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Service Code HCPCS J2270
Hospital Charge Code 41647829
Hospital Revenue Code 636
Min. Negotiated Rate $3.39
Max. Negotiated Rate $8.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $7.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3.39
Rate for Payer: Aetna Government $3.39
Rate for Payer: Brighton Health Commercial $7.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $6.54
Rate for Payer: Cigna LocalPlus Benefit Plan $7.52
Rate for Payer: Group Health Inc Commercial $6.54
Rate for Payer: Group Health Inc Medicare $4.57
Rate for Payer: Hamaspik Choice Inc Medicaid $6.54
Rate for Payer: Hamaspik Choice Inc Medicare $6.54
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 $8.50
Service Code HCPCS J2270
Hospital Charge Code 41657829
Hospital Revenue Code 636
Min. Negotiated Rate $3.39
Max. Negotiated Rate $8.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $7.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3.39
Rate for Payer: Aetna Government $3.39
Rate for Payer: Brighton Health Commercial $7.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $6.54
Rate for Payer: Cigna LocalPlus Benefit Plan $7.52
Rate for Payer: Group Health Inc Commercial $6.54
Rate for Payer: Group Health Inc Medicare $4.57
Rate for Payer: Hamaspik Choice Inc Medicaid $6.54
Rate for Payer: Hamaspik Choice Inc Medicare $6.54
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 $8.50
Service Code HCPCS J2270
Hospital Charge Code 41657829
Hospital Revenue Code 636
Min. Negotiated Rate $6.54
Max. Negotiated Rate $6.54
Rate for Payer: Hamaspik Choice Inc Medicaid $6.54
Rate for Payer: Hamaspik Choice Inc Medicare $6.54
Service Code HCPCS J2270
Hospital Charge Code 41647829
Hospital Revenue Code 636
Min. Negotiated Rate $6.54
Max. Negotiated Rate $6.54
Rate for Payer: Hamaspik Choice Inc Medicaid $6.54
Rate for Payer: Hamaspik Choice Inc Medicare $6.54
Service Code HCPCS J2270
Hospital Charge Code 41658021
Hospital Revenue Code 636
Min. Negotiated Rate $7.50
Max. Negotiated Rate $7.50
Rate for Payer: Hamaspik Choice Inc Medicaid $7.50
Rate for Payer: Hamaspik Choice Inc Medicare $7.50
Service Code HCPCS J2270
Hospital Charge Code 41648021
Hospital Revenue Code 636
Min. Negotiated Rate $3.39
Max. Negotiated Rate $9.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial $8.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3.39
Rate for Payer: Aetna Government $3.39
Rate for Payer: Brighton Health Commercial $9.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $7.50
Rate for Payer: Cigna LocalPlus Benefit Plan $8.62
Rate for Payer: Group Health Inc Commercial $7.50
Rate for Payer: Group Health Inc Medicare $5.25
Rate for Payer: Hamaspik Choice Inc Medicaid $7.50
Rate for Payer: Hamaspik Choice Inc Medicare $7.50
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 $9.75
Service Code HCPCS J2270
Hospital Charge Code 41648021
Hospital Revenue Code 636
Min. Negotiated Rate $7.50
Max. Negotiated Rate $7.50
Rate for Payer: Hamaspik Choice Inc Medicaid $7.50
Rate for Payer: Hamaspik Choice Inc Medicare $7.50
Service Code HCPCS J2270
Hospital Charge Code 41658021
Hospital Revenue Code 636
Min. Negotiated Rate $3.39
Max. Negotiated Rate $9.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial $8.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3.39
Rate for Payer: Aetna Government $3.39
Rate for Payer: Brighton Health Commercial $9.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $7.50
Rate for Payer: Cigna LocalPlus Benefit Plan $8.62
Rate for Payer: Group Health Inc Commercial $7.50
Rate for Payer: Group Health Inc Medicare $5.25
Rate for Payer: Hamaspik Choice Inc Medicaid $7.50
Rate for Payer: Hamaspik Choice Inc Medicare $7.50
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 $9.75
Service Code HCPCS J2270
Hospital Charge Code 41647003
Hospital Revenue Code 636
Min. Negotiated Rate $0.88
Max. Negotiated Rate $0.88
Rate for Payer: Hamaspik Choice Inc Medicaid $0.88
Rate for Payer: Hamaspik Choice Inc Medicare $0.88
Service Code HCPCS J2270
Hospital Charge Code 41647003
Hospital Revenue Code 636
Min. Negotiated Rate $0.62
Max. Negotiated Rate $4.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3.39
Rate for Payer: Aetna Government $3.39
Rate for Payer: Brighton Health Commercial $1.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.88
Rate for Payer: Cigna LocalPlus Benefit Plan $1.01
Rate for Payer: Group Health Inc Commercial $0.88
Rate for Payer: Group Health Inc Medicare $0.62
Rate for Payer: Hamaspik Choice Inc Medicaid $0.88
Rate for Payer: Hamaspik Choice Inc Medicare $0.88
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 $1.14
Hospital Charge Code 41644372
Hospital Revenue Code 250
Min. Negotiated Rate $0.28
Max. Negotiated Rate $0.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.43
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.40
Rate for Payer: Aetna Government $0.40
Rate for Payer: Brighton Health Commercial $0.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.63
Rate for Payer: Cigna LocalPlus Benefit Plan $0.54
Rate for Payer: Group Health Inc Commercial $0.40
Rate for Payer: Group Health Inc Medicare $0.28
Rate for Payer: Hamaspik Choice Inc Medicaid $0.40
Rate for Payer: Hamaspik Choice Inc Medicare $0.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.51
Hospital Charge Code 41654372
Hospital Revenue Code 250
Min. Negotiated Rate $0.28
Max. Negotiated Rate $0.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.43
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.40
Rate for Payer: Aetna Government $0.40
Rate for Payer: Brighton Health Commercial $0.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.63
Rate for Payer: Cigna LocalPlus Benefit Plan $0.54
Rate for Payer: Group Health Inc Commercial $0.40
Rate for Payer: Group Health Inc Medicare $0.28
Rate for Payer: Hamaspik Choice Inc Medicaid $0.40
Rate for Payer: Hamaspik Choice Inc Medicare $0.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.51
Service Code HCPCS J2270
Hospital Charge Code 41648403
Hospital Revenue Code 636
Min. Negotiated Rate $0.50
Max. Negotiated Rate $4.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3.39
Rate for Payer: Aetna Government $3.39
Rate for Payer: Brighton Health Commercial $0.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.71
Rate for Payer: Cigna LocalPlus Benefit Plan $0.82
Rate for Payer: Group Health Inc Commercial $0.71
Rate for Payer: Group Health Inc Medicare $0.50
Rate for Payer: Hamaspik Choice Inc Medicaid $0.71
Rate for Payer: Hamaspik Choice Inc Medicare $0.71
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 $0.92
Service Code HCPCS J2270
Hospital Charge Code 41648403
Hospital Revenue Code 636
Min. Negotiated Rate $0.71
Max. Negotiated Rate $0.71
Rate for Payer: Hamaspik Choice Inc Medicaid $0.71
Rate for Payer: Hamaspik Choice Inc Medicare $0.71
Service Code HCPCS J2270
Hospital Charge Code 41658403
Hospital Revenue Code 636
Min. Negotiated Rate $0.50
Max. Negotiated Rate $4.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3.39
Rate for Payer: Aetna Government $3.39
Rate for Payer: Brighton Health Commercial $0.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.71
Rate for Payer: Cigna LocalPlus Benefit Plan $0.82
Rate for Payer: Group Health Inc Commercial $0.71
Rate for Payer: Group Health Inc Medicare $0.50
Rate for Payer: Hamaspik Choice Inc Medicaid $0.71
Rate for Payer: Hamaspik Choice Inc Medicare $0.71
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 $0.92
Service Code HCPCS J2270
Hospital Charge Code 41658403
Hospital Revenue Code 636
Min. Negotiated Rate $0.71
Max. Negotiated Rate $0.71
Rate for Payer: Hamaspik Choice Inc Medicaid $0.71
Rate for Payer: Hamaspik Choice Inc Medicare $0.71
Service Code HCPCS J2270
Hospital Charge Code 41644532
Hospital Revenue Code 636
Min. Negotiated Rate $0.79
Max. Negotiated Rate $4.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1.24
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3.39
Rate for Payer: Aetna Government $3.39
Rate for Payer: Brighton Health Commercial $1.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.13
Rate for Payer: Cigna LocalPlus Benefit Plan $1.30
Rate for Payer: Group Health Inc Commercial $1.13
Rate for Payer: Group Health Inc Medicare $0.79
Rate for Payer: Hamaspik Choice Inc Medicaid $1.13
Rate for Payer: Hamaspik Choice Inc Medicare $1.13
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 $1.47
Service Code HCPCS J2270
Hospital Charge Code 41654532
Hospital Revenue Code 636
Min. Negotiated Rate $0.79
Max. Negotiated Rate $4.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1.24
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3.39
Rate for Payer: Aetna Government $3.39
Rate for Payer: Brighton Health Commercial $1.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.13
Rate for Payer: Cigna LocalPlus Benefit Plan $1.30
Rate for Payer: Group Health Inc Commercial $1.13
Rate for Payer: Group Health Inc Medicare $0.79
Rate for Payer: Hamaspik Choice Inc Medicaid $1.13
Rate for Payer: Hamaspik Choice Inc Medicare $1.13
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 $1.47
Service Code HCPCS J2270
Hospital Charge Code 41654532
Hospital Revenue Code 636
Min. Negotiated Rate $1.13
Max. Negotiated Rate $1.13
Rate for Payer: Hamaspik Choice Inc Medicaid $1.13
Rate for Payer: Hamaspik Choice Inc Medicare $1.13
Service Code HCPCS J2270
Hospital Charge Code 41644532
Hospital Revenue Code 636
Min. Negotiated Rate $1.13
Max. Negotiated Rate $1.13
Rate for Payer: Hamaspik Choice Inc Medicaid $1.13
Rate for Payer: Hamaspik Choice Inc Medicare $1.13
Service Code NDC 09999099999
Hospital Revenue Code 250
Min. Negotiated Rate $0.06
Max. Negotiated Rate $0.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.09
Rate for Payer: Aetna Government $0.09
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 $0.12
Rate for Payer: Group Health Inc Commercial $0.09
Rate for Payer: Group Health Inc Medicare $0.06
Rate for Payer: Hamaspik Choice Inc Medicaid $0.09
Rate for Payer: Hamaspik Choice Inc Medicare $0.09
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.12
Hospital Charge Code 41647075
Hospital Revenue Code 250
Min. Negotiated Rate $1.05
Max. Negotiated Rate $2.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1.50
Rate for Payer: Aetna Government $1.50
Rate for Payer: Brighton Health Commercial $2.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2.40
Rate for Payer: Cigna LocalPlus Benefit Plan $2.04
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: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.95
Service Code HCPCS J2270
Hospital Charge Code 41657075
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 41657075
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 NDC 09999123406
Hospital Revenue Code 250
Min. Negotiated Rate $1.40
Max. Negotiated Rate $3.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.00
Rate for Payer: Aetna Government $2.00
Rate for Payer: Brighton Health Commercial $3.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $3.20
Rate for Payer: Cigna LocalPlus Benefit Plan $2.72
Rate for Payer: Group Health Inc Commercial $2.00
Rate for Payer: Group Health Inc Medicare $1.40
Rate for Payer: Hamaspik Choice Inc Medicaid $2.00
Rate for Payer: Hamaspik Choice Inc Medicare $2.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2.60