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Charge Type Price  
Service Code HCPCS C1713
Hospital Charge Code 64902603
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $3,943.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,065.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,877.90
Rate for Payer: Cigna LocalPlus Benefit Plan $2,159.58
Rate for Payer: Fidelis Medicare Advantage $3,943.59
Rate for Payer: Group Health Inc Commercial $1,877.90
Rate for Payer: Group Health Inc Medicare $1,314.53
Rate for Payer: Hamaspik Choice Inc Medicaid $1,877.90
Rate for Payer: Hamaspik Choice Inc Medicare $1,877.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,441.27
Service Code HCPCS C1713
Hospital Charge Code 64902500
Hospital Revenue Code 278
Min. Negotiated Rate $1,877.90
Max. Negotiated Rate $1,877.90
Rate for Payer: Hamaspik Choice Inc Medicaid $1,877.90
Rate for Payer: Hamaspik Choice Inc Medicare $1,877.90
Service Code HCPCS C1713
Hospital Charge Code 64902500
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $3,943.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,065.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,877.90
Rate for Payer: Cigna LocalPlus Benefit Plan $2,159.58
Rate for Payer: Fidelis Medicare Advantage $3,943.59
Rate for Payer: Group Health Inc Commercial $1,877.90
Rate for Payer: Group Health Inc Medicare $1,314.53
Rate for Payer: Hamaspik Choice Inc Medicaid $1,877.90
Rate for Payer: Hamaspik Choice Inc Medicare $1,877.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,441.27
Service Code HCPCS C1713
Hospital Charge Code 64905717
Hospital Revenue Code 278
Min. Negotiated Rate $67.85
Max. Negotiated Rate $67.85
Rate for Payer: Hamaspik Choice Inc Medicaid $67.85
Rate for Payer: Hamaspik Choice Inc Medicare $67.85
Service Code HCPCS C1713
Hospital Charge Code 64905717
Hospital Revenue Code 278
Min. Negotiated Rate $47.50
Max. Negotiated Rate $142.48
Rate for Payer: 1199SEIU National Benefit Fund Commercial $74.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $67.85
Rate for Payer: Cigna LocalPlus Benefit Plan $78.03
Rate for Payer: Fidelis Medicare Advantage $142.48
Rate for Payer: Group Health Inc Commercial $67.85
Rate for Payer: Group Health Inc Medicare $47.50
Rate for Payer: Hamaspik Choice Inc Medicaid $67.85
Rate for Payer: Hamaspik Choice Inc Medicare $67.85
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $88.20
Service Code HCPCS C1713
Hospital Charge Code 64907030
Hospital Revenue Code 278
Min. Negotiated Rate $231.25
Max. Negotiated Rate $231.25
Rate for Payer: Hamaspik Choice Inc Medicaid $231.25
Rate for Payer: Hamaspik Choice Inc Medicare $231.25
Service Code HCPCS C1713
Hospital Charge Code 64907030
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $485.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial $254.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $231.25
Rate for Payer: Cigna LocalPlus Benefit Plan $265.94
Rate for Payer: Fidelis Medicare Advantage $485.62
Rate for Payer: Group Health Inc Commercial $231.25
Rate for Payer: Group Health Inc Medicare $161.88
Rate for Payer: Hamaspik Choice Inc Medicaid $231.25
Rate for Payer: Hamaspik Choice Inc Medicare $231.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $300.62
Service Code HCPCS C1713
Hospital Charge Code 64901980
Hospital Revenue Code 278
Min. Negotiated Rate $89.38
Max. Negotiated Rate $89.38
Rate for Payer: Hamaspik Choice Inc Medicaid $89.38
Rate for Payer: Hamaspik Choice Inc Medicare $89.38
Service Code HCPCS C1713
Hospital Charge Code 64901980
Hospital Revenue Code 278
Min. Negotiated Rate $62.56
Max. Negotiated Rate $187.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial $98.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $89.38
Rate for Payer: Cigna LocalPlus Benefit Plan $102.78
Rate for Payer: Fidelis Medicare Advantage $187.69
Rate for Payer: Group Health Inc Commercial $89.38
Rate for Payer: Group Health Inc Medicare $62.56
Rate for Payer: Hamaspik Choice Inc Medicaid $89.38
Rate for Payer: Hamaspik Choice Inc Medicare $89.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $116.19
Service Code HCPCS C1713
Hospital Charge Code 64901987
Hospital Revenue Code 278
Min. Negotiated Rate $49.00
Max. Negotiated Rate $147.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $77.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $70.00
Rate for Payer: Cigna LocalPlus Benefit Plan $80.50
Rate for Payer: Fidelis Medicare Advantage $147.00
Rate for Payer: Group Health Inc Commercial $70.00
Rate for Payer: Group Health Inc Medicare $49.00
Rate for Payer: Hamaspik Choice Inc Medicaid $70.00
Rate for Payer: Hamaspik Choice Inc Medicare $70.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $91.00
Service Code HCPCS C1713
Hospital Charge Code 64901987
Hospital Revenue Code 278
Min. Negotiated Rate $70.00
Max. Negotiated Rate $70.00
Rate for Payer: Hamaspik Choice Inc Medicaid $70.00
Rate for Payer: Hamaspik Choice Inc Medicare $70.00
Service Code HCPCS C1713
Hospital Charge Code 64906841
Hospital Revenue Code 278
Min. Negotiated Rate $75.60
Max. Negotiated Rate $226.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $118.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $108.00
Rate for Payer: Cigna LocalPlus Benefit Plan $124.20
Rate for Payer: Fidelis Medicare Advantage $226.80
Rate for Payer: Group Health Inc Commercial $108.00
Rate for Payer: Group Health Inc Medicare $75.60
Rate for Payer: Hamaspik Choice Inc Medicaid $108.00
Rate for Payer: Hamaspik Choice Inc Medicare $108.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $140.40
Service Code HCPCS C1713
Hospital Charge Code 64906841
Hospital Revenue Code 278
Min. Negotiated Rate $108.00
Max. Negotiated Rate $108.00
Rate for Payer: Hamaspik Choice Inc Medicaid $108.00
Rate for Payer: Hamaspik Choice Inc Medicare $108.00
Service Code HCPCS C1713
Hospital Charge Code 64907021
Hospital Revenue Code 278
Min. Negotiated Rate $231.25
Max. Negotiated Rate $231.25
Rate for Payer: Hamaspik Choice Inc Medicaid $231.25
Rate for Payer: Hamaspik Choice Inc Medicare $231.25
Service Code HCPCS C1713
Hospital Charge Code 64907021
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $485.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial $254.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $231.25
Rate for Payer: Cigna LocalPlus Benefit Plan $265.94
Rate for Payer: Fidelis Medicare Advantage $485.62
Rate for Payer: Group Health Inc Commercial $231.25
Rate for Payer: Group Health Inc Medicare $161.88
Rate for Payer: Hamaspik Choice Inc Medicaid $231.25
Rate for Payer: Hamaspik Choice Inc Medicare $231.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $300.62
Service Code HCPCS C1713
Hospital Charge Code 64907027
Hospital Revenue Code 278
Min. Negotiated Rate $231.25
Max. Negotiated Rate $231.25
Rate for Payer: Hamaspik Choice Inc Medicaid $231.25
Rate for Payer: Hamaspik Choice Inc Medicare $231.25
Service Code HCPCS C1713
Hospital Charge Code 64907027
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $485.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial $254.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $231.25
Rate for Payer: Cigna LocalPlus Benefit Plan $265.94
Rate for Payer: Fidelis Medicare Advantage $485.62
Rate for Payer: Group Health Inc Commercial $231.25
Rate for Payer: Group Health Inc Medicare $161.88
Rate for Payer: Hamaspik Choice Inc Medicaid $231.25
Rate for Payer: Hamaspik Choice Inc Medicare $231.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $300.62
Service Code HCPCS C1713
Hospital Charge Code 64906842
Hospital Revenue Code 278
Min. Negotiated Rate $63.00
Max. Negotiated Rate $189.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $99.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $90.00
Rate for Payer: Cigna LocalPlus Benefit Plan $103.50
Rate for Payer: Fidelis Medicare Advantage $189.00
Rate for Payer: Group Health Inc Commercial $90.00
Rate for Payer: Group Health Inc Medicare $63.00
Rate for Payer: Hamaspik Choice Inc Medicaid $90.00
Rate for Payer: Hamaspik Choice Inc Medicare $90.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $117.00
Service Code HCPCS C1713
Hospital Charge Code 64906842
Hospital Revenue Code 278
Min. Negotiated Rate $90.00
Max. Negotiated Rate $90.00
Rate for Payer: Hamaspik Choice Inc Medicaid $90.00
Rate for Payer: Hamaspik Choice Inc Medicare $90.00
Service Code HCPCS C1713
Hospital Charge Code 64906839
Hospital Revenue Code 278
Min. Negotiated Rate $63.00
Max. Negotiated Rate $189.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $99.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $90.00
Rate for Payer: Cigna LocalPlus Benefit Plan $103.50
Rate for Payer: Fidelis Medicare Advantage $189.00
Rate for Payer: Group Health Inc Commercial $90.00
Rate for Payer: Group Health Inc Medicare $63.00
Rate for Payer: Hamaspik Choice Inc Medicaid $90.00
Rate for Payer: Hamaspik Choice Inc Medicare $90.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $117.00
Service Code HCPCS C1713
Hospital Charge Code 64906839
Hospital Revenue Code 278
Min. Negotiated Rate $90.00
Max. Negotiated Rate $90.00
Rate for Payer: Hamaspik Choice Inc Medicaid $90.00
Rate for Payer: Hamaspik Choice Inc Medicare $90.00
Service Code HCPCS C1713
Hospital Charge Code 64902938
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $551.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial $288.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $262.50
Rate for Payer: Cigna LocalPlus Benefit Plan $301.88
Rate for Payer: Fidelis Medicare Advantage $551.25
Rate for Payer: Group Health Inc Commercial $262.50
Rate for Payer: Group Health Inc Medicare $183.75
Rate for Payer: Hamaspik Choice Inc Medicaid $262.50
Rate for Payer: Hamaspik Choice Inc Medicare $262.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $341.25
Service Code HCPCS C1713
Hospital Charge Code 64902938
Hospital Revenue Code 278
Min. Negotiated Rate $262.50
Max. Negotiated Rate $262.50
Rate for Payer: Hamaspik Choice Inc Medicaid $262.50
Rate for Payer: Hamaspik Choice Inc Medicare $262.50
Service Code HCPCS C1713
Hospital Charge Code 64903931
Hospital Revenue Code 278
Min. Negotiated Rate $80.00
Max. Negotiated Rate $80.00
Rate for Payer: Hamaspik Choice Inc Medicaid $80.00
Rate for Payer: Hamaspik Choice Inc Medicare $80.00
Service Code HCPCS C1713
Hospital Charge Code 64903931
Hospital Revenue Code 278
Min. Negotiated Rate $56.00
Max. Negotiated Rate $168.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $88.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $80.00
Rate for Payer: Cigna LocalPlus Benefit Plan $92.00
Rate for Payer: Fidelis Medicare Advantage $168.00
Rate for Payer: Group Health Inc Commercial $80.00
Rate for Payer: Group Health Inc Medicare $56.00
Rate for Payer: Hamaspik Choice Inc Medicaid $80.00
Rate for Payer: Hamaspik Choice Inc Medicare $80.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $104.00