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Service Code CPT 28725
Hospital Revenue Code 360
Min. Negotiated Rate $867.66
Max. Negotiated Rate $15,219.83
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,485.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $15,219.83
Rate for Payer: Aetna Government $15,219.83
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $15,219.83
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 $15,219.83
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $867.66
Rate for Payer: Fidelis Essential Plan Aliesa $12,936.86
Rate for Payer: Fidelis Essential Plan QHP $13,545.65
Rate for Payer: Fidelis Medicare Advantage $15,219.83
Rate for Payer: Fidelis Qualified Health Plan $13,545.65
Rate for Payer: Group Health Inc Commercial $15,219.83
Rate for Payer: Group Health Inc Medicare $15,219.83
Rate for Payer: Hamaspik Choice Inc Medicare $15,219.83
Rate for Payer: Healthfirst CHP/FHP/Medicaid $964.07
Rate for Payer: Healthfirst Medicare Advantage $12,936.86
Rate for Payer: Healthfirst QHP $15,219.83
Rate for Payer: Senior Whole Health Medicare Advantage $15,219.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $15,219.83
Rate for Payer: Wellcare CHP/FHP/Medicaid $12,175.86
Rate for Payer: Wellcare Medicare $14,458.84
Service Code HCPCS 20600
Hospital Charge Code 30102466
Hospital Revenue Code 450
Min. Negotiated Rate $38.34
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $342.51
Rate for Payer: Aetna Government $342.51
Rate for Payer: Brighton Health Commercial $874.00
Rate for Payer: Carelon Behavioral Health CHP/Medicaid $342.51
Rate for Payer: Carelon Behavioral Health Medicare Advantage $342.51
Rate for Payer: Cash Price $342.51
Rate for Payer: Cash Price $342.51
Rate for Payer: Cash Price $342.51
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $342.51
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 $342.51
Rate for Payer: EmblemHealth Commercial $525.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $38.34
Rate for Payer: Fidelis Essential Plan Aliesa $291.13
Rate for Payer: Fidelis Essential Plan QHP $304.83
Rate for Payer: Fidelis Medicare Advantage $342.51
Rate for Payer: Fidelis Qualified Health Plan $304.83
Rate for Payer: Group Health Inc Commercial $525.00
Rate for Payer: Group Health Inc Medicare $525.00
Rate for Payer: Hamaspik Choice Inc Medicaid $396.42
Rate for Payer: Hamaspik Choice Inc Medicare $342.51
Rate for Payer: Healthfirst CHP/FHP/Medicaid $165.00
Rate for Payer: Healthfirst Medicare Advantage $225.00
Rate for Payer: Healthfirst QHP $342.51
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $342.51
Rate for Payer: Senior Whole Health Medicare Advantage $342.51
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $342.51
Rate for Payer: Wellcare CHP/FHP/Medicaid $274.01
Rate for Payer: Wellcare Medicare $325.38
Service Code HCPCS 20600
Hospital Charge Code 40013177
Hospital Revenue Code 360
Min. Negotiated Rate $38.34
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $342.51
Rate for Payer: Aetna Government $342.51
Rate for Payer: Cash Price $342.51
Rate for Payer: Cash Price $342.51
Rate for Payer: Cash Price $342.51
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $342.51
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 $342.51
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $38.34
Rate for Payer: Fidelis Essential Plan Aliesa $291.13
Rate for Payer: Fidelis Essential Plan QHP $304.83
Rate for Payer: Fidelis Medicare Advantage $342.51
Rate for Payer: Fidelis Qualified Health Plan $304.83
Rate for Payer: Group Health Inc Commercial $342.51
Rate for Payer: Group Health Inc Medicare $342.51
Rate for Payer: Hamaspik Choice Inc Medicaid $396.42
Rate for Payer: Hamaspik Choice Inc Medicare $342.51
Rate for Payer: Healthfirst CHP/FHP/Medicaid $42.60
Rate for Payer: Healthfirst Medicare Advantage $291.13
Rate for Payer: Healthfirst QHP $342.51
Rate for Payer: Senior Whole Health Medicare Advantage $342.51
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $342.51
Rate for Payer: Wellcare CHP/FHP/Medicaid $274.01
Rate for Payer: Wellcare Medicare $325.38
Service Code HCPCS 20600
Hospital Charge Code 30302000
Hospital Revenue Code 510
Min. Negotiated Rate $38.34
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $342.51
Rate for Payer: Aetna Government $342.51
Rate for Payer: Brighton Health Commercial $233.00
Rate for Payer: Cash Price $342.51
Rate for Payer: Cash Price $342.51
Rate for Payer: Cash Price $342.51
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $342.51
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 $342.51
Rate for Payer: Fidelis CHP/HARP/Medicaid $38.34
Rate for Payer: Fidelis Essential Plan Aliesa $291.13
Rate for Payer: Fidelis Essential Plan QHP $304.83
Rate for Payer: Fidelis Medicare Advantage $342.51
Rate for Payer: Fidelis Qualified Health Plan $304.83
Rate for Payer: Group Health Inc Commercial $250.00
Rate for Payer: Group Health Inc Medicare $250.00
Rate for Payer: Hamaspik Choice Inc Medicaid $396.42
Rate for Payer: Hamaspik Choice Inc Medicare $342.51
Rate for Payer: Healthfirst CHP/FHP/Medicaid $42.60
Rate for Payer: Healthfirst Medicare Advantage $291.13
Rate for Payer: Healthfirst QHP $342.51
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $342.51
Rate for Payer: Senior Whole Health Medicare Advantage $342.51
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $342.51
Rate for Payer: Wellcare CHP/FHP/Medicaid $274.01
Rate for Payer: Wellcare Medicare $325.38
Service Code CPT 28737
Hospital Revenue Code 360
Min. Negotiated Rate $750.34
Max. Negotiated Rate $15,219.83
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,880.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $15,219.83
Rate for Payer: Aetna Government $15,219.83
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $15,219.83
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 $15,219.83
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $750.34
Rate for Payer: Fidelis Essential Plan Aliesa $12,936.86
Rate for Payer: Fidelis Essential Plan QHP $13,545.65
Rate for Payer: Fidelis Medicare Advantage $15,219.83
Rate for Payer: Fidelis Qualified Health Plan $13,545.65
Rate for Payer: Group Health Inc Commercial $15,219.83
Rate for Payer: Group Health Inc Medicare $15,219.83
Rate for Payer: Hamaspik Choice Inc Medicare $15,219.83
Rate for Payer: Healthfirst CHP/FHP/Medicaid $833.71
Rate for Payer: Healthfirst Medicare Advantage $12,936.86
Rate for Payer: Healthfirst QHP $15,219.83
Rate for Payer: Senior Whole Health Medicare Advantage $15,219.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $15,219.83
Rate for Payer: Wellcare CHP/FHP/Medicaid $12,175.86
Rate for Payer: Wellcare Medicare $14,458.84
Service Code HCPCS 25800
Hospital Charge Code 40013174
Hospital Revenue Code 360
Min. Negotiated Rate $831.78
Max. Negotiated Rate $9,058.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,485.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $8,273.12
Rate for Payer: Aetna Government $8,273.12
Rate for Payer: Cash Price $8,273.12
Rate for Payer: Cash Price $8,273.12
Rate for Payer: Cash Price $8,273.12
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $8,273.12
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 $8,273.12
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $831.78
Rate for Payer: Fidelis Essential Plan Aliesa $7,032.15
Rate for Payer: Fidelis Essential Plan QHP $7,363.08
Rate for Payer: Fidelis Medicare Advantage $8,273.12
Rate for Payer: Fidelis Qualified Health Plan $7,363.08
Rate for Payer: Group Health Inc Commercial $8,273.12
Rate for Payer: Group Health Inc Medicare $8,273.12
Rate for Payer: Hamaspik Choice Inc Medicaid $9,058.92
Rate for Payer: Hamaspik Choice Inc Medicare $8,273.12
Rate for Payer: Healthfirst CHP/FHP/Medicaid $924.20
Rate for Payer: Healthfirst Medicare Advantage $7,032.15
Rate for Payer: Healthfirst QHP $8,273.12
Rate for Payer: Senior Whole Health Medicare Advantage $8,273.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $8,273.12
Rate for Payer: Wellcare CHP/FHP/Medicaid $6,618.50
Rate for Payer: Wellcare Medicare $7,859.46
Service Code CPT 25825
Hospital Revenue Code 360
Min. Negotiated Rate $899.78
Max. Negotiated Rate $8,273.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,880.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $8,273.12
Rate for Payer: Aetna Government $8,273.12
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $8,273.12
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 $8,273.12
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $899.78
Rate for Payer: Fidelis Essential Plan Aliesa $7,032.15
Rate for Payer: Fidelis Essential Plan QHP $7,363.08
Rate for Payer: Fidelis Medicare Advantage $8,273.12
Rate for Payer: Fidelis Qualified Health Plan $7,363.08
Rate for Payer: Group Health Inc Commercial $8,273.12
Rate for Payer: Group Health Inc Medicare $8,273.12
Rate for Payer: Hamaspik Choice Inc Medicare $8,273.12
Rate for Payer: Healthfirst CHP/FHP/Medicaid $999.75
Rate for Payer: Healthfirst Medicare Advantage $7,032.15
Rate for Payer: Healthfirst QHP $8,273.12
Rate for Payer: Senior Whole Health Medicare Advantage $8,273.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $8,273.12
Rate for Payer: Wellcare CHP/FHP/Medicaid $6,618.50
Rate for Payer: Wellcare Medicare $7,859.46
Hospital Charge Code 40000520
Hospital Revenue Code 272
Min. Negotiated Rate $10.05
Max. Negotiated Rate $22.97
Rate for Payer: 1199SEIU National Benefit Fund Commercial $15.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $14.36
Rate for Payer: Aetna Government $14.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $22.97
Rate for Payer: Cigna LocalPlus Benefit Plan $19.52
Rate for Payer: Group Health Inc Commercial $14.36
Rate for Payer: Group Health Inc Medicare $10.05
Rate for Payer: Hamaspik Choice Inc Medicaid $14.36
Rate for Payer: Hamaspik Choice Inc Medicare $14.36
Service Code HCPCS D7865
Hospital Charge Code 42301990
Hospital Revenue Code 361
Min. Negotiated Rate $1,776.25
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,791.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2,556.21
Rate for Payer: Aetna Government $2,556.21
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: Group Health Inc Commercial $2,537.50
Rate for Payer: Group Health Inc Medicare $1,776.25
Rate for Payer: Hamaspik Choice Inc Medicaid $2,537.50
Rate for Payer: Hamaspik Choice Inc Medicare $2,537.50
Service Code CPT 27130
Hospital Revenue Code 360
Min. Negotiated Rate $1,457.38
Max. Negotiated Rate $16,751.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $16,751.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $15,219.83
Rate for Payer: Aetna Government $15,219.83
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $15,219.83
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 $15,219.83
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $1,457.38
Rate for Payer: Fidelis Essential Plan Aliesa $12,936.86
Rate for Payer: Fidelis Essential Plan QHP $13,545.65
Rate for Payer: Fidelis Medicare Advantage $15,219.83
Rate for Payer: Fidelis Qualified Health Plan $13,545.65
Rate for Payer: Group Health Inc Commercial $15,219.83
Rate for Payer: Group Health Inc Medicare $15,219.83
Rate for Payer: Hamaspik Choice Inc Medicare $15,219.83
Rate for Payer: Healthfirst CHP/FHP/Medicaid $1,619.31
Rate for Payer: Healthfirst Medicare Advantage $12,936.86
Rate for Payer: Healthfirst QHP $15,219.83
Rate for Payer: Senior Whole Health Medicare Advantage $15,219.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $15,219.83
Rate for Payer: Wellcare CHP/FHP/Medicaid $12,175.86
Rate for Payer: Wellcare Medicare $14,458.84
Service Code CPT 23472
Hospital Revenue Code 360
Min. Negotiated Rate $1,505.00
Max. Negotiated Rate $22,108.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $22,108.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $21,551.15
Rate for Payer: Aetna Government $21,551.15
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $21,551.15
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 $21,551.15
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $1,634.13
Rate for Payer: Fidelis Essential Plan Aliesa $18,318.48
Rate for Payer: Fidelis Essential Plan QHP $19,180.52
Rate for Payer: Fidelis Medicare Advantage $21,551.15
Rate for Payer: Fidelis Qualified Health Plan $19,180.52
Rate for Payer: Group Health Inc Commercial $21,551.15
Rate for Payer: Group Health Inc Medicare $21,551.15
Rate for Payer: Hamaspik Choice Inc Medicare $21,551.15
Rate for Payer: Healthfirst CHP/FHP/Medicaid $1,815.70
Rate for Payer: Healthfirst Medicare Advantage $18,318.48
Rate for Payer: Healthfirst QHP $21,551.15
Rate for Payer: Senior Whole Health Medicare Advantage $21,551.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $21,551.15
Rate for Payer: Wellcare CHP/FHP/Medicaid $17,240.92
Rate for Payer: Wellcare Medicare $20,473.59
Service Code CPT 27447
Hospital Revenue Code 360
Min. Negotiated Rate $1,455.57
Max. Negotiated Rate $44,507.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $44,507.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $15,219.83
Rate for Payer: Aetna Government $15,219.83
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $15,219.83
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 $15,219.83
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $1,455.57
Rate for Payer: Fidelis Essential Plan Aliesa $12,936.86
Rate for Payer: Fidelis Essential Plan QHP $13,545.65
Rate for Payer: Fidelis Medicare Advantage $15,219.83
Rate for Payer: Fidelis Qualified Health Plan $13,545.65
Rate for Payer: Group Health Inc Commercial $15,219.83
Rate for Payer: Group Health Inc Medicare $15,219.83
Rate for Payer: Hamaspik Choice Inc Medicare $15,219.83
Rate for Payer: Healthfirst CHP/FHP/Medicaid $1,617.30
Rate for Payer: Healthfirst Medicare Advantage $12,936.86
Rate for Payer: Healthfirst QHP $15,219.83
Rate for Payer: Senior Whole Health Medicare Advantage $15,219.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $15,219.83
Rate for Payer: Wellcare CHP/FHP/Medicaid $12,175.86
Rate for Payer: Wellcare Medicare $14,458.84
Service Code HCPCS 29884
Hospital Charge Code 40029976
Hospital Revenue Code 360
Min. Negotiated Rate $704.83
Max. Negotiated Rate $4,145.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3,743.15
Rate for Payer: Aetna Government $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $3,743.15
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 $3,743.15
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $704.83
Rate for Payer: Fidelis Essential Plan Aliesa $3,181.68
Rate for Payer: Fidelis Essential Plan QHP $3,331.40
Rate for Payer: Fidelis Medicare Advantage $3,743.15
Rate for Payer: Fidelis Qualified Health Plan $3,331.40
Rate for Payer: Group Health Inc Commercial $3,743.15
Rate for Payer: Group Health Inc Medicare $3,743.15
Rate for Payer: Hamaspik Choice Inc Medicaid $4,145.52
Rate for Payer: Hamaspik Choice Inc Medicare $3,743.15
Rate for Payer: Healthfirst CHP/FHP/Medicaid $783.14
Rate for Payer: Healthfirst Medicare Advantage $3,181.68
Rate for Payer: Healthfirst QHP $3,743.15
Rate for Payer: Senior Whole Health Medicare Advantage $3,743.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,743.15
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,994.52
Rate for Payer: Wellcare Medicare $3,555.99
Service Code CPT 29888
Hospital Revenue Code 360
Min. Negotiated Rate $1,103.30
Max. Negotiated Rate $8,273.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $8,273.12
Rate for Payer: Aetna Government $8,273.12
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $8,273.12
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 $8,273.12
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $1,103.30
Rate for Payer: Fidelis Essential Plan Aliesa $7,032.15
Rate for Payer: Fidelis Essential Plan QHP $7,363.08
Rate for Payer: Fidelis Medicare Advantage $8,273.12
Rate for Payer: Fidelis Qualified Health Plan $7,363.08
Rate for Payer: Group Health Inc Commercial $8,273.12
Rate for Payer: Group Health Inc Medicare $8,273.12
Rate for Payer: Hamaspik Choice Inc Medicare $8,273.12
Rate for Payer: Healthfirst CHP/FHP/Medicaid $1,225.89
Rate for Payer: Healthfirst Medicare Advantage $7,032.15
Rate for Payer: Healthfirst QHP $8,273.12
Rate for Payer: Senior Whole Health Medicare Advantage $8,273.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $8,273.12
Rate for Payer: Wellcare CHP/FHP/Medicaid $6,618.50
Rate for Payer: Wellcare Medicare $7,859.46
Service Code CPT 29892
Hospital Revenue Code 360
Min. Negotiated Rate $703.33
Max. Negotiated Rate $8,273.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $8,273.12
Rate for Payer: Aetna Government $8,273.12
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $8,273.12
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 $8,273.12
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $703.33
Rate for Payer: Fidelis Essential Plan Aliesa $7,032.15
Rate for Payer: Fidelis Essential Plan QHP $7,363.08
Rate for Payer: Fidelis Medicare Advantage $8,273.12
Rate for Payer: Fidelis Qualified Health Plan $7,363.08
Rate for Payer: Group Health Inc Commercial $8,273.12
Rate for Payer: Group Health Inc Medicare $8,273.12
Rate for Payer: Hamaspik Choice Inc Medicare $8,273.12
Rate for Payer: Healthfirst CHP/FHP/Medicaid $781.48
Rate for Payer: Healthfirst Medicare Advantage $7,032.15
Rate for Payer: Healthfirst QHP $8,273.12
Rate for Payer: Senior Whole Health Medicare Advantage $8,273.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $8,273.12
Rate for Payer: Wellcare CHP/FHP/Medicaid $6,618.50
Rate for Payer: Wellcare Medicare $7,859.46
Service Code MS-DRG 509
Min. Negotiated Rate $11,372.20
Max. Negotiated Rate $26,797.53
Rate for Payer: 1199SEIU National Benefit Fund Commercial $19,554.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $26,272.09
Rate for Payer: Aetna Government $26,272.09
Rate for Payer: Brighton Health Commercial $19,229.90
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $26,797.53
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $23,591.18
Rate for Payer: Cigna LocalPlus Benefit Plan $19,468.46
Rate for Payer: Elderplan Medicare Advantage $24,958.49
Rate for Payer: EmblemHealth Commercial $11,372.20
Rate for Payer: Fidelis Medicare Advantage $26,272.09
Rate for Payer: Group Health Inc Commercial $26,272.09
Rate for Payer: Group Health Inc Medicare $26,272.09
Rate for Payer: Hamaspik Choice Inc Medicare $26,272.09
Rate for Payer: Healthfirst Medicare Advantage $12,216.52
Rate for Payer: Senior Whole Health Medicare Advantage $26,272.09
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $26,272.09
Rate for Payer: Wellcare Medicare $24,958.49
Service Code HCPCS 29891
Hospital Charge Code 40023192
Hospital Revenue Code 360
Min. Negotiated Rate $748.11
Max. Negotiated Rate $4,145.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3,743.15
Rate for Payer: Aetna Government $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $3,743.15
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 $3,743.15
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $748.11
Rate for Payer: Fidelis Essential Plan Aliesa $3,181.68
Rate for Payer: Fidelis Essential Plan QHP $3,331.40
Rate for Payer: Fidelis Medicare Advantage $3,743.15
Rate for Payer: Fidelis Qualified Health Plan $3,331.40
Rate for Payer: Group Health Inc Commercial $3,743.15
Rate for Payer: Group Health Inc Medicare $3,743.15
Rate for Payer: Hamaspik Choice Inc Medicaid $4,145.52
Rate for Payer: Hamaspik Choice Inc Medicare $3,743.15
Rate for Payer: Healthfirst CHP/FHP/Medicaid $831.23
Rate for Payer: Healthfirst Medicare Advantage $3,181.68
Rate for Payer: Healthfirst QHP $3,743.15
Rate for Payer: Senior Whole Health Medicare Advantage $3,743.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,743.15
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,994.52
Rate for Payer: Wellcare Medicare $3,555.99
Service Code HCPCS 29898
Hospital Charge Code 40029939
Hospital Revenue Code 360
Min. Negotiated Rate $623.12
Max. Negotiated Rate $4,145.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3,743.15
Rate for Payer: Aetna Government $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $3,743.15
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 $3,743.15
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $623.12
Rate for Payer: Fidelis Essential Plan Aliesa $3,181.68
Rate for Payer: Fidelis Essential Plan QHP $3,331.40
Rate for Payer: Fidelis Medicare Advantage $3,743.15
Rate for Payer: Fidelis Qualified Health Plan $3,331.40
Rate for Payer: Group Health Inc Commercial $3,743.15
Rate for Payer: Group Health Inc Medicare $3,743.15
Rate for Payer: Hamaspik Choice Inc Medicaid $4,145.52
Rate for Payer: Hamaspik Choice Inc Medicare $3,743.15
Rate for Payer: Healthfirst CHP/FHP/Medicaid $692.36
Rate for Payer: Healthfirst Medicare Advantage $3,181.68
Rate for Payer: Healthfirst QHP $3,743.15
Rate for Payer: Senior Whole Health Medicare Advantage $3,743.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,743.15
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,994.52
Rate for Payer: Wellcare Medicare $3,555.99
Service Code HCPCS 29897
Hospital Charge Code 40029429
Hospital Revenue Code 360
Min. Negotiated Rate $555.89
Max. Negotiated Rate $4,145.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3,743.15
Rate for Payer: Aetna Government $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $3,743.15
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 $3,743.15
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $555.89
Rate for Payer: Fidelis Essential Plan Aliesa $3,181.68
Rate for Payer: Fidelis Essential Plan QHP $3,331.40
Rate for Payer: Fidelis Medicare Advantage $3,743.15
Rate for Payer: Fidelis Qualified Health Plan $3,331.40
Rate for Payer: Group Health Inc Commercial $3,743.15
Rate for Payer: Group Health Inc Medicare $3,743.15
Rate for Payer: Hamaspik Choice Inc Medicaid $4,145.52
Rate for Payer: Hamaspik Choice Inc Medicare $3,743.15
Rate for Payer: Healthfirst CHP/FHP/Medicaid $617.66
Rate for Payer: Healthfirst Medicare Advantage $3,181.68
Rate for Payer: Healthfirst QHP $3,743.15
Rate for Payer: Senior Whole Health Medicare Advantage $3,743.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,743.15
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,994.52
Rate for Payer: Wellcare Medicare $3,555.99
Service Code HCPCS 29895
Hospital Charge Code 40029412
Hospital Revenue Code 360
Min. Negotiated Rate $512.97
Max. Negotiated Rate $4,145.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3,743.15
Rate for Payer: Aetna Government $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $3,743.15
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 $3,743.15
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $512.97
Rate for Payer: Fidelis Essential Plan Aliesa $3,181.68
Rate for Payer: Fidelis Essential Plan QHP $3,331.40
Rate for Payer: Fidelis Medicare Advantage $3,743.15
Rate for Payer: Fidelis Qualified Health Plan $3,331.40
Rate for Payer: Group Health Inc Commercial $3,743.15
Rate for Payer: Group Health Inc Medicare $3,743.15
Rate for Payer: Hamaspik Choice Inc Medicaid $4,145.52
Rate for Payer: Hamaspik Choice Inc Medicare $3,743.15
Rate for Payer: Healthfirst CHP/FHP/Medicaid $569.97
Rate for Payer: Healthfirst Medicare Advantage $3,181.68
Rate for Payer: Healthfirst QHP $3,743.15
Rate for Payer: Senior Whole Health Medicare Advantage $3,743.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,743.15
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,994.52
Rate for Payer: Wellcare Medicare $3,555.99
Service Code CPT 29895
Hospital Revenue Code 360
Min. Negotiated Rate $512.97
Max. Negotiated Rate $3,743.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3,743.15
Rate for Payer: Aetna Government $3,743.15
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $3,743.15
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 $3,743.15
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $512.97
Rate for Payer: Fidelis Essential Plan Aliesa $3,181.68
Rate for Payer: Fidelis Essential Plan QHP $3,331.40
Rate for Payer: Fidelis Medicare Advantage $3,743.15
Rate for Payer: Fidelis Qualified Health Plan $3,331.40
Rate for Payer: Group Health Inc Commercial $3,743.15
Rate for Payer: Group Health Inc Medicare $3,743.15
Rate for Payer: Hamaspik Choice Inc Medicare $3,743.15
Rate for Payer: Healthfirst CHP/FHP/Medicaid $569.97
Rate for Payer: Healthfirst Medicare Advantage $3,181.68
Rate for Payer: Healthfirst QHP $3,743.15
Rate for Payer: Senior Whole Health Medicare Advantage $3,743.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,743.15
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,994.52
Rate for Payer: Wellcare Medicare $3,555.99
Hospital Charge Code 40203053
Hospital Revenue Code 272
Min. Negotiated Rate $41.58
Max. Negotiated Rate $95.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial $65.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $59.40
Rate for Payer: Aetna Government $59.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $95.04
Rate for Payer: Cigna LocalPlus Benefit Plan $80.78
Rate for Payer: Group Health Inc Commercial $59.40
Rate for Payer: Group Health Inc Medicare $41.58
Rate for Payer: Hamaspik Choice Inc Medicaid $59.40
Rate for Payer: Hamaspik Choice Inc Medicare $59.40
Service Code HCPCS D7872
Hospital Charge Code 42302000
Hospital Revenue Code 361
Min. Negotiated Rate $634.38
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $996.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $901.54
Rate for Payer: Aetna Government $901.54
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: Group Health Inc Commercial $906.25
Rate for Payer: Group Health Inc Medicare $634.38
Rate for Payer: Hamaspik Choice Inc Medicaid $906.25
Rate for Payer: Hamaspik Choice Inc Medicare $906.25
Service Code HCPCS 29880
Hospital Charge Code 40023190
Hospital Revenue Code 360
Min. Negotiated Rate $640.18
Max. Negotiated Rate $4,145.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,485.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3,743.15
Rate for Payer: Aetna Government $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $3,743.15
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 $3,743.15
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $640.18
Rate for Payer: Fidelis Essential Plan Aliesa $3,181.68
Rate for Payer: Fidelis Essential Plan QHP $3,331.40
Rate for Payer: Fidelis Medicare Advantage $3,743.15
Rate for Payer: Fidelis Qualified Health Plan $3,331.40
Rate for Payer: Group Health Inc Commercial $3,743.15
Rate for Payer: Group Health Inc Medicare $3,743.15
Rate for Payer: Hamaspik Choice Inc Medicaid $4,145.52
Rate for Payer: Hamaspik Choice Inc Medicare $3,743.15
Rate for Payer: Healthfirst CHP/FHP/Medicaid $711.31
Rate for Payer: Healthfirst Medicare Advantage $3,181.68
Rate for Payer: Healthfirst QHP $3,743.15
Rate for Payer: Senior Whole Health Medicare Advantage $3,743.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,743.15
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,994.52
Rate for Payer: Wellcare Medicare $3,555.99
Service Code HCPCS 29879
Hospital Charge Code 40029910
Hospital Revenue Code 360
Min. Negotiated Rate $752.66
Max. Negotiated Rate $4,145.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,134.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3,743.15
Rate for Payer: Aetna Government $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Cash Price $3,743.15
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $3,743.15
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 $3,743.15
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $752.66
Rate for Payer: Fidelis Essential Plan Aliesa $3,181.68
Rate for Payer: Fidelis Essential Plan QHP $3,331.40
Rate for Payer: Fidelis Medicare Advantage $3,743.15
Rate for Payer: Fidelis Qualified Health Plan $3,331.40
Rate for Payer: Group Health Inc Commercial $3,743.15
Rate for Payer: Group Health Inc Medicare $3,743.15
Rate for Payer: Hamaspik Choice Inc Medicaid $4,145.52
Rate for Payer: Hamaspik Choice Inc Medicare $3,743.15
Rate for Payer: Healthfirst CHP/FHP/Medicaid $836.29
Rate for Payer: Healthfirst Medicare Advantage $3,181.68
Rate for Payer: Healthfirst QHP $3,743.15
Rate for Payer: Senior Whole Health Medicare Advantage $3,743.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,743.15
Rate for Payer: Wellcare CHP/FHP/Medicaid $2,994.52
Rate for Payer: Wellcare Medicare $3,555.99