NAIL INTRA LOCKING 12MM 320
|
Facility
|
IP
|
$4,682.50
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64905410
|
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
|
|
NAIL INTRA LOCKING 12MM 320
|
Facility
|
OP
|
$4,682.50
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64905410
|
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
|
|
NAIL INTRA LOCKING 9MM 1.5
|
Facility
|
OP
|
$4,754.75
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64905090
|
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
|
|
NAIL INTRA LOCKING 9MM 1.5
|
Facility
|
IP
|
$4,754.75
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64905090
|
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 INTRA LOCKING 9MM DIA 5MM
|
Facility
|
OP
|
$4,754.75
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64905296
|
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
|
|
NAIL INTRA LOCKING 9MM DIA 5MM
|
Facility
|
IP
|
$4,754.75
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64905296
|
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 INTRAMED TIB 10X315MM TIT
|
Facility
|
OP
|
$2,008.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40200178
|
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 INTRAMED TIB 10X315MM TIT
|
Facility
|
IP
|
$2,008.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40200178
|
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 INTRAMED TIB 9M/36CM TIT
|
Facility
|
IP
|
$3,466.13
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64901635
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$1,733.06 |
Max. Negotiated Rate |
$1,733.06 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,733.06
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1,733.06
|
|
NAIL INTRAMED TIB 9M/36CM TIT
|
Facility
|
OP
|
$3,466.13
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64901635
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$3,639.44 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,906.37
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
Rate for Payer: Aetna Government |
$134.20
|
Rate for Payer: Brighton Health Commercial |
$2,079.68
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$1,733.06
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$1,993.02
|
Rate for Payer: EmblemHealth Commercial |
$1,733.06
|
Rate for Payer: Fidelis Medicare Advantage |
$3,639.44
|
Rate for Payer: Group Health Inc Commercial |
$1,733.06
|
Rate for Payer: Group Health Inc Medicare |
$1,213.15
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,733.06
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1,733.06
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$2,252.98
|
|
NAIL INTRAMED TIBIAL
|
Facility
|
OP
|
$4,700.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40200786
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$4,935.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$2,585.00
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
Rate for Payer: Aetna Government |
$134.20
|
Rate for Payer: Brighton Health Commercial |
$2,820.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$2,350.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$2,702.50
|
Rate for Payer: EmblemHealth Commercial |
$2,350.00
|
Rate for Payer: Fidelis Medicare Advantage |
$4,935.00
|
Rate for Payer: Group Health Inc Commercial |
$2,350.00
|
Rate for Payer: Group Health Inc Medicare |
$1,645.00
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2,350.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2,350.00
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$3,055.00
|
|
NAIL INTRAMED TIBIAL
|
Facility
|
IP
|
$4,700.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40200786
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$2,350.00 |
Max. Negotiated Rate |
$2,350.00 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2,350.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2,350.00
|
|
NAIL INTRAMED TIBIAL 9X330MM
|
Facility
|
OP
|
$3,466.13
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64901294
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$3,639.44 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,906.37
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
Rate for Payer: Aetna Government |
$134.20
|
Rate for Payer: Brighton Health Commercial |
$2,079.68
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$1,733.06
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$1,993.02
|
Rate for Payer: EmblemHealth Commercial |
$1,733.06
|
Rate for Payer: Fidelis Medicare Advantage |
$3,639.44
|
Rate for Payer: Group Health Inc Commercial |
$1,733.06
|
Rate for Payer: Group Health Inc Medicare |
$1,213.15
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,733.06
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1,733.06
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$2,252.98
|
|
NAIL INTRAMED TIBIAL 9X330MM
|
Facility
|
IP
|
$3,466.13
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64901294
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$1,733.06 |
Max. Negotiated Rate |
$1,733.06 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,733.06
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1,733.06
|
|
NAIL INTRAMED TIBIAL 9X330MM
|
Facility
|
IP
|
$2,529.80
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40200787
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$1,264.90 |
Max. Negotiated Rate |
$1,264.90 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,264.90
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1,264.90
|
|
NAIL INTRAMED TIBIAL 9X330MM
|
Facility
|
OP
|
$2,529.80
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40200787
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$2,656.29 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,391.39
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
Rate for Payer: Aetna Government |
$134.20
|
Rate for Payer: Brighton Health Commercial |
$1,517.88
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$1,264.90
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$1,454.64
|
Rate for Payer: EmblemHealth Commercial |
$1,264.90
|
Rate for Payer: Fidelis Medicare Advantage |
$2,656.29
|
Rate for Payer: Group Health Inc Commercial |
$1,264.90
|
Rate for Payer: Group Health Inc Medicare |
$885.43
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,264.90
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1,264.90
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1,644.37
|
|
NAIL INTRAM TIB 10M/37.5CM
|
Facility
|
IP
|
$3,466.13
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64901637
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$1,733.06 |
Max. Negotiated Rate |
$1,733.06 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,733.06
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1,733.06
|
|
NAIL INTRAM TIB 10M/37.5CM
|
Facility
|
OP
|
$3,466.13
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64901637
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$3,639.44 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,906.37
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
Rate for Payer: Aetna Government |
$134.20
|
Rate for Payer: Brighton Health Commercial |
$2,079.68
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$1,733.06
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$1,993.02
|
Rate for Payer: EmblemHealth Commercial |
$1,733.06
|
Rate for Payer: Fidelis Medicare Advantage |
$3,639.44
|
Rate for Payer: Group Health Inc Commercial |
$1,733.06
|
Rate for Payer: Group Health Inc Medicare |
$1,213.15
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,733.06
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1,733.06
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$2,252.98
|
|
NAIL INTRA TIBIAL 10X315
|
Facility
|
OP
|
$3,466.13
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64904502
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$3,639.44 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,906.37
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
Rate for Payer: Aetna Government |
$134.20
|
Rate for Payer: Brighton Health Commercial |
$2,079.68
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$1,733.06
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$1,993.02
|
Rate for Payer: EmblemHealth Commercial |
$1,733.06
|
Rate for Payer: Fidelis Medicare Advantage |
$3,639.44
|
Rate for Payer: Group Health Inc Commercial |
$1,733.06
|
Rate for Payer: Group Health Inc Medicare |
$1,213.15
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,733.06
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1,733.06
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$2,252.98
|
|
NAIL INTRA TIBIAL 10X315
|
Facility
|
IP
|
$3,466.13
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64904502
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$1,733.06 |
Max. Negotiated Rate |
$1,733.06 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,733.06
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1,733.06
|
|
NAIL INTR DYNAMIC LOCKNG 10A
|
Facility
|
OP
|
$4,683.25
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64902518
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$4,917.41 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$2,575.79
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
Rate for Payer: Aetna Government |
$134.20
|
Rate for Payer: Brighton Health Commercial |
$2,809.95
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$2,341.62
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$2,692.87
|
Rate for Payer: EmblemHealth Commercial |
$2,341.62
|
Rate for Payer: Fidelis Medicare Advantage |
$4,917.41
|
Rate for Payer: Group Health Inc Commercial |
$2,341.62
|
Rate for Payer: Group Health Inc Medicare |
$1,639.14
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2,341.62
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2,341.62
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$3,044.11
|
|
NAIL INTR DYNAMIC LOCKNG 10A
|
Facility
|
IP
|
$4,683.25
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64902518
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$2,341.62 |
Max. Negotiated Rate |
$2,341.62 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2,341.62
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2,341.62
|
|
NAIL INTR DYNAMIC LOCKNG 10B
|
Facility
|
IP
|
$5,295.50
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64902898
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$2,647.75 |
Max. Negotiated Rate |
$2,647.75 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2,647.75
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2,647.75
|
|
NAIL INTR DYNAMIC LOCKNG 10B
|
Facility
|
OP
|
$5,295.50
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64902898
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$5,560.28 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$2,912.52
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
Rate for Payer: Aetna Government |
$134.20
|
Rate for Payer: Brighton Health Commercial |
$3,177.30
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$2,647.75
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$3,044.91
|
Rate for Payer: EmblemHealth Commercial |
$2,647.75
|
Rate for Payer: Fidelis Medicare Advantage |
$5,560.28
|
Rate for Payer: Group Health Inc Commercial |
$2,647.75
|
Rate for Payer: Group Health Inc Medicare |
$1,853.42
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2,647.75
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2,647.75
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$3,442.08
|
|
NAIL INTR DYNAMIC LOCKNG 10D
|
Facility
|
OP
|
$4,682.50
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
64904792
|
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
|
|