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Service Code HCPCS 90714
Hospital Charge Code 4409170
Hospital Revenue Code 636
Min. Negotiated Rate $18.83
Max. Negotiated Rate $95.56
Rate for Payer: Aetna of NY Commercial $65.29
Rate for Payer: Aetna of NY Medicare $54.61
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $18.83
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $18.83
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $43.92
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $59.36
Rate for Payer: Cash Price $89.03
Rate for Payer: Cash Price $89.03
Rate for Payer: CDPHP Commercial $95.56
Rate for Payer: CDPHP Medicare $43.92
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $18.83
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $94.97
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $94.97
Rate for Payer: EmblemHealth Medicaid $94.97
Rate for Payer: EmblemHealth Medicare $40.36
Rate for Payer: EmblemHealth Select Care $18.83
Rate for Payer: Fidelis Medicare $45.24
Rate for Payer: Galaxy Health Commercial $77.16
Rate for Payer: Hamaspik Choice Medicare $43.92
Rate for Payer: Humana Medicare $43.92
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $65.29
Rate for Payer: Local 1199SEIU Medicare $54.61
Rate for Payer: MVP Health Care of NY Commercial $89.03
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $66.83
Rate for Payer: MVP Health Care of NY Medicare $46.12
Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro $51.23
Rate for Payer: United Healthcare Commercial $51.23
Rate for Payer: United Healthcare Medicare $43.92
Rate for Payer: WellCare Medicare $65.29
Hospital Charge Code 4473017
Hospital Revenue Code 272
Min. Negotiated Rate $1,533.35
Max. Negotiated Rate $1,533.35
Rate for Payer: Cash Price $1,769.25
Rate for Payer: Galaxy Health Commercial $1,533.35
Hospital Charge Code 4473017
Hospital Revenue Code 272
Min. Negotiated Rate $802.06
Max. Negotiated Rate $1,899.00
Rate for Payer: Aetna of NY Commercial $1,651.30
Rate for Payer: Aetna of NY Medicare $1,085.14
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $1,769.25
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $1,769.25
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $872.83
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $1,179.50
Rate for Payer: Cash Price $1,769.25
Rate for Payer: CDPHP Commercial $1,899.00
Rate for Payer: CDPHP Medicare $872.83
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $1,887.20
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $1,887.20
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $1,887.20
Rate for Payer: EmblemHealth Medicaid $1,887.20
Rate for Payer: EmblemHealth Medicare $802.06
Rate for Payer: EmblemHealth Select Care $1,698.48
Rate for Payer: Fidelis Medicare $899.01
Rate for Payer: Galaxy Health Commercial $1,533.35
Rate for Payer: Hamaspik Choice Medicare $872.83
Rate for Payer: Humana Medicare $872.83
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $1,651.30
Rate for Payer: Local 1199SEIU Medicare $1,085.14
Rate for Payer: MVP Health Care of NY Commercial $1,769.25
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $1,328.12
Rate for Payer: MVP Health Care of NY Medicare $916.47
Rate for Payer: United Healthcare Medicare $872.83
Rate for Payer: WellCare Medicare $1,297.45
Service Code CPT 24358
Hospital Revenue Code 490
Min. Negotiated Rate $1,307.00
Max. Negotiated Rate $3,084.03
Rate for Payer: Aetna of NY Commercial $1,857.00
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $2,017.33
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $2,521.93
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $1,307.00
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $1,857.00
Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro $1,775.00
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid $3,084.03
Rate for Payer: United Healthcare Commercial $2,036.00
Service Code CPT 24357
Hospital Revenue Code 490
Min. Negotiated Rate $1,307.00
Max. Negotiated Rate $3,084.03
Rate for Payer: Aetna of NY Commercial $1,857.00
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $2,017.33
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $2,521.93
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $1,307.00
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $1,857.00
Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro $1,775.00
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid $3,084.03
Rate for Payer: United Healthcare Commercial $2,036.00
Service Code CPT 24310
Hospital Revenue Code 490
Min. Negotiated Rate $1,266.00
Max. Negotiated Rate $3,084.03
Rate for Payer: Aetna of NY Commercial $1,857.00
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $2,017.33
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $2,521.93
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $1,266.00
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $1,857.00
Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro $1,775.00
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid $3,084.03
Rate for Payer: United Healthcare Commercial $2,036.00
Hospital Charge Code 4479271
Hospital Revenue Code 270
Min. Negotiated Rate $10.54
Max. Negotiated Rate $24.96
Rate for Payer: Aetna of NY Commercial $21.70
Rate for Payer: Aetna of NY Medicare $14.26
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $23.25
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $23.25
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $11.47
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $15.50
Rate for Payer: Cash Price $23.25
Rate for Payer: CDPHP Commercial $24.96
Rate for Payer: CDPHP Medicare $11.47
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $24.80
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $24.80
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $24.80
Rate for Payer: EmblemHealth Medicaid $24.80
Rate for Payer: EmblemHealth Medicare $10.54
Rate for Payer: EmblemHealth Select Care $22.32
Rate for Payer: Fidelis Medicare $11.81
Rate for Payer: Galaxy Health Commercial $20.15
Rate for Payer: Hamaspik Choice Medicare $11.47
Rate for Payer: Humana Medicare $11.47
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $21.70
Rate for Payer: Local 1199SEIU Medicare $14.26
Rate for Payer: MVP Health Care of NY Commercial $23.25
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $17.45
Rate for Payer: MVP Health Care of NY Medicare $12.04
Rate for Payer: United Healthcare Medicare $11.47
Rate for Payer: WellCare Medicare $17.05
Hospital Charge Code 4479271
Hospital Revenue Code 270
Min. Negotiated Rate $20.15
Max. Negotiated Rate $20.15
Rate for Payer: Cash Price $23.25
Rate for Payer: Galaxy Health Commercial $20.15
Hospital Charge Code 4471698
Hospital Revenue Code 270
Min. Negotiated Rate $87.10
Max. Negotiated Rate $87.10
Rate for Payer: Cash Price $100.50
Rate for Payer: Galaxy Health Commercial $87.10
Hospital Charge Code 4471698
Hospital Revenue Code 270
Min. Negotiated Rate $45.56
Max. Negotiated Rate $107.87
Rate for Payer: Aetna of NY Commercial $93.80
Rate for Payer: Aetna of NY Medicare $61.64
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $100.50
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $100.50
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $49.58
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $67.00
Rate for Payer: Cash Price $100.50
Rate for Payer: CDPHP Commercial $107.87
Rate for Payer: CDPHP Medicare $49.58
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $107.20
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $107.20
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $107.20
Rate for Payer: EmblemHealth Medicaid $107.20
Rate for Payer: EmblemHealth Medicare $45.56
Rate for Payer: EmblemHealth Select Care $96.48
Rate for Payer: Fidelis Medicare $51.07
Rate for Payer: Galaxy Health Commercial $87.10
Rate for Payer: Hamaspik Choice Medicare $49.58
Rate for Payer: Humana Medicare $49.58
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $93.80
Rate for Payer: Local 1199SEIU Medicare $61.64
Rate for Payer: MVP Health Care of NY Commercial $100.50
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $75.44
Rate for Payer: MVP Health Care of NY Medicare $52.06
Rate for Payer: United Healthcare Medicare $49.58
Rate for Payer: WellCare Medicare $73.70
Hospital Charge Code 4471699
Hospital Revenue Code 270
Min. Negotiated Rate $94.25
Max. Negotiated Rate $94.25
Rate for Payer: Cash Price $108.75
Rate for Payer: Galaxy Health Commercial $94.25
Hospital Charge Code 4471699
Hospital Revenue Code 270
Min. Negotiated Rate $49.30
Max. Negotiated Rate $116.72
Rate for Payer: Aetna of NY Commercial $101.50
Rate for Payer: Aetna of NY Medicare $66.70
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $108.75
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $108.75
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $53.65
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $72.50
Rate for Payer: Cash Price $108.75
Rate for Payer: CDPHP Commercial $116.72
Rate for Payer: CDPHP Medicare $53.65
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $116.00
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $116.00
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $116.00
Rate for Payer: EmblemHealth Medicaid $116.00
Rate for Payer: EmblemHealth Medicare $49.30
Rate for Payer: EmblemHealth Select Care $104.40
Rate for Payer: Fidelis Medicare $55.26
Rate for Payer: Galaxy Health Commercial $94.25
Rate for Payer: Hamaspik Choice Medicare $53.65
Rate for Payer: Humana Medicare $53.65
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $101.50
Rate for Payer: Local 1199SEIU Medicare $66.70
Rate for Payer: MVP Health Care of NY Commercial $108.75
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $81.64
Rate for Payer: MVP Health Care of NY Medicare $56.33
Rate for Payer: United Healthcare Medicare $53.65
Rate for Payer: WellCare Medicare $79.75
Hospital Charge Code 4471701
Hospital Revenue Code 270
Min. Negotiated Rate $36.04
Max. Negotiated Rate $85.33
Rate for Payer: Aetna of NY Commercial $74.20
Rate for Payer: Aetna of NY Medicare $48.76
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $79.50
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $79.50
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $39.22
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $53.00
Rate for Payer: Cash Price $79.50
Rate for Payer: CDPHP Commercial $85.33
Rate for Payer: CDPHP Medicare $39.22
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $84.80
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $84.80
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $84.80
Rate for Payer: EmblemHealth Medicaid $84.80
Rate for Payer: EmblemHealth Medicare $36.04
Rate for Payer: EmblemHealth Select Care $76.32
Rate for Payer: Fidelis Medicare $40.40
Rate for Payer: Galaxy Health Commercial $68.90
Rate for Payer: Hamaspik Choice Medicare $39.22
Rate for Payer: Humana Medicare $39.22
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $74.20
Rate for Payer: Local 1199SEIU Medicare $48.76
Rate for Payer: MVP Health Care of NY Commercial $79.50
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $59.68
Rate for Payer: MVP Health Care of NY Medicare $41.18
Rate for Payer: United Healthcare Medicare $39.22
Rate for Payer: WellCare Medicare $58.30
Hospital Charge Code 4471701
Hospital Revenue Code 270
Min. Negotiated Rate $68.90
Max. Negotiated Rate $68.90
Rate for Payer: Cash Price $79.50
Rate for Payer: Galaxy Health Commercial $68.90
Hospital Charge Code 4471700
Hospital Revenue Code 270
Min. Negotiated Rate $57.80
Max. Negotiated Rate $136.85
Rate for Payer: Aetna of NY Commercial $119.00
Rate for Payer: Aetna of NY Medicare $78.20
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $127.50
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $127.50
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $62.90
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $85.00
Rate for Payer: Cash Price $127.50
Rate for Payer: CDPHP Commercial $136.85
Rate for Payer: CDPHP Medicare $62.90
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $136.00
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $136.00
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $136.00
Rate for Payer: EmblemHealth Medicaid $136.00
Rate for Payer: EmblemHealth Medicare $57.80
Rate for Payer: EmblemHealth Select Care $122.40
Rate for Payer: Fidelis Medicare $64.79
Rate for Payer: Galaxy Health Commercial $110.50
Rate for Payer: Hamaspik Choice Medicare $62.90
Rate for Payer: Humana Medicare $62.90
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $119.00
Rate for Payer: Local 1199SEIU Medicare $78.20
Rate for Payer: MVP Health Care of NY Commercial $127.50
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $95.71
Rate for Payer: MVP Health Care of NY Medicare $66.04
Rate for Payer: United Healthcare Medicare $62.90
Rate for Payer: WellCare Medicare $93.50
Hospital Charge Code 4471700
Hospital Revenue Code 270
Min. Negotiated Rate $110.50
Max. Negotiated Rate $110.50
Rate for Payer: Cash Price $127.50
Rate for Payer: Galaxy Health Commercial $110.50
Service Code NDC 51079093620
Hospital Charge Code 4409049
Hospital Revenue Code 250
Min. Negotiated Rate $2.10
Max. Negotiated Rate $4.97
Rate for Payer: Aetna of NY Commercial $4.33
Rate for Payer: Aetna of NY Medicare $2.84
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $4.64
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $4.64
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $2.29
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $3.09
Rate for Payer: Cash Price $4.64
Rate for Payer: CDPHP Commercial $4.97
Rate for Payer: CDPHP Medicare $2.29
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $4.94
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $4.94
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $4.94
Rate for Payer: EmblemHealth Medicaid $4.94
Rate for Payer: EmblemHealth Medicare $2.10
Rate for Payer: EmblemHealth Select Care $4.45
Rate for Payer: Fidelis Medicare $2.36
Rate for Payer: Galaxy Health Commercial $4.02
Rate for Payer: Hamaspik Choice Medicare $2.29
Rate for Payer: Humana Medicare $2.29
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $4.33
Rate for Payer: Local 1199SEIU Medicare $2.84
Rate for Payer: MVP Health Care of NY Commercial $4.64
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $3.48
Rate for Payer: MVP Health Care of NY Medicare $2.40
Rate for Payer: United Healthcare Medicare $2.29
Rate for Payer: WellCare Medicare $3.40
Service Code NDC 51079093620
Hospital Charge Code 4409049
Hospital Revenue Code 250
Min. Negotiated Rate $3.40
Max. Negotiated Rate $4.02
Rate for Payer: Cash Price $4.64
Rate for Payer: Galaxy Health Commercial $4.02
Rate for Payer: WellCare Medicare $3.40
Service Code NDC 51079093820
Hospital Charge Code 4409095
Hospital Revenue Code 250
Min. Negotiated Rate $2.10
Max. Negotiated Rate $4.97
Rate for Payer: Aetna of NY Commercial $4.33
Rate for Payer: Aetna of NY Medicare $2.84
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $4.64
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $4.64
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $2.29
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $3.09
Rate for Payer: Cash Price $4.64
Rate for Payer: CDPHP Commercial $4.97
Rate for Payer: CDPHP Medicare $2.29
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $4.94
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $4.94
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $4.94
Rate for Payer: EmblemHealth Medicaid $4.94
Rate for Payer: EmblemHealth Medicare $2.10
Rate for Payer: EmblemHealth Select Care $4.45
Rate for Payer: Fidelis Medicare $2.36
Rate for Payer: Galaxy Health Commercial $4.02
Rate for Payer: Hamaspik Choice Medicare $2.29
Rate for Payer: Humana Medicare $2.29
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $4.33
Rate for Payer: Local 1199SEIU Medicare $2.84
Rate for Payer: MVP Health Care of NY Commercial $4.64
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $3.48
Rate for Payer: MVP Health Care of NY Medicare $2.40
Rate for Payer: United Healthcare Medicare $2.29
Rate for Payer: WellCare Medicare $3.40
Service Code NDC 51079093820
Hospital Charge Code 4409095
Hospital Revenue Code 250
Min. Negotiated Rate $3.40
Max. Negotiated Rate $4.02
Rate for Payer: Cash Price $4.64
Rate for Payer: Galaxy Health Commercial $4.02
Rate for Payer: WellCare Medicare $3.40
Service Code NDC 51672208001
Hospital Charge Code 4408969
Hospital Revenue Code 250
Min. Negotiated Rate $8.40
Max. Negotiated Rate $19.90
Rate for Payer: Aetna of NY Commercial $17.30
Rate for Payer: Aetna of NY Medicare $11.37
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $18.54
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $18.54
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $9.15
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $12.36
Rate for Payer: Cash Price $18.54
Rate for Payer: CDPHP Commercial $19.90
Rate for Payer: CDPHP Medicare $9.15
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $19.78
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $19.78
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $19.78
Rate for Payer: EmblemHealth Medicaid $19.78
Rate for Payer: EmblemHealth Medicare $8.40
Rate for Payer: EmblemHealth Select Care $17.80
Rate for Payer: Fidelis Medicare $9.42
Rate for Payer: Galaxy Health Commercial $16.07
Rate for Payer: Hamaspik Choice Medicare $9.15
Rate for Payer: Humana Medicare $9.15
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $17.30
Rate for Payer: Local 1199SEIU Medicare $11.37
Rate for Payer: MVP Health Care of NY Commercial $18.54
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $13.92
Rate for Payer: MVP Health Care of NY Medicare $9.60
Rate for Payer: United Healthcare Medicare $9.15
Rate for Payer: WellCare Medicare $13.60
Service Code NDC 51672208001
Hospital Charge Code 4408969
Hospital Revenue Code 250
Min. Negotiated Rate $13.60
Max. Negotiated Rate $16.07
Rate for Payer: Cash Price $18.54
Rate for Payer: Galaxy Health Commercial $16.07
Rate for Payer: WellCare Medicare $13.60
Service Code HCPCS J3105
Hospital Charge Code 4400748
Hospital Revenue Code 636
Min. Negotiated Rate $6.09
Max. Negotiated Rate $43.35
Rate for Payer: Aetna of NY Commercial $36.68
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $6.09
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $6.09
Rate for Payer: Cash Price $50.02
Rate for Payer: Cash Price $50.02
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $6.09
Rate for Payer: EmblemHealth Select Care $6.09
Rate for Payer: Galaxy Health Commercial $43.35
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $36.68
Rate for Payer: WellCare Medicare $36.68
Service Code HCPCS J3105
Hospital Charge Code 4400748
Hospital Revenue Code 636
Min. Negotiated Rate $3.78
Max. Negotiated Rate $53.69
Rate for Payer: Aetna of NY Commercial $36.68
Rate for Payer: Aetna of NY Medicare $30.68
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $6.09
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $6.09
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $24.68
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $33.34
Rate for Payer: Cash Price $50.02
Rate for Payer: Cash Price $50.02
Rate for Payer: CDPHP Commercial $53.69
Rate for Payer: CDPHP Medicare $24.68
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $6.09
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $53.35
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $53.35
Rate for Payer: EmblemHealth Medicaid $53.35
Rate for Payer: EmblemHealth Medicare $22.67
Rate for Payer: EmblemHealth Select Care $6.09
Rate for Payer: Fidelis Medicare $25.42
Rate for Payer: Galaxy Health Commercial $43.35
Rate for Payer: Hamaspik Choice Medicare $24.68
Rate for Payer: Humana Medicare $24.68
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $36.68
Rate for Payer: Local 1199SEIU Medicare $30.68
Rate for Payer: MVP Health Care of NY Commercial $50.02
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $37.55
Rate for Payer: MVP Health Care of NY Medicare $25.91
Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro $3.78
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid $6.09
Rate for Payer: United Healthcare Commercial $3.78
Rate for Payer: United Healthcare Medicare $24.68
Rate for Payer: WellCare Medicare $36.68
Service Code HCPCS 82009
Hospital Charge Code 4302008
Hospital Revenue Code 300
Min. Negotiated Rate $0.51
Max. Negotiated Rate $16.90
Rate for Payer: Aetna of NY Commercial $13.65
Rate for Payer: Aetna of NY Medicare $9.66
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Blue Access/Small Group $15.75
Rate for Payer: Blue Cross Blue Shield of New York (Empire) EPO/HMO/Indemnity/PPO $15.75
Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare $7.77
Rate for Payer: Brighton Health (Magnacare) Direct Plus/No Fault/PIP/PPO/Workers Comp $10.50
Rate for Payer: Cash Price $15.75
Rate for Payer: Cash Price $15.75
Rate for Payer: CDPHP Commercial $16.90
Rate for Payer: CDPHP Medicare $7.77
Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access $12.60
Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 $16.80
Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 $16.80
Rate for Payer: EmblemHealth Medicaid $16.80
Rate for Payer: EmblemHealth Medicare $7.14
Rate for Payer: EmblemHealth Select Care $12.60
Rate for Payer: Fidelis Medicare $8.00
Rate for Payer: Galaxy Health Commercial $13.65
Rate for Payer: Hamaspik Choice Medicare $7.77
Rate for Payer: Humana Medicare $7.77
Rate for Payer: Local 1199SEIU Aetna Signature Administrators $13.65
Rate for Payer: Local 1199SEIU Medicare $9.66
Rate for Payer: MVP Health Care of NY Commercial $15.75
Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan $11.82
Rate for Payer: MVP Health Care of NY Medicare $8.16
Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro $15.75
Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid $0.51
Rate for Payer: United Healthcare Commercial $15.75
Rate for Payer: United Healthcare Medicare $7.77
Rate for Payer: WellCare Medicare $11.55