NAIL INTR LOCKING 9MM DIA RB
|
Facility
|
OP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 9MM DIA RC
|
Facility
|
OP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 9MM DIA RC
|
Facility
|
IP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 9MM DIA RD
|
Facility
|
IP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 9MM DIA RD
|
Facility
|
OP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 9MM DIA RE
|
Facility
|
OP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 9MM DIA RE
|
Facility
|
IP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 9MM DIA RF
|
Facility
|
OP
|
$4,754.75
|
|
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
|
|
NAIL INTR LOCKING 9MM DIA RF
|
Facility
|
IP
|
$4,754.75
|
|
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
|
|
NAIL KT LG R1/5 11X440X130MM
|
Facility
|
OP
|
$2,849.30
|
|
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
|
|
NAIL KT LG R1/5 11X440X130MM
|
Facility
|
IP
|
$2,849.30
|
|
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
|
|
NAIL LEFT 11X400MM 125DEG
|
Facility
|
OP
|
$5,681.00
|
|
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
|
|
NAIL LEFT 11X400MM 125DEG
|
Facility
|
IP
|
$5,681.00
|
|
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
|
|
NAIL LG KT R1/5 R 13X420X125
|
Facility
|
IP
|
$2,849.39
|
|
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
|
|
NAIL LG KT R1/5 R 13X420X125
|
Facility
|
OP
|
$2,849.39
|
|
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
|
|
NAIL L K R1/5 T L 13X380X125
|
Facility
|
OP
|
$2,849.30
|
|
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
|
|
NAIL L K R1/5 T L 13X380X125
|
Facility
|
IP
|
$2,849.30
|
|
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
|
|
NAIL LNG K R1/5 L 11X300X125
|
Facility
|
IP
|
$2,849.39
|
|
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
|
|
NAIL LNG K R1/5 L 11X300X125
|
Facility
|
OP
|
$2,849.39
|
|
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
|
|
NAIL NIPPER STAINLESS STEEL
|
Facility
|
IP
|
$141.23
|
|
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
|
|
NAIL NIPPER STAINLESS STEEL
|
Facility
|
OP
|
$141.23
|
|
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
|
|
NAIL ORTHO
|
Facility
|
OP
|
$7,247.58
|
|
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
|
|
NAIL ORTHO
|
Facility
|
IP
|
$7,247.58
|
|
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
|
|
NAIL PROXI HUME CANN LEFT
|
Facility
|
IP
|
$8,485.00
|
|
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
|
|
NAIL PROXI HUME CANN LEFT
|
Facility
|
OP
|
$8,485.00
|
|
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
|
|