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Hospital Charge Code 41653707
Hospital Revenue Code 250
Min. Negotiated Rate $0.27
Max. Negotiated Rate $0.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.39
Rate for Payer: Aetna Government $0.39
Rate for Payer: Brighton Health Commercial $0.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.62
Rate for Payer: Cigna LocalPlus Benefit Plan $0.52
Rate for Payer: Group Health Inc Commercial $0.39
Rate for Payer: Group Health Inc Medicare $0.27
Rate for Payer: Hamaspik Choice Inc Medicaid $0.39
Rate for Payer: Hamaspik Choice Inc Medicare $0.39
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.50
Hospital Charge Code 41643707
Hospital Revenue Code 636
Min. Negotiated Rate $0.27
Max. Negotiated Rate $0.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.39
Rate for Payer: Aetna Government $0.39
Rate for Payer: Brighton Health Commercial $0.46
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.39
Rate for Payer: Cigna LocalPlus Benefit Plan $0.44
Rate for Payer: Group Health Inc Commercial $0.39
Rate for Payer: Group Health Inc Medicare $0.27
Rate for Payer: Hamaspik Choice Inc Medicaid $0.39
Rate for Payer: Hamaspik Choice Inc Medicare $0.39
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.50
Hospital Charge Code 41643707
Hospital Revenue Code 636
Min. Negotiated Rate $0.39
Max. Negotiated Rate $0.39
Rate for Payer: Hamaspik Choice Inc Medicaid $0.39
Rate for Payer: Hamaspik Choice Inc Medicare $0.39
Hospital Charge Code 41652892
Hospital Revenue Code 250
Min. Negotiated Rate $0.18
Max. Negotiated Rate $0.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.26
Rate for Payer: Aetna Government $0.26
Rate for Payer: Brighton Health Commercial $0.39
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.42
Rate for Payer: Cigna LocalPlus Benefit Plan $0.35
Rate for Payer: Group Health Inc Commercial $0.26
Rate for Payer: Group Health Inc Medicare $0.18
Rate for Payer: Hamaspik Choice Inc Medicaid $0.26
Rate for Payer: Hamaspik Choice Inc Medicare $0.26
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.34
Hospital Charge Code 41642892
Hospital Revenue Code 250
Min. Negotiated Rate $0.18
Max. Negotiated Rate $0.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.26
Rate for Payer: Aetna Government $0.26
Rate for Payer: Brighton Health Commercial $0.39
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.42
Rate for Payer: Cigna LocalPlus Benefit Plan $0.35
Rate for Payer: Group Health Inc Commercial $0.26
Rate for Payer: Group Health Inc Medicare $0.18
Rate for Payer: Hamaspik Choice Inc Medicaid $0.26
Rate for Payer: Hamaspik Choice Inc Medicare $0.26
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.34
Hospital Charge Code 41654300
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 $0.16
Rate for Payer: Aetna Government $0.16
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: 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: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.20
Hospital Charge Code 41644300
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 $0.16
Rate for Payer: Aetna Government $0.16
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: 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: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.20
Hospital Charge Code 41658420
Hospital Revenue Code 250
Min. Negotiated Rate $5.75
Max. Negotiated Rate $13.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial $9.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $8.21
Rate for Payer: Aetna Government $8.21
Rate for Payer: Brighton Health Commercial $12.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $13.14
Rate for Payer: Cigna LocalPlus Benefit Plan $11.17
Rate for Payer: Group Health Inc Commercial $8.21
Rate for Payer: Group Health Inc Medicare $5.75
Rate for Payer: Hamaspik Choice Inc Medicaid $8.21
Rate for Payer: Hamaspik Choice Inc Medicare $8.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $10.67
Hospital Charge Code 41648420
Hospital Revenue Code 250
Min. Negotiated Rate $5.75
Max. Negotiated Rate $13.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial $9.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $8.21
Rate for Payer: Aetna Government $8.21
Rate for Payer: Brighton Health Commercial $12.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $13.14
Rate for Payer: Cigna LocalPlus Benefit Plan $11.17
Rate for Payer: Group Health Inc Commercial $8.21
Rate for Payer: Group Health Inc Medicare $5.75
Rate for Payer: Hamaspik Choice Inc Medicaid $8.21
Rate for Payer: Hamaspik Choice Inc Medicare $8.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $10.67
Service Code HCPCS J2270
Hospital Charge Code 41644696
Hospital Revenue Code 636
Min. Negotiated Rate $3.39
Max. Negotiated Rate $7.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial $6.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3.39
Rate for Payer: Aetna Government $3.39
Rate for Payer: Brighton Health Commercial $7.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $5.89
Rate for Payer: Cigna LocalPlus Benefit Plan $6.77
Rate for Payer: Group Health Inc Commercial $5.89
Rate for Payer: Group Health Inc Medicare $4.12
Rate for Payer: Hamaspik Choice Inc Medicaid $5.89
Rate for Payer: Hamaspik Choice Inc Medicare $5.89
Rate for Payer: SOMOS CHP/HARP/Medicaid $4.72
Rate for Payer: SOMOS Essential $4.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $7.66
Service Code HCPCS J2270
Hospital Charge Code 41654696
Hospital Revenue Code 636
Min. Negotiated Rate $3.39
Max. Negotiated Rate $7.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial $6.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3.39
Rate for Payer: Aetna Government $3.39
Rate for Payer: Brighton Health Commercial $7.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $5.89
Rate for Payer: Cigna LocalPlus Benefit Plan $6.77
Rate for Payer: Group Health Inc Commercial $5.89
Rate for Payer: Group Health Inc Medicare $4.12
Rate for Payer: Hamaspik Choice Inc Medicaid $5.89
Rate for Payer: Hamaspik Choice Inc Medicare $5.89
Rate for Payer: SOMOS CHP/HARP/Medicaid $4.72
Rate for Payer: SOMOS Essential $4.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $7.66
Service Code HCPCS J2270
Hospital Charge Code 41654696
Hospital Revenue Code 636
Min. Negotiated Rate $5.89
Max. Negotiated Rate $5.89
Rate for Payer: Hamaspik Choice Inc Medicaid $5.89
Rate for Payer: Hamaspik Choice Inc Medicare $5.89
Service Code HCPCS J2270
Hospital Charge Code 41644696
Hospital Revenue Code 636
Min. Negotiated Rate $5.89
Max. Negotiated Rate $5.89
Rate for Payer: Hamaspik Choice Inc Medicaid $5.89
Rate for Payer: Hamaspik Choice Inc Medicare $5.89
Hospital Charge Code 41642893
Hospital Revenue Code 250
Min. Negotiated Rate $0.31
Max. Negotiated Rate $0.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.44
Rate for Payer: Aetna Government $0.44
Rate for Payer: Brighton Health Commercial $0.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.70
Rate for Payer: Cigna LocalPlus Benefit Plan $0.60
Rate for Payer: Group Health Inc Commercial $0.44
Rate for Payer: Group Health Inc Medicare $0.31
Rate for Payer: Hamaspik Choice Inc Medicaid $0.44
Rate for Payer: Hamaspik Choice Inc Medicare $0.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.57
Hospital Charge Code 41652893
Hospital Revenue Code 250
Min. Negotiated Rate $0.31
Max. Negotiated Rate $0.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.44
Rate for Payer: Aetna Government $0.44
Rate for Payer: Brighton Health Commercial $0.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.70
Rate for Payer: Cigna LocalPlus Benefit Plan $0.60
Rate for Payer: Group Health Inc Commercial $0.44
Rate for Payer: Group Health Inc Medicare $0.31
Rate for Payer: Hamaspik Choice Inc Medicaid $0.44
Rate for Payer: Hamaspik Choice Inc Medicare $0.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.57
Hospital Charge Code 41654288
Hospital Revenue Code 250
Min. Negotiated Rate $0.33
Max. Negotiated Rate $0.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.51
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.47
Rate for Payer: Aetna Government $0.47
Rate for Payer: Brighton Health Commercial $0.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.74
Rate for Payer: Cigna LocalPlus Benefit Plan $0.63
Rate for Payer: Group Health Inc Commercial $0.47
Rate for Payer: Group Health Inc Medicare $0.33
Rate for Payer: Hamaspik Choice Inc Medicaid $0.47
Rate for Payer: Hamaspik Choice Inc Medicare $0.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.60
Hospital Charge Code 41644288
Hospital Revenue Code 250
Min. Negotiated Rate $0.33
Max. Negotiated Rate $0.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.51
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.47
Rate for Payer: Aetna Government $0.47
Rate for Payer: Brighton Health Commercial $0.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.74
Rate for Payer: Cigna LocalPlus Benefit Plan $0.63
Rate for Payer: Group Health Inc Commercial $0.47
Rate for Payer: Group Health Inc Medicare $0.33
Rate for Payer: Hamaspik Choice Inc Medicaid $0.47
Rate for Payer: Hamaspik Choice Inc Medicare $0.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.60
Service Code HCPCS J2270
Hospital Charge Code 41657815
Hospital Revenue Code 636
Min. Negotiated Rate $0.82
Max. Negotiated Rate $4.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3.39
Rate for Payer: Aetna Government $3.39
Rate for Payer: Brighton Health Commercial $1.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.16
Rate for Payer: Cigna LocalPlus Benefit Plan $1.34
Rate for Payer: Group Health Inc Commercial $1.16
Rate for Payer: Group Health Inc Medicare $0.82
Rate for Payer: Hamaspik Choice Inc Medicaid $1.16
Rate for Payer: Hamaspik Choice Inc Medicare $1.16
Rate for Payer: SOMOS CHP/HARP/Medicaid $4.72
Rate for Payer: SOMOS Essential $4.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.51
Service Code HCPCS J2270
Hospital Charge Code 41647815
Hospital Revenue Code 636
Min. Negotiated Rate $1.16
Max. Negotiated Rate $1.16
Rate for Payer: Hamaspik Choice Inc Medicaid $1.16
Rate for Payer: Hamaspik Choice Inc Medicare $1.16
Service Code HCPCS J2270
Hospital Charge Code 41657815
Hospital Revenue Code 636
Min. Negotiated Rate $1.16
Max. Negotiated Rate $1.16
Rate for Payer: Hamaspik Choice Inc Medicaid $1.16
Rate for Payer: Hamaspik Choice Inc Medicare $1.16
Service Code HCPCS J2270
Hospital Charge Code 41647815
Hospital Revenue Code 636
Min. Negotiated Rate $0.82
Max. Negotiated Rate $4.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3.39
Rate for Payer: Aetna Government $3.39
Rate for Payer: Brighton Health Commercial $1.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.16
Rate for Payer: Cigna LocalPlus Benefit Plan $1.34
Rate for Payer: Group Health Inc Commercial $1.16
Rate for Payer: Group Health Inc Medicare $0.82
Rate for Payer: Hamaspik Choice Inc Medicaid $1.16
Rate for Payer: Hamaspik Choice Inc Medicare $1.16
Rate for Payer: SOMOS CHP/HARP/Medicaid $4.72
Rate for Payer: SOMOS Essential $4.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.51
Service Code HCPCS J2270
Hospital Charge Code 41642408
Hospital Revenue Code 636
Min. Negotiated Rate $1.05
Max. Negotiated Rate $4.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3.39
Rate for Payer: Aetna Government $3.39
Rate for Payer: Brighton Health Commercial $1.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.50
Rate for Payer: Cigna LocalPlus Benefit Plan $1.72
Rate for Payer: Group Health Inc Commercial $1.50
Rate for Payer: Group Health Inc Medicare $1.05
Rate for Payer: Hamaspik Choice Inc Medicaid $1.50
Rate for Payer: Hamaspik Choice Inc Medicare $1.50
Rate for Payer: SOMOS CHP/HARP/Medicaid $4.72
Rate for Payer: SOMOS Essential $4.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.95
Service Code HCPCS J2270
Hospital Charge Code 41652408
Hospital Revenue Code 636
Min. Negotiated Rate $1.50
Max. Negotiated Rate $1.50
Rate for Payer: Hamaspik Choice Inc Medicaid $1.50
Rate for Payer: Hamaspik Choice Inc Medicare $1.50
Service Code HCPCS J2270
Hospital Charge Code 41652408
Hospital Revenue Code 636
Min. Negotiated Rate $1.05
Max. Negotiated Rate $4.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3.39
Rate for Payer: Aetna Government $3.39
Rate for Payer: Brighton Health Commercial $1.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.50
Rate for Payer: Cigna LocalPlus Benefit Plan $1.72
Rate for Payer: Group Health Inc Commercial $1.50
Rate for Payer: Group Health Inc Medicare $1.05
Rate for Payer: Hamaspik Choice Inc Medicaid $1.50
Rate for Payer: Hamaspik Choice Inc Medicare $1.50
Rate for Payer: SOMOS CHP/HARP/Medicaid $4.72
Rate for Payer: SOMOS Essential $4.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.95
Service Code HCPCS J2270
Hospital Charge Code 41642408
Hospital Revenue Code 636
Min. Negotiated Rate $1.50
Max. Negotiated Rate $1.50
Rate for Payer: Hamaspik Choice Inc Medicaid $1.50
Rate for Payer: Hamaspik Choice Inc Medicare $1.50