|
EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET
|
Facility
|
IP
|
$89.28
|
|
|
Service Code
|
NDC 42385095330
|
| Hospital Charge Code |
39255
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$66.96 |
| Max. Negotiated Rate |
$89.28 |
| Rate for Payer: Aetna Commercial |
$80.35
|
| Rate for Payer: ASR ASR |
$86.60
|
| Rate for Payer: BCBS Trust/PPO |
$73.32
|
| Rate for Payer: BCN Commercial |
$73.32
|
| Rate for Payer: Cash Price |
$71.42
|
| Rate for Payer: Cofinity Commercial |
$83.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$71.42
|
| Rate for Payer: Healthscope Commercial |
$86.60
|
| Rate for Payer: Healthscope Whirlpool |
$89.28
|
| Rate for Payer: Mclaren Commercial |
$80.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75.89
|
| Rate for Payer: Nomi Health Commercial |
$73.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$78.57
|
|
|
EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET
|
Facility
|
OP
|
$6,646.01
|
|
|
Service Code
|
NDC 61958070101
|
| Hospital Charge Code |
39255
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2,459.03 |
| Max. Negotiated Rate |
$6,646.01 |
| Rate for Payer: Aetna Commercial |
$5,981.41
|
| Rate for Payer: Aetna Medicare |
$2,459.03
|
| Rate for Payer: ASR ASR |
$6,446.63
|
| Rate for Payer: BCBS Complete |
$2,658.41
|
| Rate for Payer: BCBS Trust/PPO |
$5,479.64
|
| Rate for Payer: BCN Commercial |
$5,479.64
|
| Rate for Payer: Cash Price |
$5,316.81
|
| Rate for Payer: Cofinity Commercial |
$6,247.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,316.81
|
| Rate for Payer: Healthscope Commercial |
$6,446.63
|
| Rate for Payer: Healthscope Whirlpool |
$6,646.01
|
| Rate for Payer: Mclaren Commercial |
$5,981.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,316.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,649.11
|
| Rate for Payer: Nomi Health Commercial |
$5,449.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,984.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,823.24
|
| Rate for Payer: Priority Health Narrow Network |
$4,658.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,848.49
|
|
|
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$18.24
|
|
|
Service Code
|
NDC 43598007811
|
| Hospital Charge Code |
9929
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$6.75 |
| Max. Negotiated Rate |
$18.24 |
| Rate for Payer: Aetna Commercial |
$16.41
|
| Rate for Payer: Aetna Medicare |
$6.75
|
| Rate for Payer: ASR ASR |
$17.69
|
| Rate for Payer: BCBS Complete |
$7.29
|
| Rate for Payer: BCBS Trust/PPO |
$15.04
|
| Rate for Payer: BCN Commercial |
$15.04
|
| Rate for Payer: Cash Price |
$14.59
|
| Rate for Payer: Cofinity Commercial |
$17.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.59
|
| Rate for Payer: Healthscope Commercial |
$17.69
|
| Rate for Payer: Healthscope Whirlpool |
$18.24
|
| Rate for Payer: Mclaren Commercial |
$16.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.50
|
| Rate for Payer: Nomi Health Commercial |
$14.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$15.98
|
| Rate for Payer: Priority Health Narrow Network |
$12.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.05
|
|
|
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$18.24
|
|
|
Service Code
|
NDC 43598007858
|
| Hospital Charge Code |
9929
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$13.68 |
| Max. Negotiated Rate |
$18.24 |
| Rate for Payer: Aetna Commercial |
$16.41
|
| Rate for Payer: ASR ASR |
$17.69
|
| Rate for Payer: BCBS Trust/PPO |
$14.98
|
| Rate for Payer: BCN Commercial |
$14.98
|
| Rate for Payer: Cash Price |
$14.59
|
| Rate for Payer: Cofinity Commercial |
$17.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.59
|
| Rate for Payer: Healthscope Commercial |
$17.69
|
| Rate for Payer: Healthscope Whirlpool |
$18.24
|
| Rate for Payer: Mclaren Commercial |
$16.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.50
|
| Rate for Payer: Nomi Health Commercial |
$14.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.05
|
|
|
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$18.24
|
|
|
Service Code
|
NDC 43598007858
|
| Hospital Charge Code |
9929
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$6.75 |
| Max. Negotiated Rate |
$18.24 |
| Rate for Payer: Aetna Commercial |
$16.41
|
| Rate for Payer: Aetna Medicare |
$6.75
|
| Rate for Payer: ASR ASR |
$17.69
|
| Rate for Payer: BCBS Complete |
$7.29
|
| Rate for Payer: BCBS Trust/PPO |
$15.04
|
| Rate for Payer: BCN Commercial |
$15.04
|
| Rate for Payer: Cash Price |
$14.59
|
| Rate for Payer: Cofinity Commercial |
$17.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.59
|
| Rate for Payer: Healthscope Commercial |
$17.69
|
| Rate for Payer: Healthscope Whirlpool |
$18.24
|
| Rate for Payer: Mclaren Commercial |
$16.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.50
|
| Rate for Payer: Nomi Health Commercial |
$14.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$15.98
|
| Rate for Payer: Priority Health Narrow Network |
$12.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.05
|
|
|
ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$18.24
|
|
|
Service Code
|
NDC 43598007811
|
| Hospital Charge Code |
9929
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$13.68 |
| Max. Negotiated Rate |
$18.24 |
| Rate for Payer: Aetna Commercial |
$16.41
|
| Rate for Payer: ASR ASR |
$17.69
|
| Rate for Payer: BCBS Trust/PPO |
$14.98
|
| Rate for Payer: BCN Commercial |
$14.98
|
| Rate for Payer: Cash Price |
$14.59
|
| Rate for Payer: Cofinity Commercial |
$17.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.59
|
| Rate for Payer: Healthscope Commercial |
$17.69
|
| Rate for Payer: Healthscope Whirlpool |
$18.24
|
| Rate for Payer: Mclaren Commercial |
$16.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.50
|
| Rate for Payer: Nomi Health Commercial |
$14.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.05
|
|
|
ENALAPRIL MALEATE 10 MG TABLET
|
Facility
|
IP
|
$442.70
|
|
|
Service Code
|
NDC 904561061
|
| Hospital Charge Code |
9924
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$332.02 |
| Max. Negotiated Rate |
$442.70 |
| Rate for Payer: Aetna Commercial |
$398.43
|
| Rate for Payer: ASR ASR |
$429.42
|
| Rate for Payer: BCBS Trust/PPO |
$363.55
|
| Rate for Payer: BCN Commercial |
$363.55
|
| Rate for Payer: Cash Price |
$354.16
|
| Rate for Payer: Cofinity Commercial |
$416.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$354.16
|
| Rate for Payer: Healthscope Commercial |
$429.42
|
| Rate for Payer: Healthscope Whirlpool |
$442.70
|
| Rate for Payer: Mclaren Commercial |
$398.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$376.30
|
| Rate for Payer: Nomi Health Commercial |
$363.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$332.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$389.58
|
|
|
ENALAPRIL MALEATE 10 MG TABLET
|
Facility
|
OP
|
$442.70
|
|
|
Service Code
|
NDC 904561061
|
| Hospital Charge Code |
9924
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$163.80 |
| Max. Negotiated Rate |
$442.70 |
| Rate for Payer: Aetna Commercial |
$398.43
|
| Rate for Payer: Aetna Medicare |
$163.80
|
| Rate for Payer: ASR ASR |
$429.42
|
| Rate for Payer: BCBS Complete |
$177.08
|
| Rate for Payer: BCBS Trust/PPO |
$365.01
|
| Rate for Payer: BCN Commercial |
$365.01
|
| Rate for Payer: Cash Price |
$354.16
|
| Rate for Payer: Cofinity Commercial |
$416.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$354.16
|
| Rate for Payer: Healthscope Commercial |
$429.42
|
| Rate for Payer: Healthscope Whirlpool |
$442.70
|
| Rate for Payer: Mclaren Commercial |
$398.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$354.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$376.30
|
| Rate for Payer: Nomi Health Commercial |
$363.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$332.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$387.89
|
| Rate for Payer: Priority Health Narrow Network |
$310.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$389.58
|
|
|
ENDOCRINE DISORDERS WITH CC
|
Facility
|
IP
|
$14,160.38
|
|
|
Service Code
|
MSDRG 644
|
| Min. Negotiated Rate |
$8,678.94 |
| Max. Negotiated Rate |
$14,160.38 |
| Rate for Payer: Aetna Medicare |
$9,135.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,419.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,419.66
|
| Rate for Payer: BCBS MAPPO |
$9,135.73
|
| Rate for Payer: BCN Medicare Advantage |
$9,135.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,135.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,135.73
|
| Rate for Payer: Mclaren Medicare |
$9,135.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,592.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,506.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$10,049.30
|
| Rate for Payer: PACE Medicare |
$8,678.94
|
| Rate for Payer: PACE SWMI |
$9,135.73
|
| Rate for Payer: PHP Commercial |
$10,049.30
|
| Rate for Payer: PHP Medicare Advantage |
$9,135.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$14,082.27
|
| Rate for Payer: Priority Health Medicare |
$9,135.73
|
| Rate for Payer: Priority Health Narrow Network |
$11,265.82
|
| Rate for Payer: Railroad Medicare Medicare |
$9,135.73
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9,135.73
|
| Rate for Payer: UHC Exchange |
$14,160.38
|
| Rate for Payer: UHCCP DNSP |
$9,135.73
|
| Rate for Payer: VA VA |
$9,135.73
|
|
|
ENDOCRINE DISORDERS WITH MCC
|
Facility
|
IP
|
$22,615.44
|
|
|
Service Code
|
MSDRG 643
|
| Min. Negotiated Rate |
$12,928.01 |
| Max. Negotiated Rate |
$22,615.44 |
| Rate for Payer: Aetna Medicare |
$13,608.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,010.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,010.54
|
| Rate for Payer: BCBS MAPPO |
$13,608.43
|
| Rate for Payer: BCN Medicare Advantage |
$13,608.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,608.43
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,608.43
|
| Rate for Payer: Mclaren Medicare |
$13,608.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,288.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,649.69
|
| Rate for Payer: Molina Medicare/Medicaid |
$14,969.27
|
| Rate for Payer: PACE Medicare |
$12,928.01
|
| Rate for Payer: PACE SWMI |
$13,608.43
|
| Rate for Payer: PHP Commercial |
$14,969.27
|
| Rate for Payer: PHP Medicare Advantage |
$13,608.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$22,615.44
|
| Rate for Payer: Priority Health Medicare |
$13,608.43
|
| Rate for Payer: Priority Health Narrow Network |
$18,092.35
|
| Rate for Payer: Railroad Medicare Medicare |
$13,608.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13,608.43
|
| Rate for Payer: UHC Exchange |
$21,093.07
|
| Rate for Payer: UHCCP DNSP |
$13,608.43
|
| Rate for Payer: VA VA |
$13,608.43
|
|
|
ENDOCRINE DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$11,295.11
|
|
|
Service Code
|
MSDRG 645
|
| Min. Negotiated Rate |
$6,922.81 |
| Max. Negotiated Rate |
$11,295.11 |
| Rate for Payer: Aetna Medicare |
$7,287.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,108.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,108.96
|
| Rate for Payer: BCBS MAPPO |
$7,287.17
|
| Rate for Payer: BCN Medicare Advantage |
$7,287.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,287.17
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,287.17
|
| Rate for Payer: Mclaren Medicare |
$7,287.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,651.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,380.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$8,015.89
|
| Rate for Payer: PACE Medicare |
$6,922.81
|
| Rate for Payer: PACE SWMI |
$7,287.17
|
| Rate for Payer: PHP Commercial |
$8,015.89
|
| Rate for Payer: PHP Medicare Advantage |
$7,287.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$10,555.52
|
| Rate for Payer: Priority Health Medicare |
$7,287.17
|
| Rate for Payer: Priority Health Narrow Network |
$8,444.42
|
| Rate for Payer: Railroad Medicare Medicare |
$7,287.17
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$7,287.17
|
| Rate for Payer: UHC Exchange |
$11,295.11
|
| Rate for Payer: UHCCP DNSP |
$7,287.17
|
| Rate for Payer: VA VA |
$7,287.17
|
|
|
ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES
|
Facility
|
IP
|
$78,405.96
|
|
|
Service Code
|
MSDRG 213
|
| Min. Negotiated Rate |
$40,708.68 |
| Max. Negotiated Rate |
$78,405.96 |
| Rate for Payer: Aetna Medicare |
$42,851.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$53,564.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$53,564.05
|
| Rate for Payer: BCBS MAPPO |
$42,851.24
|
| Rate for Payer: BCN Medicare Advantage |
$42,851.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42,851.24
|
| Rate for Payer: Humana Choice PPO Medicare |
$42,851.24
|
| Rate for Payer: Mclaren Medicare |
$42,851.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44,993.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49,278.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$47,136.36
|
| Rate for Payer: PACE Medicare |
$40,708.68
|
| Rate for Payer: PACE SWMI |
$42,851.24
|
| Rate for Payer: PHP Commercial |
$47,136.36
|
| Rate for Payer: PHP Medicare Advantage |
$42,851.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$78,405.96
|
| Rate for Payer: Priority Health Medicare |
$42,851.24
|
| Rate for Payer: Priority Health Narrow Network |
$62,724.77
|
| Rate for Payer: Railroad Medicare Medicare |
$42,851.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$42,851.24
|
| Rate for Payer: UHC Exchange |
$66,419.42
|
| Rate for Payer: UHCCP DNSP |
$42,851.24
|
| Rate for Payer: VA VA |
$42,851.24
|
|
|
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC
|
Facility
|
IP
|
$84,196.86
|
|
|
Service Code
|
MSDRG 266
|
| Min. Negotiated Rate |
$43,592.24 |
| Max. Negotiated Rate |
$84,196.86 |
| Rate for Payer: Aetna Medicare |
$45,886.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$57,358.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$57,358.21
|
| Rate for Payer: BCBS MAPPO |
$45,886.57
|
| Rate for Payer: BCN Medicare Advantage |
$45,886.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45,886.57
|
| Rate for Payer: Humana Choice PPO Medicare |
$45,886.57
|
| Rate for Payer: Mclaren Medicare |
$45,886.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48,180.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$52,769.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$50,475.23
|
| Rate for Payer: PACE Medicare |
$43,592.24
|
| Rate for Payer: PACE SWMI |
$45,886.57
|
| Rate for Payer: PHP Commercial |
$50,475.23
|
| Rate for Payer: PHP Medicare Advantage |
$45,886.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$84,196.86
|
| Rate for Payer: Priority Health Medicare |
$45,886.57
|
| Rate for Payer: Priority Health Narrow Network |
$67,357.49
|
| Rate for Payer: Railroad Medicare Medicare |
$45,886.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$45,886.57
|
| Rate for Payer: UHC Exchange |
$71,124.18
|
| Rate for Payer: UHCCP DNSP |
$45,886.57
|
| Rate for Payer: VA VA |
$45,886.57
|
|
|
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$65,407.68
|
|
|
Service Code
|
MSDRG 267
|
| Min. Negotiated Rate |
$34,236.23 |
| Max. Negotiated Rate |
$65,407.68 |
| Rate for Payer: Aetna Medicare |
$36,038.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45,047.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45,047.68
|
| Rate for Payer: BCBS MAPPO |
$36,038.14
|
| Rate for Payer: BCN Medicare Advantage |
$36,038.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,038.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$36,038.14
|
| Rate for Payer: Mclaren Medicare |
$36,038.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37,840.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41,443.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$39,641.95
|
| Rate for Payer: PACE Medicare |
$34,236.23
|
| Rate for Payer: PACE SWMI |
$36,038.14
|
| Rate for Payer: PHP Commercial |
$39,641.95
|
| Rate for Payer: PHP Medicare Advantage |
$36,038.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$65,407.68
|
| Rate for Payer: Priority Health Medicare |
$36,038.14
|
| Rate for Payer: Priority Health Narrow Network |
$52,326.14
|
| Rate for Payer: Railroad Medicare Medicare |
$36,038.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$36,038.14
|
| Rate for Payer: UHC Exchange |
$55,859.12
|
| Rate for Payer: UHCCP DNSP |
$36,038.14
|
| Rate for Payer: VA VA |
$36,038.14
|
|
|
ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE
|
Facility
|
OP
|
$31.62
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105903
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.44 |
| Max. Negotiated Rate |
$31.62 |
| Rate for Payer: Aetna Commercial |
$28.46
|
| Rate for Payer: Aetna Commercial |
$79.60
|
| Rate for Payer: Aetna Commercial |
$27.94
|
| Rate for Payer: Aetna Commercial |
$96.98
|
| Rate for Payer: Aetna Commercial |
$55.87
|
| Rate for Payer: Aetna Medicare |
$32.72
|
| Rate for Payer: Aetna Medicare |
$39.87
|
| Rate for Payer: Aetna Medicare |
$22.97
|
| Rate for Payer: Aetna Medicare |
$11.70
|
| Rate for Payer: Aetna Medicare |
$11.48
|
| Rate for Payer: ASR ASR |
$30.67
|
| Rate for Payer: ASR ASR |
$85.79
|
| Rate for Payer: ASR ASR |
$60.22
|
| Rate for Payer: ASR ASR |
$30.11
|
| Rate for Payer: ASR ASR |
$104.52
|
| Rate for Payer: BCBS Complete |
$24.83
|
| Rate for Payer: BCBS Complete |
$43.10
|
| Rate for Payer: BCBS Complete |
$35.38
|
| Rate for Payer: BCBS Complete |
$12.65
|
| Rate for Payer: BCBS Complete |
$12.42
|
| Rate for Payer: BCBS Trust/PPO |
$88.85
|
| Rate for Payer: BCBS Trust/PPO |
$25.59
|
| Rate for Payer: BCBS Trust/PPO |
$51.18
|
| Rate for Payer: BCBS Trust/PPO |
$72.92
|
| Rate for Payer: BCBS Trust/PPO |
$26.07
|
| Rate for Payer: BCN Commercial |
$51.18
|
| Rate for Payer: BCN Commercial |
$25.59
|
| Rate for Payer: BCN Commercial |
$88.85
|
| Rate for Payer: BCN Commercial |
$72.92
|
| Rate for Payer: BCN Commercial |
$26.07
|
| Rate for Payer: Cash Price |
$49.66
|
| Rate for Payer: Cash Price |
$25.29
|
| Rate for Payer: Cash Price |
$86.21
|
| Rate for Payer: Cash Price |
$24.83
|
| Rate for Payer: Cash Price |
$24.83
|
| Rate for Payer: Cash Price |
$86.21
|
| Rate for Payer: Cash Price |
$25.29
|
| Rate for Payer: Cash Price |
$49.66
|
| Rate for Payer: Cash Price |
$70.75
|
| Rate for Payer: Cash Price |
$70.75
|
| Rate for Payer: Cofinity Commercial |
$101.29
|
| Rate for Payer: Cofinity Commercial |
$83.13
|
| Rate for Payer: Cofinity Commercial |
$29.18
|
| Rate for Payer: Cofinity Commercial |
$29.72
|
| Rate for Payer: Cofinity Commercial |
$58.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$86.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$70.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.83
|
| Rate for Payer: Healthscope Commercial |
$104.52
|
| Rate for Payer: Healthscope Commercial |
$30.11
|
| Rate for Payer: Healthscope Commercial |
$85.79
|
| Rate for Payer: Healthscope Commercial |
$30.67
|
| Rate for Payer: Healthscope Commercial |
$60.22
|
| Rate for Payer: Healthscope Whirlpool |
$31.62
|
| Rate for Payer: Healthscope Whirlpool |
$107.76
|
| Rate for Payer: Healthscope Whirlpool |
$31.04
|
| Rate for Payer: Healthscope Whirlpool |
$88.44
|
| Rate for Payer: Healthscope Whirlpool |
$62.08
|
| Rate for Payer: Mclaren Commercial |
$27.94
|
| Rate for Payer: Mclaren Commercial |
$96.98
|
| Rate for Payer: Mclaren Commercial |
$79.60
|
| Rate for Payer: Mclaren Commercial |
$55.87
|
| Rate for Payer: Mclaren Commercial |
$28.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$86.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$70.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$91.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.88
|
| Rate for Payer: Nomi Health Commercial |
$25.45
|
| Rate for Payer: Nomi Health Commercial |
$88.36
|
| Rate for Payer: Nomi Health Commercial |
$72.52
|
| Rate for Payer: Nomi Health Commercial |
$50.90
|
| Rate for Payer: Nomi Health Commercial |
$25.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$80.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.55
|
| Rate for Payer: Priority Health Narrow Network |
$0.44
|
| Rate for Payer: Priority Health Narrow Network |
$0.44
|
| Rate for Payer: Priority Health Narrow Network |
$0.44
|
| Rate for Payer: Priority Health Narrow Network |
$0.44
|
| Rate for Payer: Priority Health Narrow Network |
$0.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$94.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$27.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$54.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$77.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$27.82
|
|
|
ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE
|
Facility
|
IP
|
$88.44
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105903
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$66.33 |
| Max. Negotiated Rate |
$88.44 |
| Rate for Payer: Aetna Commercial |
$79.60
|
| Rate for Payer: Aetna Commercial |
$28.46
|
| Rate for Payer: Aetna Commercial |
$55.87
|
| Rate for Payer: Aetna Commercial |
$27.94
|
| Rate for Payer: Aetna Commercial |
$96.98
|
| Rate for Payer: ASR ASR |
$30.67
|
| Rate for Payer: ASR ASR |
$104.52
|
| Rate for Payer: ASR ASR |
$85.79
|
| Rate for Payer: ASR ASR |
$30.11
|
| Rate for Payer: ASR ASR |
$60.22
|
| Rate for Payer: BCBS Trust/PPO |
$72.63
|
| Rate for Payer: BCBS Trust/PPO |
$25.49
|
| Rate for Payer: BCBS Trust/PPO |
$88.49
|
| Rate for Payer: BCBS Trust/PPO |
$50.98
|
| Rate for Payer: BCBS Trust/PPO |
$25.96
|
| Rate for Payer: BCN Commercial |
$25.96
|
| Rate for Payer: BCN Commercial |
$25.49
|
| Rate for Payer: BCN Commercial |
$50.98
|
| Rate for Payer: BCN Commercial |
$72.63
|
| Rate for Payer: BCN Commercial |
$88.49
|
| Rate for Payer: Cash Price |
$86.21
|
| Rate for Payer: Cash Price |
$25.29
|
| Rate for Payer: Cash Price |
$49.66
|
| Rate for Payer: Cash Price |
$24.83
|
| Rate for Payer: Cash Price |
$70.75
|
| Rate for Payer: Cofinity Commercial |
$29.18
|
| Rate for Payer: Cofinity Commercial |
$58.35
|
| Rate for Payer: Cofinity Commercial |
$101.29
|
| Rate for Payer: Cofinity Commercial |
$29.72
|
| Rate for Payer: Cofinity Commercial |
$83.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$86.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$70.75
|
| Rate for Payer: Healthscope Commercial |
$30.67
|
| Rate for Payer: Healthscope Commercial |
$30.11
|
| Rate for Payer: Healthscope Commercial |
$60.22
|
| Rate for Payer: Healthscope Commercial |
$104.52
|
| Rate for Payer: Healthscope Commercial |
$85.79
|
| Rate for Payer: Healthscope Whirlpool |
$62.08
|
| Rate for Payer: Healthscope Whirlpool |
$88.44
|
| Rate for Payer: Healthscope Whirlpool |
$107.76
|
| Rate for Payer: Healthscope Whirlpool |
$31.04
|
| Rate for Payer: Healthscope Whirlpool |
$31.62
|
| Rate for Payer: Mclaren Commercial |
$27.94
|
| Rate for Payer: Mclaren Commercial |
$55.87
|
| Rate for Payer: Mclaren Commercial |
$96.98
|
| Rate for Payer: Mclaren Commercial |
$79.60
|
| Rate for Payer: Mclaren Commercial |
$28.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$91.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75.17
|
| Rate for Payer: Nomi Health Commercial |
$50.90
|
| Rate for Payer: Nomi Health Commercial |
$25.93
|
| Rate for Payer: Nomi Health Commercial |
$25.45
|
| Rate for Payer: Nomi Health Commercial |
$88.36
|
| Rate for Payer: Nomi Health Commercial |
$72.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$80.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$77.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$27.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$54.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$27.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$94.83
|
|
|
ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE
|
Facility
|
OP
|
$36.01
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105904
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.44 |
| Max. Negotiated Rate |
$36.01 |
| Rate for Payer: Aetna Commercial |
$32.41
|
| Rate for Payer: Aetna Commercial |
$29.87
|
| Rate for Payer: Aetna Medicare |
$12.28
|
| Rate for Payer: Aetna Medicare |
$13.32
|
| Rate for Payer: ASR ASR |
$34.93
|
| Rate for Payer: ASR ASR |
$32.20
|
| Rate for Payer: BCBS Complete |
$13.28
|
| Rate for Payer: BCBS Complete |
$14.40
|
| Rate for Payer: BCBS Trust/PPO |
$29.69
|
| Rate for Payer: BCBS Trust/PPO |
$27.37
|
| Rate for Payer: BCN Commercial |
$27.37
|
| Rate for Payer: BCN Commercial |
$29.69
|
| Rate for Payer: Cash Price |
$28.80
|
| Rate for Payer: Cash Price |
$26.56
|
| Rate for Payer: Cash Price |
$28.80
|
| Rate for Payer: Cash Price |
$26.56
|
| Rate for Payer: Cofinity Commercial |
$31.20
|
| Rate for Payer: Cofinity Commercial |
$33.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.56
|
| Rate for Payer: Healthscope Commercial |
$34.93
|
| Rate for Payer: Healthscope Commercial |
$32.20
|
| Rate for Payer: Healthscope Whirlpool |
$36.01
|
| Rate for Payer: Healthscope Whirlpool |
$33.19
|
| Rate for Payer: Mclaren Commercial |
$32.41
|
| Rate for Payer: Mclaren Commercial |
$29.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.61
|
| Rate for Payer: Nomi Health Commercial |
$27.22
|
| Rate for Payer: Nomi Health Commercial |
$29.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.55
|
| Rate for Payer: Priority Health Narrow Network |
$0.44
|
| Rate for Payer: Priority Health Narrow Network |
$0.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$29.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$31.69
|
|
|
ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE
|
Facility
|
IP
|
$33.19
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105904
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$24.90 |
| Max. Negotiated Rate |
$33.19 |
| Rate for Payer: Aetna Commercial |
$29.87
|
| Rate for Payer: Aetna Commercial |
$32.41
|
| Rate for Payer: ASR ASR |
$34.93
|
| Rate for Payer: ASR ASR |
$32.20
|
| Rate for Payer: BCBS Trust/PPO |
$29.57
|
| Rate for Payer: BCBS Trust/PPO |
$27.26
|
| Rate for Payer: BCN Commercial |
$29.57
|
| Rate for Payer: BCN Commercial |
$27.26
|
| Rate for Payer: Cash Price |
$28.80
|
| Rate for Payer: Cash Price |
$26.56
|
| Rate for Payer: Cofinity Commercial |
$31.20
|
| Rate for Payer: Cofinity Commercial |
$33.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.56
|
| Rate for Payer: Healthscope Commercial |
$32.20
|
| Rate for Payer: Healthscope Commercial |
$34.93
|
| Rate for Payer: Healthscope Whirlpool |
$36.01
|
| Rate for Payer: Healthscope Whirlpool |
$33.19
|
| Rate for Payer: Mclaren Commercial |
$32.41
|
| Rate for Payer: Mclaren Commercial |
$29.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.21
|
| Rate for Payer: Nomi Health Commercial |
$29.52
|
| Rate for Payer: Nomi Health Commercial |
$27.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$29.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$31.69
|
|
|
ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE
|
Facility
|
IP
|
$18.48
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105899
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$13.86 |
| Max. Negotiated Rate |
$18.48 |
| Rate for Payer: Aetna Commercial |
$16.63
|
| Rate for Payer: Aetna Commercial |
$14.12
|
| Rate for Payer: Aetna Commercial |
$29.06
|
| Rate for Payer: Aetna Commercial |
$13.63
|
| Rate for Payer: ASR ASR |
$31.32
|
| Rate for Payer: ASR ASR |
$17.92
|
| Rate for Payer: ASR ASR |
$15.22
|
| Rate for Payer: ASR ASR |
$14.69
|
| Rate for Payer: BCBS Trust/PPO |
$15.17
|
| Rate for Payer: BCBS Trust/PPO |
$12.43
|
| Rate for Payer: BCBS Trust/PPO |
$12.88
|
| Rate for Payer: BCBS Trust/PPO |
$26.52
|
| Rate for Payer: BCN Commercial |
$12.43
|
| Rate for Payer: BCN Commercial |
$26.52
|
| Rate for Payer: BCN Commercial |
$12.88
|
| Rate for Payer: BCN Commercial |
$15.17
|
| Rate for Payer: Cash Price |
$25.83
|
| Rate for Payer: Cash Price |
$12.55
|
| Rate for Payer: Cash Price |
$14.78
|
| Rate for Payer: Cash Price |
$12.11
|
| Rate for Payer: Cofinity Commercial |
$17.37
|
| Rate for Payer: Cofinity Commercial |
$14.23
|
| Rate for Payer: Cofinity Commercial |
$30.35
|
| Rate for Payer: Cofinity Commercial |
$14.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.11
|
| Rate for Payer: Healthscope Commercial |
$17.92
|
| Rate for Payer: Healthscope Commercial |
$14.69
|
| Rate for Payer: Healthscope Commercial |
$15.22
|
| Rate for Payer: Healthscope Commercial |
$31.32
|
| Rate for Payer: Healthscope Whirlpool |
$18.48
|
| Rate for Payer: Healthscope Whirlpool |
$32.29
|
| Rate for Payer: Healthscope Whirlpool |
$15.14
|
| Rate for Payer: Healthscope Whirlpool |
$15.69
|
| Rate for Payer: Mclaren Commercial |
$13.63
|
| Rate for Payer: Mclaren Commercial |
$29.06
|
| Rate for Payer: Mclaren Commercial |
$14.12
|
| Rate for Payer: Mclaren Commercial |
$16.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.87
|
| Rate for Payer: Nomi Health Commercial |
$12.86
|
| Rate for Payer: Nomi Health Commercial |
$26.48
|
| Rate for Payer: Nomi Health Commercial |
$15.15
|
| Rate for Payer: Nomi Health Commercial |
$12.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$28.42
|
|
|
ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE
|
Facility
|
OP
|
$32.29
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105899
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.44 |
| Max. Negotiated Rate |
$32.29 |
| Rate for Payer: Aetna Commercial |
$29.06
|
| Rate for Payer: Aetna Commercial |
$14.12
|
| Rate for Payer: Aetna Commercial |
$16.63
|
| Rate for Payer: Aetna Commercial |
$13.63
|
| Rate for Payer: Aetna Medicare |
$5.60
|
| Rate for Payer: Aetna Medicare |
$11.95
|
| Rate for Payer: Aetna Medicare |
$6.84
|
| Rate for Payer: Aetna Medicare |
$5.80
|
| Rate for Payer: ASR ASR |
$17.92
|
| Rate for Payer: ASR ASR |
$15.22
|
| Rate for Payer: ASR ASR |
$14.69
|
| Rate for Payer: ASR ASR |
$31.32
|
| Rate for Payer: BCBS Complete |
$7.39
|
| Rate for Payer: BCBS Complete |
$6.06
|
| Rate for Payer: BCBS Complete |
$12.92
|
| Rate for Payer: BCBS Complete |
$6.28
|
| Rate for Payer: BCBS Trust/PPO |
$12.94
|
| Rate for Payer: BCBS Trust/PPO |
$26.62
|
| Rate for Payer: BCBS Trust/PPO |
$15.24
|
| Rate for Payer: BCBS Trust/PPO |
$12.48
|
| Rate for Payer: BCN Commercial |
$26.62
|
| Rate for Payer: BCN Commercial |
$15.24
|
| Rate for Payer: BCN Commercial |
$12.48
|
| Rate for Payer: BCN Commercial |
$12.94
|
| Rate for Payer: Cash Price |
$12.11
|
| Rate for Payer: Cash Price |
$14.78
|
| Rate for Payer: Cash Price |
$25.83
|
| Rate for Payer: Cash Price |
$12.55
|
| Rate for Payer: Cash Price |
$12.55
|
| Rate for Payer: Cash Price |
$12.11
|
| Rate for Payer: Cash Price |
$25.83
|
| Rate for Payer: Cash Price |
$14.78
|
| Rate for Payer: Cofinity Commercial |
$30.35
|
| Rate for Payer: Cofinity Commercial |
$14.23
|
| Rate for Payer: Cofinity Commercial |
$17.37
|
| Rate for Payer: Cofinity Commercial |
$14.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.78
|
| Rate for Payer: Healthscope Commercial |
$31.32
|
| Rate for Payer: Healthscope Commercial |
$14.69
|
| Rate for Payer: Healthscope Commercial |
$15.22
|
| Rate for Payer: Healthscope Commercial |
$17.92
|
| Rate for Payer: Healthscope Whirlpool |
$15.14
|
| Rate for Payer: Healthscope Whirlpool |
$18.48
|
| Rate for Payer: Healthscope Whirlpool |
$32.29
|
| Rate for Payer: Healthscope Whirlpool |
$15.69
|
| Rate for Payer: Mclaren Commercial |
$16.63
|
| Rate for Payer: Mclaren Commercial |
$14.12
|
| Rate for Payer: Mclaren Commercial |
$13.63
|
| Rate for Payer: Mclaren Commercial |
$29.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.45
|
| Rate for Payer: Nomi Health Commercial |
$12.42
|
| Rate for Payer: Nomi Health Commercial |
$15.15
|
| Rate for Payer: Nomi Health Commercial |
$26.48
|
| Rate for Payer: Nomi Health Commercial |
$12.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.55
|
| Rate for Payer: Priority Health Narrow Network |
$0.44
|
| Rate for Payer: Priority Health Narrow Network |
$0.44
|
| Rate for Payer: Priority Health Narrow Network |
$0.44
|
| Rate for Payer: Priority Health Narrow Network |
$0.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$28.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.81
|
|
|
ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE
|
Facility
|
OP
|
$17.21
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105900
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.44 |
| Max. Negotiated Rate |
$17.21 |
| Rate for Payer: Aetna Commercial |
$15.49
|
| Rate for Payer: Aetna Commercial |
$16.42
|
| Rate for Payer: Aetna Commercial |
$18.40
|
| Rate for Payer: Aetna Medicare |
$6.75
|
| Rate for Payer: Aetna Medicare |
$6.37
|
| Rate for Payer: Aetna Medicare |
$7.56
|
| Rate for Payer: ASR ASR |
$19.83
|
| Rate for Payer: ASR ASR |
$16.69
|
| Rate for Payer: ASR ASR |
$17.70
|
| Rate for Payer: BCBS Complete |
$6.88
|
| Rate for Payer: BCBS Complete |
$8.18
|
| Rate for Payer: BCBS Complete |
$7.30
|
| Rate for Payer: BCBS Trust/PPO |
$14.19
|
| Rate for Payer: BCBS Trust/PPO |
$15.04
|
| Rate for Payer: BCBS Trust/PPO |
$16.85
|
| Rate for Payer: BCN Commercial |
$14.19
|
| Rate for Payer: BCN Commercial |
$15.04
|
| Rate for Payer: BCN Commercial |
$16.85
|
| Rate for Payer: Cash Price |
$14.59
|
| Rate for Payer: Cash Price |
$13.77
|
| Rate for Payer: Cash Price |
$14.59
|
| Rate for Payer: Cash Price |
$16.35
|
| Rate for Payer: Cash Price |
$16.35
|
| Rate for Payer: Cash Price |
$13.77
|
| Rate for Payer: Cofinity Commercial |
$17.15
|
| Rate for Payer: Cofinity Commercial |
$16.17
|
| Rate for Payer: Cofinity Commercial |
$19.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.59
|
| Rate for Payer: Healthscope Commercial |
$19.83
|
| Rate for Payer: Healthscope Commercial |
$16.69
|
| Rate for Payer: Healthscope Commercial |
$17.70
|
| Rate for Payer: Healthscope Whirlpool |
$18.24
|
| Rate for Payer: Healthscope Whirlpool |
$17.21
|
| Rate for Payer: Healthscope Whirlpool |
$20.44
|
| Rate for Payer: Mclaren Commercial |
$18.40
|
| Rate for Payer: Mclaren Commercial |
$16.42
|
| Rate for Payer: Mclaren Commercial |
$15.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.63
|
| Rate for Payer: Nomi Health Commercial |
$16.76
|
| Rate for Payer: Nomi Health Commercial |
$14.11
|
| Rate for Payer: Nomi Health Commercial |
$14.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.55
|
| Rate for Payer: Priority Health Narrow Network |
$0.44
|
| Rate for Payer: Priority Health Narrow Network |
$0.44
|
| Rate for Payer: Priority Health Narrow Network |
$0.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.14
|
|
|
ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE
|
Facility
|
IP
|
$17.21
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105900
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$12.91 |
| Max. Negotiated Rate |
$17.21 |
| Rate for Payer: Aetna Commercial |
$15.49
|
| Rate for Payer: Aetna Commercial |
$18.40
|
| Rate for Payer: Aetna Commercial |
$16.42
|
| Rate for Payer: ASR ASR |
$19.83
|
| Rate for Payer: ASR ASR |
$16.69
|
| Rate for Payer: ASR ASR |
$17.70
|
| Rate for Payer: BCBS Trust/PPO |
$16.78
|
| Rate for Payer: BCBS Trust/PPO |
$14.13
|
| Rate for Payer: BCBS Trust/PPO |
$14.98
|
| Rate for Payer: BCN Commercial |
$14.98
|
| Rate for Payer: BCN Commercial |
$14.13
|
| Rate for Payer: BCN Commercial |
$16.78
|
| Rate for Payer: Cash Price |
$16.35
|
| Rate for Payer: Cash Price |
$13.77
|
| Rate for Payer: Cash Price |
$14.59
|
| Rate for Payer: Cofinity Commercial |
$16.17
|
| Rate for Payer: Cofinity Commercial |
$17.15
|
| Rate for Payer: Cofinity Commercial |
$19.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.59
|
| Rate for Payer: Healthscope Commercial |
$17.70
|
| Rate for Payer: Healthscope Commercial |
$16.69
|
| Rate for Payer: Healthscope Commercial |
$19.83
|
| Rate for Payer: Healthscope Whirlpool |
$18.24
|
| Rate for Payer: Healthscope Whirlpool |
$20.44
|
| Rate for Payer: Healthscope Whirlpool |
$17.21
|
| Rate for Payer: Mclaren Commercial |
$16.42
|
| Rate for Payer: Mclaren Commercial |
$15.49
|
| Rate for Payer: Mclaren Commercial |
$18.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.63
|
| Rate for Payer: Nomi Health Commercial |
$14.96
|
| Rate for Payer: Nomi Health Commercial |
$14.11
|
| Rate for Payer: Nomi Health Commercial |
$16.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.14
|
|
|
ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE
|
Facility
|
IP
|
$53.07
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105901
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$39.80 |
| Max. Negotiated Rate |
$53.07 |
| Rate for Payer: Aetna Commercial |
$47.76
|
| Rate for Payer: Aetna Commercial |
$24.78
|
| Rate for Payer: Aetna Commercial |
$58.19
|
| Rate for Payer: Aetna Commercial |
$19.63
|
| Rate for Payer: ASR ASR |
$62.72
|
| Rate for Payer: ASR ASR |
$51.47
|
| Rate for Payer: ASR ASR |
$26.70
|
| Rate for Payer: ASR ASR |
$21.15
|
| Rate for Payer: BCBS Trust/PPO |
$43.58
|
| Rate for Payer: BCBS Trust/PPO |
$17.91
|
| Rate for Payer: BCBS Trust/PPO |
$22.61
|
| Rate for Payer: BCBS Trust/PPO |
$53.09
|
| Rate for Payer: BCN Commercial |
$17.91
|
| Rate for Payer: BCN Commercial |
$53.09
|
| Rate for Payer: BCN Commercial |
$22.61
|
| Rate for Payer: BCN Commercial |
$43.58
|
| Rate for Payer: Cash Price |
$51.72
|
| Rate for Payer: Cash Price |
$22.02
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cash Price |
$17.45
|
| Rate for Payer: Cofinity Commercial |
$49.88
|
| Rate for Payer: Cofinity Commercial |
$20.50
|
| Rate for Payer: Cofinity Commercial |
$60.78
|
| Rate for Payer: Cofinity Commercial |
$25.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.45
|
| Rate for Payer: Healthscope Commercial |
$51.47
|
| Rate for Payer: Healthscope Commercial |
$21.15
|
| Rate for Payer: Healthscope Commercial |
$26.70
|
| Rate for Payer: Healthscope Commercial |
$62.72
|
| Rate for Payer: Healthscope Whirlpool |
$53.07
|
| Rate for Payer: Healthscope Whirlpool |
$64.66
|
| Rate for Payer: Healthscope Whirlpool |
$21.81
|
| Rate for Payer: Healthscope Whirlpool |
$27.53
|
| Rate for Payer: Mclaren Commercial |
$19.63
|
| Rate for Payer: Mclaren Commercial |
$58.19
|
| Rate for Payer: Mclaren Commercial |
$24.78
|
| Rate for Payer: Mclaren Commercial |
$47.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.54
|
| Rate for Payer: Nomi Health Commercial |
$22.57
|
| Rate for Payer: Nomi Health Commercial |
$53.02
|
| Rate for Payer: Nomi Health Commercial |
$43.51
|
| Rate for Payer: Nomi Health Commercial |
$17.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$46.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$24.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$56.90
|
|
|
ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE
|
Facility
|
OP
|
$64.66
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105901
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.44 |
| Max. Negotiated Rate |
$64.66 |
| Rate for Payer: Aetna Commercial |
$58.19
|
| Rate for Payer: Aetna Commercial |
$24.78
|
| Rate for Payer: Aetna Commercial |
$47.76
|
| Rate for Payer: Aetna Commercial |
$19.63
|
| Rate for Payer: Aetna Medicare |
$8.07
|
| Rate for Payer: Aetna Medicare |
$23.92
|
| Rate for Payer: Aetna Medicare |
$19.63
|
| Rate for Payer: Aetna Medicare |
$10.19
|
| Rate for Payer: ASR ASR |
$51.47
|
| Rate for Payer: ASR ASR |
$26.70
|
| Rate for Payer: ASR ASR |
$21.15
|
| Rate for Payer: ASR ASR |
$62.72
|
| Rate for Payer: BCBS Complete |
$21.23
|
| Rate for Payer: BCBS Complete |
$8.72
|
| Rate for Payer: BCBS Complete |
$25.86
|
| Rate for Payer: BCBS Complete |
$11.01
|
| Rate for Payer: BCBS Trust/PPO |
$22.70
|
| Rate for Payer: BCBS Trust/PPO |
$53.31
|
| Rate for Payer: BCBS Trust/PPO |
$43.75
|
| Rate for Payer: BCBS Trust/PPO |
$17.98
|
| Rate for Payer: BCN Commercial |
$53.31
|
| Rate for Payer: BCN Commercial |
$43.75
|
| Rate for Payer: BCN Commercial |
$17.98
|
| Rate for Payer: BCN Commercial |
$22.70
|
| Rate for Payer: Cash Price |
$17.45
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cash Price |
$51.72
|
| Rate for Payer: Cash Price |
$22.02
|
| Rate for Payer: Cash Price |
$22.02
|
| Rate for Payer: Cash Price |
$17.45
|
| Rate for Payer: Cash Price |
$51.72
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cofinity Commercial |
$60.78
|
| Rate for Payer: Cofinity Commercial |
$20.50
|
| Rate for Payer: Cofinity Commercial |
$49.88
|
| Rate for Payer: Cofinity Commercial |
$25.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$51.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Healthscope Commercial |
$62.72
|
| Rate for Payer: Healthscope Commercial |
$21.15
|
| Rate for Payer: Healthscope Commercial |
$26.70
|
| Rate for Payer: Healthscope Commercial |
$51.47
|
| Rate for Payer: Healthscope Whirlpool |
$21.81
|
| Rate for Payer: Healthscope Whirlpool |
$53.07
|
| Rate for Payer: Healthscope Whirlpool |
$64.66
|
| Rate for Payer: Healthscope Whirlpool |
$27.53
|
| Rate for Payer: Mclaren Commercial |
$47.76
|
| Rate for Payer: Mclaren Commercial |
$24.78
|
| Rate for Payer: Mclaren Commercial |
$19.63
|
| Rate for Payer: Mclaren Commercial |
$58.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.96
|
| Rate for Payer: Nomi Health Commercial |
$17.88
|
| Rate for Payer: Nomi Health Commercial |
$43.51
|
| Rate for Payer: Nomi Health Commercial |
$53.02
|
| Rate for Payer: Nomi Health Commercial |
$22.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.55
|
| Rate for Payer: Priority Health Narrow Network |
$0.44
|
| Rate for Payer: Priority Health Narrow Network |
$0.44
|
| Rate for Payer: Priority Health Narrow Network |
$0.44
|
| Rate for Payer: Priority Health Narrow Network |
$0.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$46.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$56.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$24.22
|
|
|
ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE
|
Facility
|
IP
|
$70.74
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
105902
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$53.05 |
| Max. Negotiated Rate |
$70.74 |
| Rate for Payer: Aetna Commercial |
$63.66
|
| Rate for Payer: Aetna Commercial |
$44.70
|
| Rate for Payer: Aetna Commercial |
$77.59
|
| Rate for Payer: Aetna Commercial |
$20.49
|
| Rate for Payer: ASR ASR |
$83.62
|
| Rate for Payer: ASR ASR |
$68.62
|
| Rate for Payer: ASR ASR |
$48.17
|
| Rate for Payer: ASR ASR |
$22.08
|
| Rate for Payer: BCBS Trust/PPO |
$58.09
|
| Rate for Payer: BCBS Trust/PPO |
$18.69
|
| Rate for Payer: BCBS Trust/PPO |
$40.78
|
| Rate for Payer: BCBS Trust/PPO |
$70.79
|
| Rate for Payer: BCN Commercial |
$18.69
|
| Rate for Payer: BCN Commercial |
$70.79
|
| Rate for Payer: BCN Commercial |
$40.78
|
| Rate for Payer: BCN Commercial |
$58.09
|
| Rate for Payer: Cash Price |
$68.96
|
| Rate for Payer: Cash Price |
$39.73
|
| Rate for Payer: Cash Price |
$56.59
|
| Rate for Payer: Cash Price |
$18.21
|
| Rate for Payer: Cofinity Commercial |
$66.49
|
| Rate for Payer: Cofinity Commercial |
$21.40
|
| Rate for Payer: Cofinity Commercial |
$81.03
|
| Rate for Payer: Cofinity Commercial |
$46.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$56.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.21
|
| Rate for Payer: Healthscope Commercial |
$68.62
|
| Rate for Payer: Healthscope Commercial |
$22.08
|
| Rate for Payer: Healthscope Commercial |
$48.17
|
| Rate for Payer: Healthscope Commercial |
$83.62
|
| Rate for Payer: Healthscope Whirlpool |
$70.74
|
| Rate for Payer: Healthscope Whirlpool |
$86.21
|
| Rate for Payer: Healthscope Whirlpool |
$22.76
|
| Rate for Payer: Healthscope Whirlpool |
$49.66
|
| Rate for Payer: Mclaren Commercial |
$20.49
|
| Rate for Payer: Mclaren Commercial |
$77.59
|
| Rate for Payer: Mclaren Commercial |
$44.70
|
| Rate for Payer: Mclaren Commercial |
$63.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$42.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.35
|
| Rate for Payer: Nomi Health Commercial |
$40.72
|
| Rate for Payer: Nomi Health Commercial |
$70.69
|
| Rate for Payer: Nomi Health Commercial |
$58.01
|
| Rate for Payer: Nomi Health Commercial |
$18.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$37.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$64.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$20.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$62.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$43.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$75.86
|
|
