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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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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