
$294.00
|
|
|
Service Code
|
NDC 904042806
|
| Hospital Charge Code |
2623
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$220.50 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna Commercial |
$264.60
|
| Rate for Payer: ASR ASR |
$285.18
|
| Rate for Payer: BCBS Trust/PPO |
$241.43
|
| Rate for Payer: BCN Commercial |
$241.43
|
| Rate for Payer: Cash Price |
$235.20
|
| Rate for Payer: Cofinity Commercial |
$276.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$235.20
|
| Rate for Payer: Healthscope Commercial |
$285.18
|
| Rate for Payer: Healthscope Whirlpool |
$294.00
|
| Rate for Payer: Mclaren Commercial |
$264.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$249.90
|
| Rate for Payer: Nomi Health Commercial |
$241.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$220.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$258.72
|
|
|
DOXYCYCLINE HYCLATE 100 MG CAPSULE
|
Facility
|
IP
|
$274.80
|
|
|
Service Code
|
NDC 53489011902
|
| Hospital Charge Code |
2623
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$206.10 |
| Max. Negotiated Rate |
$274.80 |
| Rate for Payer: Aetna Commercial |
$247.32
|
| Rate for Payer: ASR ASR |
$266.56
|
| Rate for Payer: BCBS Trust/PPO |
$225.67
|
| Rate for Payer: BCN Commercial |
$225.67
|
| Rate for Payer: Cash Price |
$219.84
|
| Rate for Payer: Cofinity Commercial |
$258.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$219.84
|
| Rate for Payer: Healthscope Commercial |
$266.56
|
| Rate for Payer: Healthscope Whirlpool |
$274.80
|
| Rate for Payer: Mclaren Commercial |
$247.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$233.58
|
| Rate for Payer: Nomi Health Commercial |
$225.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$206.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$241.82
|
|
|
DOXYCYCLINE HYCLATE 100 MG CAPSULE
|
Facility
|
OP
|
$6.47
|
|
|
Service Code
|
NDC 50268027811
|
| Hospital Charge Code |
2623
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.39 |
| Max. Negotiated Rate |
$6.47 |
| Rate for Payer: Aetna Commercial |
$5.82
|
| Rate for Payer: Aetna Medicare |
$2.39
|
| Rate for Payer: ASR ASR |
$6.28
|
| Rate for Payer: BCBS Complete |
$2.59
|
| Rate for Payer: BCBS Trust/PPO |
$5.34
|
| Rate for Payer: BCN Commercial |
$5.34
|
| Rate for Payer: Cash Price |
$5.18
|
| Rate for Payer: Cofinity Commercial |
$6.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.18
|
| Rate for Payer: Healthscope Commercial |
$6.28
|
| Rate for Payer: Healthscope Whirlpool |
$6.47
|
| Rate for Payer: Mclaren Commercial |
$5.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.50
|
| Rate for Payer: Nomi Health Commercial |
$5.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5.67
|
| Rate for Payer: Priority Health Narrow Network |
$4.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5.69
|
|
|
DOXYCYCLINE HYCLATE 100 MG CAPSULE
|
Facility
|
IP
|
$335.52
|
|
|
Service Code
|
NDC 60687051365
|
| Hospital Charge Code |
2623
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$251.64 |
| Max. Negotiated Rate |
$335.52 |
| Rate for Payer: Aetna Commercial |
$301.97
|
| Rate for Payer: ASR ASR |
$325.45
|
| Rate for Payer: BCBS Trust/PPO |
$275.53
|
| Rate for Payer: BCN Commercial |
$275.53
|
| Rate for Payer: Cash Price |
$268.42
|
| Rate for Payer: Cofinity Commercial |
$315.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$268.42
|
| Rate for Payer: Healthscope Commercial |
$325.45
|
| Rate for Payer: Healthscope Whirlpool |
$335.52
|
| Rate for Payer: Mclaren Commercial |
$301.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$285.19
|
| Rate for Payer: Nomi Health Commercial |
$275.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$251.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$295.26
|
|
|
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION
|
Facility
|
OP
|
$51.78
|
|
|
Service Code
|
HCPCS J1271
|
| Hospital Charge Code |
2622
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.09 |
| Max. Negotiated Rate |
$51.78 |
| Rate for Payer: Aetna Commercial |
$46.60
|
| Rate for Payer: Aetna Commercial |
$41.34
|
| Rate for Payer: Aetna Commercial |
$27.56
|
| Rate for Payer: Aetna Commercial |
$46.88
|
| Rate for Payer: Aetna Commercial |
$58.24
|
| Rate for Payer: Aetna Commercial |
$62.10
|
| Rate for Payer: Aetna Commercial |
$21.60
|
| Rate for Payer: Aetna Medicare |
$17.00
|
| Rate for Payer: Aetna Medicare |
$8.88
|
| Rate for Payer: Aetna Medicare |
$23.94
|
| Rate for Payer: Aetna Medicare |
$19.27
|
| Rate for Payer: Aetna Medicare |
$25.53
|
| Rate for Payer: Aetna Medicare |
$19.16
|
| Rate for Payer: Aetna Medicare |
$11.33
|
| Rate for Payer: ASR ASR |
$50.22
|
| Rate for Payer: ASR ASR |
$29.71
|
| Rate for Payer: ASR ASR |
$23.28
|
| Rate for Payer: ASR ASR |
$44.56
|
| Rate for Payer: ASR ASR |
$62.77
|
| Rate for Payer: ASR ASR |
$66.93
|
| Rate for Payer: ASR ASR |
$50.53
|
| Rate for Payer: BCBS Complete |
$9.60
|
| Rate for Payer: BCBS Complete |
$25.88
|
| Rate for Payer: BCBS Complete |
$27.60
|
| Rate for Payer: BCBS Complete |
$20.84
|
| Rate for Payer: BCBS Complete |
$12.25
|
| Rate for Payer: BCBS Complete |
$18.38
|
| Rate for Payer: BCBS Complete |
$20.71
|
| Rate for Payer: BCBS Trust/PPO |
$42.95
|
| Rate for Payer: BCBS Trust/PPO |
$42.69
|
| Rate for Payer: BCBS Trust/PPO |
$37.88
|
| Rate for Payer: BCBS Trust/PPO |
$19.79
|
| Rate for Payer: BCBS Trust/PPO |
$25.25
|
| Rate for Payer: BCBS Trust/PPO |
$56.89
|
| Rate for Payer: BCBS Trust/PPO |
$53.36
|
| Rate for Payer: BCN Commercial |
$53.36
|
| Rate for Payer: BCN Commercial |
$42.95
|
| Rate for Payer: BCN Commercial |
$25.25
|
| Rate for Payer: BCN Commercial |
$19.79
|
| Rate for Payer: BCN Commercial |
$42.69
|
| Rate for Payer: BCN Commercial |
$37.88
|
| Rate for Payer: BCN Commercial |
$56.89
|
| Rate for Payer: Cash Price |
$24.50
|
| Rate for Payer: Cash Price |
$24.50
|
| Rate for Payer: Cash Price |
$55.20
|
| Rate for Payer: Cash Price |
$41.67
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$36.75
|
| Rate for Payer: Cash Price |
$41.67
|
| Rate for Payer: Cash Price |
$51.77
|
| Rate for Payer: Cash Price |
$41.42
|
| Rate for Payer: Cash Price |
$55.20
|
| Rate for Payer: Cash Price |
$51.77
|
| Rate for Payer: Cash Price |
$41.42
|
| Rate for Payer: Cash Price |
$36.75
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cofinity Commercial |
$48.67
|
| Rate for Payer: Cofinity Commercial |
$28.79
|
| Rate for Payer: Cofinity Commercial |
$43.18
|
| Rate for Payer: Cofinity Commercial |
$22.56
|
| Rate for Payer: Cofinity Commercial |
$48.97
|
| Rate for Payer: Cofinity Commercial |
$60.83
|
| Rate for Payer: Cofinity Commercial |
$64.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.77
|
| Rate for Payer: Healthscope Commercial |
$62.77
|
| Rate for Payer: Healthscope Commercial |
$44.56
|
| Rate for Payer: Healthscope Commercial |
$29.71
|
| Rate for Payer: Healthscope Commercial |
$23.28
|
| Rate for Payer: Healthscope Commercial |
$66.93
|
| Rate for Payer: Healthscope Commercial |
$50.53
|
| Rate for Payer: Healthscope Commercial |
$50.22
|
| Rate for Payer: Healthscope Whirlpool |
$64.71
|
| Rate for Payer: Healthscope Whirlpool |
$51.78
|
| Rate for Payer: Healthscope Whirlpool |
$30.62
|
| Rate for Payer: Healthscope Whirlpool |
$69.00
|
| Rate for Payer: Healthscope Whirlpool |
$24.00
|
| Rate for Payer: Healthscope Whirlpool |
$52.09
|
| Rate for Payer: Healthscope Whirlpool |
$45.94
|
| Rate for Payer: Mclaren Commercial |
$21.60
|
| Rate for Payer: Mclaren Commercial |
$41.34
|
| Rate for Payer: Mclaren Commercial |
$27.56
|
| Rate for Payer: Mclaren Commercial |
$46.88
|
| Rate for Payer: Mclaren Commercial |
$46.60
|
| Rate for Payer: Mclaren Commercial |
$58.24
|
| Rate for Payer: Mclaren Commercial |
$62.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$55.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.01
|
| Rate for Payer: Nomi Health Commercial |
$25.11
|
| Rate for Payer: Nomi Health Commercial |
$37.67
|
| Rate for Payer: Nomi Health Commercial |
$56.58
|
| Rate for Payer: Nomi Health Commercial |
$42.46
|
| Rate for Payer: Nomi Health Commercial |
$19.68
|
| Rate for Payer: Nomi Health Commercial |
$53.06
|
| Rate for Payer: Nomi Health Commercial |
$42.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$38.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.11
|
| 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: 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: UHC All Payor (Choice/PPO) + Core |
$26.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$56.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$45.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$60.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$40.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$45.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.12
|
|
|
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION
|
Facility
|
IP
|
$30.63
|
|
|
Service Code
|
HCPCS J1271
|
| Hospital Charge Code |
2622
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$22.97 |
| Max. Negotiated Rate |
$30.62 |
| Rate for Payer: Aetna Commercial |
$27.56
|
| Rate for Payer: Aetna Commercial |
$21.60
|
| Rate for Payer: Aetna Commercial |
$41.34
|
| Rate for Payer: Aetna Commercial |
$46.88
|
| Rate for Payer: Aetna Commercial |
$62.10
|
| Rate for Payer: Aetna Commercial |
$46.60
|
| Rate for Payer: Aetna Commercial |
$58.24
|
| Rate for Payer: ASR ASR |
$50.53
|
| Rate for Payer: ASR ASR |
$44.56
|
| Rate for Payer: ASR ASR |
$66.93
|
| Rate for Payer: ASR ASR |
$23.28
|
| Rate for Payer: ASR ASR |
$29.71
|
| Rate for Payer: ASR ASR |
$50.22
|
| Rate for Payer: ASR ASR |
$62.77
|
| Rate for Payer: BCBS Trust/PPO |
$56.66
|
| Rate for Payer: BCBS Trust/PPO |
$53.14
|
| Rate for Payer: BCBS Trust/PPO |
$42.78
|
| Rate for Payer: BCBS Trust/PPO |
$25.15
|
| Rate for Payer: BCBS Trust/PPO |
$19.71
|
| Rate for Payer: BCBS Trust/PPO |
$42.52
|
| Rate for Payer: BCBS Trust/PPO |
$37.72
|
| Rate for Payer: BCN Commercial |
$53.14
|
| Rate for Payer: BCN Commercial |
$37.72
|
| Rate for Payer: BCN Commercial |
$25.15
|
| Rate for Payer: BCN Commercial |
$42.52
|
| Rate for Payer: BCN Commercial |
$42.78
|
| Rate for Payer: BCN Commercial |
$19.71
|
| Rate for Payer: BCN Commercial |
$56.66
|
| Rate for Payer: Cash Price |
$24.50
|
| Rate for Payer: Cash Price |
$41.67
|
| Rate for Payer: Cash Price |
$36.75
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$55.20
|
| Rate for Payer: Cash Price |
$51.77
|
| Rate for Payer: Cash Price |
$41.42
|
| Rate for Payer: Cofinity Commercial |
$60.83
|
| Rate for Payer: Cofinity Commercial |
$28.79
|
| Rate for Payer: Cofinity Commercial |
$48.67
|
| Rate for Payer: Cofinity Commercial |
$48.97
|
| Rate for Payer: Cofinity Commercial |
$43.18
|
| Rate for Payer: Cofinity Commercial |
$22.56
|
| Rate for Payer: Cofinity Commercial |
$64.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.20
|
| Rate for Payer: Healthscope Commercial |
$29.71
|
| Rate for Payer: Healthscope Commercial |
$44.56
|
| Rate for Payer: Healthscope Commercial |
$50.22
|
| Rate for Payer: Healthscope Commercial |
$23.28
|
| Rate for Payer: Healthscope Commercial |
$50.53
|
| Rate for Payer: Healthscope Commercial |
$62.77
|
| Rate for Payer: Healthscope Commercial |
$66.93
|
| Rate for Payer: Healthscope Whirlpool |
$52.09
|
| Rate for Payer: Healthscope Whirlpool |
$24.00
|
| Rate for Payer: Healthscope Whirlpool |
$30.62
|
| Rate for Payer: Healthscope Whirlpool |
$64.71
|
| Rate for Payer: Healthscope Whirlpool |
$45.94
|
| Rate for Payer: Healthscope Whirlpool |
$69.00
|
| Rate for Payer: Healthscope Whirlpool |
$51.78
|
| Rate for Payer: Mclaren Commercial |
$21.60
|
| Rate for Payer: Mclaren Commercial |
$46.60
|
| Rate for Payer: Mclaren Commercial |
$27.56
|
| Rate for Payer: Mclaren Commercial |
$46.88
|
| Rate for Payer: Mclaren Commercial |
$58.24
|
| Rate for Payer: Mclaren Commercial |
$41.34
|
| Rate for Payer: Mclaren Commercial |
$62.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.05
|
| Rate for Payer: Nomi Health Commercial |
$19.68
|
| Rate for Payer: Nomi Health Commercial |
$42.72
|
| Rate for Payer: Nomi Health Commercial |
$37.67
|
| Rate for Payer: Nomi Health Commercial |
$53.06
|
| Rate for Payer: Nomi Health Commercial |
$56.58
|
| Rate for Payer: Nomi Health Commercial |
$25.11
|
| Rate for Payer: Nomi Health Commercial |
$42.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$38.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$56.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$60.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$40.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$45.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$26.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$45.84
|
|
|
DOXYCYCLINE HYCLATE 100 MG IV MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
OP
|
$64.71
|
|
|
Service Code
|
HCPCS J1271
|
| Hospital Charge Code |
301731
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.09 |
| Max. Negotiated Rate |
$64.71 |
| Rate for Payer: Aetna Commercial |
$58.24
|
| Rate for Payer: Aetna Commercial |
$21.60
|
| Rate for Payer: Aetna Medicare |
$8.88
|
| Rate for Payer: Aetna Medicare |
$23.94
|
| Rate for Payer: ASR ASR |
$62.77
|
| Rate for Payer: ASR ASR |
$23.28
|
| Rate for Payer: BCBS Complete |
$9.60
|
| Rate for Payer: BCBS Complete |
$25.88
|
| Rate for Payer: BCBS Trust/PPO |
$53.36
|
| Rate for Payer: BCBS Trust/PPO |
$19.79
|
| Rate for Payer: BCN Commercial |
$19.79
|
| Rate for Payer: BCN Commercial |
$53.36
|
| Rate for Payer: Cash Price |
$51.77
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$51.77
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cofinity Commercial |
$22.56
|
| Rate for Payer: Cofinity Commercial |
$60.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.20
|
| Rate for Payer: Healthscope Commercial |
$62.77
|
| Rate for Payer: Healthscope Commercial |
$23.28
|
| Rate for Payer: Healthscope Whirlpool |
$64.71
|
| Rate for Payer: Healthscope Whirlpool |
$24.00
|
| Rate for Payer: Mclaren Commercial |
$58.24
|
| Rate for Payer: Mclaren Commercial |
$21.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.01
|
| Rate for Payer: Nomi Health Commercial |
$19.68
|
| Rate for Payer: Nomi Health Commercial |
$53.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.11
|
| Rate for Payer: Priority Health Narrow Network |
$0.09
|
| Rate for Payer: Priority Health Narrow Network |
$0.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$56.95
|
|
|
DOXYCYCLINE HYCLATE 100 MG IV MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
IP
|
$24.00
|
|
|
Service Code
|
HCPCS J1271
|
| Hospital Charge Code |
301731
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$18.00 |
| Max. Negotiated Rate |
$24.00 |
| Rate for Payer: Aetna Commercial |
$21.60
|
| Rate for Payer: Aetna Commercial |
$58.24
|
| Rate for Payer: ASR ASR |
$62.77
|
| Rate for Payer: ASR ASR |
$23.28
|
| Rate for Payer: BCBS Trust/PPO |
$53.14
|
| Rate for Payer: BCBS Trust/PPO |
$19.71
|
| Rate for Payer: BCN Commercial |
$53.14
|
| Rate for Payer: BCN Commercial |
$19.71
|
| Rate for Payer: Cash Price |
$51.77
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cofinity Commercial |
$22.56
|
| Rate for Payer: Cofinity Commercial |
$60.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.20
|
| Rate for Payer: Healthscope Commercial |
$23.28
|
| Rate for Payer: Healthscope Commercial |
$62.77
|
| Rate for Payer: Healthscope Whirlpool |
$64.71
|
| Rate for Payer: Healthscope Whirlpool |
$24.00
|
| Rate for Payer: Mclaren Commercial |
$58.24
|
| Rate for Payer: Mclaren Commercial |
$21.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.40
|
| Rate for Payer: Nomi Health Commercial |
$53.06
|
| Rate for Payer: Nomi Health Commercial |
$19.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$56.95
|
|
|
DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$3,039.19
|
|
|
Service Code
|
APR-DRG 7703
|
| Min. Negotiated Rate |
$2,747.79 |
| Max. Negotiated Rate |
$3,039.19 |
| Rate for Payer: BCBS Complete |
$3,039.19
|
| Rate for Payer: Mclaren Medicaid |
$2,894.46
|
| Rate for Payer: Meridian Medicaid |
$3,039.19
|
| Rate for Payer: PHP Medicaid |
$2,747.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,894.46
|
| Rate for Payer: UHC Medicaid |
$2,894.46
|
| Rate for Payer: UHCCP Medicaid |
$2,894.46
|
|
|
DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$2,241.92
|
|
|
Service Code
|
APR-DRG 7702
|
| Min. Negotiated Rate |
$2,026.97 |
| Max. Negotiated Rate |
$2,241.92 |
| Rate for Payer: BCBS Complete |
$2,241.92
|
| Rate for Payer: Mclaren Medicaid |
$2,135.17
|
| Rate for Payer: Meridian Medicaid |
$2,241.92
|
| Rate for Payer: PHP Medicaid |
$2,026.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,135.17
|
| Rate for Payer: UHC Medicaid |
$2,135.17
|
| Rate for Payer: UHCCP Medicaid |
$2,135.17
|
|
|
DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$1,752.01
|
|
|
Service Code
|
APR-DRG 7701
|
| Min. Negotiated Rate |
$1,584.03 |
| Max. Negotiated Rate |
$1,752.01 |
| Rate for Payer: BCBS Complete |
$1,752.01
|
| Rate for Payer: Mclaren Medicaid |
$1,668.59
|
| Rate for Payer: Meridian Medicaid |
$1,752.01
|
| Rate for Payer: PHP Medicaid |
$1,584.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,668.59
|
| Rate for Payer: UHC Medicaid |
$1,668.59
|
| Rate for Payer: UHCCP Medicaid |
$1,668.59
|
|
|
DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$10,260.32
|
|
|
Service Code
|
APR-DRG 7704
|
| Min. Negotiated Rate |
$9,276.56 |
| Max. Negotiated Rate |
$10,260.32 |
| Rate for Payer: BCBS Complete |
$10,260.32
|
| Rate for Payer: Mclaren Medicaid |
$9,771.73
|
| Rate for Payer: Meridian Medicaid |
$10,260.32
|
| Rate for Payer: PHP Medicaid |
$9,276.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,771.73
|
| Rate for Payer: UHC Medicaid |
$9,771.73
|
| Rate for Payer: UHCCP Medicaid |
$9,771.73
|
|
|
DRUG TEST PRESUMPTIVE READ BY INSTR ASSISTED DIRECT OPTICAL OBS
|
Professional
|
Both
|
$16.00
|
|
|
Service Code
|
HCPCS G0478
|
| Min. Negotiated Rate |
$6.40 |
| Max. Negotiated Rate |
$12.00 |
| Rate for Payer: BCBS Complete |
$6.40
|
| Rate for Payer: Cash Price |
$12.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.00
|
|
|
DRUG TEST PRESUMPTIVE USING IMMUNOASSAY
|
Professional
|
Both
|
$84.00
|
|
|
Service Code
|
HCPCS G0479
|
| Min. Negotiated Rate |
$33.60 |
| Max. Negotiated Rate |
$63.00 |
| Rate for Payer: BCBS Complete |
$33.60
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$63.00
|
|
|
DRUG TEST(S), PRESUMPTIVE READ BY DIRECT OPTICAL OBSERVATION
|
Professional
|
Both
|
$12.00
|
|
|
Service Code
|
HCPCS G0477
|
| Min. Negotiated Rate |
$4.80 |
| Max. Negotiated Rate |
$9.00 |
| Rate for Payer: BCBS Complete |
$4.80
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.00
|
|
|
DULOXETINE 20 MG CAPSULE,DELAYED RELEASE
|
Facility
|
OP
|
$127.01
|
|
|
Service Code
|
NDC 60687072321
|
| Hospital Charge Code |
39275
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$46.99 |
| Max. Negotiated Rate |
$127.01 |
| Rate for Payer: Aetna Commercial |
$114.31
|
| Rate for Payer: Aetna Medicare |
$46.99
|
| Rate for Payer: ASR ASR |
$123.20
|
| Rate for Payer: BCBS Complete |
$50.80
|
| Rate for Payer: BCBS Trust/PPO |
$104.72
|
| Rate for Payer: BCN Commercial |
$104.72
|
| Rate for Payer: Cash Price |
$101.61
|
| Rate for Payer: Cofinity Commercial |
$119.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$101.61
|
| Rate for Payer: Healthscope Commercial |
$123.20
|
| Rate for Payer: Healthscope Whirlpool |
$127.01
|
| Rate for Payer: Mclaren Commercial |
$114.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$101.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$107.96
|
| Rate for Payer: Nomi Health Commercial |
$104.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$95.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$111.28
|
| Rate for Payer: Priority Health Narrow Network |
$89.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$111.77
|
|
|
DULOXETINE 20 MG CAPSULE,DELAYED RELEASE
|
Facility
|
IP
|
$127.01
|
|
|
Service Code
|
NDC 60687072321
|
| Hospital Charge Code |
39275
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$95.26 |
| Max. Negotiated Rate |
$127.01 |
| Rate for Payer: Aetna Commercial |
$114.31
|
| Rate for Payer: ASR ASR |
$123.20
|
| Rate for Payer: BCBS Trust/PPO |
$104.30
|
| Rate for Payer: BCN Commercial |
$104.30
|
| Rate for Payer: Cash Price |
$101.61
|
| Rate for Payer: Cofinity Commercial |
$119.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$101.61
|
| Rate for Payer: Healthscope Commercial |
$123.20
|
| Rate for Payer: Healthscope Whirlpool |
$127.01
|
| Rate for Payer: Mclaren Commercial |
$114.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$107.96
|
| Rate for Payer: Nomi Health Commercial |
$104.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$95.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$111.77
|
|
|
DULOXETINE 20 MG CAPSULE,DELAYED RELEASE
|
Facility
|
OP
|
$101.52
|
|
|
Service Code
|
NDC 57237001760
|
| Hospital Charge Code |
39275
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$37.56 |
| Max. Negotiated Rate |
$101.52 |
| Rate for Payer: Aetna Commercial |
$91.37
|
| Rate for Payer: Aetna Medicare |
$37.56
|
| Rate for Payer: ASR ASR |
$98.47
|
| Rate for Payer: BCBS Complete |
$40.61
|
| Rate for Payer: BCBS Trust/PPO |
$83.70
|
| Rate for Payer: BCN Commercial |
$83.70
|
| Rate for Payer: Cash Price |
$81.22
|
| Rate for Payer: Cofinity Commercial |
$95.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$81.22
|
| Rate for Payer: Healthscope Commercial |
$98.47
|
| Rate for Payer: Healthscope Whirlpool |
$101.52
|
| Rate for Payer: Mclaren Commercial |
$91.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$81.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$86.29
|
| Rate for Payer: Nomi Health Commercial |
$83.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$76.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$88.95
|
| Rate for Payer: Priority Health Narrow Network |
$71.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$89.34
|
|
|
DULOXETINE 20 MG CAPSULE,DELAYED RELEASE
|
Facility
|
IP
|
$101.52
|
|
|
Service Code
|
NDC 57237001760
|
| Hospital Charge Code |
39275
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$76.14 |
| Max. Negotiated Rate |
$101.52 |
| Rate for Payer: Aetna Commercial |
$91.37
|
| Rate for Payer: ASR ASR |
$98.47
|
| Rate for Payer: BCBS Trust/PPO |
$83.37
|
| Rate for Payer: BCN Commercial |
$83.37
|
| Rate for Payer: Cash Price |
$81.22
|
| Rate for Payer: Cofinity Commercial |
$95.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$81.22
|
| Rate for Payer: Healthscope Commercial |
$98.47
|
| Rate for Payer: Healthscope Whirlpool |
$101.52
|
| Rate for Payer: Mclaren Commercial |
$91.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$86.29
|
| Rate for Payer: Nomi Health Commercial |
$83.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$76.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$89.34
|
|
|
DULOXETINE 20 MG CAPSULE,DELAYED RELEASE
|
Facility
|
OP
|
$4.23
|
|
|
Service Code
|
NDC 60687072311
|
| Hospital Charge Code |
39275
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.57 |
| Max. Negotiated Rate |
$4.23 |
| Rate for Payer: Aetna Commercial |
$3.81
|
| Rate for Payer: Aetna Medicare |
$1.57
|
| Rate for Payer: ASR ASR |
$4.11
|
| Rate for Payer: BCBS Complete |
$1.69
|
| Rate for Payer: BCBS Trust/PPO |
$3.49
|
| Rate for Payer: BCN Commercial |
$3.49
|
| Rate for Payer: Cash Price |
$3.39
|
| Rate for Payer: Cofinity Commercial |
$3.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.39
|
| Rate for Payer: Healthscope Commercial |
$4.11
|
| Rate for Payer: Healthscope Whirlpool |
$4.23
|
| Rate for Payer: Mclaren Commercial |
$3.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.60
|
| Rate for Payer: Nomi Health Commercial |
$3.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3.71
|
| Rate for Payer: Priority Health Narrow Network |
$2.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.73
|
|
