Parathyroidectomy or exploration of parathyroid(s);
|
Facility
|
OP
|
$6,907.65
|
|
Service Code
|
CPT 60500
|
Hospital Revenue Code
|
360
|
Min. Negotiated Rate |
$1,505.00 |
Max. Negotiated Rate |
$6,907.65 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$3,387.00
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$6,772.21
|
Rate for Payer: Aetna Government |
$6,772.21
|
Rate for Payer: Affinity Essential Plan 1&2 |
$4,740.55
|
Rate for Payer: Affinity Essential Plan 3&4 |
$4,740.55
|
Rate for Payer: Affinity Medicaid/CHP/HARP |
$4,740.55
|
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$6,772.21
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$2,915.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$2,477.75
|
Rate for Payer: Elderplan Medicare Advantage |
$6,772.21
|
Rate for Payer: EmblemHealth Commercial |
$1,505.00
|
Rate for Payer: Fidelis Essential Plan Aliesa |
$5,756.38
|
Rate for Payer: Fidelis Essential Plan QHP |
$6,027.27
|
Rate for Payer: Fidelis Medicare Advantage |
$6,772.21
|
Rate for Payer: Fidelis Qualified Health Plan |
$6,027.27
|
Rate for Payer: Group Health Inc Commercial |
$6,772.21
|
Rate for Payer: Group Health Inc Medicare |
$6,772.21
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$6,772.21
|
Rate for Payer: Healthfirst Medicare Advantage |
$5,756.38
|
Rate for Payer: Healthfirst QHP |
$6,772.21
|
Rate for Payer: Humana Medicare |
$6,907.65
|
Rate for Payer: Senior Whole Health Medicare Advantage |
$6,772.21
|
Rate for Payer: United Healthcare Commercial |
$2,683.00
|
Rate for Payer: United Healthcare Medicare Advantage |
$6,772.21
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$6,772.21
|
Rate for Payer: Wellcare CHP/FHP/Medicaid |
$5,417.77
|
Rate for Payer: Wellcare Medicare |
$6,433.60
|
|
PARATHYROID HORMONE
|
Facility
|
OP
|
$103.20
|
|
Service Code
|
HCPCS 83970
|
Hospital Charge Code |
40607288
|
Hospital Revenue Code
|
301
|
Min. Negotiated Rate |
$28.90 |
Max. Negotiated Rate |
$77.40 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$56.76
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$41.28
|
Rate for Payer: Aetna Government |
$41.28
|
Rate for Payer: Affinity Essential Plan 1&2 |
$28.90
|
Rate for Payer: Affinity Essential Plan 3&4 |
$28.90
|
Rate for Payer: Affinity Medicaid/CHP/HARP |
$28.90
|
Rate for Payer: Brighton Health Commercial |
$77.40
|
Rate for Payer: Cash Price |
$41.28
|
Rate for Payer: Cash Price |
$41.28
|
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$41.28
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$65.60
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$55.51
|
Rate for Payer: Elderplan Medicare Advantage |
$41.28
|
Rate for Payer: EmblemHealth Commercial |
$41.28
|
Rate for Payer: Fidelis Essential Plan Aliesa |
$35.09
|
Rate for Payer: Fidelis Essential Plan QHP |
$36.74
|
Rate for Payer: Fidelis Medicare Advantage |
$41.28
|
Rate for Payer: Fidelis Qualified Health Plan |
$36.74
|
Rate for Payer: Group Health Inc Commercial |
$41.28
|
Rate for Payer: Group Health Inc Medicare |
$41.28
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$51.60
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$41.28
|
Rate for Payer: Healthfirst Medicare Advantage |
$41.28
|
Rate for Payer: Healthfirst QHP |
$41.28
|
Rate for Payer: Humana Medicare |
$42.11
|
Rate for Payer: Senior Whole Health Medicare Advantage |
$41.28
|
Rate for Payer: United Healthcare Commercial |
$52.27
|
Rate for Payer: United Healthcare Medicare Advantage |
$41.28
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$41.28
|
Rate for Payer: Wellcare CHP/FHP/Medicaid |
$33.02
|
Rate for Payer: Wellcare Medicare |
$37.15
|
|
PARATHYROID HORMONE
|
Facility
|
IP
|
$103.20
|
|
Service Code
|
HCPCS 83970
|
Hospital Charge Code |
40607288
|
Hospital Revenue Code
|
301
|
Rate for Payer: Cash Price |
$41.28
|
|
PARENTERAL AMINO ACID
|
Facility
|
OP
|
$15.53
|
|
Service Code
|
HCPCS B4199
|
Hospital Charge Code |
41650216
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$5.44 |
Max. Negotiated Rate |
$238.43 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$8.54
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$238.43
|
Rate for Payer: Aetna Government |
$238.43
|
Rate for Payer: Brighton Health Commercial |
$11.65
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12.42
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$10.56
|
Rate for Payer: Group Health Inc Commercial |
$7.76
|
Rate for Payer: Group Health Inc Medicare |
$5.44
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$7.76
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$7.76
|
|
PARENTERAL AMINO ACID
|
Facility
|
OP
|
$15.53
|
|
Service Code
|
HCPCS B4199
|
Hospital Charge Code |
41640216
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$5.44 |
Max. Negotiated Rate |
$238.43 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$8.54
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$238.43
|
Rate for Payer: Aetna Government |
$238.43
|
Rate for Payer: Brighton Health Commercial |
$11.65
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12.42
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$10.56
|
Rate for Payer: Group Health Inc Commercial |
$7.76
|
Rate for Payer: Group Health Inc Medicare |
$5.44
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$7.76
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$7.76
|
|
PARICALCITOL 10 MCG/2ML INJ
|
Facility
|
IP
|
$0.63
|
|
Service Code
|
HCPCS J2501
|
Hospital Charge Code |
41647042
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.32 |
Max. Negotiated Rate |
$0.32 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.32
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.32
|
|
PARICALCITOL 10 MCG/2ML INJ
|
Facility
|
IP
|
$0.63
|
|
Service Code
|
HCPCS J2501
|
Hospital Charge Code |
41657042
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.32 |
Max. Negotiated Rate |
$0.32 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.32
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.32
|
|
PARICALCITOL 10 MCG/2ML INJ
|
Facility
|
OP
|
$0.63
|
|
Service Code
|
HCPCS J2501
|
Hospital Charge Code |
41647042
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.22 |
Max. Negotiated Rate |
$0.80 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.35
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.65
|
Rate for Payer: Aetna Government |
$0.65
|
Rate for Payer: Brighton Health Commercial |
$0.38
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.32
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.36
|
Rate for Payer: Group Health Inc Commercial |
$0.32
|
Rate for Payer: Group Health Inc Medicare |
$0.22
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.32
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.32
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$0.80
|
Rate for Payer: SOMOS Essential |
$0.80
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$0.41
|
|
PARICALCITOL 10 MCG/2ML INJ
|
Facility
|
OP
|
$0.63
|
|
Service Code
|
HCPCS J2501
|
Hospital Charge Code |
41657042
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.22 |
Max. Negotiated Rate |
$0.80 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.35
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.65
|
Rate for Payer: Aetna Government |
$0.65
|
Rate for Payer: Brighton Health Commercial |
$0.38
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.32
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.36
|
Rate for Payer: Group Health Inc Commercial |
$0.32
|
Rate for Payer: Group Health Inc Medicare |
$0.22
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.32
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.32
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$0.80
|
Rate for Payer: SOMOS Essential |
$0.80
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$0.41
|
|
PARICALCITOL 2 MCG/ML INJ
|
Facility
|
IP
|
$1.49
|
|
Service Code
|
HCPCS J2501
|
Hospital Charge Code |
41644922
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.75 |
Max. Negotiated Rate |
$0.75 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.75
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.75
|
|
PARICALCITOL 2 MCG/ML INJ
|
Facility
|
OP
|
$1.49
|
|
Service Code
|
HCPCS J2501
|
Hospital Charge Code |
41644922
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.52 |
Max. Negotiated Rate |
$0.97 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.82
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.65
|
Rate for Payer: Aetna Government |
$0.65
|
Rate for Payer: Brighton Health Commercial |
$0.89
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.75
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.86
|
Rate for Payer: Group Health Inc Commercial |
$0.75
|
Rate for Payer: Group Health Inc Medicare |
$0.52
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.75
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.75
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$0.80
|
Rate for Payer: SOMOS Essential |
$0.80
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$0.97
|
|
PARICALCITOL 2 MCG/ML INJ
|
Facility
|
OP
|
$1.49
|
|
Service Code
|
HCPCS J2501
|
Hospital Charge Code |
41654922
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.52 |
Max. Negotiated Rate |
$0.97 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.82
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.65
|
Rate for Payer: Aetna Government |
$0.65
|
Rate for Payer: Brighton Health Commercial |
$0.89
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.75
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.86
|
Rate for Payer: Group Health Inc Commercial |
$0.75
|
Rate for Payer: Group Health Inc Medicare |
$0.52
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.75
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.75
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$0.80
|
Rate for Payer: SOMOS Essential |
$0.80
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$0.97
|
|
PARICALCITOL 2 MCG/ML INJ
|
Facility
|
IP
|
$1.49
|
|
Service Code
|
HCPCS J2501
|
Hospital Charge Code |
41654922
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.75 |
Max. Negotiated Rate |
$0.75 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.75
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.75
|
|
PARICALCITOL 2 MCG/ML IV SOLN [31688]
|
Facility
|
IP
|
$7.27
|
|
Service Code
|
HCPCS J2501
|
Hospital Charge Code |
00074463701
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$3.64 |
Max. Negotiated Rate |
$3.64 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$3.64
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$3.64
|
|
PARICALCITOL 2 MCG/ML IV SOLN [31688]
|
Facility
|
IP
|
$5.04
|
|
Service Code
|
HCPCS J2501
|
Hospital Charge Code |
16729031008
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$2.52 |
Max. Negotiated Rate |
$2.52 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2.52
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2.52
|
|
PARICALCITOL 2 MCG/ML IV SOLN [31688]
|
Facility
|
OP
|
$5.04
|
|
Service Code
|
HCPCS J2501
|
Hospital Charge Code |
16729031008
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$0.65 |
Max. Negotiated Rate |
$5.29 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$2.77
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.65
|
Rate for Payer: Aetna Government |
$0.65
|
Rate for Payer: Brighton Health Commercial |
$3.02
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$2.52
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$2.90
|
Rate for Payer: EmblemHealth Commercial |
$2.52
|
Rate for Payer: Fidelis Medicare Advantage |
$5.29
|
Rate for Payer: Group Health Inc Commercial |
$2.52
|
Rate for Payer: Group Health Inc Medicare |
$1.76
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2.52
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2.52
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$3.28
|
|
PARICALCITOL 2 MCG/ML IV SOLN [31688]
|
Facility
|
OP
|
$7.27
|
|
Service Code
|
HCPCS J2501
|
Hospital Charge Code |
00074463701
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$0.65 |
Max. Negotiated Rate |
$7.64 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$4.00
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.65
|
Rate for Payer: Aetna Government |
$0.65
|
Rate for Payer: Brighton Health Commercial |
$4.36
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$3.64
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$4.18
|
Rate for Payer: EmblemHealth Commercial |
$3.64
|
Rate for Payer: Fidelis Medicare Advantage |
$7.64
|
Rate for Payer: Group Health Inc Commercial |
$3.64
|
Rate for Payer: Group Health Inc Medicare |
$2.55
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$3.64
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$3.64
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$4.73
|
|
PARICALCITOL 5 MCG/ML INJ
|
Facility
|
OP
|
$1.48
|
|
Service Code
|
HCPCS J2501
|
Hospital Charge Code |
41642188
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.52 |
Max. Negotiated Rate |
$0.96 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.81
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.65
|
Rate for Payer: Aetna Government |
$0.65
|
Rate for Payer: Brighton Health Commercial |
$0.89
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.74
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.85
|
Rate for Payer: Group Health Inc Commercial |
$0.74
|
Rate for Payer: Group Health Inc Medicare |
$0.52
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.74
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.74
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$0.80
|
Rate for Payer: SOMOS Essential |
$0.80
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$0.96
|
|
PARICALCITOL 5 MCG/ML INJ
|
Facility
|
OP
|
$1.48
|
|
Service Code
|
HCPCS J2501
|
Hospital Charge Code |
41652188
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.52 |
Max. Negotiated Rate |
$0.96 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.81
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.65
|
Rate for Payer: Aetna Government |
$0.65
|
Rate for Payer: Brighton Health Commercial |
$0.89
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.74
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.85
|
Rate for Payer: Group Health Inc Commercial |
$0.74
|
Rate for Payer: Group Health Inc Medicare |
$0.52
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.74
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.74
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$0.80
|
Rate for Payer: SOMOS Essential |
$0.80
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$0.96
|
|
PARICALCITOL 5 MCG/ML INJ
|
Facility
|
IP
|
$1.48
|
|
Service Code
|
HCPCS J2501
|
Hospital Charge Code |
41642188
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.74 |
Max. Negotiated Rate |
$0.74 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.74
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.74
|
|
PARICALCITOL 5 MCG/ML INJ
|
Facility
|
IP
|
$1.48
|
|
Service Code
|
HCPCS J2501
|
Hospital Charge Code |
41652188
|
Hospital Revenue Code
|
636
|
Min. Negotiated Rate |
$0.74 |
Max. Negotiated Rate |
$0.74 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.74
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.74
|
|
PARICALCITOL 5 MCG/ML IV SOLN [22960]
|
Facility
|
IP
|
$18.18
|
|
Service Code
|
HCPCS J2501
|
Hospital Charge Code |
00074165805
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$9.09 |
Max. Negotiated Rate |
$9.09 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$9.09
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$9.09
|
|
PARICALCITOL 5 MCG/ML IV SOLN [22960]
|
Facility
|
OP
|
$12.60
|
|
Service Code
|
HCPCS J2501
|
Hospital Charge Code |
16729031163
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$0.65 |
Max. Negotiated Rate |
$13.23 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$6.93
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.65
|
Rate for Payer: Aetna Government |
$0.65
|
Rate for Payer: Brighton Health Commercial |
$7.56
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$6.30
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$7.24
|
Rate for Payer: EmblemHealth Commercial |
$6.30
|
Rate for Payer: Fidelis Medicare Advantage |
$13.23
|
Rate for Payer: Group Health Inc Commercial |
$6.30
|
Rate for Payer: Group Health Inc Medicare |
$4.41
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$6.30
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$6.30
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$8.19
|
|
PARICALCITOL 5 MCG/ML IV SOLN [22960]
|
Facility
|
OP
|
$18.18
|
|
Service Code
|
HCPCS J2501
|
Hospital Charge Code |
00074165801
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$0.65 |
Max. Negotiated Rate |
$19.09 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10.00
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.65
|
Rate for Payer: Aetna Government |
$0.65
|
Rate for Payer: Brighton Health Commercial |
$10.91
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$9.09
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$10.45
|
Rate for Payer: EmblemHealth Commercial |
$9.09
|
Rate for Payer: Fidelis Medicare Advantage |
$19.09
|
Rate for Payer: Group Health Inc Commercial |
$9.09
|
Rate for Payer: Group Health Inc Medicare |
$6.36
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$9.09
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$9.09
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$11.82
|
|
PARICALCITOL 5 MCG/ML IV SOLN [22960]
|
Facility
|
OP
|
$18.18
|
|
Service Code
|
HCPCS J2501
|
Hospital Charge Code |
00074165805
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$0.65 |
Max. Negotiated Rate |
$19.09 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10.00
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.65
|
Rate for Payer: Aetna Government |
$0.65
|
Rate for Payer: Brighton Health Commercial |
$10.91
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$9.09
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$10.45
|
Rate for Payer: EmblemHealth Commercial |
$9.09
|
Rate for Payer: Fidelis Medicare Advantage |
$19.09
|
Rate for Payer: Group Health Inc Commercial |
$9.09
|
Rate for Payer: Group Health Inc Medicare |
$6.36
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$9.09
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$9.09
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$11.82
|
|