NAIL INTR LOCKING 11MM DIA R5
|
Facility
|
IP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 11MM DIA R5
|
Facility
|
OP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 11MM DIA R6
|
Facility
|
OP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 11MM DIA R6
|
Facility
|
IP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 11MM DIA R7
|
Facility
|
IP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 11MM DIA R7
|
Facility
|
OP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 11MM DIA R8
|
Facility
|
OP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 11MM DIA R8
|
Facility
|
IP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 11MM DIA R9
|
Facility
|
IP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 11MM DIA R9
|
Facility
|
OP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 11X1.5 300
|
Facility
|
IP
|
$8,372.50
|
|
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
|
|
NAIL INTR LOCKING 11X1.5 300
|
Facility
|
OP
|
$8,372.50
|
|
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
|
|
NAIL INTR LOCKING 13MM DIA R1
|
Facility
|
OP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 13MM DIA R1
|
Facility
|
IP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 13MM DIA R2
|
Facility
|
IP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 13MM DIA R2
|
Facility
|
OP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 13MM DIA R3
|
Facility
|
IP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 13MM DIA R3
|
Facility
|
OP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 13MM DIA R4
|
Facility
|
OP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 13MM DIA R4
|
Facility
|
IP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 15MM DIA R1
|
Facility
|
IP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 15MM DIA R1
|
Facility
|
OP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 15MM DIA R2
|
Facility
|
IP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 15MM DIA R2
|
Facility
|
OP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 9MM DIA RB
|
Facility
|
IP
|
$4,754.75
|
|
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
|
|