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Service Code HCPCS C1713
Hospital Charge Code 64903031
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 64903307
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 64903307
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 64903531
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 64903531
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 64903779
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 64903779
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 64904530
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 64904530
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 64906394
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $2,991.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,567.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $1,709.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,424.65
Rate for Payer: Cigna LocalPlus Benefit Plan $1,638.35
Rate for Payer: EmblemHealth Commercial $1,424.65
Rate for Payer: Fidelis Medicare Advantage $2,991.76
Rate for Payer: Group Health Inc Commercial $1,424.65
Rate for Payer: Group Health Inc Medicare $997.26
Rate for Payer: Hamaspik Choice Inc Medicaid $1,424.65
Rate for Payer: Hamaspik Choice Inc Medicare $1,424.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,852.04
Service Code HCPCS C1713
Hospital Charge Code 64906394
Hospital Revenue Code 278
Min. Negotiated Rate $1,424.65
Max. Negotiated Rate $1,424.65
Rate for Payer: Hamaspik Choice Inc Medicaid $1,424.65
Rate for Payer: Hamaspik Choice Inc Medicare $1,424.65
Service Code HCPCS C1713
Hospital Charge Code 40200788
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $5,965.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial $3,124.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $3,408.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,840.50
Rate for Payer: Cigna LocalPlus Benefit Plan $3,266.58
Rate for Payer: EmblemHealth Commercial $2,840.50
Rate for Payer: Fidelis Medicare Advantage $5,965.05
Rate for Payer: Group Health Inc Commercial $2,840.50
Rate for Payer: Group Health Inc Medicare $1,988.35
Rate for Payer: Hamaspik Choice Inc Medicaid $2,840.50
Rate for Payer: Hamaspik Choice Inc Medicare $2,840.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,692.65
Service Code HCPCS C1713
Hospital Charge Code 40200788
Hospital Revenue Code 278
Min. Negotiated Rate $2,840.50
Max. Negotiated Rate $2,840.50
Rate for Payer: Hamaspik Choice Inc Medicaid $2,840.50
Rate for Payer: Hamaspik Choice Inc Medicare $2,840.50
Service Code HCPCS C1713
Hospital Charge Code 64906393
Hospital Revenue Code 278
Min. Negotiated Rate $1,424.70
Max. Negotiated Rate $1,424.70
Rate for Payer: Hamaspik Choice Inc Medicaid $1,424.70
Rate for Payer: Hamaspik Choice Inc Medicare $1,424.70
Service Code HCPCS C1713
Hospital Charge Code 64906393
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $2,991.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,567.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $1,709.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,424.70
Rate for Payer: Cigna LocalPlus Benefit Plan $1,638.40
Rate for Payer: EmblemHealth Commercial $1,424.70
Rate for Payer: Fidelis Medicare Advantage $2,991.86
Rate for Payer: Group Health Inc Commercial $1,424.70
Rate for Payer: Group Health Inc Medicare $997.29
Rate for Payer: Hamaspik Choice Inc Medicaid $1,424.70
Rate for Payer: Hamaspik Choice Inc Medicare $1,424.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,852.10
Service Code HCPCS C1713
Hospital Charge Code 64906395
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $2,991.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,567.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $1,709.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,424.65
Rate for Payer: Cigna LocalPlus Benefit Plan $1,638.35
Rate for Payer: EmblemHealth Commercial $1,424.65
Rate for Payer: Fidelis Medicare Advantage $2,991.76
Rate for Payer: Group Health Inc Commercial $1,424.65
Rate for Payer: Group Health Inc Medicare $997.26
Rate for Payer: Hamaspik Choice Inc Medicaid $1,424.65
Rate for Payer: Hamaspik Choice Inc Medicare $1,424.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,852.04
Service Code HCPCS C1713
Hospital Charge Code 64906395
Hospital Revenue Code 278
Min. Negotiated Rate $1,424.65
Max. Negotiated Rate $1,424.65
Rate for Payer: Hamaspik Choice Inc Medicaid $1,424.65
Rate for Payer: Hamaspik Choice Inc Medicare $1,424.65
Service Code HCPCS C1713
Hospital Charge Code 64906381
Hospital Revenue Code 278
Min. Negotiated Rate $1,424.70
Max. Negotiated Rate $1,424.70
Rate for Payer: Hamaspik Choice Inc Medicaid $1,424.70
Rate for Payer: Hamaspik Choice Inc Medicare $1,424.70
Service Code HCPCS C1713
Hospital Charge Code 64906381
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $2,991.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,567.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $1,709.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,424.70
Rate for Payer: Cigna LocalPlus Benefit Plan $1,638.40
Rate for Payer: EmblemHealth Commercial $1,424.70
Rate for Payer: Fidelis Medicare Advantage $2,991.86
Rate for Payer: Group Health Inc Commercial $1,424.70
Rate for Payer: Group Health Inc Medicare $997.29
Rate for Payer: Hamaspik Choice Inc Medicaid $1,424.70
Rate for Payer: Hamaspik Choice Inc Medicare $1,424.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,852.10
Service Code HCPCS C1713
Hospital Charge Code 64903160
Hospital Revenue Code 278
Min. Negotiated Rate $70.62
Max. Negotiated Rate $70.62
Rate for Payer: Hamaspik Choice Inc Medicaid $70.62
Rate for Payer: Hamaspik Choice Inc Medicare $70.62
Service Code HCPCS C1713
Hospital Charge Code 64903160
Hospital Revenue Code 278
Min. Negotiated Rate $49.43
Max. Negotiated Rate $148.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial $77.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $84.74
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $70.62
Rate for Payer: Cigna LocalPlus Benefit Plan $81.21
Rate for Payer: EmblemHealth Commercial $70.62
Rate for Payer: Fidelis Medicare Advantage $148.29
Rate for Payer: Group Health Inc Commercial $70.62
Rate for Payer: Group Health Inc Medicare $49.43
Rate for Payer: Hamaspik Choice Inc Medicaid $70.62
Rate for Payer: Hamaspik Choice Inc Medicare $70.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $91.80
Service Code HCPCS C1713
Hospital Charge Code 64907187
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $7,609.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial $3,986.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $4,348.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $3,623.79
Rate for Payer: Cigna LocalPlus Benefit Plan $4,167.36
Rate for Payer: EmblemHealth Commercial $3,623.79
Rate for Payer: Fidelis Medicare Advantage $7,609.96
Rate for Payer: Group Health Inc Commercial $3,623.79
Rate for Payer: Group Health Inc Medicare $2,536.65
Rate for Payer: Hamaspik Choice Inc Medicaid $3,623.79
Rate for Payer: Hamaspik Choice Inc Medicare $3,623.79
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $4,710.93
Service Code HCPCS C1713
Hospital Charge Code 64907187
Hospital Revenue Code 278
Min. Negotiated Rate $3,623.79
Max. Negotiated Rate $3,623.79
Rate for Payer: Hamaspik Choice Inc Medicaid $3,623.79
Rate for Payer: Hamaspik Choice Inc Medicare $3,623.79
Service Code HCPCS C1713
Hospital Charge Code 64905481
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 64905481
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