HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
OP
|
$0.41
|
|
Service Code
|
NDC 0409-2720-02
|
Hospital Charge Code |
1720069
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.10 |
Max. Negotiated Rate |
$0.35 |
Rate for Payer: Aetna of CA HMO/PPO |
$0.27
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.35
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.23
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.23
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.24
|
Rate for Payer: BCBS Transplant Transplant |
$0.25
|
Rate for Payer: Blue Shield of California Commercial |
$0.30
|
Rate for Payer: Blue Shield of California EPN |
$0.24
|
Rate for Payer: Cash Price |
$0.18
|
Rate for Payer: Cash Price |
$0.18
|
Rate for Payer: Cigna of CA HMO |
$0.29
|
Rate for Payer: Cigna of CA PPO |
$0.29
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.35
|
Rate for Payer: Dignity Health Media |
$0.35
|
Rate for Payer: Dignity Health Medi-Cal |
$0.35
|
Rate for Payer: EPIC Health Plan Commercial |
$0.16
|
Rate for Payer: EPIC Health Plan Transplant |
$0.16
|
Rate for Payer: Galaxy Health WC |
$0.35
|
Rate for Payer: Global Benefits Group Commercial |
$0.25
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.31
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.27
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.16
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.10
|
Rate for Payer: Multiplan Commercial |
$0.33
|
Rate for Payer: Networks By Design Commercial |
$0.21
|
Rate for Payer: Prime Health Services Commercial |
$0.35
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.25
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.25
|
Rate for Payer: United Healthcare All Other Commercial |
$0.21
|
Rate for Payer: United Healthcare All Other HMO |
$0.21
|
Rate for Payer: United Healthcare HMO Rider |
$0.21
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.21
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.35
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.35
|
Rate for Payer: Vantage Medical Group Senior |
$0.35
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
OP
|
$0.50
|
|
Service Code
|
NDC 67457-385-10
|
Hospital Charge Code |
1720069
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.12 |
Max. Negotiated Rate |
$0.43 |
Rate for Payer: Aetna of CA HMO/PPO |
$0.33
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.43
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.28
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.28
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.30
|
Rate for Payer: BCBS Transplant Transplant |
$0.30
|
Rate for Payer: Blue Shield of California Commercial |
$0.37
|
Rate for Payer: Blue Shield of California EPN |
$0.29
|
Rate for Payer: Cash Price |
$0.23
|
Rate for Payer: Cash Price |
$0.23
|
Rate for Payer: Cigna of CA HMO |
$0.35
|
Rate for Payer: Cigna of CA PPO |
$0.35
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.43
|
Rate for Payer: Dignity Health Media |
$0.43
|
Rate for Payer: Dignity Health Medi-Cal |
$0.43
|
Rate for Payer: EPIC Health Plan Commercial |
$0.20
|
Rate for Payer: EPIC Health Plan Transplant |
$0.20
|
Rate for Payer: Galaxy Health WC |
$0.43
|
Rate for Payer: Global Benefits Group Commercial |
$0.30
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.38
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.33
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.19
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.12
|
Rate for Payer: Multiplan Commercial |
$0.40
|
Rate for Payer: Networks By Design Commercial |
$0.25
|
Rate for Payer: Prime Health Services Commercial |
$0.43
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.30
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.30
|
Rate for Payer: United Healthcare All Other Commercial |
$0.25
|
Rate for Payer: United Healthcare All Other HMO |
$0.25
|
Rate for Payer: United Healthcare HMO Rider |
$0.25
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.25
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.43
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.43
|
Rate for Payer: Vantage Medical Group Senior |
$0.43
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
OP
|
$0.31
|
|
Service Code
|
NDC 67457-384-99
|
Hospital Charge Code |
1759630
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.07 |
Max. Negotiated Rate |
$0.26 |
Rate for Payer: Aetna of CA HMO/PPO |
$0.20
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.26
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.17
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.17
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.18
|
Rate for Payer: BCBS Transplant Transplant |
$0.19
|
Rate for Payer: Blue Shield of California Commercial |
$0.23
|
Rate for Payer: Blue Shield of California EPN |
$0.18
|
Rate for Payer: Cash Price |
$0.14
|
Rate for Payer: Cash Price |
$0.14
|
Rate for Payer: Cigna of CA HMO |
$0.22
|
Rate for Payer: Cigna of CA PPO |
$0.22
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.26
|
Rate for Payer: Dignity Health Media |
$0.26
|
Rate for Payer: Dignity Health Medi-Cal |
$0.26
|
Rate for Payer: EPIC Health Plan Commercial |
$0.12
|
Rate for Payer: EPIC Health Plan Transplant |
$0.12
|
Rate for Payer: Galaxy Health WC |
$0.26
|
Rate for Payer: Global Benefits Group Commercial |
$0.19
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.23
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.21
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.12
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.07
|
Rate for Payer: Multiplan Commercial |
$0.25
|
Rate for Payer: Networks By Design Commercial |
$0.16
|
Rate for Payer: Prime Health Services Commercial |
$0.26
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.19
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.19
|
Rate for Payer: United Healthcare All Other Commercial |
$0.16
|
Rate for Payer: United Healthcare All Other HMO |
$0.16
|
Rate for Payer: United Healthcare HMO Rider |
$0.16
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.16
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.26
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.26
|
Rate for Payer: Vantage Medical Group Senior |
$0.26
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
OP
|
$4.64
|
|
Service Code
|
NDC 63323-540-13
|
Hospital Charge Code |
1720392
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$1.11 |
Max. Negotiated Rate |
$3.94 |
Rate for Payer: Aetna of CA HMO/PPO |
$3.04
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$3.94
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$2.55
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$2.55
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2.76
|
Rate for Payer: BCBS Transplant Transplant |
$2.78
|
Rate for Payer: Blue Shield of California Commercial |
$3.42
|
Rate for Payer: Blue Shield of California EPN |
$2.71
|
Rate for Payer: Cash Price |
$2.09
|
Rate for Payer: Cash Price |
$2.09
|
Rate for Payer: Cigna of CA HMO |
$3.25
|
Rate for Payer: Cigna of CA PPO |
$3.25
|
Rate for Payer: Dignity Health Commercial/Exchange |
$3.94
|
Rate for Payer: Dignity Health Media |
$3.94
|
Rate for Payer: Dignity Health Medi-Cal |
$3.94
|
Rate for Payer: EPIC Health Plan Commercial |
$1.86
|
Rate for Payer: EPIC Health Plan Transplant |
$1.86
|
Rate for Payer: Galaxy Health WC |
$3.94
|
Rate for Payer: Global Benefits Group Commercial |
$2.78
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$3.48
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3.09
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1.77
|
Rate for Payer: LLUH Dept of Risk Management WC |
$1.11
|
Rate for Payer: Multiplan Commercial |
$3.71
|
Rate for Payer: Networks By Design Commercial |
$2.32
|
Rate for Payer: Prime Health Services Commercial |
$3.94
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2.78
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$2.78
|
Rate for Payer: United Healthcare All Other Commercial |
$2.32
|
Rate for Payer: United Healthcare All Other HMO |
$2.32
|
Rate for Payer: United Healthcare HMO Rider |
$2.32
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$2.32
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3.94
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$3.94
|
Rate for Payer: Vantage Medical Group Senior |
$3.94
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
IP
|
$0.41
|
|
Service Code
|
NDC 0069-0058-02
|
Hospital Charge Code |
1720069
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.10 |
Max. Negotiated Rate |
$0.35 |
Rate for Payer: Blue Shield of California Commercial |
$0.29
|
Rate for Payer: Blue Shield of California EPN |
$0.21
|
Rate for Payer: Cash Price |
$0.18
|
Rate for Payer: Cigna of CA HMO |
$0.29
|
Rate for Payer: Cigna of CA PPO |
$0.29
|
Rate for Payer: EPIC Health Plan Commercial |
$0.16
|
Rate for Payer: EPIC Health Plan Transplant |
$0.16
|
Rate for Payer: Galaxy Health WC |
$0.35
|
Rate for Payer: Global Benefits Group Commercial |
$0.25
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.27
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.16
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.10
|
Rate for Payer: Multiplan Commercial |
$0.33
|
Rate for Payer: Networks By Design Commercial |
$0.21
|
Rate for Payer: Prime Health Services Commercial |
$0.35
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
OP
|
$2.23
|
|
Service Code
|
NDC 0409-2720-01
|
Hospital Charge Code |
1720392
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.54 |
Max. Negotiated Rate |
$1.90 |
Rate for Payer: Aetna of CA HMO/PPO |
$1.46
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1.90
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1.23
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1.23
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1.33
|
Rate for Payer: BCBS Transplant Transplant |
$1.34
|
Rate for Payer: Blue Shield of California Commercial |
$1.64
|
Rate for Payer: Blue Shield of California EPN |
$1.30
|
Rate for Payer: Cash Price |
$1.00
|
Rate for Payer: Cash Price |
$1.00
|
Rate for Payer: Cigna of CA HMO |
$1.56
|
Rate for Payer: Cigna of CA PPO |
$1.56
|
Rate for Payer: Dignity Health Commercial/Exchange |
$1.90
|
Rate for Payer: Dignity Health Media |
$1.90
|
Rate for Payer: Dignity Health Medi-Cal |
$1.90
|
Rate for Payer: EPIC Health Plan Commercial |
$0.89
|
Rate for Payer: EPIC Health Plan Transplant |
$0.89
|
Rate for Payer: Galaxy Health WC |
$1.90
|
Rate for Payer: Global Benefits Group Commercial |
$1.34
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$1.67
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1.49
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.85
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.54
|
Rate for Payer: Multiplan Commercial |
$1.78
|
Rate for Payer: Networks By Design Commercial |
$1.12
|
Rate for Payer: Prime Health Services Commercial |
$1.90
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1.34
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$1.34
|
Rate for Payer: United Healthcare All Other Commercial |
$1.12
|
Rate for Payer: United Healthcare All Other HMO |
$1.12
|
Rate for Payer: United Healthcare HMO Rider |
$1.12
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$1.12
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1.90
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$1.90
|
Rate for Payer: Vantage Medical Group Senior |
$1.90
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
IP
|
$0.29
|
|
Service Code
|
NDC 63323-540-33
|
Hospital Charge Code |
1759630
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.07 |
Max. Negotiated Rate |
$0.25 |
Rate for Payer: Blue Shield of California Commercial |
$0.21
|
Rate for Payer: Blue Shield of California EPN |
$0.15
|
Rate for Payer: Cash Price |
$0.13
|
Rate for Payer: Cigna of CA HMO |
$0.20
|
Rate for Payer: Cigna of CA PPO |
$0.20
|
Rate for Payer: EPIC Health Plan Commercial |
$0.12
|
Rate for Payer: EPIC Health Plan Transplant |
$0.12
|
Rate for Payer: Galaxy Health WC |
$0.25
|
Rate for Payer: Global Benefits Group Commercial |
$0.17
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.19
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.11
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.07
|
Rate for Payer: Multiplan Commercial |
$0.23
|
Rate for Payer: Networks By Design Commercial |
$0.15
|
Rate for Payer: Prime Health Services Commercial |
$0.25
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
OP
|
$0.31
|
|
Service Code
|
NDC 0409-2720-03
|
Hospital Charge Code |
1759630
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.07 |
Max. Negotiated Rate |
$0.26 |
Rate for Payer: Aetna of CA HMO/PPO |
$0.20
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.26
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.17
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.17
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.18
|
Rate for Payer: BCBS Transplant Transplant |
$0.19
|
Rate for Payer: Blue Shield of California Commercial |
$0.23
|
Rate for Payer: Blue Shield of California EPN |
$0.18
|
Rate for Payer: Cash Price |
$0.14
|
Rate for Payer: Cash Price |
$0.14
|
Rate for Payer: Cigna of CA HMO |
$0.22
|
Rate for Payer: Cigna of CA PPO |
$0.22
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.26
|
Rate for Payer: Dignity Health Media |
$0.26
|
Rate for Payer: Dignity Health Medi-Cal |
$0.26
|
Rate for Payer: EPIC Health Plan Commercial |
$0.12
|
Rate for Payer: EPIC Health Plan Transplant |
$0.12
|
Rate for Payer: Galaxy Health WC |
$0.26
|
Rate for Payer: Global Benefits Group Commercial |
$0.19
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.23
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.21
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.12
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.07
|
Rate for Payer: Multiplan Commercial |
$0.25
|
Rate for Payer: Networks By Design Commercial |
$0.16
|
Rate for Payer: Prime Health Services Commercial |
$0.26
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.19
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.19
|
Rate for Payer: United Healthcare All Other Commercial |
$0.16
|
Rate for Payer: United Healthcare All Other HMO |
$0.16
|
Rate for Payer: United Healthcare HMO Rider |
$0.16
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.16
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.26
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.26
|
Rate for Payer: Vantage Medical Group Senior |
$0.26
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
IP
|
$0.31
|
|
Service Code
|
NDC 67457-384-99
|
Hospital Charge Code |
1759630
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.07 |
Max. Negotiated Rate |
$0.26 |
Rate for Payer: Blue Shield of California Commercial |
$0.22
|
Rate for Payer: Blue Shield of California EPN |
$0.16
|
Rate for Payer: Cash Price |
$0.14
|
Rate for Payer: Cigna of CA HMO |
$0.22
|
Rate for Payer: Cigna of CA PPO |
$0.22
|
Rate for Payer: EPIC Health Plan Commercial |
$0.12
|
Rate for Payer: EPIC Health Plan Transplant |
$0.12
|
Rate for Payer: Galaxy Health WC |
$0.26
|
Rate for Payer: Global Benefits Group Commercial |
$0.19
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.21
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.12
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.07
|
Rate for Payer: Multiplan Commercial |
$0.25
|
Rate for Payer: Networks By Design Commercial |
$0.16
|
Rate for Payer: Prime Health Services Commercial |
$0.26
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
IP
|
$4.64
|
|
Service Code
|
NDC 63323-540-13
|
Hospital Charge Code |
1720392
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$1.11 |
Max. Negotiated Rate |
$3.94 |
Rate for Payer: Blue Shield of California Commercial |
$3.30
|
Rate for Payer: Blue Shield of California EPN |
$2.38
|
Rate for Payer: Cash Price |
$2.09
|
Rate for Payer: Cigna of CA HMO |
$3.25
|
Rate for Payer: Cigna of CA PPO |
$3.25
|
Rate for Payer: EPIC Health Plan Commercial |
$1.86
|
Rate for Payer: EPIC Health Plan Transplant |
$1.86
|
Rate for Payer: Galaxy Health WC |
$3.94
|
Rate for Payer: Global Benefits Group Commercial |
$2.78
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3.09
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1.77
|
Rate for Payer: LLUH Dept of Risk Management WC |
$1.11
|
Rate for Payer: Multiplan Commercial |
$3.71
|
Rate for Payer: Networks By Design Commercial |
$2.32
|
Rate for Payer: Prime Health Services Commercial |
$3.94
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
OP
|
$0.31
|
|
Service Code
|
NDC 0409-2720-32
|
Hospital Charge Code |
1759630
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.07 |
Max. Negotiated Rate |
$0.26 |
Rate for Payer: Networks By Design Commercial |
$0.16
|
Rate for Payer: Aetna of CA HMO/PPO |
$0.20
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.26
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.17
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.17
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.18
|
Rate for Payer: BCBS Transplant Transplant |
$0.19
|
Rate for Payer: Blue Shield of California Commercial |
$0.23
|
Rate for Payer: Blue Shield of California EPN |
$0.18
|
Rate for Payer: Cash Price |
$0.14
|
Rate for Payer: Cash Price |
$0.14
|
Rate for Payer: Cigna of CA HMO |
$0.22
|
Rate for Payer: Cigna of CA PPO |
$0.22
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.26
|
Rate for Payer: Dignity Health Media |
$0.26
|
Rate for Payer: Dignity Health Medi-Cal |
$0.26
|
Rate for Payer: EPIC Health Plan Commercial |
$0.12
|
Rate for Payer: EPIC Health Plan Transplant |
$0.12
|
Rate for Payer: Galaxy Health WC |
$0.26
|
Rate for Payer: Global Benefits Group Commercial |
$0.19
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.23
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.21
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.12
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.07
|
Rate for Payer: Multiplan Commercial |
$0.25
|
Rate for Payer: Prime Health Services Commercial |
$0.26
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.19
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.19
|
Rate for Payer: United Healthcare All Other Commercial |
$0.16
|
Rate for Payer: United Healthcare All Other HMO |
$0.16
|
Rate for Payer: United Healthcare HMO Rider |
$0.16
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.16
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.26
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.26
|
Rate for Payer: Vantage Medical Group Senior |
$0.26
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
OP
|
$2.23
|
|
Service Code
|
NDC 0409-2720-30
|
Hospital Charge Code |
1720392
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.54 |
Max. Negotiated Rate |
$1.90 |
Rate for Payer: Aetna of CA HMO/PPO |
$1.46
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1.90
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1.23
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1.23
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1.33
|
Rate for Payer: BCBS Transplant Transplant |
$1.34
|
Rate for Payer: Blue Shield of California Commercial |
$1.64
|
Rate for Payer: Blue Shield of California EPN |
$1.30
|
Rate for Payer: Cash Price |
$1.00
|
Rate for Payer: Cash Price |
$1.00
|
Rate for Payer: Cigna of CA HMO |
$1.56
|
Rate for Payer: Cigna of CA PPO |
$1.56
|
Rate for Payer: Dignity Health Commercial/Exchange |
$1.90
|
Rate for Payer: Dignity Health Media |
$1.90
|
Rate for Payer: Dignity Health Medi-Cal |
$1.90
|
Rate for Payer: EPIC Health Plan Commercial |
$0.89
|
Rate for Payer: EPIC Health Plan Transplant |
$0.89
|
Rate for Payer: Galaxy Health WC |
$1.90
|
Rate for Payer: Global Benefits Group Commercial |
$1.34
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$1.67
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1.49
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.85
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.54
|
Rate for Payer: Multiplan Commercial |
$1.78
|
Rate for Payer: Networks By Design Commercial |
$1.12
|
Rate for Payer: Prime Health Services Commercial |
$1.90
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1.34
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$1.34
|
Rate for Payer: United Healthcare All Other Commercial |
$1.12
|
Rate for Payer: United Healthcare All Other HMO |
$1.12
|
Rate for Payer: United Healthcare HMO Rider |
$1.12
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$1.12
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1.90
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$1.90
|
Rate for Payer: Vantage Medical Group Senior |
$1.90
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
IP
|
$0.31
|
|
Service Code
|
NDC 67457-384-31
|
Hospital Charge Code |
1759630
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.07 |
Max. Negotiated Rate |
$0.26 |
Rate for Payer: Blue Shield of California Commercial |
$0.22
|
Rate for Payer: Blue Shield of California EPN |
$0.16
|
Rate for Payer: Cash Price |
$0.14
|
Rate for Payer: Cigna of CA HMO |
$0.22
|
Rate for Payer: Cigna of CA PPO |
$0.22
|
Rate for Payer: EPIC Health Plan Commercial |
$0.12
|
Rate for Payer: EPIC Health Plan Transplant |
$0.12
|
Rate for Payer: Galaxy Health WC |
$0.26
|
Rate for Payer: Global Benefits Group Commercial |
$0.19
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.21
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.12
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.07
|
Rate for Payer: Multiplan Commercial |
$0.25
|
Rate for Payer: Networks By Design Commercial |
$0.16
|
Rate for Payer: Prime Health Services Commercial |
$0.26
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
IP
|
$0.31
|
|
Service Code
|
NDC 0409-2720-03
|
Hospital Charge Code |
1759630
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.07 |
Max. Negotiated Rate |
$0.26 |
Rate for Payer: Blue Shield of California Commercial |
$0.22
|
Rate for Payer: Blue Shield of California EPN |
$0.16
|
Rate for Payer: Cash Price |
$0.14
|
Rate for Payer: Cigna of CA HMO |
$0.22
|
Rate for Payer: Cigna of CA PPO |
$0.22
|
Rate for Payer: EPIC Health Plan Commercial |
$0.12
|
Rate for Payer: EPIC Health Plan Transplant |
$0.12
|
Rate for Payer: Galaxy Health WC |
$0.26
|
Rate for Payer: Global Benefits Group Commercial |
$0.19
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.21
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.12
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.07
|
Rate for Payer: Multiplan Commercial |
$0.25
|
Rate for Payer: Networks By Design Commercial |
$0.16
|
Rate for Payer: Prime Health Services Commercial |
$0.26
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
OP
|
$4.64
|
|
Service Code
|
NDC 63323-540-03
|
Hospital Charge Code |
1720392
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$1.11 |
Max. Negotiated Rate |
$3.94 |
Rate for Payer: Aetna of CA HMO/PPO |
$3.04
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$3.94
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$2.55
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$2.55
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2.76
|
Rate for Payer: BCBS Transplant Transplant |
$2.78
|
Rate for Payer: Blue Shield of California Commercial |
$3.42
|
Rate for Payer: Blue Shield of California EPN |
$2.71
|
Rate for Payer: Cash Price |
$2.09
|
Rate for Payer: Cash Price |
$2.09
|
Rate for Payer: Cigna of CA HMO |
$3.25
|
Rate for Payer: Cigna of CA PPO |
$3.25
|
Rate for Payer: Dignity Health Commercial/Exchange |
$3.94
|
Rate for Payer: Dignity Health Media |
$3.94
|
Rate for Payer: Dignity Health Medi-Cal |
$3.94
|
Rate for Payer: EPIC Health Plan Commercial |
$1.86
|
Rate for Payer: EPIC Health Plan Transplant |
$1.86
|
Rate for Payer: Galaxy Health WC |
$3.94
|
Rate for Payer: Global Benefits Group Commercial |
$2.78
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$3.48
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3.09
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1.77
|
Rate for Payer: LLUH Dept of Risk Management WC |
$1.11
|
Rate for Payer: Multiplan Commercial |
$3.71
|
Rate for Payer: Networks By Design Commercial |
$2.32
|
Rate for Payer: Prime Health Services Commercial |
$3.94
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2.78
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$2.78
|
Rate for Payer: United Healthcare All Other Commercial |
$2.32
|
Rate for Payer: United Healthcare All Other HMO |
$2.32
|
Rate for Payer: United Healthcare HMO Rider |
$2.32
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$2.32
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3.94
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$3.94
|
Rate for Payer: Vantage Medical Group Senior |
$3.94
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
IP
|
$0.41
|
|
Service Code
|
NDC 0409-2720-31
|
Hospital Charge Code |
1720069
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.10 |
Max. Negotiated Rate |
$0.35 |
Rate for Payer: Blue Shield of California Commercial |
$0.29
|
Rate for Payer: Blue Shield of California EPN |
$0.21
|
Rate for Payer: Cash Price |
$0.18
|
Rate for Payer: Cigna of CA HMO |
$0.29
|
Rate for Payer: Cigna of CA PPO |
$0.29
|
Rate for Payer: EPIC Health Plan Commercial |
$0.16
|
Rate for Payer: EPIC Health Plan Transplant |
$0.16
|
Rate for Payer: Galaxy Health WC |
$0.35
|
Rate for Payer: Global Benefits Group Commercial |
$0.25
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.27
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.16
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.10
|
Rate for Payer: Multiplan Commercial |
$0.33
|
Rate for Payer: Networks By Design Commercial |
$0.21
|
Rate for Payer: Prime Health Services Commercial |
$0.35
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
OP
|
$0.29
|
|
Service Code
|
NDC 63323-540-33
|
Hospital Charge Code |
1759630
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.07 |
Max. Negotiated Rate |
$0.25 |
Rate for Payer: Aetna of CA HMO/PPO |
$0.19
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.25
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.16
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.16
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.17
|
Rate for Payer: BCBS Transplant Transplant |
$0.17
|
Rate for Payer: Blue Shield of California Commercial |
$0.21
|
Rate for Payer: Blue Shield of California EPN |
$0.17
|
Rate for Payer: Cash Price |
$0.13
|
Rate for Payer: Cash Price |
$0.13
|
Rate for Payer: Cigna of CA HMO |
$0.20
|
Rate for Payer: Cigna of CA PPO |
$0.20
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.25
|
Rate for Payer: Dignity Health Media |
$0.25
|
Rate for Payer: Dignity Health Medi-Cal |
$0.25
|
Rate for Payer: EPIC Health Plan Commercial |
$0.12
|
Rate for Payer: EPIC Health Plan Transplant |
$0.12
|
Rate for Payer: Galaxy Health WC |
$0.25
|
Rate for Payer: Global Benefits Group Commercial |
$0.17
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.22
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.19
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.11
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.07
|
Rate for Payer: Multiplan Commercial |
$0.23
|
Rate for Payer: Networks By Design Commercial |
$0.15
|
Rate for Payer: Prime Health Services Commercial |
$0.25
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.17
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.17
|
Rate for Payer: United Healthcare All Other Commercial |
$0.15
|
Rate for Payer: United Healthcare All Other HMO |
$0.15
|
Rate for Payer: United Healthcare HMO Rider |
$0.15
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.15
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.25
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.25
|
Rate for Payer: Vantage Medical Group Senior |
$0.25
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
OP
|
$0.41
|
|
Service Code
|
NDC 0409-2720-31
|
Hospital Charge Code |
1720069
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.10 |
Max. Negotiated Rate |
$0.35 |
Rate for Payer: Aetna of CA HMO/PPO |
$0.27
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.35
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.23
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.23
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.24
|
Rate for Payer: BCBS Transplant Transplant |
$0.25
|
Rate for Payer: Blue Shield of California Commercial |
$0.30
|
Rate for Payer: Blue Shield of California EPN |
$0.24
|
Rate for Payer: Cash Price |
$0.18
|
Rate for Payer: Cash Price |
$0.18
|
Rate for Payer: Cigna of CA HMO |
$0.29
|
Rate for Payer: Cigna of CA PPO |
$0.29
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.35
|
Rate for Payer: Dignity Health Media |
$0.35
|
Rate for Payer: Dignity Health Medi-Cal |
$0.35
|
Rate for Payer: EPIC Health Plan Commercial |
$0.16
|
Rate for Payer: EPIC Health Plan Transplant |
$0.16
|
Rate for Payer: Galaxy Health WC |
$0.35
|
Rate for Payer: Global Benefits Group Commercial |
$0.25
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.31
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.27
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.16
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.10
|
Rate for Payer: Multiplan Commercial |
$0.33
|
Rate for Payer: Networks By Design Commercial |
$0.21
|
Rate for Payer: Prime Health Services Commercial |
$0.35
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.25
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.25
|
Rate for Payer: United Healthcare All Other Commercial |
$0.21
|
Rate for Payer: United Healthcare All Other HMO |
$0.21
|
Rate for Payer: United Healthcare HMO Rider |
$0.21
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.21
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.35
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.35
|
Rate for Payer: Vantage Medical Group Senior |
$0.35
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
IP
|
$0.41
|
|
Service Code
|
NDC 0409-2720-02
|
Hospital Charge Code |
1720069
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.10 |
Max. Negotiated Rate |
$0.35 |
Rate for Payer: Blue Shield of California Commercial |
$0.29
|
Rate for Payer: Blue Shield of California EPN |
$0.21
|
Rate for Payer: Cash Price |
$0.18
|
Rate for Payer: Cigna of CA HMO |
$0.29
|
Rate for Payer: Cigna of CA PPO |
$0.29
|
Rate for Payer: EPIC Health Plan Commercial |
$0.16
|
Rate for Payer: EPIC Health Plan Transplant |
$0.16
|
Rate for Payer: Galaxy Health WC |
$0.35
|
Rate for Payer: Global Benefits Group Commercial |
$0.25
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.27
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.16
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.10
|
Rate for Payer: Multiplan Commercial |
$0.33
|
Rate for Payer: Networks By Design Commercial |
$0.21
|
Rate for Payer: Prime Health Services Commercial |
$0.35
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
IP
|
$0.29
|
|
Service Code
|
NDC 63323-540-36
|
Hospital Charge Code |
1759630
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.07 |
Max. Negotiated Rate |
$0.25 |
Rate for Payer: Blue Shield of California Commercial |
$0.21
|
Rate for Payer: Blue Shield of California EPN |
$0.15
|
Rate for Payer: Cash Price |
$0.13
|
Rate for Payer: Cigna of CA HMO |
$0.20
|
Rate for Payer: Cigna of CA PPO |
$0.20
|
Rate for Payer: EPIC Health Plan Commercial |
$0.12
|
Rate for Payer: EPIC Health Plan Transplant |
$0.12
|
Rate for Payer: Galaxy Health WC |
$0.25
|
Rate for Payer: Global Benefits Group Commercial |
$0.17
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.19
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.11
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.07
|
Rate for Payer: Multiplan Commercial |
$0.23
|
Rate for Payer: Networks By Design Commercial |
$0.15
|
Rate for Payer: Prime Health Services Commercial |
$0.25
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
IP
|
$4.64
|
|
Service Code
|
NDC 63323-540-03
|
Hospital Charge Code |
1720392
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$1.11 |
Max. Negotiated Rate |
$3.94 |
Rate for Payer: Blue Shield of California Commercial |
$3.30
|
Rate for Payer: Blue Shield of California EPN |
$2.38
|
Rate for Payer: Cash Price |
$2.09
|
Rate for Payer: Cigna of CA HMO |
$3.25
|
Rate for Payer: Cigna of CA PPO |
$3.25
|
Rate for Payer: EPIC Health Plan Commercial |
$1.86
|
Rate for Payer: EPIC Health Plan Transplant |
$1.86
|
Rate for Payer: Galaxy Health WC |
$3.94
|
Rate for Payer: Global Benefits Group Commercial |
$2.78
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3.09
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1.77
|
Rate for Payer: LLUH Dept of Risk Management WC |
$1.11
|
Rate for Payer: Multiplan Commercial |
$3.71
|
Rate for Payer: Networks By Design Commercial |
$2.32
|
Rate for Payer: Prime Health Services Commercial |
$3.94
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
OP
|
$0.31
|
|
Service Code
|
NDC 67457-384-31
|
Hospital Charge Code |
1759630
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.07 |
Max. Negotiated Rate |
$0.26 |
Rate for Payer: Aetna of CA HMO/PPO |
$0.20
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.26
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.17
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.17
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.18
|
Rate for Payer: BCBS Transplant Transplant |
$0.19
|
Rate for Payer: Blue Shield of California Commercial |
$0.23
|
Rate for Payer: Blue Shield of California EPN |
$0.18
|
Rate for Payer: Cash Price |
$0.14
|
Rate for Payer: Cash Price |
$0.14
|
Rate for Payer: Cigna of CA HMO |
$0.22
|
Rate for Payer: Cigna of CA PPO |
$0.22
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.26
|
Rate for Payer: Dignity Health Media |
$0.26
|
Rate for Payer: Dignity Health Medi-Cal |
$0.26
|
Rate for Payer: EPIC Health Plan Commercial |
$0.12
|
Rate for Payer: EPIC Health Plan Transplant |
$0.12
|
Rate for Payer: Galaxy Health WC |
$0.26
|
Rate for Payer: Global Benefits Group Commercial |
$0.19
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.23
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.21
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.12
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.07
|
Rate for Payer: Multiplan Commercial |
$0.25
|
Rate for Payer: Networks By Design Commercial |
$0.16
|
Rate for Payer: Prime Health Services Commercial |
$0.26
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.19
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.19
|
Rate for Payer: United Healthcare All Other Commercial |
$0.16
|
Rate for Payer: United Healthcare All Other HMO |
$0.16
|
Rate for Payer: United Healthcare HMO Rider |
$0.16
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.16
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.26
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.26
|
Rate for Payer: Vantage Medical Group Senior |
$0.26
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [10176]
|
Facility
OP
|
$0.41
|
|
Service Code
|
NDC 0069-0058-01
|
Hospital Charge Code |
1720069
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.10 |
Max. Negotiated Rate |
$0.35 |
Rate for Payer: Networks By Design Commercial |
$0.21
|
Rate for Payer: Aetna of CA HMO/PPO |
$0.27
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.35
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.23
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.23
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.24
|
Rate for Payer: BCBS Transplant Transplant |
$0.25
|
Rate for Payer: Blue Shield of California Commercial |
$0.30
|
Rate for Payer: Blue Shield of California EPN |
$0.24
|
Rate for Payer: Cash Price |
$0.18
|
Rate for Payer: Cash Price |
$0.18
|
Rate for Payer: Cigna of CA HMO |
$0.29
|
Rate for Payer: Cigna of CA PPO |
$0.29
|
Rate for Payer: Dignity Health Commercial/Exchange |
$0.35
|
Rate for Payer: Dignity Health Media |
$0.35
|
Rate for Payer: Dignity Health Medi-Cal |
$0.35
|
Rate for Payer: EPIC Health Plan Commercial |
$0.16
|
Rate for Payer: EPIC Health Plan Transplant |
$0.16
|
Rate for Payer: Galaxy Health WC |
$0.35
|
Rate for Payer: Global Benefits Group Commercial |
$0.25
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.31
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.27
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.16
|
Rate for Payer: LLUH Dept of Risk Management WC |
$0.10
|
Rate for Payer: Multiplan Commercial |
$0.33
|
Rate for Payer: Prime Health Services Commercial |
$0.35
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.25
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.25
|
Rate for Payer: United Healthcare All Other Commercial |
$0.21
|
Rate for Payer: United Healthcare All Other HMO |
$0.21
|
Rate for Payer: United Healthcare HMO Rider |
$0.21
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$0.21
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.35
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$0.35
|
Rate for Payer: Vantage Medical Group Senior |
$0.35
|
|
HEPARIN (PORCINE) 20,000 UNIT/ML INJECTION SOLUTION [10178]
|
Facility
OP
|
$12.00
|
|
Service Code
|
CPT J1644
|
Hospital Charge Code |
NDG10178
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.46 |
Max. Negotiated Rate |
$10.20 |
Rate for Payer: Aetna of CA HMO/PPO |
$1.68
|
Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$10.20
|
Rate for Payer: AlphaCare Medical Group Medi-Cal |
$6.60
|
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$6.60
|
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1.52
|
Rate for Payer: BCBS Transplant Transplant |
$7.20
|
Rate for Payer: Blue Shield of California Commercial |
$8.84
|
Rate for Payer: Blue Shield of California EPN |
$0.46
|
Rate for Payer: Cash Price |
$5.40
|
Rate for Payer: Cash Price |
$5.40
|
Rate for Payer: Cigna of CA HMO |
$8.40
|
Rate for Payer: Cigna of CA PPO |
$8.40
|
Rate for Payer: Dignity Health Commercial/Exchange |
$10.20
|
Rate for Payer: Dignity Health Media |
$10.20
|
Rate for Payer: Dignity Health Medi-Cal |
$10.20
|
Rate for Payer: EPIC Health Plan Commercial |
$4.80
|
Rate for Payer: EPIC Health Plan Transplant |
$4.80
|
Rate for Payer: Galaxy Health WC |
$10.20
|
Rate for Payer: Global Benefits Group Commercial |
$7.20
|
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$9.00
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8.00
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8.99
|
Rate for Payer: LLUH Dept of Risk Management WC |
$2.88
|
Rate for Payer: Multiplan Commercial |
$9.60
|
Rate for Payer: Networks By Design Commercial |
$6.00
|
Rate for Payer: Prime Health Services Commercial |
$10.20
|
Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7.20
|
Rate for Payer: TriValley Medical Group Commercial/Senior |
$7.20
|
Rate for Payer: United Healthcare All Other Commercial |
$6.00
|
Rate for Payer: United Healthcare All Other HMO |
$6.00
|
Rate for Payer: United Healthcare HMO Rider |
$6.00
|
Rate for Payer: United Healthcare Select/Navigate/Core |
$6.00
|
Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10.20
|
Rate for Payer: Vantage Medical Group Medi-Cal |
$10.20
|
Rate for Payer: Vantage Medical Group Senior |
$10.20
|
|
HEPARIN (PORCINE) 20,000 UNIT/ML INJECTION SOLUTION [10178]
|
Facility
IP
|
$12.00
|
|
Service Code
|
CPT J1644
|
Hospital Charge Code |
NDG10178
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$2.88 |
Max. Negotiated Rate |
$10.20 |
Rate for Payer: Blue Shield of California Commercial |
$8.54
|
Rate for Payer: Blue Shield of California EPN |
$6.14
|
Rate for Payer: Cash Price |
$5.40
|
Rate for Payer: Cigna of CA HMO |
$8.40
|
Rate for Payer: Cigna of CA PPO |
$8.40
|
Rate for Payer: EPIC Health Plan Commercial |
$4.80
|
Rate for Payer: EPIC Health Plan Transplant |
$4.80
|
Rate for Payer: Galaxy Health WC |
$10.20
|
Rate for Payer: Global Benefits Group Commercial |
$7.20
|
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8.00
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.57
|
Rate for Payer: LLUH Dept of Risk Management WC |
$2.88
|
Rate for Payer: Multiplan Commercial |
$9.60
|
Rate for Payer: Networks By Design Commercial |
$6.00
|
Rate for Payer: Prime Health Services Commercial |
$10.20
|
|