Number of MembersLowest Copayment (Dollar Amount)Median Copayment (Dollar Amount)Highest Copayment (Dollar Amount)
1-2,000$80.00$90.00$100.00
2,001-4,000N/AN/AN/A
4,001-6,000N/AN/AN/A
6,001-10,000$80.00$80.00$80.00
10,000-20,000N/AN/AN/A
20,000-50,000$50.00$50.00$50.00
50,001 +N/AN/AN/A
UnreportedN/AN/AN/A
Total$50.00$80.00$100.00