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Service Code HCPCS C1780
Hospital Charge Code 64901081
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $459.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial $240.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $262.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $350.00
Rate for Payer: Cigna LocalPlus Benefit Plan $297.50
Rate for Payer: EmblemHealth Commercial $218.75
Rate for Payer: Fidelis Medicare Advantage $459.38
Rate for Payer: Group Health Inc Commercial $218.75
Rate for Payer: Group Health Inc Medicare $153.12
Rate for Payer: Hamaspik Choice Inc Medicaid $218.75
Rate for Payer: Hamaspik Choice Inc Medicare $218.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $284.38
Service Code HCPCS C1780
Hospital Charge Code 64901083
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $459.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial $240.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $262.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $350.00
Rate for Payer: Cigna LocalPlus Benefit Plan $297.50
Rate for Payer: EmblemHealth Commercial $218.75
Rate for Payer: Fidelis Medicare Advantage $459.38
Rate for Payer: Group Health Inc Commercial $218.75
Rate for Payer: Group Health Inc Medicare $153.12
Rate for Payer: Hamaspik Choice Inc Medicaid $218.75
Rate for Payer: Hamaspik Choice Inc Medicare $218.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $284.38
Service Code HCPCS C1780
Hospital Charge Code 64903948
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $459.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial $240.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $262.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $350.00
Rate for Payer: Cigna LocalPlus Benefit Plan $297.50
Rate for Payer: EmblemHealth Commercial $218.75
Rate for Payer: Fidelis Medicare Advantage $459.38
Rate for Payer: Group Health Inc Commercial $218.75
Rate for Payer: Group Health Inc Medicare $153.12
Rate for Payer: Hamaspik Choice Inc Medicaid $218.75
Rate for Payer: Hamaspik Choice Inc Medicare $218.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $284.38
Service Code HCPCS C1780
Hospital Charge Code 64904724
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $459.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial $240.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $262.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $350.00
Rate for Payer: Cigna LocalPlus Benefit Plan $297.50
Rate for Payer: EmblemHealth Commercial $218.75
Rate for Payer: Fidelis Medicare Advantage $459.38
Rate for Payer: Group Health Inc Commercial $218.75
Rate for Payer: Group Health Inc Medicare $153.12
Rate for Payer: Hamaspik Choice Inc Medicaid $218.75
Rate for Payer: Hamaspik Choice Inc Medicare $218.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $284.38
Service Code HCPCS C1780
Hospital Charge Code 64901008
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $459.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial $240.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $262.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $350.00
Rate for Payer: Cigna LocalPlus Benefit Plan $297.50
Rate for Payer: EmblemHealth Commercial $218.75
Rate for Payer: Fidelis Medicare Advantage $459.38
Rate for Payer: Group Health Inc Commercial $218.75
Rate for Payer: Group Health Inc Medicare $153.12
Rate for Payer: Hamaspik Choice Inc Medicaid $218.75
Rate for Payer: Hamaspik Choice Inc Medicare $218.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $284.38
Service Code HCPCS C1780
Hospital Charge Code 64901013
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $459.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial $240.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $262.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $350.00
Rate for Payer: Cigna LocalPlus Benefit Plan $297.50
Rate for Payer: EmblemHealth Commercial $218.75
Rate for Payer: Fidelis Medicare Advantage $459.38
Rate for Payer: Group Health Inc Commercial $218.75
Rate for Payer: Group Health Inc Medicare $153.12
Rate for Payer: Hamaspik Choice Inc Medicaid $218.75
Rate for Payer: Hamaspik Choice Inc Medicare $218.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $284.38
Service Code HCPCS C1780
Hospital Charge Code 64901011
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $459.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial $240.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $262.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $350.00
Rate for Payer: Cigna LocalPlus Benefit Plan $297.50
Rate for Payer: EmblemHealth Commercial $218.75
Rate for Payer: Fidelis Medicare Advantage $459.38
Rate for Payer: Group Health Inc Commercial $218.75
Rate for Payer: Group Health Inc Medicare $153.12
Rate for Payer: Hamaspik Choice Inc Medicaid $218.75
Rate for Payer: Hamaspik Choice Inc Medicare $218.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $284.38
Service Code HCPCS C1780
Hospital Charge Code 64901006
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $459.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial $240.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $262.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $350.00
Rate for Payer: Cigna LocalPlus Benefit Plan $297.50
Rate for Payer: EmblemHealth Commercial $218.75
Rate for Payer: Fidelis Medicare Advantage $459.38
Rate for Payer: Group Health Inc Commercial $218.75
Rate for Payer: Group Health Inc Medicare $153.12
Rate for Payer: Hamaspik Choice Inc Medicaid $218.75
Rate for Payer: Hamaspik Choice Inc Medicare $218.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $284.38
Service Code HCPCS C1780
Hospital Charge Code 64901010
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $459.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial $240.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $262.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $350.00
Rate for Payer: Cigna LocalPlus Benefit Plan $297.50
Rate for Payer: EmblemHealth Commercial $218.75
Rate for Payer: Fidelis Medicare Advantage $459.38
Rate for Payer: Group Health Inc Commercial $218.75
Rate for Payer: Group Health Inc Medicare $153.12
Rate for Payer: Hamaspik Choice Inc Medicaid $218.75
Rate for Payer: Hamaspik Choice Inc Medicare $218.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $284.38
Service Code HCPCS C1780
Hospital Charge Code 64901015
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $459.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial $240.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $262.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $350.00
Rate for Payer: Cigna LocalPlus Benefit Plan $297.50
Rate for Payer: EmblemHealth Commercial $218.75
Rate for Payer: Fidelis Medicare Advantage $459.38
Rate for Payer: Group Health Inc Commercial $218.75
Rate for Payer: Group Health Inc Medicare $153.12
Rate for Payer: Hamaspik Choice Inc Medicaid $218.75
Rate for Payer: Hamaspik Choice Inc Medicare $218.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $284.38
Service Code HCPCS C1780
Hospital Charge Code 64901016
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $459.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial $240.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $262.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $350.00
Rate for Payer: Cigna LocalPlus Benefit Plan $297.50
Rate for Payer: EmblemHealth Commercial $218.75
Rate for Payer: Fidelis Medicare Advantage $459.38
Rate for Payer: Group Health Inc Commercial $218.75
Rate for Payer: Group Health Inc Medicare $153.12
Rate for Payer: Hamaspik Choice Inc Medicaid $218.75
Rate for Payer: Hamaspik Choice Inc Medicare $218.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $284.38
Service Code HCPCS C1780
Hospital Charge Code 64901018
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $459.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial $240.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $262.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $350.00
Rate for Payer: Cigna LocalPlus Benefit Plan $297.50
Rate for Payer: EmblemHealth Commercial $218.75
Rate for Payer: Fidelis Medicare Advantage $459.38
Rate for Payer: Group Health Inc Commercial $218.75
Rate for Payer: Group Health Inc Medicare $153.12
Rate for Payer: Hamaspik Choice Inc Medicaid $218.75
Rate for Payer: Hamaspik Choice Inc Medicare $218.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $284.38
Service Code HCPCS C1780
Hospital Charge Code 64901019
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $459.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial $240.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $262.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $350.00
Rate for Payer: Cigna LocalPlus Benefit Plan $297.50
Rate for Payer: EmblemHealth Commercial $218.75
Rate for Payer: Fidelis Medicare Advantage $459.38
Rate for Payer: Group Health Inc Commercial $218.75
Rate for Payer: Group Health Inc Medicare $153.12
Rate for Payer: Hamaspik Choice Inc Medicaid $218.75
Rate for Payer: Hamaspik Choice Inc Medicare $218.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $284.38
Service Code HCPCS C1780
Hospital Charge Code 64901005
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $459.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial $240.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $262.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $350.00
Rate for Payer: Cigna LocalPlus Benefit Plan $297.50
Rate for Payer: EmblemHealth Commercial $218.75
Rate for Payer: Fidelis Medicare Advantage $459.38
Rate for Payer: Group Health Inc Commercial $218.75
Rate for Payer: Group Health Inc Medicare $153.12
Rate for Payer: Hamaspik Choice Inc Medicaid $218.75
Rate for Payer: Hamaspik Choice Inc Medicare $218.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $284.38
Service Code HCPCS C1780
Hospital Charge Code 64901705
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $459.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial $240.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $262.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $350.00
Rate for Payer: Cigna LocalPlus Benefit Plan $297.50
Rate for Payer: EmblemHealth Commercial $218.75
Rate for Payer: Fidelis Medicare Advantage $459.38
Rate for Payer: Group Health Inc Commercial $218.75
Rate for Payer: Group Health Inc Medicare $153.12
Rate for Payer: Hamaspik Choice Inc Medicaid $218.75
Rate for Payer: Hamaspik Choice Inc Medicare $218.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $284.38
Service Code HCPCS C1780
Hospital Charge Code 64901047
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $433.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial $226.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $247.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $330.00
Rate for Payer: Cigna LocalPlus Benefit Plan $280.50
Rate for Payer: EmblemHealth Commercial $206.25
Rate for Payer: Fidelis Medicare Advantage $433.12
Rate for Payer: Group Health Inc Commercial $206.25
Rate for Payer: Group Health Inc Medicare $144.38
Rate for Payer: Hamaspik Choice Inc Medicaid $206.25
Rate for Payer: Hamaspik Choice Inc Medicare $206.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $268.12
Service Code HCPCS C1780
Hospital Charge Code 64901041
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $433.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial $226.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $247.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $330.00
Rate for Payer: Cigna LocalPlus Benefit Plan $280.50
Rate for Payer: EmblemHealth Commercial $206.25
Rate for Payer: Fidelis Medicare Advantage $433.12
Rate for Payer: Group Health Inc Commercial $206.25
Rate for Payer: Group Health Inc Medicare $144.38
Rate for Payer: Hamaspik Choice Inc Medicaid $206.25
Rate for Payer: Hamaspik Choice Inc Medicare $206.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $268.12
Service Code HCPCS C1780
Hospital Charge Code 64901043
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $433.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial $226.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $247.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $330.00
Rate for Payer: Cigna LocalPlus Benefit Plan $280.50
Rate for Payer: EmblemHealth Commercial $206.25
Rate for Payer: Fidelis Medicare Advantage $433.12
Rate for Payer: Group Health Inc Commercial $206.25
Rate for Payer: Group Health Inc Medicare $144.38
Rate for Payer: Hamaspik Choice Inc Medicaid $206.25
Rate for Payer: Hamaspik Choice Inc Medicare $206.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $268.12
Service Code HCPCS C1780
Hospital Charge Code 64901036
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $433.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial $226.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $247.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $330.00
Rate for Payer: Cigna LocalPlus Benefit Plan $280.50
Rate for Payer: EmblemHealth Commercial $206.25
Rate for Payer: Fidelis Medicare Advantage $433.12
Rate for Payer: Group Health Inc Commercial $206.25
Rate for Payer: Group Health Inc Medicare $144.38
Rate for Payer: Hamaspik Choice Inc Medicaid $206.25
Rate for Payer: Hamaspik Choice Inc Medicare $206.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $268.12
Service Code HCPCS C1780
Hospital Charge Code 64901038
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $433.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial $226.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $247.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $330.00
Rate for Payer: Cigna LocalPlus Benefit Plan $280.50
Rate for Payer: EmblemHealth Commercial $206.25
Rate for Payer: Fidelis Medicare Advantage $433.12
Rate for Payer: Group Health Inc Commercial $206.25
Rate for Payer: Group Health Inc Medicare $144.38
Rate for Payer: Hamaspik Choice Inc Medicaid $206.25
Rate for Payer: Hamaspik Choice Inc Medicare $206.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $268.12
Service Code HCPCS C1780
Hospital Charge Code 64901040
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $433.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial $226.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $247.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $330.00
Rate for Payer: Cigna LocalPlus Benefit Plan $280.50
Rate for Payer: EmblemHealth Commercial $206.25
Rate for Payer: Fidelis Medicare Advantage $433.12
Rate for Payer: Group Health Inc Commercial $206.25
Rate for Payer: Group Health Inc Medicare $144.38
Rate for Payer: Hamaspik Choice Inc Medicaid $206.25
Rate for Payer: Hamaspik Choice Inc Medicare $206.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $268.12
Service Code HCPCS C1780
Hospital Charge Code 64901045
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $433.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial $226.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $247.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $330.00
Rate for Payer: Cigna LocalPlus Benefit Plan $280.50
Rate for Payer: EmblemHealth Commercial $206.25
Rate for Payer: Fidelis Medicare Advantage $433.12
Rate for Payer: Group Health Inc Commercial $206.25
Rate for Payer: Group Health Inc Medicare $144.38
Rate for Payer: Hamaspik Choice Inc Medicaid $206.25
Rate for Payer: Hamaspik Choice Inc Medicare $206.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $268.12
Service Code HCPCS C1780
Hospital Charge Code 64906336
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $136.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $71.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $78.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $104.00
Rate for Payer: Cigna LocalPlus Benefit Plan $88.40
Rate for Payer: EmblemHealth Commercial $65.00
Rate for Payer: Fidelis Medicare Advantage $136.50
Rate for Payer: Group Health Inc Commercial $65.00
Rate for Payer: Group Health Inc Medicare $45.50
Rate for Payer: Hamaspik Choice Inc Medicaid $65.00
Rate for Payer: Hamaspik Choice Inc Medicare $65.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $84.50
Service Code HCPCS C1780
Hospital Charge Code 64906337
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $136.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $71.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $78.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $104.00
Rate for Payer: Cigna LocalPlus Benefit Plan $88.40
Rate for Payer: EmblemHealth Commercial $65.00
Rate for Payer: Fidelis Medicare Advantage $136.50
Rate for Payer: Group Health Inc Commercial $65.00
Rate for Payer: Group Health Inc Medicare $45.50
Rate for Payer: Hamaspik Choice Inc Medicaid $65.00
Rate for Payer: Hamaspik Choice Inc Medicare $65.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $84.50
Service Code HCPCS C1780
Hospital Charge Code 64906285
Hospital Revenue Code 276
Min. Negotiated Rate $2.26
Max. Negotiated Rate $136.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $71.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.26
Rate for Payer: Aetna Government $2.26
Rate for Payer: Brighton Health Commercial $78.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $104.00
Rate for Payer: Cigna LocalPlus Benefit Plan $88.40
Rate for Payer: EmblemHealth Commercial $65.00
Rate for Payer: Fidelis Medicare Advantage $136.50
Rate for Payer: Group Health Inc Commercial $65.00
Rate for Payer: Group Health Inc Medicare $45.50
Rate for Payer: Hamaspik Choice Inc Medicaid $65.00
Rate for Payer: Hamaspik Choice Inc Medicare $65.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $84.50