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Service Code NDC 6330469201
Hospital Charge Code 6330469201
Hospital Revenue Code 250
Min. Negotiated Rate $0.60
Max. Negotiated Rate $0.60
Rate for Payer: Hamaspik Choice Inc Medicaid $0.60
Service Code NDC 6586259602
Hospital Charge Code 6586259602
Hospital Revenue Code 250
Min. Negotiated Rate $0.31
Max. Negotiated Rate $0.31
Rate for Payer: Hamaspik Choice Inc Medicaid $0.31
Service Code NDC 6586259602
Hospital Charge Code 6586259602
Hospital Revenue Code 250
Min. Negotiated Rate $0.22
Max. Negotiated Rate $0.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.31
Rate for Payer: Aetna Government $0.31
Rate for Payer: Brighton Health Commercial $0.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.50
Rate for Payer: Cigna LocalPlus Benefit Plan $0.42
Rate for Payer: EmblemHealth Commercial $0.31
Rate for Payer: Group Health Inc Commercial $0.31
Rate for Payer: Group Health Inc Medicare $0.22
Rate for Payer: Hamaspik Choice Inc Medicaid $0.31
Rate for Payer: Hamaspik Choice Inc Medicare $0.31
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.40
Service Code NDC 5976200161
Hospital Charge Code 5976200161
Hospital Revenue Code 250
Min. Negotiated Rate $0.31
Max. Negotiated Rate $0.31
Rate for Payer: Hamaspik Choice Inc Medicaid $0.31
Service Code NDC 5976200161
Hospital Charge Code 5976200161
Hospital Revenue Code 250
Min. Negotiated Rate $0.22
Max. Negotiated Rate $0.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.31
Rate for Payer: Aetna Government $0.31
Rate for Payer: Brighton Health Commercial $0.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.50
Rate for Payer: Cigna LocalPlus Benefit Plan $0.42
Rate for Payer: EmblemHealth Commercial $0.31
Rate for Payer: Group Health Inc Commercial $0.31
Rate for Payer: Group Health Inc Medicare $0.22
Rate for Payer: Hamaspik Choice Inc Medicaid $0.31
Rate for Payer: Hamaspik Choice Inc Medicare $0.31
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.40
Service Code NDC 4580256202
Hospital Charge Code 4580256202
Hospital Revenue Code 250
Min. Negotiated Rate $0.34
Max. Negotiated Rate $0.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.53
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.48
Rate for Payer: Aetna Government $0.48
Rate for Payer: Brighton Health Commercial $0.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.77
Rate for Payer: Cigna LocalPlus Benefit Plan $0.66
Rate for Payer: EmblemHealth Commercial $0.48
Rate for Payer: Group Health Inc Commercial $0.48
Rate for Payer: Group Health Inc Medicare $0.34
Rate for Payer: Hamaspik Choice Inc Medicaid $0.48
Rate for Payer: Hamaspik Choice Inc Medicare $0.48
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.63
Service Code NDC 2192200221
Hospital Charge Code 2192200221
Hospital Revenue Code 250
Min. Negotiated Rate $0.48
Max. Negotiated Rate $1.09
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.68
Rate for Payer: Aetna Government $0.68
Rate for Payer: Brighton Health Commercial $1.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.09
Rate for Payer: Cigna LocalPlus Benefit Plan $0.92
Rate for Payer: EmblemHealth Commercial $0.68
Rate for Payer: Group Health Inc Commercial $0.68
Rate for Payer: Group Health Inc Medicare $0.48
Rate for Payer: Hamaspik Choice Inc Medicaid $0.68
Rate for Payer: Hamaspik Choice Inc Medicare $0.68
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.88
Service Code NDC 2192200201
Hospital Charge Code 2192200201
Hospital Revenue Code 250
Min. Negotiated Rate $0.68
Max. Negotiated Rate $0.68
Rate for Payer: Hamaspik Choice Inc Medicaid $0.68
Service Code NDC 4580256202
Hospital Charge Code 4580256202
Hospital Revenue Code 250
Min. Negotiated Rate $0.48
Max. Negotiated Rate $0.48
Rate for Payer: Hamaspik Choice Inc Medicaid $0.48
Service Code NDC 0168020130
Hospital Charge Code 0168020130
Hospital Revenue Code 250
Min. Negotiated Rate $0.26
Max. Negotiated Rate $0.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.37
Rate for Payer: Aetna Government $0.37
Rate for Payer: Brighton Health Commercial $0.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.59
Rate for Payer: Cigna LocalPlus Benefit Plan $0.50
Rate for Payer: EmblemHealth Commercial $0.37
Rate for Payer: Group Health Inc Commercial $0.37
Rate for Payer: Group Health Inc Medicare $0.26
Rate for Payer: Hamaspik Choice Inc Medicaid $0.37
Rate for Payer: Hamaspik Choice Inc Medicare $0.37
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.48
Service Code NDC 0168020130
Hospital Charge Code 0168020130
Hospital Revenue Code 250
Min. Negotiated Rate $0.37
Max. Negotiated Rate $0.37
Rate for Payer: Hamaspik Choice Inc Medicaid $0.37
Service Code NDC 2192200221
Hospital Charge Code 2192200221
Hospital Revenue Code 250
Min. Negotiated Rate $0.68
Max. Negotiated Rate $0.68
Rate for Payer: Hamaspik Choice Inc Medicaid $0.68
Service Code NDC 2192200201
Hospital Charge Code 2192200201
Hospital Revenue Code 250
Min. Negotiated Rate $0.48
Max. Negotiated Rate $1.09
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.68
Rate for Payer: Aetna Government $0.68
Rate for Payer: Brighton Health Commercial $1.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.09
Rate for Payer: Cigna LocalPlus Benefit Plan $0.92
Rate for Payer: EmblemHealth Commercial $0.68
Rate for Payer: Group Health Inc Commercial $0.68
Rate for Payer: Group Health Inc Medicare $0.48
Rate for Payer: Hamaspik Choice Inc Medicaid $0.68
Rate for Payer: Hamaspik Choice Inc Medicare $0.68
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.88
Service Code HCPCS J0736
Hospital Charge Code 0009087026
Hospital Revenue Code 250
Min. Negotiated Rate $0.52
Max. Negotiated Rate $1.83
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.75
Rate for Payer: Aetna Government $0.75
Rate for Payer: Brighton Health Commercial $1.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.19
Rate for Payer: Cigna LocalPlus Benefit Plan $1.01
Rate for Payer: EmblemHealth Commercial $0.75
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: Healthfirst CHP/FHP/Medicaid $1.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.97
Service Code HCPCS J0736
Hospital Charge Code 0009087026
Hospital Revenue Code 250
Min. Negotiated Rate $0.75
Max. Negotiated Rate $0.75
Rate for Payer: Hamaspik Choice Inc Medicaid $0.75
Service Code NDC 0009077526
Hospital Charge Code 0009077526
Hospital Revenue Code 250
Min. Negotiated Rate $0.31
Max. Negotiated Rate $0.71
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.49
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.44
Rate for Payer: Aetna Government $0.44
Rate for Payer: Brighton Health Commercial $0.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.71
Rate for Payer: Cigna LocalPlus Benefit Plan $0.60
Rate for Payer: EmblemHealth Commercial $0.44
Rate for Payer: Group Health Inc Commercial $0.44
Rate for Payer: Group Health Inc Medicare $0.31
Rate for Payer: Hamaspik Choice Inc Medicaid $0.44
Rate for Payer: Hamaspik Choice Inc Medicare $0.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.57
Service Code NDC 0009077526
Hospital Charge Code 0009077526
Hospital Revenue Code 250
Min. Negotiated Rate $0.44
Max. Negotiated Rate $0.44
Rate for Payer: Hamaspik Choice Inc Medicaid $0.44
Service Code NDC 2502111506
Hospital Charge Code 2502111506
Hospital Revenue Code 250
Min. Negotiated Rate $0.48
Max. Negotiated Rate $0.48
Rate for Payer: Hamaspik Choice Inc Medicaid $0.48
Service Code NDC 0009090218
Hospital Charge Code 0009090218
Hospital Revenue Code 250
Min. Negotiated Rate $0.30
Max. Negotiated Rate $0.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.43
Rate for Payer: Aetna Government $0.43
Rate for Payer: Brighton Health Commercial $0.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.68
Rate for Payer: Cigna LocalPlus Benefit Plan $0.58
Rate for Payer: EmblemHealth Commercial $0.43
Rate for Payer: Group Health Inc Commercial $0.43
Rate for Payer: Group Health Inc Medicare $0.30
Rate for Payer: Hamaspik Choice Inc Medicaid $0.43
Rate for Payer: Hamaspik Choice Inc Medicare $0.43
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.55
Service Code NDC 2502111506
Hospital Charge Code 2502111506
Hospital Revenue Code 250
Min. Negotiated Rate $0.33
Max. Negotiated Rate $0.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.48
Rate for Payer: Aetna Government $0.48
Rate for Payer: Brighton Health Commercial $0.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.76
Rate for Payer: Cigna LocalPlus Benefit Plan $0.65
Rate for Payer: EmblemHealth Commercial $0.48
Rate for Payer: Group Health Inc Commercial $0.48
Rate for Payer: Group Health Inc Medicare $0.33
Rate for Payer: Hamaspik Choice Inc Medicaid $0.48
Rate for Payer: Hamaspik Choice Inc Medicare $0.48
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.62
Service Code NDC 0009090218
Hospital Charge Code 0009090218
Hospital Revenue Code 250
Min. Negotiated Rate $0.43
Max. Negotiated Rate $0.43
Rate for Payer: Hamaspik Choice Inc Medicaid $0.43
Service Code NDC 0009072805
Hospital Charge Code 0009072805
Hospital Revenue Code 250
Min. Negotiated Rate $0.16
Max. Negotiated Rate $0.37
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.23
Rate for Payer: Aetna Government $0.23
Rate for Payer: Brighton Health Commercial $0.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.37
Rate for Payer: Cigna LocalPlus Benefit Plan $0.32
Rate for Payer: EmblemHealth Commercial $0.23
Rate for Payer: Group Health Inc Commercial $0.23
Rate for Payer: Group Health Inc Medicare $0.16
Rate for Payer: Hamaspik Choice Inc Medicaid $0.23
Rate for Payer: Hamaspik Choice Inc Medicare $0.23
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.30
Service Code NDC 0009072805
Hospital Charge Code 0009072805
Hospital Revenue Code 250
Min. Negotiated Rate $0.23
Max. Negotiated Rate $0.23
Rate for Payer: Hamaspik Choice Inc Medicaid $0.23
Service Code HCPCS J0736
Hospital Charge Code 0338341050
Hospital Revenue Code 258
Min. Negotiated Rate $0.06
Max. Negotiated Rate $1.83
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.09
Rate for Payer: Aetna Government $0.09
Rate for Payer: Brighton Health Commercial $0.13
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.14
Rate for Payer: Cigna LocalPlus Benefit Plan $0.12
Rate for Payer: EmblemHealth Commercial $0.09
Rate for Payer: Group Health Inc Commercial $0.09
Rate for Payer: Group Health Inc Medicare $0.06
Rate for Payer: Hamaspik Choice Inc Medicaid $0.09
Rate for Payer: Hamaspik Choice Inc Medicare $0.09
Rate for Payer: Healthfirst CHP/FHP/Medicaid $1.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.11
Service Code HCPCS J0736
Hospital Charge Code 0338341024
Hospital Revenue Code 258
Min. Negotiated Rate $0.06
Max. Negotiated Rate $1.83
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.09
Rate for Payer: Aetna Government $0.09
Rate for Payer: Brighton Health Commercial $0.13
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.14
Rate for Payer: Cigna LocalPlus Benefit Plan $0.12
Rate for Payer: EmblemHealth Commercial $0.09
Rate for Payer: Group Health Inc Commercial $0.09
Rate for Payer: Group Health Inc Medicare $0.06
Rate for Payer: Hamaspik Choice Inc Medicaid $0.09
Rate for Payer: Hamaspik Choice Inc Medicare $0.09
Rate for Payer: Healthfirst CHP/FHP/Medicaid $1.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.11