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Service Code HCPCS C1713
Hospital Charge Code 64903872
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 64903872
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 64903947
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 64903947
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 64904152
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 64904152
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 64904374
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 64904374
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 64904971
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 64904971
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 64905224
Hospital Revenue Code 278
Min. Negotiated Rate $4,186.25
Max. Negotiated Rate $4,186.25
Rate for Payer: Hamaspik Choice Inc Medicaid $4,186.25
Rate for Payer: Hamaspik Choice Inc Medicare $4,186.25
Service Code HCPCS C1713
Hospital Charge Code 64905224
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $8,791.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial $4,604.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $5,023.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $4,186.25
Rate for Payer: Cigna LocalPlus Benefit Plan $4,814.19
Rate for Payer: EmblemHealth Commercial $4,186.25
Rate for Payer: Fidelis Medicare Advantage $8,791.12
Rate for Payer: Group Health Inc Commercial $4,186.25
Rate for Payer: Group Health Inc Medicare $2,930.38
Rate for Payer: Hamaspik Choice Inc Medicaid $4,186.25
Rate for Payer: Hamaspik Choice Inc Medicare $4,186.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $5,442.12
Service Code HCPCS C1713
Hospital Charge Code 64902921
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 64902921
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 64903693
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 64903693
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 64903988
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 64903988
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 64904847
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 64904847
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 64903952
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 64903952
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 64903954
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 64903954
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 64903031
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