MORPHINE 500MG/20ML INJ
|
Facility
|
OP
|
$13.07
|
|
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
|
|
MORPHINE 500MG/20ML INJ
|
Facility
|
OP
|
$13.07
|
|
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
|
|
MORPHINE 500MG/20ML INJ
|
Facility
|
IP
|
$13.07
|
|
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
|
|
MORPHINE 500MG/20ML INJ
|
Facility
|
IP
|
$13.07
|
|
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
|
|
MORPHINE 500MG/D5W 100ML - 10MG
|
Facility
|
IP
|
$15.00
|
|
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
|
|
MORPHINE 500MG/D5W 100ML - 10MG
|
Facility
|
OP
|
$15.00
|
|
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
|
|
MORPHINE 500MG/D5W 100ML - 10MG
|
Facility
|
IP
|
$15.00
|
|
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
|
|
MORPHINE 500MG/D5W 100ML - 10MG
|
Facility
|
OP
|
$15.00
|
|
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
|
|
MORPHINE 50MG/ML, 20ML INJ
|
Facility
|
IP
|
$1.76
|
|
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
|
|
MORPHINE 50MG/ML, 20ML INJ
|
Facility
|
OP
|
$1.76
|
|
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
|
|
MORPHINE 60 MG TAB CR
|
Facility
|
OP
|
$0.79
|
|
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
|
|
MORPHINE 60 MG TAB CR
|
Facility
|
OP
|
$0.79
|
|
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
|
|
MORPHINE 8MG 1ML - PER 10MG
|
Facility
|
OP
|
$1.42
|
|
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
|
|
MORPHINE 8MG 1ML - PER 10MG
|
Facility
|
IP
|
$1.42
|
|
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
|
|
MORPHINE 8MG 1ML PER 10MG
|
Facility
|
OP
|
$1.42
|
|
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
|
|
MORPHINE 8MG 1ML PER 10MG
|
Facility
|
IP
|
$1.42
|
|
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
|
|
MORPHINE 8 MG/ML INJ
|
Facility
|
OP
|
$2.26
|
|
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
|
|
MORPHINE 8 MG/ML INJ
|
Facility
|
OP
|
$2.26
|
|
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
|
|
MORPHINE 8 MG/ML INJ
|
Facility
|
IP
|
$2.26
|
|
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
|
|
MORPHINE 8 MG/ML INJ
|
Facility
|
IP
|
$2.26
|
|
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
|
|
MORPHINE PCA 100 MG/100 ML D5W (PREMIX) [401344]
|
Facility
|
OP
|
$0.18
|
|
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
|
|
MORPHINE PF 8MG/ 1 ML
|
Facility
|
OP
|
$3.00
|
|
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
|
|
MORPHINE PF 8MG/ 1ML
|
Facility
|
OP
|
$3.00
|
|
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
|
|
MORPHINE PF 8MG/ 1ML
|
Facility
|
IP
|
$3.00
|
|
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
|
|
MORPHINE SULFATE 0.3MG/0.75 ML PO SOLN (NEO) [4085176]
|
Facility
|
OP
|
$4.00
|
|
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
|
|