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Service Code HCPCS 83835
Hospital Charge Code 40609098
Hospital Revenue Code 300
Min. Negotiated Rate $11.86
Max. Negotiated Rate $31.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial $23.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $16.94
Rate for Payer: Aetna Government $16.94
Rate for Payer: Affinity Essential Plan 1&2 $11.86
Rate for Payer: Affinity Essential Plan 3&4 $11.86
Rate for Payer: Affinity Medicaid/CHP/HARP $11.86
Rate for Payer: Brighton Health Commercial $31.76
Rate for Payer: Cash Price $16.94
Rate for Payer: Cash Price $16.94
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $16.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $26.94
Rate for Payer: Cigna LocalPlus Benefit Plan $22.79
Rate for Payer: Elderplan Medicare Advantage $16.94
Rate for Payer: EmblemHealth Commercial $16.94
Rate for Payer: Fidelis Essential Plan Aliesa $14.40
Rate for Payer: Fidelis Essential Plan QHP $15.08
Rate for Payer: Fidelis Medicare Advantage $16.94
Rate for Payer: Fidelis Qualified Health Plan $15.08
Rate for Payer: Group Health Inc Commercial $16.94
Rate for Payer: Group Health Inc Medicare $16.94
Rate for Payer: Hamaspik Choice Inc Medicaid $21.18
Rate for Payer: Hamaspik Choice Inc Medicare $16.94
Rate for Payer: Healthfirst Medicare Advantage $16.94
Rate for Payer: Healthfirst QHP $16.94
Rate for Payer: Humana Medicare $17.28
Rate for Payer: Senior Whole Health Medicare Advantage $16.94
Rate for Payer: United Healthcare Commercial $21.46
Rate for Payer: United Healthcare Medicare Advantage $16.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $16.94
Rate for Payer: Wellcare CHP/FHP/Medicaid $13.55
Rate for Payer: Wellcare Medicare $15.25
Service Code HCPCS 83835
Hospital Charge Code 40609099
Hospital Revenue Code 300
Rate for Payer: Cash Price $16.94
Service Code HCPCS 83835
Hospital Charge Code 40609099
Hospital Revenue Code 300
Min. Negotiated Rate $11.86
Max. Negotiated Rate $31.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial $23.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $16.94
Rate for Payer: Aetna Government $16.94
Rate for Payer: Affinity Essential Plan 1&2 $11.86
Rate for Payer: Affinity Essential Plan 3&4 $11.86
Rate for Payer: Affinity Medicaid/CHP/HARP $11.86
Rate for Payer: Brighton Health Commercial $31.76
Rate for Payer: Cash Price $16.94
Rate for Payer: Cash Price $16.94
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $16.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $26.94
Rate for Payer: Cigna LocalPlus Benefit Plan $22.79
Rate for Payer: Elderplan Medicare Advantage $16.94
Rate for Payer: EmblemHealth Commercial $16.94
Rate for Payer: Fidelis Essential Plan Aliesa $14.40
Rate for Payer: Fidelis Essential Plan QHP $15.08
Rate for Payer: Fidelis Medicare Advantage $16.94
Rate for Payer: Fidelis Qualified Health Plan $15.08
Rate for Payer: Group Health Inc Commercial $16.94
Rate for Payer: Group Health Inc Medicare $16.94
Rate for Payer: Hamaspik Choice Inc Medicaid $21.18
Rate for Payer: Hamaspik Choice Inc Medicare $16.94
Rate for Payer: Healthfirst Medicare Advantage $16.94
Rate for Payer: Healthfirst QHP $16.94
Rate for Payer: Humana Medicare $17.28
Rate for Payer: Senior Whole Health Medicare Advantage $16.94
Rate for Payer: United Healthcare Commercial $21.46
Rate for Payer: United Healthcare Medicare Advantage $16.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $16.94
Rate for Payer: Wellcare CHP/FHP/Medicaid $13.55
Rate for Payer: Wellcare Medicare $15.25
Service Code HCPCS 82570
Hospital Charge Code 40609059
Hospital Revenue Code 300
Rate for Payer: Cash Price $5.18
Service Code HCPCS 82570
Hospital Charge Code 40609059
Hospital Revenue Code 300
Min. Negotiated Rate $3.63
Max. Negotiated Rate $9.71
Rate for Payer: 1199SEIU National Benefit Fund Commercial $7.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $5.18
Rate for Payer: Aetna Government $5.18
Rate for Payer: Affinity Essential Plan 1&2 $3.63
Rate for Payer: Affinity Essential Plan 3&4 $3.63
Rate for Payer: Affinity Medicaid/CHP/HARP $3.63
Rate for Payer: Brighton Health Commercial $9.71
Rate for Payer: Cash Price $5.18
Rate for Payer: Cash Price $5.18
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $5.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $8.23
Rate for Payer: Cigna LocalPlus Benefit Plan $6.96
Rate for Payer: Elderplan Medicare Advantage $5.18
Rate for Payer: EmblemHealth Commercial $5.18
Rate for Payer: Fidelis Essential Plan Aliesa $4.40
Rate for Payer: Fidelis Essential Plan QHP $4.61
Rate for Payer: Fidelis Medicare Advantage $5.18
Rate for Payer: Fidelis Qualified Health Plan $4.61
Rate for Payer: Group Health Inc Commercial $5.18
Rate for Payer: Group Health Inc Medicare $5.18
Rate for Payer: Hamaspik Choice Inc Medicaid $6.48
Rate for Payer: Hamaspik Choice Inc Medicare $5.18
Rate for Payer: Healthfirst Medicare Advantage $5.18
Rate for Payer: Healthfirst QHP $5.18
Rate for Payer: Humana Medicare $5.28
Rate for Payer: Senior Whole Health Medicare Advantage $5.18
Rate for Payer: United Healthcare Commercial $6.55
Rate for Payer: United Healthcare Medicare Advantage $5.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $5.18
Rate for Payer: Wellcare CHP/FHP/Medicaid $4.14
Rate for Payer: Wellcare Medicare $4.66
Service Code HCPCS 28173
Hospital Charge Code 40082700
Hospital Revenue Code 360
Min. Negotiated Rate $1,468.00
Max. Negotiated Rate $6,218.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3,743.15
Rate for Payer: Aetna Government $3,743.15
Rate for Payer: Affinity Essential Plan 1&2 $2,620.20
Rate for Payer: Affinity Essential Plan 3&4 $2,620.20
Rate for Payer: Affinity Medicaid/CHP/HARP $2,620.20
Rate for Payer: Brighton Health Commercial $6,218.29
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $3,743.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan $2,477.75
Rate for Payer: Elderplan Medicare Advantage $3,743.15
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $3,181.68
Rate for Payer: Fidelis Essential Plan QHP $3,331.40
Rate for Payer: Fidelis Medicare Advantage $3,743.15
Rate for Payer: Fidelis Qualified Health Plan $3,331.40
Rate for Payer: Group Health Inc Commercial $3,743.15
Rate for Payer: Group Health Inc Medicare $3,743.15
Rate for Payer: Hamaspik Choice Inc Medicaid $4,145.52
Rate for Payer: Hamaspik Choice Inc Medicare $3,743.15
Rate for Payer: Healthfirst Medicare Advantage $3,181.68
Rate for Payer: Healthfirst QHP $3,743.15
Rate for Payer: Humana Medicare $3,818.01
Rate for Payer: Senior Whole Health Medicare Advantage $3,743.15
Rate for Payer: United Healthcare Commercial $1,468.00
Rate for Payer: United Healthcare Medicare Advantage $3,743.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,743.15
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,994.52
Rate for Payer: Wellcare Medicare $3,555.99
Service Code HCPCS 28173
Hospital Charge Code 40082700
Hospital Revenue Code 360
Rate for Payer: Cash Price $3,743.15
Service Code HCPCS J3535
Hospital Charge Code 41656014
Hospital Revenue Code 636
Min. Negotiated Rate $177.50
Max. Negotiated Rate $177.50
Rate for Payer: Hamaspik Choice Inc Medicaid $177.50
Rate for Payer: Hamaspik Choice Inc Medicare $177.50
Service Code HCPCS J3535
Hospital Charge Code 41646014
Hospital Revenue Code 636
Min. Negotiated Rate $124.25
Max. Negotiated Rate $230.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial $195.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $177.50
Rate for Payer: Aetna Government $177.50
Rate for Payer: Brighton Health Commercial $213.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $177.50
Rate for Payer: Cigna LocalPlus Benefit Plan $204.12
Rate for Payer: Group Health Inc Commercial $177.50
Rate for Payer: Group Health Inc Medicare $124.25
Rate for Payer: Hamaspik Choice Inc Medicaid $177.50
Rate for Payer: Hamaspik Choice Inc Medicare $177.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $230.75
Service Code HCPCS J3535
Hospital Charge Code 41646014
Hospital Revenue Code 636
Min. Negotiated Rate $177.50
Max. Negotiated Rate $177.50
Rate for Payer: Hamaspik Choice Inc Medicaid $177.50
Rate for Payer: Hamaspik Choice Inc Medicare $177.50
Service Code HCPCS J3535
Hospital Charge Code 41656014
Hospital Revenue Code 636
Min. Negotiated Rate $124.25
Max. Negotiated Rate $230.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial $195.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $177.50
Rate for Payer: Aetna Government $177.50
Rate for Payer: Brighton Health Commercial $213.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $177.50
Rate for Payer: Cigna LocalPlus Benefit Plan $204.12
Rate for Payer: Group Health Inc Commercial $177.50
Rate for Payer: Group Health Inc Medicare $124.25
Rate for Payer: Hamaspik Choice Inc Medicaid $177.50
Rate for Payer: Hamaspik Choice Inc Medicare $177.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $230.75
Hospital Charge Code 41642792
Hospital Revenue Code 250
Min. Negotiated Rate $0.03
Max. Negotiated Rate $0.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.04
Rate for Payer: Aetna Government $0.04
Rate for Payer: Brighton Health Commercial $0.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.06
Rate for Payer: Cigna LocalPlus Benefit Plan $0.05
Rate for Payer: Group Health Inc Commercial $0.04
Rate for Payer: Group Health Inc Medicare $0.03
Rate for Payer: Hamaspik Choice Inc Medicaid $0.04
Rate for Payer: Hamaspik Choice Inc Medicare $0.04
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.05
Hospital Charge Code 41652792
Hospital Revenue Code 250
Min. Negotiated Rate $0.03
Max. Negotiated Rate $0.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.04
Rate for Payer: Aetna Government $0.04
Rate for Payer: Brighton Health Commercial $0.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.06
Rate for Payer: Cigna LocalPlus Benefit Plan $0.05
Rate for Payer: Group Health Inc Commercial $0.04
Rate for Payer: Group Health Inc Medicare $0.03
Rate for Payer: Hamaspik Choice Inc Medicaid $0.04
Rate for Payer: Hamaspik Choice Inc Medicare $0.04
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.05
Hospital Charge Code 41642791
Hospital Revenue Code 250
Min. Negotiated Rate $0.05
Max. Negotiated Rate $0.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.07
Rate for Payer: Aetna Government $0.07
Rate for Payer: Brighton Health Commercial $0.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.10
Rate for Payer: Cigna LocalPlus Benefit Plan $0.09
Rate for Payer: Group Health Inc Commercial $0.07
Rate for Payer: Group Health Inc Medicare $0.05
Rate for Payer: Hamaspik Choice Inc Medicaid $0.07
Rate for Payer: Hamaspik Choice Inc Medicare $0.07
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.08
Hospital Charge Code 41652791
Hospital Revenue Code 250
Min. Negotiated Rate $0.05
Max. Negotiated Rate $0.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.07
Rate for Payer: Aetna Government $0.07
Rate for Payer: Brighton Health Commercial $0.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.10
Rate for Payer: Cigna LocalPlus Benefit Plan $0.09
Rate for Payer: Group Health Inc Commercial $0.07
Rate for Payer: Group Health Inc Medicare $0.05
Rate for Payer: Hamaspik Choice Inc Medicaid $0.07
Rate for Payer: Hamaspik Choice Inc Medicare $0.07
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.08
Service Code NDC 69367018010
Hospital Charge Code 69367018010
Hospital Revenue Code 250
Min. Negotiated Rate $0.25
Max. Negotiated Rate $0.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.35
Rate for Payer: Aetna Government $0.35
Rate for Payer: Brighton Health Commercial $0.53
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.56
Rate for Payer: Cigna LocalPlus Benefit Plan $0.48
Rate for Payer: Group Health Inc Commercial $0.35
Rate for Payer: Group Health Inc Medicare $0.25
Rate for Payer: Hamaspik Choice Inc Medicaid $0.35
Rate for Payer: Hamaspik Choice Inc Medicare $0.35
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.46
Service Code NDC 70010006310
Hospital Charge Code 70010006310
Hospital Revenue Code 250
Min. Negotiated Rate $0.25
Max. Negotiated Rate $0.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.35
Rate for Payer: Aetna Government $0.35
Rate for Payer: Brighton Health Commercial $0.53
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.56
Rate for Payer: Cigna LocalPlus Benefit Plan $0.48
Rate for Payer: Group Health Inc Commercial $0.35
Rate for Payer: Group Health Inc Medicare $0.25
Rate for Payer: Hamaspik Choice Inc Medicaid $0.35
Rate for Payer: Hamaspik Choice Inc Medicare $0.35
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.46
Service Code NDC 65862000801
Hospital Charge Code 65862000801
Hospital Revenue Code 250
Min. Negotiated Rate $0.25
Max. Negotiated Rate $0.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.36
Rate for Payer: Aetna Government $0.36
Rate for Payer: Brighton Health Commercial $0.53
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.57
Rate for Payer: Cigna LocalPlus Benefit Plan $0.48
Rate for Payer: Group Health Inc Commercial $0.36
Rate for Payer: Group Health Inc Medicare $0.25
Rate for Payer: Hamaspik Choice Inc Medicaid $0.36
Rate for Payer: Hamaspik Choice Inc Medicare $0.36
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.46
Service Code NDC 00904716261
Hospital Charge Code 00904716261
Hospital Revenue Code 250
Min. Negotiated Rate $0.03
Max. Negotiated Rate $0.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.04
Rate for Payer: Aetna Government $0.04
Rate for Payer: Brighton Health Commercial $0.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.06
Rate for Payer: Cigna LocalPlus Benefit Plan $0.05
Rate for Payer: Group Health Inc Commercial $0.04
Rate for Payer: Group Health Inc Medicare $0.03
Rate for Payer: Hamaspik Choice Inc Medicaid $0.04
Rate for Payer: Hamaspik Choice Inc Medicare $0.04
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.05
Service Code NDC 23155010205
Hospital Charge Code 23155010205
Hospital Revenue Code 250
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.02
Rate for Payer: Aetna Government $0.02
Rate for Payer: Brighton Health Commercial $0.03
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.03
Rate for Payer: Cigna LocalPlus Benefit Plan $0.03
Rate for Payer: Group Health Inc Commercial $0.02
Rate for Payer: Group Health Inc Medicare $0.01
Rate for Payer: Hamaspik Choice Inc Medicaid $0.02
Rate for Payer: Hamaspik Choice Inc Medicare $0.02
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.02
Service Code NDC 23155010210
Hospital Charge Code 23155010210
Hospital Revenue Code 250
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.02
Rate for Payer: Aetna Government $0.02
Rate for Payer: Brighton Health Commercial $0.03
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.03
Rate for Payer: Cigna LocalPlus Benefit Plan $0.02
Rate for Payer: Group Health Inc Commercial $0.02
Rate for Payer: Group Health Inc Medicare $0.01
Rate for Payer: Hamaspik Choice Inc Medicaid $0.02
Rate for Payer: Hamaspik Choice Inc Medicare $0.02
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.02
Service Code NDC 67877056205
Hospital Charge Code 67877056205
Hospital Revenue Code 250
Min. Negotiated Rate $0.42
Max. Negotiated Rate $0.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.60
Rate for Payer: Aetna Government $0.60
Rate for Payer: Brighton Health Commercial $0.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.96
Rate for Payer: Cigna LocalPlus Benefit Plan $0.82
Rate for Payer: Group Health Inc Commercial $0.60
Rate for Payer: Group Health Inc Medicare $0.42
Rate for Payer: Hamaspik Choice Inc Medicaid $0.60
Rate for Payer: Hamaspik Choice Inc Medicare $0.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.78
Service Code NDC 65862000901
Hospital Charge Code 65862000901
Hospital Revenue Code 250
Min. Negotiated Rate $0.42
Max. Negotiated Rate $0.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.60
Rate for Payer: Aetna Government $0.60
Rate for Payer: Brighton Health Commercial $0.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.96
Rate for Payer: Cigna LocalPlus Benefit Plan $0.82
Rate for Payer: Group Health Inc Commercial $0.60
Rate for Payer: Group Health Inc Medicare $0.42
Rate for Payer: Hamaspik Choice Inc Medicaid $0.60
Rate for Payer: Hamaspik Choice Inc Medicare $0.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.78
Service Code NDC 00904716361
Hospital Charge Code 00904716361
Hospital Revenue Code 250
Min. Negotiated Rate $0.09
Max. Negotiated Rate $0.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.12
Rate for Payer: Aetna Government $0.12
Rate for Payer: Brighton Health Commercial $0.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.20
Rate for Payer: Cigna LocalPlus Benefit Plan $0.17
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: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.16
Service Code NDC 60687014301
Hospital Charge Code 60687014301
Hospital Revenue Code 250
Min. Negotiated Rate $0.42
Max. Negotiated Rate $0.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.60
Rate for Payer: Aetna Government $0.60
Rate for Payer: Brighton Health Commercial $0.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.96
Rate for Payer: Cigna LocalPlus Benefit Plan $0.82
Rate for Payer: Group Health Inc Commercial $0.60
Rate for Payer: Group Health Inc Medicare $0.42
Rate for Payer: Hamaspik Choice Inc Medicaid $0.60
Rate for Payer: Hamaspik Choice Inc Medicare $0.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.78