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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
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
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
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
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
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
Service Code HCPCS 11730
Hospital Charge Code 30103212
Hospital Revenue Code 450
Rate for Payer: Cash Price $231.52
Service Code HCPCS 11730
Hospital Charge Code 42201350
Hospital Revenue Code 361
Rate for Payer: Cash Price $231.52
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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