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Service Code HCPCS C1713
Hospital Charge Code 64903823
Hospital Revenue Code 278
Min. Negotiated Rate $262.44
Max. Negotiated Rate $262.44
Rate for Payer: Hamaspik Choice Inc Medicaid $262.44
Rate for Payer: Hamaspik Choice Inc Medicare $262.44
Service Code HCPCS C1713
Hospital Charge Code 64902567
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $646.67
Rate for Payer: 1199SEIU National Benefit Fund Commercial $338.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $369.53
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $307.94
Rate for Payer: Cigna LocalPlus Benefit Plan $354.13
Rate for Payer: EmblemHealth Commercial $307.94
Rate for Payer: Fidelis Medicare Advantage $646.67
Rate for Payer: Group Health Inc Commercial $307.94
Rate for Payer: Group Health Inc Medicare $215.56
Rate for Payer: Hamaspik Choice Inc Medicaid $307.94
Rate for Payer: Hamaspik Choice Inc Medicare $307.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $400.32
Service Code HCPCS C1713
Hospital Charge Code 64902567
Hospital Revenue Code 278
Min. Negotiated Rate $307.94
Max. Negotiated Rate $307.94
Rate for Payer: Hamaspik Choice Inc Medicaid $307.94
Rate for Payer: Hamaspik Choice Inc Medicare $307.94
Service Code HCPCS C1713
Hospital Charge Code 64903902
Hospital Revenue Code 278
Min. Negotiated Rate $280.32
Max. Negotiated Rate $280.32
Rate for Payer: Hamaspik Choice Inc Medicaid $280.32
Rate for Payer: Hamaspik Choice Inc Medicare $280.32
Service Code HCPCS C1713
Hospital Charge Code 64903902
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $588.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial $308.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $336.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $280.32
Rate for Payer: Cigna LocalPlus Benefit Plan $322.36
Rate for Payer: EmblemHealth Commercial $280.32
Rate for Payer: Fidelis Medicare Advantage $588.66
Rate for Payer: Group Health Inc Commercial $280.32
Rate for Payer: Group Health Inc Medicare $196.22
Rate for Payer: Hamaspik Choice Inc Medicaid $280.32
Rate for Payer: Hamaspik Choice Inc Medicare $280.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $364.41
Service Code HCPCS C1713
Hospital Charge Code 64903825
Hospital Revenue Code 278
Min. Negotiated Rate $280.32
Max. Negotiated Rate $280.32
Rate for Payer: Hamaspik Choice Inc Medicaid $280.32
Rate for Payer: Hamaspik Choice Inc Medicare $280.32
Service Code HCPCS C1713
Hospital Charge Code 64903825
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $588.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial $308.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $336.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $280.32
Rate for Payer: Cigna LocalPlus Benefit Plan $322.36
Rate for Payer: EmblemHealth Commercial $280.32
Rate for Payer: Fidelis Medicare Advantage $588.66
Rate for Payer: Group Health Inc Commercial $280.32
Rate for Payer: Group Health Inc Medicare $196.22
Rate for Payer: Hamaspik Choice Inc Medicaid $280.32
Rate for Payer: Hamaspik Choice Inc Medicare $280.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $364.41
Service Code HCPCS C1713
Hospital Charge Code 64902569
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $665.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial $348.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $380.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $316.88
Rate for Payer: Cigna LocalPlus Benefit Plan $364.41
Rate for Payer: EmblemHealth Commercial $316.88
Rate for Payer: Fidelis Medicare Advantage $665.44
Rate for Payer: Group Health Inc Commercial $316.88
Rate for Payer: Group Health Inc Medicare $221.81
Rate for Payer: Hamaspik Choice Inc Medicaid $316.88
Rate for Payer: Hamaspik Choice Inc Medicare $316.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $411.94
Service Code HCPCS C1713
Hospital Charge Code 64902569
Hospital Revenue Code 278
Min. Negotiated Rate $316.88
Max. Negotiated Rate $316.88
Rate for Payer: Hamaspik Choice Inc Medicaid $316.88
Rate for Payer: Hamaspik Choice Inc Medicare $316.88
Service Code HCPCS C1713
Hospital Charge Code 64903900
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $704.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial $369.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $402.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $335.56
Rate for Payer: Cigna LocalPlus Benefit Plan $385.90
Rate for Payer: EmblemHealth Commercial $335.56
Rate for Payer: Fidelis Medicare Advantage $704.69
Rate for Payer: Group Health Inc Commercial $335.56
Rate for Payer: Group Health Inc Medicare $234.90
Rate for Payer: Hamaspik Choice Inc Medicaid $335.56
Rate for Payer: Hamaspik Choice Inc Medicare $335.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $436.23
Service Code HCPCS C1713
Hospital Charge Code 64903900
Hospital Revenue Code 278
Min. Negotiated Rate $335.56
Max. Negotiated Rate $335.56
Rate for Payer: Hamaspik Choice Inc Medicaid $335.56
Rate for Payer: Hamaspik Choice Inc Medicare $335.56
Service Code HCPCS C1713
Hospital Charge Code 64904943
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $8,909.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial $4,666.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $5,091.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $4,242.50
Rate for Payer: Cigna LocalPlus Benefit Plan $4,878.88
Rate for Payer: EmblemHealth Commercial $4,242.50
Rate for Payer: Fidelis Medicare Advantage $8,909.25
Rate for Payer: Group Health Inc Commercial $4,242.50
Rate for Payer: Group Health Inc Medicare $2,969.75
Rate for Payer: Hamaspik Choice Inc Medicaid $4,242.50
Rate for Payer: Hamaspik Choice Inc Medicare $4,242.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $5,515.25
Service Code HCPCS C1713
Hospital Charge Code 64904943
Hospital Revenue Code 278
Min. Negotiated Rate $4,242.50
Max. Negotiated Rate $4,242.50
Rate for Payer: Hamaspik Choice Inc Medicaid $4,242.50
Rate for Payer: Hamaspik Choice Inc Medicare $4,242.50
Service Code HCPCS C1713
Hospital Charge Code 64903064
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,461.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,337.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $2,549.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,124.69
Rate for Payer: Cigna LocalPlus Benefit Plan $2,443.39
Rate for Payer: EmblemHealth Commercial $2,124.69
Rate for Payer: Fidelis Medicare Advantage $4,461.85
Rate for Payer: Group Health Inc Commercial $2,124.69
Rate for Payer: Group Health Inc Medicare $1,487.28
Rate for Payer: Hamaspik Choice Inc Medicaid $2,124.69
Rate for Payer: Hamaspik Choice Inc Medicare $2,124.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,762.10
Service Code HCPCS C1713
Hospital Charge Code 64903064
Hospital Revenue Code 278
Min. Negotiated Rate $2,124.69
Max. Negotiated Rate $2,124.69
Rate for Payer: Hamaspik Choice Inc Medicaid $2,124.69
Rate for Payer: Hamaspik Choice Inc Medicare $2,124.69
Service Code HCPCS C1713
Hospital Charge Code 64903899
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,461.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,337.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $2,549.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,124.69
Rate for Payer: Cigna LocalPlus Benefit Plan $2,443.39
Rate for Payer: EmblemHealth Commercial $2,124.69
Rate for Payer: Fidelis Medicare Advantage $4,461.85
Rate for Payer: Group Health Inc Commercial $2,124.69
Rate for Payer: Group Health Inc Medicare $1,487.28
Rate for Payer: Hamaspik Choice Inc Medicaid $2,124.69
Rate for Payer: Hamaspik Choice Inc Medicare $2,124.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,762.10
Service Code HCPCS C1713
Hospital Charge Code 64903899
Hospital Revenue Code 278
Min. Negotiated Rate $2,124.69
Max. Negotiated Rate $2,124.69
Rate for Payer: Hamaspik Choice Inc Medicaid $2,124.69
Rate for Payer: Hamaspik Choice Inc Medicare $2,124.69
Service Code HCPCS C1713
Hospital Charge Code 64905100
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,916.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,575.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $2,809.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,341.25
Rate for Payer: Cigna LocalPlus Benefit Plan $2,692.44
Rate for Payer: EmblemHealth Commercial $2,341.25
Rate for Payer: Fidelis Medicare Advantage $4,916.62
Rate for Payer: Group Health Inc Commercial $2,341.25
Rate for Payer: Group Health Inc Medicare $1,638.88
Rate for Payer: Hamaspik Choice Inc Medicaid $2,341.25
Rate for Payer: Hamaspik Choice Inc Medicare $2,341.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,043.62
Service Code HCPCS C1713
Hospital Charge Code 64905100
Hospital Revenue Code 278
Min. Negotiated Rate $2,341.25
Max. Negotiated Rate $2,341.25
Rate for Payer: Hamaspik Choice Inc Medicaid $2,341.25
Rate for Payer: Hamaspik Choice Inc Medicare $2,341.25
Service Code HCPCS C1713
Hospital Charge Code 64902859
Hospital Revenue Code 278
Min. Negotiated Rate $1,866.38
Max. Negotiated Rate $1,866.38
Rate for Payer: Hamaspik Choice Inc Medicaid $1,866.38
Rate for Payer: Hamaspik Choice Inc Medicare $1,866.38
Service Code HCPCS C1713
Hospital Charge Code 64902859
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $3,919.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,053.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $2,239.65
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,866.38
Rate for Payer: Cigna LocalPlus Benefit Plan $2,146.33
Rate for Payer: EmblemHealth Commercial $1,866.38
Rate for Payer: Fidelis Medicare Advantage $3,919.39
Rate for Payer: Group Health Inc Commercial $1,866.38
Rate for Payer: Group Health Inc Medicare $1,306.46
Rate for Payer: Hamaspik Choice Inc Medicaid $1,866.38
Rate for Payer: Hamaspik Choice Inc Medicare $1,866.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,426.29
Service Code HCPCS C1713
Hospital Charge Code 64905257
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $5,714.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,993.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $3,265.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,721.06
Rate for Payer: Cigna LocalPlus Benefit Plan $3,129.22
Rate for Payer: EmblemHealth Commercial $2,721.06
Rate for Payer: Fidelis Medicare Advantage $5,714.24
Rate for Payer: Group Health Inc Commercial $2,721.06
Rate for Payer: Group Health Inc Medicare $1,904.75
Rate for Payer: Hamaspik Choice Inc Medicaid $2,721.06
Rate for Payer: Hamaspik Choice Inc Medicare $2,721.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,537.38
Service Code HCPCS C1713
Hospital Charge Code 64905257
Hospital Revenue Code 278
Min. Negotiated Rate $2,721.06
Max. Negotiated Rate $2,721.06
Rate for Payer: Hamaspik Choice Inc Medicaid $2,721.06
Rate for Payer: Hamaspik Choice Inc Medicare $2,721.06
Service Code HCPCS C1713
Hospital Charge Code 64905098
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 64905098
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,992.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,615.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $2,852.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,377.38
Rate for Payer: Cigna LocalPlus Benefit Plan $2,733.98
Rate for Payer: EmblemHealth Commercial $2,377.38
Rate for Payer: Fidelis Medicare Advantage $4,992.49
Rate for Payer: Group Health Inc Commercial $2,377.38
Rate for Payer: Group Health Inc Medicare $1,664.16
Rate for Payer: Hamaspik Choice Inc Medicaid $2,377.38
Rate for Payer: Hamaspik Choice Inc Medicare $2,377.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,090.59