|
CARDIOLITE UNIT DOSE
|
Facility
|
IP
|
$229.69
|
|
|
Service Code
|
HCPCS A9500
|
| Hospital Charge Code |
4211240
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$149.30 |
| Max. Negotiated Rate |
$149.30 |
| Rate for Payer: Cash Price |
$172.27
|
| Rate for Payer: Galaxy Health Commercial |
$149.30
|
|
|
CARDIOLITE UNIT DOSE
|
Facility
|
OP
|
$229.69
|
|
|
Service Code
|
HCPCS A9500
|
| Hospital Charge Code |
4211240
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$34.45 |
| Max. Negotiated Rate |
$743.46 |
| Rate for Payer: Aetna of NY Medicare |
$105.66
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$91.88
|
| Rate for Payer: Cash Price |
$172.27
|
| Rate for Payer: Cash Price |
$172.27
|
| Rate for Payer: CDPHP Medicare |
$84.99
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$183.75
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$183.75
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$183.75
|
| Rate for Payer: EmblemHealth Medicaid |
$183.75
|
| Rate for Payer: EmblemHealth Medicare |
$78.09
|
| Rate for Payer: EmblemHealth Select Care |
$165.38
|
| Rate for Payer: Fidelis Medicare |
$91.88
|
| Rate for Payer: Galaxy Health Commercial |
$149.30
|
| Rate for Payer: Hamaspik Choice Medicare |
$91.88
|
| Rate for Payer: Humana Medicare |
$91.88
|
| Rate for Payer: Local 1199SEIU Medicare |
$105.66
|
| Rate for Payer: MVP Health Care of NY Commercial |
$172.27
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$129.32
|
| Rate for Payer: MVP Health Care of NY Medicare |
$96.47
|
| Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro |
$743.46
|
| Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid |
$34.45
|
| Rate for Payer: United Healthcare Commercial |
$743.46
|
| Rate for Payer: United Healthcare Medicare |
$91.88
|
| Rate for Payer: WellCare Medicare |
$126.33
|
|
|
CARDIOVASCULAR STRESS TEST; TRACING
|
Facility
|
IP
|
$934.00
|
|
|
Service Code
|
HCPCS 93017
|
| Hospital Charge Code |
4480085
|
|
Hospital Revenue Code
|
482
|
| Min. Negotiated Rate |
$607.10 |
| Max. Negotiated Rate |
$607.10 |
| Rate for Payer: Cash Price |
$700.50
|
| Rate for Payer: Galaxy Health Commercial |
$607.10
|
|
|
CARDIOVASCULAR STRESS TEST; TRACING
|
Facility
|
IP
|
$662.00
|
|
|
Service Code
|
HCPCS 93017
|
| Hospital Charge Code |
4480026
|
|
Hospital Revenue Code
|
482
|
| Min. Negotiated Rate |
$430.30 |
| Max. Negotiated Rate |
$430.30 |
| Rate for Payer: Cash Price |
$496.50
|
| Rate for Payer: Galaxy Health Commercial |
$430.30
|
|
|
CARDIOVASCULAR STRESS TEST; TRACING
|
Facility
|
OP
|
$934.00
|
|
|
Service Code
|
HCPCS 93017
|
| Hospital Charge Code |
4480085
|
|
Hospital Revenue Code
|
482
|
| Min. Negotiated Rate |
$140.10 |
| Max. Negotiated Rate |
$747.20 |
| Rate for Payer: Aetna of NY Commercial |
$607.10
|
| Rate for Payer: Aetna of NY Medicare |
$429.64
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$373.60
|
| Rate for Payer: Cash Price |
$700.50
|
| Rate for Payer: CDPHP Medicare |
$345.58
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$653.80
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$747.20
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$747.20
|
| Rate for Payer: EmblemHealth Medicaid |
$747.20
|
| Rate for Payer: EmblemHealth Medicare |
$317.56
|
| Rate for Payer: EmblemHealth Select Care |
$607.10
|
| Rate for Payer: Fidelis Medicare |
$373.60
|
| Rate for Payer: Galaxy Health Commercial |
$607.10
|
| Rate for Payer: Hamaspik Choice Medicare |
$373.60
|
| Rate for Payer: Humana Medicare |
$373.60
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$607.10
|
| Rate for Payer: Local 1199SEIU Medicare |
$429.64
|
| Rate for Payer: MVP Health Care of NY Commercial |
$700.50
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$525.84
|
| Rate for Payer: MVP Health Care of NY Medicare |
$392.28
|
| Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro |
$700.50
|
| Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid |
$140.10
|
| Rate for Payer: United Healthcare Commercial |
$700.50
|
| Rate for Payer: United Healthcare Medicare |
$373.60
|
| Rate for Payer: WellCare Medicare |
$513.70
|
|
|
CARDIOVASCULAR STRESS TEST; TRACING
|
Facility
|
OP
|
$662.00
|
|
|
Service Code
|
HCPCS 93017
|
| Hospital Charge Code |
4480026
|
|
Hospital Revenue Code
|
482
|
| Min. Negotiated Rate |
$99.30 |
| Max. Negotiated Rate |
$529.60 |
| Rate for Payer: Aetna of NY Commercial |
$430.30
|
| Rate for Payer: Aetna of NY Medicare |
$304.52
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$264.80
|
| Rate for Payer: Cash Price |
$496.50
|
| Rate for Payer: CDPHP Medicare |
$244.94
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$463.40
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$529.60
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$529.60
|
| Rate for Payer: EmblemHealth Medicaid |
$529.60
|
| Rate for Payer: EmblemHealth Medicare |
$225.08
|
| Rate for Payer: EmblemHealth Select Care |
$430.30
|
| Rate for Payer: Fidelis Medicare |
$264.80
|
| Rate for Payer: Galaxy Health Commercial |
$430.30
|
| Rate for Payer: Hamaspik Choice Medicare |
$264.80
|
| Rate for Payer: Humana Medicare |
$264.80
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$430.30
|
| Rate for Payer: Local 1199SEIU Medicare |
$304.52
|
| Rate for Payer: MVP Health Care of NY Commercial |
$496.50
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$372.71
|
| Rate for Payer: MVP Health Care of NY Medicare |
$278.04
|
| Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro |
$496.50
|
| Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid |
$99.30
|
| Rate for Payer: United Healthcare Commercial |
$496.50
|
| Rate for Payer: United Healthcare Medicare |
$264.80
|
| Rate for Payer: WellCare Medicare |
$364.10
|
|
|
CARDIOVERSION ELECTIVE; INT
|
Facility
|
IP
|
$2,026.00
|
|
|
Service Code
|
HCPCS 92961
|
| Hospital Charge Code |
4602201
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,316.90 |
| Max. Negotiated Rate |
$1,316.90 |
| Rate for Payer: Cash Price |
$1,519.50
|
| Rate for Payer: Galaxy Health Commercial |
$1,316.90
|
|
|
CARDIOVERSION ELECTIVE; INT
|
Facility
|
OP
|
$2,026.00
|
|
|
Service Code
|
HCPCS 92961
|
| Hospital Charge Code |
4602201
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$303.90 |
| Max. Negotiated Rate |
$1,620.80 |
| Rate for Payer: Aetna of NY Commercial |
$1,418.20
|
| Rate for Payer: Aetna of NY Medicare |
$931.96
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$810.40
|
| Rate for Payer: Cash Price |
$1,519.50
|
| Rate for Payer: CDPHP Medicare |
$749.62
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$1,418.20
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$1,620.80
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$1,620.80
|
| Rate for Payer: EmblemHealth Medicaid |
$1,620.80
|
| Rate for Payer: EmblemHealth Medicare |
$688.84
|
| Rate for Payer: EmblemHealth Select Care |
$1,316.90
|
| Rate for Payer: Fidelis Medicare |
$810.40
|
| Rate for Payer: Galaxy Health Commercial |
$1,316.90
|
| Rate for Payer: Hamaspik Choice Medicare |
$810.40
|
| Rate for Payer: Humana Medicare |
$810.40
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$1,418.20
|
| Rate for Payer: Local 1199SEIU Medicare |
$931.96
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,519.50
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$1,140.64
|
| Rate for Payer: MVP Health Care of NY Medicare |
$850.92
|
| Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro |
$1,519.50
|
| Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid |
$303.90
|
| Rate for Payer: United Healthcare Commercial |
$1,519.50
|
| Rate for Payer: United Healthcare Medicare |
$810.40
|
| Rate for Payer: WellCare Medicare |
$1,114.30
|
|
|
CARDIOVERSION ELECTRIC EXT
|
Facility
|
IP
|
$2,026.00
|
|
|
Service Code
|
HCPCS 92960
|
| Hospital Charge Code |
4480003
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,316.90 |
| Max. Negotiated Rate |
$1,316.90 |
| Rate for Payer: Cash Price |
$1,519.50
|
| Rate for Payer: Galaxy Health Commercial |
$1,316.90
|
|
|
CARDIOVERSION ELECTRIC EXT
|
Facility
|
OP
|
$2,026.00
|
|
|
Service Code
|
HCPCS 92960
|
| Hospital Charge Code |
4480003
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$303.90 |
| Max. Negotiated Rate |
$1,620.80 |
| Rate for Payer: Aetna of NY Commercial |
$1,418.20
|
| Rate for Payer: Aetna of NY Medicare |
$931.96
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$810.40
|
| Rate for Payer: Cash Price |
$1,519.50
|
| Rate for Payer: CDPHP Medicare |
$749.62
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$1,418.20
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$1,620.80
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$1,620.80
|
| Rate for Payer: EmblemHealth Medicaid |
$1,620.80
|
| Rate for Payer: EmblemHealth Medicare |
$688.84
|
| Rate for Payer: EmblemHealth Select Care |
$1,316.90
|
| Rate for Payer: Fidelis Medicare |
$810.40
|
| Rate for Payer: Galaxy Health Commercial |
$1,316.90
|
| Rate for Payer: Hamaspik Choice Medicare |
$810.40
|
| Rate for Payer: Humana Medicare |
$810.40
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$1,418.20
|
| Rate for Payer: Local 1199SEIU Medicare |
$931.96
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,519.50
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$1,140.64
|
| Rate for Payer: MVP Health Care of NY Medicare |
$850.92
|
| Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro |
$1,519.50
|
| Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid |
$303.90
|
| Rate for Payer: United Healthcare Commercial |
$1,519.50
|
| Rate for Payer: United Healthcare Medicare |
$810.40
|
| Rate for Payer: WellCare Medicare |
$1,114.30
|
|
|
CARDIOVERSION ELECTRIC EXT
|
Facility
|
IP
|
$2,026.00
|
|
|
Service Code
|
HCPCS 92960
|
| Hospital Charge Code |
4480091
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,316.90 |
| Max. Negotiated Rate |
$1,316.90 |
| Rate for Payer: Cash Price |
$1,519.50
|
| Rate for Payer: Galaxy Health Commercial |
$1,316.90
|
|
|
CARDIOVERSION ELECTRIC EXT
|
Facility
|
OP
|
$2,026.00
|
|
|
Service Code
|
HCPCS 92960
|
| Hospital Charge Code |
4480091
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$303.90 |
| Max. Negotiated Rate |
$1,620.80 |
| Rate for Payer: Aetna of NY Commercial |
$1,418.20
|
| Rate for Payer: Aetna of NY Medicare |
$931.96
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$810.40
|
| Rate for Payer: Cash Price |
$1,519.50
|
| Rate for Payer: CDPHP Medicare |
$749.62
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$1,418.20
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$1,620.80
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$1,620.80
|
| Rate for Payer: EmblemHealth Medicaid |
$1,620.80
|
| Rate for Payer: EmblemHealth Medicare |
$688.84
|
| Rate for Payer: EmblemHealth Select Care |
$1,316.90
|
| Rate for Payer: Fidelis Medicare |
$810.40
|
| Rate for Payer: Galaxy Health Commercial |
$1,316.90
|
| Rate for Payer: Hamaspik Choice Medicare |
$810.40
|
| Rate for Payer: Humana Medicare |
$810.40
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$1,418.20
|
| Rate for Payer: Local 1199SEIU Medicare |
$931.96
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,519.50
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$1,140.64
|
| Rate for Payer: MVP Health Care of NY Medicare |
$850.92
|
| Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro |
$1,519.50
|
| Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid |
$303.90
|
| Rate for Payer: United Healthcare Commercial |
$1,519.50
|
| Rate for Payer: United Healthcare Medicare |
$810.40
|
| Rate for Payer: WellCare Medicare |
$1,114.30
|
|
|
CAREGIVER TRAINING STRATEGIES&TQ 1ST 30 MINUTES
|
Facility
|
IP
|
$169.00
|
|
|
Service Code
|
HCPCS 97550 GO
|
| Hospital Charge Code |
4690269
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$109.85 |
| Max. Negotiated Rate |
$109.85 |
| Rate for Payer: Cash Price |
$126.75
|
| Rate for Payer: Galaxy Health Commercial |
$109.85
|
|
|
CAREGIVER TRAINING STRATEGIES&TQ 1ST 30 MINUTES
|
Facility
|
IP
|
$169.00
|
|
|
Service Code
|
HCPCS 97550 GN
|
| Hospital Charge Code |
4670315
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$109.85 |
| Max. Negotiated Rate |
$109.85 |
| Rate for Payer: Cash Price |
$126.75
|
| Rate for Payer: Galaxy Health Commercial |
$109.85
|
|
|
CAREGIVER TRAINING STRATEGIES&TQ 1ST 30 MINUTES
|
Facility
|
OP
|
$169.00
|
|
|
Service Code
|
HCPCS 97550 GO
|
| Hospital Charge Code |
4690269
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$25.35 |
| Max. Negotiated Rate |
$187.00 |
| Rate for Payer: Aetna of NY Commercial |
$115.00
|
| Rate for Payer: Aetna of NY Medicare |
$77.74
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$67.60
|
| Rate for Payer: Cash Price |
$126.75
|
| Rate for Payer: Cash Price |
$126.75
|
| Rate for Payer: Cash Price |
$126.75
|
| Rate for Payer: CDPHP Medicare |
$62.53
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$135.20
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$135.20
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$135.20
|
| Rate for Payer: EmblemHealth Medicaid |
$135.20
|
| Rate for Payer: EmblemHealth Medicare |
$57.46
|
| Rate for Payer: EmblemHealth Select Care |
$121.68
|
| Rate for Payer: Fidelis Medicare |
$67.60
|
| Rate for Payer: Galaxy Health Commercial |
$109.85
|
| Rate for Payer: Hamaspik Choice Medicare |
$67.60
|
| Rate for Payer: Humana Medicare |
$67.60
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$115.00
|
| Rate for Payer: Local 1199SEIU Medicare |
$77.74
|
| Rate for Payer: MVP Health Care of NY Commercial |
$187.00
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$141.00
|
| Rate for Payer: MVP Health Care of NY Medicare |
$70.98
|
| Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro |
$161.00
|
| Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid |
$25.35
|
| Rate for Payer: United Healthcare Commercial |
$161.00
|
| Rate for Payer: United Healthcare Medicare |
$67.60
|
| Rate for Payer: WellCare Medicare |
$92.95
|
|
|
CAREGIVER TRAINING STRATEGIES&TQ 1ST 30 MINUTES
|
Facility
|
OP
|
$169.00
|
|
|
Service Code
|
HCPCS 97550 GP
|
| Hospital Charge Code |
4650463
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$25.35 |
| Max. Negotiated Rate |
$187.00 |
| Rate for Payer: Aetna of NY Commercial |
$115.00
|
| Rate for Payer: Aetna of NY Medicare |
$77.74
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$67.60
|
| Rate for Payer: Cash Price |
$126.75
|
| Rate for Payer: Cash Price |
$126.75
|
| Rate for Payer: Cash Price |
$126.75
|
| Rate for Payer: CDPHP Medicare |
$62.53
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$135.20
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$135.20
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$135.20
|
| Rate for Payer: EmblemHealth Medicaid |
$135.20
|
| Rate for Payer: EmblemHealth Medicare |
$57.46
|
| Rate for Payer: EmblemHealth Select Care |
$121.68
|
| Rate for Payer: Fidelis Medicare |
$67.60
|
| Rate for Payer: Galaxy Health Commercial |
$109.85
|
| Rate for Payer: Hamaspik Choice Medicare |
$67.60
|
| Rate for Payer: Humana Medicare |
$67.60
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$115.00
|
| Rate for Payer: Local 1199SEIU Medicare |
$77.74
|
| Rate for Payer: MVP Health Care of NY Commercial |
$187.00
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$141.00
|
| Rate for Payer: MVP Health Care of NY Medicare |
$70.98
|
| Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro |
$161.00
|
| Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid |
$25.35
|
| Rate for Payer: United Healthcare Commercial |
$161.00
|
| Rate for Payer: United Healthcare Medicare |
$67.60
|
| Rate for Payer: WellCare Medicare |
$92.95
|
|
|
CAREGIVER TRAINING STRATEGIES&TQ 1ST 30 MINUTES
|
Facility
|
IP
|
$169.00
|
|
|
Service Code
|
HCPCS 97550 GP
|
| Hospital Charge Code |
4650463
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$109.85 |
| Max. Negotiated Rate |
$109.85 |
| Rate for Payer: Cash Price |
$126.75
|
| Rate for Payer: Galaxy Health Commercial |
$109.85
|
|
|
CAREGIVER TRAINING STRATEGIES&TQ 1ST 30 MINUTES
|
Facility
|
OP
|
$169.00
|
|
|
Service Code
|
HCPCS 97550 GN
|
| Hospital Charge Code |
4670315
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$25.35 |
| Max. Negotiated Rate |
$187.00 |
| Rate for Payer: Aetna of NY Commercial |
$115.00
|
| Rate for Payer: Aetna of NY Medicare |
$77.74
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$67.60
|
| Rate for Payer: Cash Price |
$126.75
|
| Rate for Payer: Cash Price |
$126.75
|
| Rate for Payer: Cash Price |
$126.75
|
| Rate for Payer: CDPHP Medicare |
$62.53
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$135.20
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$135.20
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$135.20
|
| Rate for Payer: EmblemHealth Medicaid |
$135.20
|
| Rate for Payer: EmblemHealth Medicare |
$57.46
|
| Rate for Payer: EmblemHealth Select Care |
$121.68
|
| Rate for Payer: Fidelis Medicare |
$67.60
|
| Rate for Payer: Galaxy Health Commercial |
$109.85
|
| Rate for Payer: Hamaspik Choice Medicare |
$67.60
|
| Rate for Payer: Humana Medicare |
$67.60
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$115.00
|
| Rate for Payer: Local 1199SEIU Medicare |
$77.74
|
| Rate for Payer: MVP Health Care of NY Commercial |
$187.00
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$141.00
|
| Rate for Payer: MVP Health Care of NY Medicare |
$70.98
|
| Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro |
$161.00
|
| Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid |
$25.35
|
| Rate for Payer: United Healthcare Commercial |
$161.00
|
| Rate for Payer: United Healthcare Medicare |
$67.60
|
| Rate for Payer: WellCare Medicare |
$92.95
|
|
|
CAREGIVER TRAINING STRATEGIES&TQ EA ADDL 15 MIN
|
Facility
|
IP
|
$83.00
|
|
|
Service Code
|
HCPCS 97551 GN
|
| Hospital Charge Code |
4670316
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$53.95 |
| Max. Negotiated Rate |
$53.95 |
| Rate for Payer: Cash Price |
$62.25
|
| Rate for Payer: Galaxy Health Commercial |
$53.95
|
|
|
CAREGIVER TRAINING STRATEGIES&TQ EA ADDL 15 MIN
|
Facility
|
OP
|
$83.00
|
|
|
Service Code
|
HCPCS 97551 GP
|
| Hospital Charge Code |
4650464
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$12.45 |
| Max. Negotiated Rate |
$187.00 |
| Rate for Payer: Aetna of NY Commercial |
$115.00
|
| Rate for Payer: Aetna of NY Medicare |
$38.18
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$33.20
|
| Rate for Payer: Cash Price |
$62.25
|
| Rate for Payer: Cash Price |
$62.25
|
| Rate for Payer: Cash Price |
$62.25
|
| Rate for Payer: CDPHP Medicare |
$30.71
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$66.40
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$66.40
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$66.40
|
| Rate for Payer: EmblemHealth Medicaid |
$66.40
|
| Rate for Payer: EmblemHealth Medicare |
$28.22
|
| Rate for Payer: EmblemHealth Select Care |
$59.76
|
| Rate for Payer: Fidelis Medicare |
$33.20
|
| Rate for Payer: Galaxy Health Commercial |
$53.95
|
| Rate for Payer: Hamaspik Choice Medicare |
$33.20
|
| Rate for Payer: Humana Medicare |
$33.20
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$115.00
|
| Rate for Payer: Local 1199SEIU Medicare |
$38.18
|
| Rate for Payer: MVP Health Care of NY Commercial |
$187.00
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$141.00
|
| Rate for Payer: MVP Health Care of NY Medicare |
$34.86
|
| Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro |
$161.00
|
| Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid |
$12.45
|
| Rate for Payer: United Healthcare Commercial |
$161.00
|
| Rate for Payer: United Healthcare Medicare |
$33.20
|
| Rate for Payer: WellCare Medicare |
$45.65
|
|
|
CAREGIVER TRAINING STRATEGIES&TQ EA ADDL 15 MIN
|
Facility
|
OP
|
$83.00
|
|
|
Service Code
|
HCPCS 97551 GN
|
| Hospital Charge Code |
4670316
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$12.45 |
| Max. Negotiated Rate |
$187.00 |
| Rate for Payer: Aetna of NY Commercial |
$115.00
|
| Rate for Payer: Aetna of NY Medicare |
$38.18
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$33.20
|
| Rate for Payer: Cash Price |
$62.25
|
| Rate for Payer: Cash Price |
$62.25
|
| Rate for Payer: Cash Price |
$62.25
|
| Rate for Payer: CDPHP Medicare |
$30.71
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$66.40
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$66.40
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$66.40
|
| Rate for Payer: EmblemHealth Medicaid |
$66.40
|
| Rate for Payer: EmblemHealth Medicare |
$28.22
|
| Rate for Payer: EmblemHealth Select Care |
$59.76
|
| Rate for Payer: Fidelis Medicare |
$33.20
|
| Rate for Payer: Galaxy Health Commercial |
$53.95
|
| Rate for Payer: Hamaspik Choice Medicare |
$33.20
|
| Rate for Payer: Humana Medicare |
$33.20
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$115.00
|
| Rate for Payer: Local 1199SEIU Medicare |
$38.18
|
| Rate for Payer: MVP Health Care of NY Commercial |
$187.00
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$141.00
|
| Rate for Payer: MVP Health Care of NY Medicare |
$34.86
|
| Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro |
$161.00
|
| Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid |
$12.45
|
| Rate for Payer: United Healthcare Commercial |
$161.00
|
| Rate for Payer: United Healthcare Medicare |
$33.20
|
| Rate for Payer: WellCare Medicare |
$45.65
|
|
|
CAREGIVER TRAINING STRATEGIES&TQ EA ADDL 15 MIN
|
Facility
|
OP
|
$83.00
|
|
|
Service Code
|
HCPCS 97551 GO
|
| Hospital Charge Code |
4690270
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$12.45 |
| Max. Negotiated Rate |
$187.00 |
| Rate for Payer: Aetna of NY Commercial |
$115.00
|
| Rate for Payer: Aetna of NY Medicare |
$38.18
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$33.20
|
| Rate for Payer: Cash Price |
$62.25
|
| Rate for Payer: Cash Price |
$62.25
|
| Rate for Payer: Cash Price |
$62.25
|
| Rate for Payer: CDPHP Medicare |
$30.71
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$66.40
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$66.40
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$66.40
|
| Rate for Payer: EmblemHealth Medicaid |
$66.40
|
| Rate for Payer: EmblemHealth Medicare |
$28.22
|
| Rate for Payer: EmblemHealth Select Care |
$59.76
|
| Rate for Payer: Fidelis Medicare |
$33.20
|
| Rate for Payer: Galaxy Health Commercial |
$53.95
|
| Rate for Payer: Hamaspik Choice Medicare |
$33.20
|
| Rate for Payer: Humana Medicare |
$33.20
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$115.00
|
| Rate for Payer: Local 1199SEIU Medicare |
$38.18
|
| Rate for Payer: MVP Health Care of NY Commercial |
$187.00
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$141.00
|
| Rate for Payer: MVP Health Care of NY Medicare |
$34.86
|
| Rate for Payer: Oxford Health Plans Freedom/Liberty/Metro |
$161.00
|
| Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid |
$12.45
|
| Rate for Payer: United Healthcare Commercial |
$161.00
|
| Rate for Payer: United Healthcare Medicare |
$33.20
|
| Rate for Payer: WellCare Medicare |
$45.65
|
|
|
CAREGIVER TRAINING STRATEGIES&TQ EA ADDL 15 MIN
|
Facility
|
IP
|
$83.00
|
|
|
Service Code
|
HCPCS 97551 GO
|
| Hospital Charge Code |
4690270
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$53.95 |
| Max. Negotiated Rate |
$53.95 |
| Rate for Payer: Cash Price |
$62.25
|
| Rate for Payer: Galaxy Health Commercial |
$53.95
|
|
|
CAREGIVER TRAINING STRATEGIES&TQ EA ADDL 15 MIN
|
Facility
|
IP
|
$83.00
|
|
|
Service Code
|
HCPCS 97551 GP
|
| Hospital Charge Code |
4650464
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$53.95 |
| Max. Negotiated Rate |
$53.95 |
| Rate for Payer: Cash Price |
$62.25
|
| Rate for Payer: Galaxy Health Commercial |
$53.95
|
|
|
CARPAL TUNNEL INJECTION
|
Facility
|
OP
|
$941.00
|
|
|
Service Code
|
HCPCS 20526
|
| Hospital Charge Code |
4850025
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$141.15 |
| Max. Negotiated Rate |
$752.80 |
| Rate for Payer: Aetna of NY Commercial |
$658.70
|
| Rate for Payer: Aetna of NY Medicare |
$432.86
|
| Rate for Payer: Blue Cross Blue Shield of New York (Empire) Medicare |
$376.40
|
| Rate for Payer: Cash Price |
$705.75
|
| Rate for Payer: CDPHP Medicare |
$348.17
|
| Rate for Payer: EmblemHealth CBP/EPO/PPO/HMO/Network Access |
$752.80
|
| Rate for Payer: EmblemHealth Essential Plan 1/Essential Plan 2 |
$752.80
|
| Rate for Payer: EmblemHealth Essential Plan 3/Essential Plan 4 |
$752.80
|
| Rate for Payer: EmblemHealth Medicaid |
$752.80
|
| Rate for Payer: EmblemHealth Medicare |
$319.94
|
| Rate for Payer: EmblemHealth Select Care |
$677.52
|
| Rate for Payer: Fidelis Medicare |
$376.40
|
| Rate for Payer: Galaxy Health Commercial |
$611.65
|
| Rate for Payer: Hamaspik Choice Medicare |
$376.40
|
| Rate for Payer: Humana Medicare |
$376.40
|
| Rate for Payer: Local 1199SEIU Aetna Signature Administrators |
$658.70
|
| Rate for Payer: Local 1199SEIU Medicare |
$432.86
|
| Rate for Payer: MVP Health Care of NY Commercial |
$705.75
|
| Rate for Payer: MVP Health Care of NY Individual Exchange/Student Health Plan |
$529.78
|
| Rate for Payer: MVP Health Care of NY Medicare |
$395.22
|
| Rate for Payer: United Healthcare CHIP/Family Health Plus/Medicaid |
$141.15
|
| Rate for Payer: United Healthcare Medicare |
$376.40
|
| Rate for Payer: WellCare Medicare |
$517.55
|
|
