|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$28.97
|
|
|
Service Code
|
NDC 67457022899
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$10.72 |
| Max. Negotiated Rate |
$28.97 |
| Rate for Payer: Aetna Commercial |
$26.07
|
| Rate for Payer: Aetna Medicare |
$10.72
|
| Rate for Payer: ASR ASR |
$28.10
|
| Rate for Payer: BCBS Complete |
$11.59
|
| Rate for Payer: BCBS Trust/PPO |
$23.89
|
| Rate for Payer: BCN Commercial |
$23.89
|
| Rate for Payer: Cash Price |
$23.18
|
| Rate for Payer: Cofinity Commercial |
$27.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.18
|
| Rate for Payer: Healthscope Commercial |
$28.10
|
| Rate for Payer: Healthscope Whirlpool |
$28.97
|
| Rate for Payer: Mclaren Commercial |
$26.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.62
|
| Rate for Payer: Nomi Health Commercial |
$23.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$25.38
|
| Rate for Payer: Priority Health Narrow Network |
$20.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25.49
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$22.05
|
|
|
Service Code
|
NDC 55150022610
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$16.54 |
| Max. Negotiated Rate |
$22.05 |
| Rate for Payer: Aetna Commercial |
$19.85
|
| Rate for Payer: ASR ASR |
$21.39
|
| Rate for Payer: BCBS Trust/PPO |
$18.11
|
| Rate for Payer: BCN Commercial |
$18.11
|
| Rate for Payer: Cash Price |
$17.64
|
| Rate for Payer: Cofinity Commercial |
$20.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.64
|
| Rate for Payer: Healthscope Commercial |
$21.39
|
| Rate for Payer: Healthscope Whirlpool |
$22.05
|
| Rate for Payer: Mclaren Commercial |
$19.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.74
|
| Rate for Payer: Nomi Health Commercial |
$18.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19.41
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$22.78
|
|
|
Service Code
|
NDC 39822420006
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.43 |
| Max. Negotiated Rate |
$22.78 |
| Rate for Payer: Aetna Commercial |
$20.51
|
| Rate for Payer: Aetna Medicare |
$8.43
|
| Rate for Payer: ASR ASR |
$22.10
|
| Rate for Payer: BCBS Complete |
$9.11
|
| Rate for Payer: BCBS Trust/PPO |
$18.79
|
| Rate for Payer: BCN Commercial |
$18.79
|
| Rate for Payer: Cash Price |
$18.23
|
| Rate for Payer: Cofinity Commercial |
$21.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.23
|
| Rate for Payer: Healthscope Commercial |
$22.10
|
| Rate for Payer: Healthscope Whirlpool |
$22.78
|
| Rate for Payer: Mclaren Commercial |
$20.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.37
|
| Rate for Payer: Nomi Health Commercial |
$18.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$19.96
|
| Rate for Payer: Priority Health Narrow Network |
$15.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$20.05
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$22.87
|
|
|
Service Code
|
NDC 143925101
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.46 |
| Max. Negotiated Rate |
$22.87 |
| Rate for Payer: Aetna Commercial |
$20.58
|
| Rate for Payer: Aetna Medicare |
$8.46
|
| Rate for Payer: ASR ASR |
$22.18
|
| Rate for Payer: BCBS Complete |
$9.15
|
| Rate for Payer: BCBS Trust/PPO |
$18.85
|
| Rate for Payer: BCN Commercial |
$18.85
|
| Rate for Payer: Cash Price |
$18.29
|
| Rate for Payer: Cofinity Commercial |
$21.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.29
|
| Rate for Payer: Healthscope Commercial |
$22.18
|
| Rate for Payer: Healthscope Whirlpool |
$22.87
|
| Rate for Payer: Mclaren Commercial |
$20.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.44
|
| Rate for Payer: Nomi Health Commercial |
$18.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$20.04
|
| Rate for Payer: Priority Health Narrow Network |
$16.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$20.12
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$28.93
|
|
|
Service Code
|
NDC 43066001310
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$21.70 |
| Max. Negotiated Rate |
$28.93 |
| Rate for Payer: Aetna Commercial |
$26.04
|
| Rate for Payer: ASR ASR |
$28.07
|
| Rate for Payer: BCBS Trust/PPO |
$23.76
|
| Rate for Payer: BCN Commercial |
$23.76
|
| Rate for Payer: Cash Price |
$23.15
|
| Rate for Payer: Cofinity Commercial |
$27.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.15
|
| Rate for Payer: Healthscope Commercial |
$28.07
|
| Rate for Payer: Healthscope Whirlpool |
$28.93
|
| Rate for Payer: Mclaren Commercial |
$26.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.59
|
| Rate for Payer: Nomi Health Commercial |
$23.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25.46
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$29.73
|
|
|
Service Code
|
NDC 72611075710
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$22.29 |
| Max. Negotiated Rate |
$29.73 |
| Rate for Payer: Aetna Commercial |
$26.75
|
| Rate for Payer: ASR ASR |
$28.83
|
| Rate for Payer: BCBS Trust/PPO |
$24.41
|
| Rate for Payer: BCN Commercial |
$24.41
|
| Rate for Payer: Cash Price |
$23.78
|
| Rate for Payer: Cofinity Commercial |
$27.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.78
|
| Rate for Payer: Healthscope Commercial |
$28.83
|
| Rate for Payer: Healthscope Whirlpool |
$29.73
|
| Rate for Payer: Mclaren Commercial |
$26.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.27
|
| Rate for Payer: Nomi Health Commercial |
$24.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$26.16
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$24.09
|
|
|
Service Code
|
NDC 25021066205
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.91 |
| Max. Negotiated Rate |
$24.09 |
| Rate for Payer: Aetna Commercial |
$21.68
|
| Rate for Payer: Aetna Medicare |
$8.91
|
| Rate for Payer: ASR ASR |
$23.36
|
| Rate for Payer: BCBS Complete |
$9.63
|
| Rate for Payer: BCBS Trust/PPO |
$19.86
|
| Rate for Payer: BCN Commercial |
$19.86
|
| Rate for Payer: Cash Price |
$19.27
|
| Rate for Payer: Cofinity Commercial |
$22.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.27
|
| Rate for Payer: Healthscope Commercial |
$23.36
|
| Rate for Payer: Healthscope Whirlpool |
$24.09
|
| Rate for Payer: Mclaren Commercial |
$21.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.47
|
| Rate for Payer: Nomi Health Commercial |
$19.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$21.11
|
| Rate for Payer: Priority Health Narrow Network |
$16.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.20
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$28.35
|
|
|
Service Code
|
NDC 43066000710
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$21.26 |
| Max. Negotiated Rate |
$28.35 |
| Rate for Payer: Aetna Commercial |
$25.51
|
| Rate for Payer: ASR ASR |
$27.50
|
| Rate for Payer: BCBS Trust/PPO |
$23.28
|
| Rate for Payer: BCN Commercial |
$23.28
|
| Rate for Payer: Cash Price |
$22.68
|
| Rate for Payer: Cofinity Commercial |
$26.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.68
|
| Rate for Payer: Healthscope Commercial |
$27.50
|
| Rate for Payer: Healthscope Whirlpool |
$28.35
|
| Rate for Payer: Mclaren Commercial |
$25.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.10
|
| Rate for Payer: Nomi Health Commercial |
$23.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$24.95
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$24.09
|
|
|
Service Code
|
NDC 39822420002
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.91 |
| Max. Negotiated Rate |
$24.09 |
| Rate for Payer: Aetna Commercial |
$21.68
|
| Rate for Payer: Aetna Medicare |
$8.91
|
| Rate for Payer: ASR ASR |
$23.36
|
| Rate for Payer: BCBS Complete |
$9.63
|
| Rate for Payer: BCBS Trust/PPO |
$19.86
|
| Rate for Payer: BCN Commercial |
$19.86
|
| Rate for Payer: Cash Price |
$19.27
|
| Rate for Payer: Cofinity Commercial |
$22.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.27
|
| Rate for Payer: Healthscope Commercial |
$23.36
|
| Rate for Payer: Healthscope Whirlpool |
$24.09
|
| Rate for Payer: Mclaren Commercial |
$21.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.47
|
| Rate for Payer: Nomi Health Commercial |
$19.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$21.11
|
| Rate for Payer: Priority Health Narrow Network |
$16.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.20
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$27.45
|
|
|
Service Code
|
NDC 409955850
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$10.16 |
| Max. Negotiated Rate |
$27.45 |
| Rate for Payer: Aetna Commercial |
$24.71
|
| Rate for Payer: Aetna Medicare |
$10.16
|
| Rate for Payer: ASR ASR |
$26.63
|
| Rate for Payer: BCBS Complete |
$10.98
|
| Rate for Payer: BCBS Trust/PPO |
$22.64
|
| Rate for Payer: BCN Commercial |
$22.64
|
| Rate for Payer: Cash Price |
$21.96
|
| Rate for Payer: Cofinity Commercial |
$25.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.96
|
| Rate for Payer: Healthscope Commercial |
$26.63
|
| Rate for Payer: Healthscope Whirlpool |
$27.45
|
| Rate for Payer: Mclaren Commercial |
$24.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.34
|
| Rate for Payer: Nomi Health Commercial |
$22.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$24.06
|
| Rate for Payer: Priority Health Narrow Network |
$19.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$24.16
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$24.09
|
|
|
Service Code
|
NDC 39822420001
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.91 |
| Max. Negotiated Rate |
$24.09 |
| Rate for Payer: Aetna Commercial |
$21.68
|
| Rate for Payer: Aetna Medicare |
$8.91
|
| Rate for Payer: ASR ASR |
$23.36
|
| Rate for Payer: BCBS Complete |
$9.63
|
| Rate for Payer: BCBS Trust/PPO |
$19.86
|
| Rate for Payer: BCN Commercial |
$19.86
|
| Rate for Payer: Cash Price |
$19.27
|
| Rate for Payer: Cofinity Commercial |
$22.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.27
|
| Rate for Payer: Healthscope Commercial |
$23.36
|
| Rate for Payer: Healthscope Whirlpool |
$24.09
|
| Rate for Payer: Mclaren Commercial |
$21.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.47
|
| Rate for Payer: Nomi Health Commercial |
$19.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$21.11
|
| Rate for Payer: Priority Health Narrow Network |
$16.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.20
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$22.87
|
|
|
Service Code
|
NDC 143925110
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$17.15 |
| Max. Negotiated Rate |
$22.87 |
| Rate for Payer: Aetna Commercial |
$20.58
|
| Rate for Payer: ASR ASR |
$22.18
|
| Rate for Payer: BCBS Trust/PPO |
$18.78
|
| Rate for Payer: BCN Commercial |
$18.78
|
| Rate for Payer: Cash Price |
$18.29
|
| Rate for Payer: Cofinity Commercial |
$21.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.29
|
| Rate for Payer: Healthscope Commercial |
$22.18
|
| Rate for Payer: Healthscope Whirlpool |
$22.87
|
| Rate for Payer: Mclaren Commercial |
$20.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.44
|
| Rate for Payer: Nomi Health Commercial |
$18.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$20.12
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$26.57
|
|
|
Service Code
|
NDC 781322095
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$19.92 |
| Max. Negotiated Rate |
$26.57 |
| Rate for Payer: Aetna Commercial |
$23.91
|
| Rate for Payer: ASR ASR |
$25.77
|
| Rate for Payer: BCBS Trust/PPO |
$21.82
|
| Rate for Payer: BCN Commercial |
$21.82
|
| Rate for Payer: Cash Price |
$21.25
|
| Rate for Payer: Cofinity Commercial |
$24.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.25
|
| Rate for Payer: Healthscope Commercial |
$25.77
|
| Rate for Payer: Healthscope Whirlpool |
$26.57
|
| Rate for Payer: Mclaren Commercial |
$23.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.58
|
| Rate for Payer: Nomi Health Commercial |
$21.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.38
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$29.73
|
|
|
Service Code
|
NDC 72611075701
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$22.29 |
| Max. Negotiated Rate |
$29.73 |
| Rate for Payer: Aetna Commercial |
$26.75
|
| Rate for Payer: ASR ASR |
$28.83
|
| Rate for Payer: BCBS Trust/PPO |
$24.41
|
| Rate for Payer: BCN Commercial |
$24.41
|
| Rate for Payer: Cash Price |
$23.78
|
| Rate for Payer: Cofinity Commercial |
$27.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.78
|
| Rate for Payer: Healthscope Commercial |
$28.83
|
| Rate for Payer: Healthscope Whirlpool |
$29.73
|
| Rate for Payer: Mclaren Commercial |
$26.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.27
|
| Rate for Payer: Nomi Health Commercial |
$24.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$26.16
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$28.35
|
|
|
Service Code
|
NDC 43066000710
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$10.49 |
| Max. Negotiated Rate |
$28.35 |
| Rate for Payer: Aetna Commercial |
$25.51
|
| Rate for Payer: Aetna Medicare |
$10.49
|
| Rate for Payer: ASR ASR |
$27.50
|
| Rate for Payer: BCBS Complete |
$11.34
|
| Rate for Payer: BCBS Trust/PPO |
$23.37
|
| Rate for Payer: BCN Commercial |
$23.37
|
| Rate for Payer: Cash Price |
$22.68
|
| Rate for Payer: Cofinity Commercial |
$26.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.68
|
| Rate for Payer: Healthscope Commercial |
$27.50
|
| Rate for Payer: Healthscope Whirlpool |
$28.35
|
| Rate for Payer: Mclaren Commercial |
$25.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.10
|
| Rate for Payer: Nomi Health Commercial |
$23.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$24.84
|
| Rate for Payer: Priority Health Narrow Network |
$19.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$24.95
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$27.45
|
|
|
Service Code
|
NDC 409955850
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$20.59 |
| Max. Negotiated Rate |
$27.45 |
| Rate for Payer: Aetna Commercial |
$24.71
|
| Rate for Payer: ASR ASR |
$26.63
|
| Rate for Payer: BCBS Trust/PPO |
$22.55
|
| Rate for Payer: BCN Commercial |
$22.55
|
| Rate for Payer: Cash Price |
$21.96
|
| Rate for Payer: Cofinity Commercial |
$25.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.96
|
| Rate for Payer: Healthscope Commercial |
$26.63
|
| Rate for Payer: Healthscope Whirlpool |
$27.45
|
| Rate for Payer: Mclaren Commercial |
$24.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.34
|
| Rate for Payer: Nomi Health Commercial |
$22.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$24.16
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$22.78
|
|
|
Service Code
|
NDC 39822420006
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$17.09 |
| Max. Negotiated Rate |
$22.78 |
| Rate for Payer: Aetna Commercial |
$20.51
|
| Rate for Payer: ASR ASR |
$22.10
|
| Rate for Payer: BCBS Trust/PPO |
$18.71
|
| Rate for Payer: BCN Commercial |
$18.71
|
| Rate for Payer: Cash Price |
$18.23
|
| Rate for Payer: Cofinity Commercial |
$21.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.23
|
| Rate for Payer: Healthscope Commercial |
$22.10
|
| Rate for Payer: Healthscope Whirlpool |
$22.78
|
| Rate for Payer: Mclaren Commercial |
$20.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.37
|
| Rate for Payer: Nomi Health Commercial |
$18.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$20.05
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$28.93
|
|
|
Service Code
|
NDC 43066001310
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$10.71 |
| Max. Negotiated Rate |
$28.93 |
| Rate for Payer: Aetna Commercial |
$26.04
|
| Rate for Payer: Aetna Medicare |
$10.71
|
| Rate for Payer: ASR ASR |
$28.07
|
| Rate for Payer: BCBS Complete |
$11.57
|
| Rate for Payer: BCBS Trust/PPO |
$23.86
|
| Rate for Payer: BCN Commercial |
$23.86
|
| Rate for Payer: Cash Price |
$23.15
|
| Rate for Payer: Cofinity Commercial |
$27.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.15
|
| Rate for Payer: Healthscope Commercial |
$28.07
|
| Rate for Payer: Healthscope Whirlpool |
$28.93
|
| Rate for Payer: Mclaren Commercial |
$26.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.59
|
| Rate for Payer: Nomi Health Commercial |
$23.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$25.35
|
| Rate for Payer: Priority Health Narrow Network |
$20.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25.46
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$22.78
|
|
|
Service Code
|
NDC 39822420005
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.43 |
| Max. Negotiated Rate |
$22.78 |
| Rate for Payer: Aetna Commercial |
$20.51
|
| Rate for Payer: Aetna Medicare |
$8.43
|
| Rate for Payer: ASR ASR |
$22.10
|
| Rate for Payer: BCBS Complete |
$9.11
|
| Rate for Payer: BCBS Trust/PPO |
$18.79
|
| Rate for Payer: BCN Commercial |
$18.79
|
| Rate for Payer: Cash Price |
$18.23
|
| Rate for Payer: Cofinity Commercial |
$21.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.23
|
| Rate for Payer: Healthscope Commercial |
$22.10
|
| Rate for Payer: Healthscope Whirlpool |
$22.78
|
| Rate for Payer: Mclaren Commercial |
$20.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.37
|
| Rate for Payer: Nomi Health Commercial |
$18.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$19.96
|
| Rate for Payer: Priority Health Narrow Network |
$15.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$20.05
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$28.97
|
|
|
Service Code
|
NDC 67457022810
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$21.73 |
| Max. Negotiated Rate |
$28.97 |
| Rate for Payer: Aetna Commercial |
$26.07
|
| Rate for Payer: ASR ASR |
$28.10
|
| Rate for Payer: BCBS Trust/PPO |
$23.79
|
| Rate for Payer: BCN Commercial |
$23.79
|
| Rate for Payer: Cash Price |
$23.18
|
| Rate for Payer: Cofinity Commercial |
$27.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.18
|
| Rate for Payer: Healthscope Commercial |
$28.10
|
| Rate for Payer: Healthscope Whirlpool |
$28.97
|
| Rate for Payer: Mclaren Commercial |
$26.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.62
|
| Rate for Payer: Nomi Health Commercial |
$23.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25.49
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$24.09
|
|
|
Service Code
|
NDC 39822420001
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$18.07 |
| Max. Negotiated Rate |
$24.09 |
| Rate for Payer: Aetna Commercial |
$21.68
|
| Rate for Payer: ASR ASR |
$23.36
|
| Rate for Payer: BCBS Trust/PPO |
$19.78
|
| Rate for Payer: BCN Commercial |
$19.78
|
| Rate for Payer: Cash Price |
$19.27
|
| Rate for Payer: Cofinity Commercial |
$22.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.27
|
| Rate for Payer: Healthscope Commercial |
$23.36
|
| Rate for Payer: Healthscope Whirlpool |
$24.09
|
| Rate for Payer: Mclaren Commercial |
$21.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.47
|
| Rate for Payer: Nomi Health Commercial |
$19.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.20
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$29.73
|
|
|
Service Code
|
NDC 72611075710
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$11.00 |
| Max. Negotiated Rate |
$29.73 |
| Rate for Payer: Aetna Commercial |
$26.75
|
| Rate for Payer: Aetna Medicare |
$11.00
|
| Rate for Payer: ASR ASR |
$28.83
|
| Rate for Payer: BCBS Complete |
$11.89
|
| Rate for Payer: BCBS Trust/PPO |
$24.51
|
| Rate for Payer: BCN Commercial |
$24.51
|
| Rate for Payer: Cash Price |
$23.78
|
| Rate for Payer: Cofinity Commercial |
$27.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.78
|
| Rate for Payer: Healthscope Commercial |
$28.83
|
| Rate for Payer: Healthscope Whirlpool |
$29.73
|
| Rate for Payer: Mclaren Commercial |
$26.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.27
|
| Rate for Payer: Nomi Health Commercial |
$24.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$26.05
|
| Rate for Payer: Priority Health Narrow Network |
$20.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$26.16
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$22.05
|
|
|
Service Code
|
NDC 55150022610
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.16 |
| Max. Negotiated Rate |
$22.05 |
| Rate for Payer: Aetna Commercial |
$19.85
|
| Rate for Payer: Aetna Medicare |
$8.16
|
| Rate for Payer: ASR ASR |
$21.39
|
| Rate for Payer: BCBS Complete |
$8.82
|
| Rate for Payer: BCBS Trust/PPO |
$18.18
|
| Rate for Payer: BCN Commercial |
$18.18
|
| Rate for Payer: Cash Price |
$17.64
|
| Rate for Payer: Cofinity Commercial |
$20.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.64
|
| Rate for Payer: Healthscope Commercial |
$21.39
|
| Rate for Payer: Healthscope Whirlpool |
$22.05
|
| Rate for Payer: Mclaren Commercial |
$19.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.74
|
| Rate for Payer: Nomi Health Commercial |
$18.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$19.32
|
| Rate for Payer: Priority Health Narrow Network |
$15.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19.41
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$28.97
|
|
|
Service Code
|
NDC 67457022810
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$10.72 |
| Max. Negotiated Rate |
$28.97 |
| Rate for Payer: Aetna Commercial |
$26.07
|
| Rate for Payer: Aetna Medicare |
$10.72
|
| Rate for Payer: ASR ASR |
$28.10
|
| Rate for Payer: BCBS Complete |
$11.59
|
| Rate for Payer: BCBS Trust/PPO |
$23.89
|
| Rate for Payer: BCN Commercial |
$23.89
|
| Rate for Payer: Cash Price |
$23.18
|
| Rate for Payer: Cofinity Commercial |
$27.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.18
|
| Rate for Payer: Healthscope Commercial |
$28.10
|
| Rate for Payer: Healthscope Whirlpool |
$28.97
|
| Rate for Payer: Mclaren Commercial |
$26.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.62
|
| Rate for Payer: Nomi Health Commercial |
$23.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$25.38
|
| Rate for Payer: Priority Health Narrow Network |
$20.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25.49
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$25.14
|
|
|
Service Code
|
NDC 781322092
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$18.86 |
| Max. Negotiated Rate |
$25.14 |
| Rate for Payer: Aetna Commercial |
$22.63
|
| Rate for Payer: ASR ASR |
$24.39
|
| Rate for Payer: BCBS Trust/PPO |
$20.65
|
| Rate for Payer: BCN Commercial |
$20.65
|
| Rate for Payer: Cash Price |
$20.11
|
| Rate for Payer: Cofinity Commercial |
$23.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.11
|
| Rate for Payer: Healthscope Commercial |
$24.39
|
| Rate for Payer: Healthscope Whirlpool |
$25.14
|
| Rate for Payer: Mclaren Commercial |
$22.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.37
|
| Rate for Payer: Nomi Health Commercial |
$20.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.13
|
|
