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Hospital Charge Code 41654258
Hospital Revenue Code 250
Min. Negotiated Rate $15.48
Max. Negotiated Rate $35.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial $24.33
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $22.12
Rate for Payer: Aetna Government $22.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $35.39
Rate for Payer: Cigna LocalPlus Benefit Plan $30.08
Rate for Payer: Group Health Inc Commercial $22.12
Rate for Payer: Group Health Inc Medicare $15.48
Rate for Payer: Hamaspik Choice Inc Medicaid $22.12
Rate for Payer: Hamaspik Choice Inc Medicare $22.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $28.76
Hospital Charge Code 41644258
Hospital Revenue Code 250
Min. Negotiated Rate $15.48
Max. Negotiated Rate $35.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial $24.33
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $22.12
Rate for Payer: Aetna Government $22.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $35.39
Rate for Payer: Cigna LocalPlus Benefit Plan $30.08
Rate for Payer: Group Health Inc Commercial $22.12
Rate for Payer: Group Health Inc Medicare $15.48
Rate for Payer: Hamaspik Choice Inc Medicaid $22.12
Rate for Payer: Hamaspik Choice Inc Medicare $22.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $28.76
Hospital Charge Code 41647045
Hospital Revenue Code 250
Min. Negotiated Rate $0.05
Max. Negotiated Rate $0.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.07
Rate for Payer: Aetna Government $0.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.11
Rate for Payer: Cigna LocalPlus Benefit Plan $0.10
Rate for Payer: Group Health Inc Commercial $0.07
Rate for Payer: Group Health Inc Medicare $0.05
Rate for Payer: Hamaspik Choice Inc Medicaid $0.07
Rate for Payer: Hamaspik Choice Inc Medicare $0.07
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.09
Hospital Charge Code 41657045
Hospital Revenue Code 250
Min. Negotiated Rate $0.05
Max. Negotiated Rate $0.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.07
Rate for Payer: Aetna Government $0.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.11
Rate for Payer: Cigna LocalPlus Benefit Plan $0.10
Rate for Payer: Group Health Inc Commercial $0.07
Rate for Payer: Group Health Inc Medicare $0.05
Rate for Payer: Hamaspik Choice Inc Medicaid $0.07
Rate for Payer: Hamaspik Choice Inc Medicare $0.07
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.09
Hospital Charge Code 41656042
Hospital Revenue Code 250
Min. Negotiated Rate $0.35
Max. Negotiated Rate $0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.50
Rate for Payer: Aetna Government $0.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.80
Rate for Payer: Cigna LocalPlus Benefit Plan $0.68
Rate for Payer: Group Health Inc Commercial $0.50
Rate for Payer: Group Health Inc Medicare $0.35
Rate for Payer: Hamaspik Choice Inc Medicaid $0.50
Rate for Payer: Hamaspik Choice Inc Medicare $0.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.65
Hospital Charge Code 41646042
Hospital Revenue Code 250
Min. Negotiated Rate $0.35
Max. Negotiated Rate $0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.50
Rate for Payer: Aetna Government $0.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.80
Rate for Payer: Cigna LocalPlus Benefit Plan $0.68
Rate for Payer: Group Health Inc Commercial $0.50
Rate for Payer: Group Health Inc Medicare $0.35
Rate for Payer: Hamaspik Choice Inc Medicaid $0.50
Rate for Payer: Hamaspik Choice Inc Medicare $0.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.65
Hospital Charge Code 41651419
Hospital Revenue Code 250
Min. Negotiated Rate $1.76
Max. Negotiated Rate $4.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.51
Rate for Payer: Aetna Government $2.51
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $4.02
Rate for Payer: Cigna LocalPlus Benefit Plan $3.41
Rate for Payer: Group Health Inc Commercial $2.51
Rate for Payer: Group Health Inc Medicare $1.76
Rate for Payer: Hamaspik Choice Inc Medicaid $2.51
Rate for Payer: Hamaspik Choice Inc Medicare $2.51
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3.26
Hospital Charge Code 41641419
Hospital Revenue Code 250
Min. Negotiated Rate $1.76
Max. Negotiated Rate $4.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.51
Rate for Payer: Aetna Government $2.51
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $4.02
Rate for Payer: Cigna LocalPlus Benefit Plan $3.41
Rate for Payer: Group Health Inc Commercial $2.51
Rate for Payer: Group Health Inc Medicare $1.76
Rate for Payer: Hamaspik Choice Inc Medicaid $2.51
Rate for Payer: Hamaspik Choice Inc Medicare $2.51
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3.26
Service Code HCPCS 80346
Hospital Charge Code 40609728
Hospital Revenue Code 301
Min. Negotiated Rate $0.01
Max. Negotiated Rate $27.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial $18.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.01
Rate for Payer: Aetna Government $0.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $27.16
Rate for Payer: Cigna LocalPlus Benefit Plan $23.09
Rate for Payer: Group Health Inc Commercial $16.98
Rate for Payer: Group Health Inc Medicare $11.88
Rate for Payer: Hamaspik Choice Inc Medicaid $16.98
Rate for Payer: Hamaspik Choice Inc Medicare $16.98
Service Code HCPCS 80347
Hospital Charge Code 40601022
Hospital Revenue Code 301
Min. Negotiated Rate $0.01
Max. Negotiated Rate $29.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial $20.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.01
Rate for Payer: Aetna Government $0.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $29.88
Rate for Payer: Cigna LocalPlus Benefit Plan $25.40
Rate for Payer: Group Health Inc Commercial $18.68
Rate for Payer: Group Health Inc Medicare $13.07
Rate for Payer: Hamaspik Choice Inc Medicaid $18.68
Rate for Payer: Hamaspik Choice Inc Medicare $18.68
Hospital Charge Code 41645232
Hospital Revenue Code 250
Min. Negotiated Rate $17.16
Max. Negotiated Rate $39.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial $26.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $24.52
Rate for Payer: Aetna Government $24.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $39.23
Rate for Payer: Cigna LocalPlus Benefit Plan $33.35
Rate for Payer: Group Health Inc Commercial $24.52
Rate for Payer: Group Health Inc Medicare $17.16
Rate for Payer: Hamaspik Choice Inc Medicaid $24.52
Rate for Payer: Hamaspik Choice Inc Medicare $24.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $31.88
Hospital Charge Code 41655232
Hospital Revenue Code 250
Min. Negotiated Rate $17.16
Max. Negotiated Rate $39.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial $26.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $24.52
Rate for Payer: Aetna Government $24.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $39.23
Rate for Payer: Cigna LocalPlus Benefit Plan $33.35
Rate for Payer: Group Health Inc Commercial $24.52
Rate for Payer: Group Health Inc Medicare $17.16
Rate for Payer: Hamaspik Choice Inc Medicaid $24.52
Rate for Payer: Hamaspik Choice Inc Medicare $24.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $31.88
Hospital Charge Code 41640584
Hospital Revenue Code 250
Min. Negotiated Rate $1.40
Max. Negotiated Rate $3.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.00
Rate for Payer: Aetna Government $2.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $3.20
Rate for Payer: Cigna LocalPlus Benefit Plan $2.72
Rate for Payer: Group Health Inc Commercial $2.00
Rate for Payer: Group Health Inc Medicare $1.40
Rate for Payer: Hamaspik Choice Inc Medicaid $2.00
Rate for Payer: Hamaspik Choice Inc Medicare $2.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2.60
Hospital Charge Code 41650584
Hospital Revenue Code 250
Min. Negotiated Rate $1.40
Max. Negotiated Rate $3.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.00
Rate for Payer: Aetna Government $2.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $3.20
Rate for Payer: Cigna LocalPlus Benefit Plan $2.72
Rate for Payer: Group Health Inc Commercial $2.00
Rate for Payer: Group Health Inc Medicare $1.40
Rate for Payer: Hamaspik Choice Inc Medicaid $2.00
Rate for Payer: Hamaspik Choice Inc Medicare $2.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2.60
Hospital Charge Code 41650387
Hospital Revenue Code 250
Min. Negotiated Rate $1.40
Max. Negotiated Rate $3.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.00
Rate for Payer: Aetna Government $2.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $3.20
Rate for Payer: Cigna LocalPlus Benefit Plan $2.72
Rate for Payer: Group Health Inc Commercial $2.00
Rate for Payer: Group Health Inc Medicare $1.40
Rate for Payer: Hamaspik Choice Inc Medicaid $2.00
Rate for Payer: Hamaspik Choice Inc Medicare $2.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2.60
Hospital Charge Code 41640387
Hospital Revenue Code 250
Min. Negotiated Rate $1.40
Max. Negotiated Rate $3.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.00
Rate for Payer: Aetna Government $2.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $3.20
Rate for Payer: Cigna LocalPlus Benefit Plan $2.72
Rate for Payer: Group Health Inc Commercial $2.00
Rate for Payer: Group Health Inc Medicare $1.40
Rate for Payer: Hamaspik Choice Inc Medicaid $2.00
Rate for Payer: Hamaspik Choice Inc Medicare $2.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2.60
Hospital Charge Code 41643515
Hospital Revenue Code 250
Min. Negotiated Rate $0.35
Max. Negotiated Rate $0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.50
Rate for Payer: Aetna Government $0.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.80
Rate for Payer: Cigna LocalPlus Benefit Plan $0.68
Rate for Payer: Group Health Inc Commercial $0.50
Rate for Payer: Group Health Inc Medicare $0.35
Rate for Payer: Hamaspik Choice Inc Medicaid $0.50
Rate for Payer: Hamaspik Choice Inc Medicare $0.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.65
Hospital Charge Code 41653515
Hospital Revenue Code 250
Min. Negotiated Rate $0.35
Max. Negotiated Rate $0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.50
Rate for Payer: Aetna Government $0.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.80
Rate for Payer: Cigna LocalPlus Benefit Plan $0.68
Rate for Payer: Group Health Inc Commercial $0.50
Rate for Payer: Group Health Inc Medicare $0.35
Rate for Payer: Hamaspik Choice Inc Medicaid $0.50
Rate for Payer: Hamaspik Choice Inc Medicare $0.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.65
Service Code HCPCS J0515
Hospital Charge Code 41654393
Hospital Revenue Code 636
Min. Negotiated Rate $14.59
Max. Negotiated Rate $28.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial $24.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $19.51
Rate for Payer: Aetna Government $19.51
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $21.86
Rate for Payer: Cigna LocalPlus Benefit Plan $25.14
Rate for Payer: Fidelis CHP/HARP/Medicaid $14.59
Rate for Payer: Group Health Inc Commercial $21.86
Rate for Payer: Group Health Inc Medicare $15.31
Rate for Payer: Hamaspik Choice Inc Medicaid $21.86
Rate for Payer: Hamaspik Choice Inc Medicare $21.86
Rate for Payer: Healthfirst CHP/FHP/Medicaid $16.21
Rate for Payer: SOMOS CHP/HARP/Medicaid $17.43
Rate for Payer: SOMOS Essential $17.43
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $28.42
Service Code HCPCS J0515
Hospital Charge Code 41644393
Hospital Revenue Code 636
Min. Negotiated Rate $14.59
Max. Negotiated Rate $28.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial $24.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $19.51
Rate for Payer: Aetna Government $19.51
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $21.86
Rate for Payer: Cigna LocalPlus Benefit Plan $25.14
Rate for Payer: Fidelis CHP/HARP/Medicaid $14.59
Rate for Payer: Group Health Inc Commercial $21.86
Rate for Payer: Group Health Inc Medicare $15.31
Rate for Payer: Hamaspik Choice Inc Medicaid $21.86
Rate for Payer: Hamaspik Choice Inc Medicare $21.86
Rate for Payer: Healthfirst CHP/FHP/Medicaid $16.21
Rate for Payer: SOMOS CHP/HARP/Medicaid $17.43
Rate for Payer: SOMOS Essential $17.43
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $28.42
Service Code HCPCS J0515
Hospital Charge Code 41644393
Hospital Revenue Code 636
Min. Negotiated Rate $21.86
Max. Negotiated Rate $21.86
Rate for Payer: Hamaspik Choice Inc Medicaid $21.86
Rate for Payer: Hamaspik Choice Inc Medicare $21.86
Service Code HCPCS J0515
Hospital Charge Code 41654393
Hospital Revenue Code 636
Min. Negotiated Rate $21.86
Max. Negotiated Rate $21.86
Rate for Payer: Hamaspik Choice Inc Medicaid $21.86
Rate for Payer: Hamaspik Choice Inc Medicare $21.86
Hospital Charge Code 41653516
Hospital Revenue Code 250
Min. Negotiated Rate $0.35
Max. Negotiated Rate $0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.50
Rate for Payer: Aetna Government $0.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.80
Rate for Payer: Cigna LocalPlus Benefit Plan $0.68
Rate for Payer: Group Health Inc Commercial $0.50
Rate for Payer: Group Health Inc Medicare $0.35
Rate for Payer: Hamaspik Choice Inc Medicaid $0.50
Rate for Payer: Hamaspik Choice Inc Medicare $0.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.65
Hospital Charge Code 41643516
Hospital Revenue Code 250
Min. Negotiated Rate $0.35
Max. Negotiated Rate $0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.50
Rate for Payer: Aetna Government $0.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.80
Rate for Payer: Cigna LocalPlus Benefit Plan $0.68
Rate for Payer: Group Health Inc Commercial $0.50
Rate for Payer: Group Health Inc Medicare $0.35
Rate for Payer: Hamaspik Choice Inc Medicaid $0.50
Rate for Payer: Hamaspik Choice Inc Medicare $0.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.65
Hospital Charge Code 41650545
Hospital Revenue Code 250
Min. Negotiated Rate $0.35
Max. Negotiated Rate $0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.50
Rate for Payer: Aetna Government $0.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.80
Rate for Payer: Cigna LocalPlus Benefit Plan $0.68
Rate for Payer: Group Health Inc Commercial $0.50
Rate for Payer: Group Health Inc Medicare $0.35
Rate for Payer: Hamaspik Choice Inc Medicaid $0.50
Rate for Payer: Hamaspik Choice Inc Medicare $0.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.65