NAIL 11 X 440 L
|
Facility
|
IP
|
$4,754.75
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64903510
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$2,377.38 |
Max. Negotiated Rate |
$2,377.38 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2,377.38
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2,377.38
|
|
NAIL 12X39
|
Facility
|
IP
|
$7,247.58
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64907465
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$3,623.79 |
Max. Negotiated Rate |
$3,623.79 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$3,623.79
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$3,623.79
|
|
NAIL 12X39
|
Facility
|
OP
|
$7,247.58
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64907465
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$7,609.96 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$3,986.17
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
Rate for Payer: Aetna Government |
$134.20
|
Rate for Payer: Brighton Health Commercial |
$4,348.55
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$3,623.79
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$4,167.36
|
Rate for Payer: EmblemHealth Commercial |
$3,623.79
|
Rate for Payer: Fidelis Medicare Advantage |
$7,609.96
|
Rate for Payer: Group Health Inc Commercial |
$3,623.79
|
Rate for Payer: Group Health Inc Medicare |
$2,536.65
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$3,623.79
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$3,623.79
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$4,710.93
|
|
NAIL ART 11.5 X 780MM RGT
|
Facility
|
IP
|
$13,867.70
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64907006
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$6,933.85 |
Max. Negotiated Rate |
$6,933.85 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$6,933.85
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$6,933.85
|
|
NAIL ART 11.5 X 780MM RGT
|
Facility
|
OP
|
$13,867.70
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64907006
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$14,561.08 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$7,627.24
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
Rate for Payer: Aetna Government |
$134.20
|
Rate for Payer: Brighton Health Commercial |
$8,320.62
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$6,933.85
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$7,973.93
|
Rate for Payer: EmblemHealth Commercial |
$6,933.85
|
Rate for Payer: Fidelis Medicare Advantage |
$14,561.08
|
Rate for Payer: Group Health Inc Commercial |
$6,933.85
|
Rate for Payer: Group Health Inc Medicare |
$4,853.70
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$6,933.85
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$6,933.85
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$9,014.00
|
|
NAIL AVULSION
|
Facility
|
OP
|
$529.23
|
|
Service Code
|
HCPCS 11730
|
Hospital Charge Code |
42201350
|
Hospital Revenue Code
|
361
|
Min. Negotiated Rate |
$162.06 |
Max. Negotiated Rate |
$2,915.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$342.00
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$231.52
|
Rate for Payer: Aetna Government |
$231.52
|
Rate for Payer: Affinity Essential Plan 1&2 |
$162.06
|
Rate for Payer: Affinity Essential Plan 3&4 |
$162.06
|
Rate for Payer: Affinity Medicaid/CHP/HARP |
$162.06
|
Rate for Payer: Brighton Health Commercial |
$396.92
|
Rate for Payer: Cash Price |
$231.52
|
Rate for Payer: Cash Price |
$231.52
|
Rate for Payer: Cash Price |
$231.52
|
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$231.52
|
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 |
$231.52
|
Rate for Payer: EmblemHealth Commercial |
$231.52
|
Rate for Payer: Fidelis Essential Plan Aliesa |
$196.79
|
Rate for Payer: Fidelis Essential Plan QHP |
$206.05
|
Rate for Payer: Fidelis Medicare Advantage |
$231.52
|
Rate for Payer: Fidelis Qualified Health Plan |
$206.05
|
Rate for Payer: Group Health Inc Commercial |
$231.52
|
Rate for Payer: Group Health Inc Medicare |
$231.52
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$264.62
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$231.52
|
Rate for Payer: Healthfirst Medicare Advantage |
$196.79
|
Rate for Payer: Healthfirst QHP |
$231.52
|
Rate for Payer: Humana Medicare |
$236.15
|
Rate for Payer: Senior Whole Health Medicare Advantage |
$231.52
|
Rate for Payer: United Healthcare Commercial |
$1,113.00
|
Rate for Payer: United Healthcare Medicare Advantage |
$231.52
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$231.52
|
Rate for Payer: Wellcare CHP/FHP/Medicaid |
$185.22
|
Rate for Payer: Wellcare Medicare |
$219.94
|
|
NAIL AVULSION
|
Facility
|
IP
|
$529.23
|
|
Service Code
|
HCPCS 11730
|
Hospital Charge Code |
30103212
|
Hospital Revenue Code
|
450
|
Rate for Payer: Cash Price |
$231.52
|
|
NAIL AVULSION
|
Facility
|
IP
|
$529.23
|
|
Service Code
|
HCPCS 11730
|
Hospital Charge Code |
42201350
|
Hospital Revenue Code
|
361
|
Rate for Payer: Cash Price |
$231.52
|
|
NAIL AVULSION
|
Facility
|
OP
|
$529.23
|
|
Service Code
|
HCPCS 11730
|
Hospital Charge Code |
30103212
|
Hospital Revenue Code
|
450
|
Min. Negotiated Rate |
$162.06 |
Max. Negotiated Rate |
$2,915.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$342.00
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$231.52
|
Rate for Payer: Aetna Government |
$231.52
|
Rate for Payer: Affinity Essential Plan 1&2 |
$162.06
|
Rate for Payer: Affinity Essential Plan 3&4 |
$162.06
|
Rate for Payer: Affinity Medicaid/CHP/HARP |
$162.06
|
Rate for Payer: Brighton Health Commercial |
$874.00
|
Rate for Payer: Carelon Behavioral Health CHP/Medicaid |
$231.52
|
Rate for Payer: Carelon Behavioral Health Medicare Advantage |
$231.52
|
Rate for Payer: Cash Price |
$231.52
|
Rate for Payer: Cash Price |
$231.52
|
Rate for Payer: Cash Price |
$231.52
|
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$231.52
|
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 |
$231.52
|
Rate for Payer: EmblemHealth Commercial |
$525.00
|
Rate for Payer: Fidelis Essential Plan Aliesa |
$196.79
|
Rate for Payer: Fidelis Essential Plan QHP |
$206.05
|
Rate for Payer: Fidelis Medicare Advantage |
$231.52
|
Rate for Payer: Fidelis Qualified Health Plan |
$206.05
|
Rate for Payer: Group Health Inc Commercial |
$525.00
|
Rate for Payer: Group Health Inc Medicare |
$525.00
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$264.62
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$231.52
|
Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$165.00
|
Rate for Payer: Healthfirst Medicare Advantage |
$225.00
|
Rate for Payer: Healthfirst QHP |
$231.52
|
Rate for Payer: Humana Medicare |
$236.15
|
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage |
$231.52
|
Rate for Payer: Senior Whole Health Medicare Advantage |
$231.52
|
Rate for Payer: United Healthcare Commercial |
$569.00
|
Rate for Payer: United Healthcare Medicare Advantage |
$231.52
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$231.52
|
Rate for Payer: Wellcare CHP/FHP/Medicaid |
$185.22
|
Rate for Payer: Wellcare Medicare |
$219.94
|
|
NAIL AVULSION ADD ON
|
Facility
|
OP
|
$264.62
|
|
Service Code
|
HCPCS 11732
|
Hospital Charge Code |
42201695
|
Hospital Revenue Code
|
361
|
Min. Negotiated Rate |
$16.19 |
Max. Negotiated Rate |
$2,915.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$342.00
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$16.19
|
Rate for Payer: Aetna Government |
$16.19
|
Rate for Payer: Brighton Health Commercial |
$198.46
|
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: Group Health Inc Commercial |
$132.31
|
Rate for Payer: Group Health Inc Medicare |
$92.62
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$132.31
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$132.31
|
Rate for Payer: United Healthcare Commercial |
$1,113.00
|
|
NAIL CALCANAIL CAP GO
|
Facility
|
IP
|
$5,137.50
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64907043
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$2,568.75 |
Max. Negotiated Rate |
$2,568.75 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2,568.75
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2,568.75
|
|
NAIL CALCANAIL CAP GO
|
Facility
|
OP
|
$5,137.50
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64907043
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$5,394.38 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$2,825.62
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
Rate for Payer: Aetna Government |
$134.20
|
Rate for Payer: Brighton Health Commercial |
$3,082.50
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$2,568.75
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$2,954.06
|
Rate for Payer: EmblemHealth Commercial |
$2,568.75
|
Rate for Payer: Fidelis Medicare Advantage |
$5,394.38
|
Rate for Payer: Group Health Inc Commercial |
$2,568.75
|
Rate for Payer: Group Health Inc Medicare |
$1,798.12
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2,568.75
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2,568.75
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$3,339.38
|
|
NAIL CALCANIAL & CAP 10/55
|
Facility
|
OP
|
$4,110.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64906722
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$4,315.50 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$2,260.50
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
Rate for Payer: Aetna Government |
$134.20
|
Rate for Payer: Brighton Health Commercial |
$2,466.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$2,055.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$2,363.25
|
Rate for Payer: EmblemHealth Commercial |
$2,055.00
|
Rate for Payer: Fidelis Medicare Advantage |
$4,315.50
|
Rate for Payer: Group Health Inc Commercial |
$2,055.00
|
Rate for Payer: Group Health Inc Medicare |
$1,438.50
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2,055.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2,055.00
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$2,671.50
|
|
NAIL CALCANIAL & CAP 10/55
|
Facility
|
IP
|
$4,110.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64906722
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$2,055.00 |
Max. Negotiated Rate |
$2,055.00 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2,055.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2,055.00
|
|
NAIL CANN TIB TITAN 11X330MM
|
Facility
|
OP
|
$2,008.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40200173
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$2,108.40 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,104.40
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
Rate for Payer: Aetna Government |
$134.20
|
Rate for Payer: Brighton Health Commercial |
$1,204.80
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$1,004.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$1,154.60
|
Rate for Payer: EmblemHealth Commercial |
$1,004.00
|
Rate for Payer: Fidelis Medicare Advantage |
$2,108.40
|
Rate for Payer: Group Health Inc Commercial |
$1,004.00
|
Rate for Payer: Group Health Inc Medicare |
$702.80
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,004.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1,004.00
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1,305.20
|
|
NAIL CANN TIB TITAN 11X330MM
|
Facility
|
IP
|
$2,008.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40200173
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$1,004.00 |
Max. Negotiated Rate |
$1,004.00 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,004.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1,004.00
|
|
NAIL CAP CALCNIAL FRCTRE 010/L50
|
Facility
|
IP
|
$2,055.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64906259
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$1,027.50 |
Max. Negotiated Rate |
$1,027.50 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,027.50
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1,027.50
|
|
NAIL CAP CALCNIAL FRCTRE 010/L50
|
Facility
|
OP
|
$2,055.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64906259
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$2,157.75 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,130.25
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
Rate for Payer: Aetna Government |
$134.20
|
Rate for Payer: Brighton Health Commercial |
$1,233.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$1,027.50
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$1,181.62
|
Rate for Payer: EmblemHealth Commercial |
$1,027.50
|
Rate for Payer: Fidelis Medicare Advantage |
$2,157.75
|
Rate for Payer: Group Health Inc Commercial |
$1,027.50
|
Rate for Payer: Group Health Inc Medicare |
$719.25
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,027.50
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1,027.50
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1,335.75
|
|
NAIL DEPTH GAUGE
|
Facility
|
OP
|
$960.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006119
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$1,008.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$528.00
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
Rate for Payer: Aetna Government |
$134.20
|
Rate for Payer: Brighton Health Commercial |
$576.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$480.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$552.00
|
Rate for Payer: EmblemHealth Commercial |
$480.00
|
Rate for Payer: Fidelis Medicare Advantage |
$1,008.00
|
Rate for Payer: Group Health Inc Commercial |
$480.00
|
Rate for Payer: Group Health Inc Medicare |
$336.00
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$480.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$480.00
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$624.00
|
|
NAIL DEPTH GAUGE
|
Facility
|
IP
|
$960.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006119
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$480.00 |
Max. Negotiated Rate |
$480.00 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$480.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$480.00
|
|
NAIL DIS FEM TIT 12X380MM ST
|
Facility
|
OP
|
$2,758.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40200175
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$2,895.90 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,516.90
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
Rate for Payer: Aetna Government |
$134.20
|
Rate for Payer: Brighton Health Commercial |
$1,654.80
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$1,379.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$1,585.85
|
Rate for Payer: EmblemHealth Commercial |
$1,379.00
|
Rate for Payer: Fidelis Medicare Advantage |
$2,895.90
|
Rate for Payer: Group Health Inc Commercial |
$1,379.00
|
Rate for Payer: Group Health Inc Medicare |
$965.30
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,379.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1,379.00
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1,792.70
|
|
NAIL DIS FEM TIT 12X380MM ST
|
Facility
|
IP
|
$2,758.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40200175
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$1,379.00 |
Max. Negotiated Rate |
$1,379.00 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,379.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1,379.00
|
|
NAIL ELASTIC INS ELAS 8-11
|
Facility
|
IP
|
$547.50
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64905783
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$273.75 |
Max. Negotiated Rate |
$273.75 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$273.75
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$273.75
|
|
NAIL ELASTIC INS ELAS 8-11
|
Facility
|
OP
|
$547.50
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64905783
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$574.88 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$301.12
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
Rate for Payer: Aetna Government |
$134.20
|
Rate for Payer: Brighton Health Commercial |
$328.50
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$273.75
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$314.81
|
Rate for Payer: EmblemHealth Commercial |
$273.75
|
Rate for Payer: Fidelis Medicare Advantage |
$574.88
|
Rate for Payer: Group Health Inc Commercial |
$273.75
|
Rate for Payer: Group Health Inc Medicare |
$191.62
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$273.75
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$273.75
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$355.88
|
|
NAIL ELAST TITAN 440X3.0MM BLUE
|
Facility
|
OP
|
$559.80
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40200176
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$587.79 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$307.89
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
Rate for Payer: Aetna Government |
$134.20
|
Rate for Payer: Brighton Health Commercial |
$335.88
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$279.90
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$321.88
|
Rate for Payer: EmblemHealth Commercial |
$279.90
|
Rate for Payer: Fidelis Medicare Advantage |
$587.79
|
Rate for Payer: Group Health Inc Commercial |
$279.90
|
Rate for Payer: Group Health Inc Medicare |
$195.93
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$279.90
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$279.90
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$363.87
|
|