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Service Code NDC 1198018005
Hospital Charge Code 1198018005
Hospital Revenue Code 250
Min. Negotiated Rate $13.47
Max. Negotiated Rate $30.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $21.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $19.25
Rate for Payer: Aetna Government $19.25
Rate for Payer: Brighton Health Commercial $28.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $30.80
Rate for Payer: Cigna LocalPlus Benefit Plan $26.18
Rate for Payer: EmblemHealth Commercial $19.25
Rate for Payer: Group Health Inc Commercial $19.25
Rate for Payer: Group Health Inc Medicare $13.47
Rate for Payer: Hamaspik Choice Inc Medicaid $19.25
Rate for Payer: Hamaspik Choice Inc Medicare $19.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $25.02
Service Code NDC 1198018005
Hospital Charge Code 1198018005
Hospital Revenue Code 250
Min. Negotiated Rate $19.25
Max. Negotiated Rate $19.25
Rate for Payer: Hamaspik Choice Inc Medicaid $19.25
Service Code HCPCS J7510
Hospital Charge Code 0121475905
Hospital Revenue Code 250
Min. Negotiated Rate $0.83
Max. Negotiated Rate $0.83
Rate for Payer: Hamaspik Choice Inc Medicaid $0.83
Service Code HCPCS J7510
Hospital Charge Code 1785607592
Hospital Revenue Code 250
Min. Negotiated Rate $0.17
Max. Negotiated Rate $0.17
Rate for Payer: Hamaspik Choice Inc Medicaid $0.17
Service Code HCPCS J7510
Hospital Charge Code 0121475950
Hospital Revenue Code 250
Min. Negotiated Rate $0.83
Max. Negotiated Rate $0.83
Rate for Payer: Hamaspik Choice Inc Medicaid $0.83
Service Code HCPCS J7510
Hospital Charge Code 0121475905
Hospital Revenue Code 250
Min. Negotiated Rate $0.23
Max. Negotiated Rate $1.32
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.23
Rate for Payer: Aetna Government $0.23
Rate for Payer: Brighton Health Commercial $1.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.32
Rate for Payer: Cigna LocalPlus Benefit Plan $1.12
Rate for Payer: EmblemHealth Commercial $0.83
Rate for Payer: Group Health Inc Commercial $0.83
Rate for Payer: Group Health Inc Medicare $0.58
Rate for Payer: Hamaspik Choice Inc Medicaid $0.83
Rate for Payer: Hamaspik Choice Inc Medicare $0.83
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.23
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.07
Service Code HCPCS J7510
Hospital Charge Code 0121075908
Hospital Revenue Code 250
Min. Negotiated Rate $0.11
Max. Negotiated Rate $0.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.23
Rate for Payer: Aetna Government $0.23
Rate for Payer: Brighton Health Commercial $0.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.25
Rate for Payer: Cigna LocalPlus Benefit Plan $0.21
Rate for Payer: EmblemHealth Commercial $0.16
Rate for Payer: Group Health Inc Commercial $0.16
Rate for Payer: Group Health Inc Medicare $0.11
Rate for Payer: Hamaspik Choice Inc Medicaid $0.16
Rate for Payer: Hamaspik Choice Inc Medicare $0.16
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.23
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.20
Service Code HCPCS J7510
Hospital Charge Code 0121075908
Hospital Revenue Code 250
Min. Negotiated Rate $0.16
Max. Negotiated Rate $0.16
Rate for Payer: Hamaspik Choice Inc Medicaid $0.16
Service Code HCPCS J7510
Hospital Charge Code 0121475950
Hospital Revenue Code 250
Min. Negotiated Rate $0.23
Max. Negotiated Rate $1.32
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.23
Rate for Payer: Aetna Government $0.23
Rate for Payer: Brighton Health Commercial $1.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.32
Rate for Payer: Cigna LocalPlus Benefit Plan $1.12
Rate for Payer: EmblemHealth Commercial $0.83
Rate for Payer: Group Health Inc Commercial $0.83
Rate for Payer: Group Health Inc Medicare $0.58
Rate for Payer: Hamaspik Choice Inc Medicaid $0.83
Rate for Payer: Hamaspik Choice Inc Medicare $0.83
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.23
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.07
Service Code HCPCS J7510
Hospital Charge Code 7016654905
Hospital Revenue Code 250
Min. Negotiated Rate $0.20
Max. Negotiated Rate $0.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.23
Rate for Payer: Aetna Government $0.23
Rate for Payer: Brighton Health Commercial $0.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.45
Rate for Payer: Cigna LocalPlus Benefit Plan $0.39
Rate for Payer: EmblemHealth Commercial $0.28
Rate for Payer: Group Health Inc Commercial $0.28
Rate for Payer: Group Health Inc Medicare $0.20
Rate for Payer: Hamaspik Choice Inc Medicaid $0.28
Rate for Payer: Hamaspik Choice Inc Medicare $0.28
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.23
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.37
Service Code HCPCS J7510
Hospital Charge Code 1785675905
Hospital Revenue Code 250
Min. Negotiated Rate $0.24
Max. Negotiated Rate $0.24
Rate for Payer: Hamaspik Choice Inc Medicaid $0.24
Service Code HCPCS J7510
Hospital Charge Code 1785675905
Hospital Revenue Code 250
Min. Negotiated Rate $0.17
Max. Negotiated Rate $0.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.23
Rate for Payer: Aetna Government $0.23
Rate for Payer: Brighton Health Commercial $0.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.39
Rate for Payer: Cigna LocalPlus Benefit Plan $0.33
Rate for Payer: EmblemHealth Commercial $0.24
Rate for Payer: Group Health Inc Commercial $0.24
Rate for Payer: Group Health Inc Medicare $0.17
Rate for Payer: Hamaspik Choice Inc Medicaid $0.24
Rate for Payer: Hamaspik Choice Inc Medicare $0.24
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.23
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.32
Service Code HCPCS J7510
Hospital Charge Code 7016654905
Hospital Revenue Code 250
Min. Negotiated Rate $0.28
Max. Negotiated Rate $0.28
Rate for Payer: Hamaspik Choice Inc Medicaid $0.28
Service Code HCPCS J7510
Hospital Charge Code 1785607592
Hospital Revenue Code 250
Min. Negotiated Rate $0.12
Max. Negotiated Rate $0.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.23
Rate for Payer: Aetna Government $0.23
Rate for Payer: Brighton Health Commercial $0.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.28
Rate for Payer: Cigna LocalPlus Benefit Plan $0.24
Rate for Payer: EmblemHealth Commercial $0.17
Rate for Payer: Group Health Inc Commercial $0.17
Rate for Payer: Group Health Inc Medicare $0.12
Rate for Payer: Hamaspik Choice Inc Medicaid $0.17
Rate for Payer: Hamaspik Choice Inc Medicare $0.17
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.23
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.23
Service Code HCPCS J7512
Hospital Charge Code 7095405910
Hospital Revenue Code 250
Min. Negotiated Rate $0.12
Max. Negotiated Rate $0.12
Rate for Payer: Hamaspik Choice Inc Medicaid $0.12
Service Code HCPCS J7512
Hospital Charge Code 5974617306
Hospital Revenue Code 250
Min. Negotiated Rate $0.46
Max. Negotiated Rate $0.46
Rate for Payer: Hamaspik Choice Inc Medicaid $0.46
Service Code HCPCS J7512
Hospital Charge Code 5974617306
Hospital Revenue Code 250
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.73
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.02
Rate for Payer: Aetna Government $0.02
Rate for Payer: Brighton Health Commercial $0.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.73
Rate for Payer: Cigna LocalPlus Benefit Plan $0.62
Rate for Payer: EmblemHealth Commercial $0.46
Rate for Payer: Group Health Inc Commercial $0.46
Rate for Payer: Group Health Inc Medicare $0.32
Rate for Payer: Hamaspik Choice Inc Medicaid $0.46
Rate for Payer: Hamaspik Choice Inc Medicare $0.46
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.59
Service Code HCPCS J7512
Hospital Charge Code 7095405910
Hospital Revenue Code 250
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.02
Rate for Payer: Aetna Government $0.02
Rate for Payer: Brighton Health Commercial $0.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.20
Rate for Payer: Cigna LocalPlus Benefit Plan $0.17
Rate for Payer: EmblemHealth Commercial $0.12
Rate for Payer: Group Health Inc Commercial $0.12
Rate for Payer: Group Health Inc Medicare $0.09
Rate for Payer: Hamaspik Choice Inc Medicaid $0.12
Rate for Payer: Hamaspik Choice Inc Medicare $0.12
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.16
Service Code HCPCS J7512
Hospital Charge Code 0904692361
Hospital Revenue Code 250
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.02
Rate for Payer: Aetna Government $0.02
Rate for Payer: Brighton Health Commercial $0.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.15
Rate for Payer: Cigna LocalPlus Benefit Plan $0.13
Rate for Payer: EmblemHealth Commercial $0.09
Rate for Payer: Group Health Inc Commercial $0.09
Rate for Payer: Group Health Inc Medicare $0.07
Rate for Payer: Hamaspik Choice Inc Medicaid $0.09
Rate for Payer: Hamaspik Choice Inc Medicare $0.09
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.12
Service Code HCPCS J7512
Hospital Charge Code 0054001720
Hospital Revenue Code 250
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.02
Rate for Payer: Aetna Government $0.02
Rate for Payer: Brighton Health Commercial $0.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.21
Rate for Payer: Cigna LocalPlus Benefit Plan $0.18
Rate for Payer: EmblemHealth Commercial $0.13
Rate for Payer: Group Health Inc Commercial $0.13
Rate for Payer: Group Health Inc Medicare $0.09
Rate for Payer: Hamaspik Choice Inc Medicaid $0.13
Rate for Payer: Hamaspik Choice Inc Medicare $0.13
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.17
Service Code HCPCS J7512
Hospital Charge Code 0054001720
Hospital Revenue Code 250
Min. Negotiated Rate $0.13
Max. Negotiated Rate $0.13
Rate for Payer: Hamaspik Choice Inc Medicaid $0.13
Service Code HCPCS J7512
Hospital Charge Code 0054001729
Hospital Revenue Code 250
Min. Negotiated Rate $0.12
Max. Negotiated Rate $0.12
Rate for Payer: Hamaspik Choice Inc Medicaid $0.12
Service Code HCPCS J7512
Hospital Charge Code 0054001729
Hospital Revenue Code 250
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.02
Rate for Payer: Aetna Government $0.02
Rate for Payer: Brighton Health Commercial $0.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.19
Rate for Payer: Cigna LocalPlus Benefit Plan $0.16
Rate for Payer: EmblemHealth Commercial $0.12
Rate for Payer: Group Health Inc Commercial $0.12
Rate for Payer: Group Health Inc Medicare $0.08
Rate for Payer: Hamaspik Choice Inc Medicaid $0.12
Rate for Payer: Hamaspik Choice Inc Medicare $0.12
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.16
Service Code HCPCS J7512
Hospital Charge Code 0904692361
Hospital Revenue Code 250
Min. Negotiated Rate $0.09
Max. Negotiated Rate $0.09
Rate for Payer: Hamaspik Choice Inc Medicaid $0.09
Service Code HCPCS J7512
Hospital Charge Code 0603533521
Hospital Revenue Code 250
Min. Negotiated Rate $0.13
Max. Negotiated Rate $0.13
Rate for Payer: Hamaspik Choice Inc Medicaid $0.13