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Charge Type Price  
Service Code HCPCS C1713
Hospital Charge Code 40205909
Hospital Revenue Code 278
Min. Negotiated Rate $75.46
Max. Negotiated Rate $226.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial $118.58
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 $107.80
Rate for Payer: Cigna LocalPlus Benefit Plan $123.97
Rate for Payer: Fidelis Medicare Advantage $226.38
Rate for Payer: Group Health Inc Commercial $107.80
Rate for Payer: Group Health Inc Medicare $75.46
Rate for Payer: Hamaspik Choice Inc Medicaid $107.80
Rate for Payer: Hamaspik Choice Inc Medicare $107.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $140.14
Service Code HCPCS C1713
Hospital Charge Code 40205909
Hospital Revenue Code 278
Min. Negotiated Rate $107.80
Max. Negotiated Rate $107.80
Rate for Payer: Hamaspik Choice Inc Medicaid $107.80
Rate for Payer: Hamaspik Choice Inc Medicare $107.80
Service Code HCPCS C1713
Hospital Charge Code 40205758
Hospital Revenue Code 278
Min. Negotiated Rate $53.90
Max. Negotiated Rate $161.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial $84.70
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 $77.00
Rate for Payer: Cigna LocalPlus Benefit Plan $88.55
Rate for Payer: Fidelis Medicare Advantage $161.70
Rate for Payer: Group Health Inc Commercial $77.00
Rate for Payer: Group Health Inc Medicare $53.90
Rate for Payer: Hamaspik Choice Inc Medicaid $77.00
Rate for Payer: Hamaspik Choice Inc Medicare $77.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $100.10
Service Code HCPCS C1713
Hospital Charge Code 40205758
Hospital Revenue Code 278
Min. Negotiated Rate $77.00
Max. Negotiated Rate $77.00
Rate for Payer: Hamaspik Choice Inc Medicaid $77.00
Rate for Payer: Hamaspik Choice Inc Medicare $77.00
Service Code HCPCS C1713
Hospital Charge Code 40205746
Hospital Revenue Code 278
Min. Negotiated Rate $133.00
Max. Negotiated Rate $133.00
Rate for Payer: Hamaspik Choice Inc Medicaid $133.00
Rate for Payer: Hamaspik Choice Inc Medicare $133.00
Service Code HCPCS C1713
Hospital Charge Code 40205746
Hospital Revenue Code 278
Min. Negotiated Rate $93.10
Max. Negotiated Rate $279.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial $146.30
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 $133.00
Rate for Payer: Cigna LocalPlus Benefit Plan $152.95
Rate for Payer: Fidelis Medicare Advantage $279.30
Rate for Payer: Group Health Inc Commercial $133.00
Rate for Payer: Group Health Inc Medicare $93.10
Rate for Payer: Hamaspik Choice Inc Medicaid $133.00
Rate for Payer: Hamaspik Choice Inc Medicare $133.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $172.90
Service Code HCPCS C1776
Hospital Charge Code 40029622
Hospital Revenue Code 278
Min. Negotiated Rate $339.17
Max. Negotiated Rate $4,659.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,440.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $339.17
Rate for Payer: Aetna Government $339.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,219.00
Rate for Payer: Cigna LocalPlus Benefit Plan $2,551.85
Rate for Payer: Fidelis Medicare Advantage $4,659.90
Rate for Payer: Group Health Inc Commercial $2,219.00
Rate for Payer: Group Health Inc Medicare $1,553.30
Rate for Payer: Hamaspik Choice Inc Medicaid $2,219.00
Rate for Payer: Hamaspik Choice Inc Medicare $2,219.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,884.70
Service Code HCPCS C1776
Hospital Charge Code 40029622
Hospital Revenue Code 278
Min. Negotiated Rate $2,219.00
Max. Negotiated Rate $2,219.00
Rate for Payer: Hamaspik Choice Inc Medicaid $2,219.00
Rate for Payer: Hamaspik Choice Inc Medicare $2,219.00
Service Code HCPCS C1713
Hospital Charge Code 40204883
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $493.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial $258.72
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 $235.20
Rate for Payer: Cigna LocalPlus Benefit Plan $270.48
Rate for Payer: Fidelis Medicare Advantage $493.92
Rate for Payer: Group Health Inc Commercial $235.20
Rate for Payer: Group Health Inc Medicare $164.64
Rate for Payer: Hamaspik Choice Inc Medicaid $235.20
Rate for Payer: Hamaspik Choice Inc Medicare $235.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $305.76
Service Code HCPCS C1713
Hospital Charge Code 40204883
Hospital Revenue Code 278
Min. Negotiated Rate $235.20
Max. Negotiated Rate $235.20
Rate for Payer: Hamaspik Choice Inc Medicaid $235.20
Rate for Payer: Hamaspik Choice Inc Medicare $235.20
Service Code HCPCS C1713
Hospital Charge Code 40006502
Hospital Revenue Code 278
Min. Negotiated Rate $830.45
Max. Negotiated Rate $830.45
Rate for Payer: Hamaspik Choice Inc Medicaid $830.45
Rate for Payer: Hamaspik Choice Inc Medicare $830.45
Service Code HCPCS C1713
Hospital Charge Code 40006502
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $1,743.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial $913.50
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 $830.45
Rate for Payer: Cigna LocalPlus Benefit Plan $955.02
Rate for Payer: Fidelis Medicare Advantage $1,743.94
Rate for Payer: Group Health Inc Commercial $830.45
Rate for Payer: Group Health Inc Medicare $581.32
Rate for Payer: Hamaspik Choice Inc Medicaid $830.45
Rate for Payer: Hamaspik Choice Inc Medicare $830.45
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,079.58
Service Code HCPCS C1713
Hospital Charge Code 40205672
Hospital Revenue Code 278
Min. Negotiated Rate $110.60
Max. Negotiated Rate $110.60
Rate for Payer: Hamaspik Choice Inc Medicaid $110.60
Rate for Payer: Hamaspik Choice Inc Medicare $110.60
Service Code HCPCS C1713
Hospital Charge Code 40205672
Hospital Revenue Code 278
Min. Negotiated Rate $77.42
Max. Negotiated Rate $232.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial $121.66
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 $110.60
Rate for Payer: Cigna LocalPlus Benefit Plan $127.19
Rate for Payer: Fidelis Medicare Advantage $232.26
Rate for Payer: Group Health Inc Commercial $110.60
Rate for Payer: Group Health Inc Medicare $77.42
Rate for Payer: Hamaspik Choice Inc Medicaid $110.60
Rate for Payer: Hamaspik Choice Inc Medicare $110.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $143.78
Service Code HCPCS C1776
Hospital Charge Code 40205239
Hospital Revenue Code 278
Min. Negotiated Rate $339.17
Max. Negotiated Rate $2,197.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,151.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $339.17
Rate for Payer: Aetna Government $339.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,046.38
Rate for Payer: Cigna LocalPlus Benefit Plan $1,203.34
Rate for Payer: Fidelis Medicare Advantage $2,197.40
Rate for Payer: Group Health Inc Commercial $1,046.38
Rate for Payer: Group Health Inc Medicare $732.47
Rate for Payer: Hamaspik Choice Inc Medicaid $1,046.38
Rate for Payer: Hamaspik Choice Inc Medicare $1,046.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,360.29
Service Code HCPCS C1776
Hospital Charge Code 40205239
Hospital Revenue Code 278
Min. Negotiated Rate $1,046.38
Max. Negotiated Rate $1,046.38
Rate for Payer: Hamaspik Choice Inc Medicaid $1,046.38
Rate for Payer: Hamaspik Choice Inc Medicare $1,046.38
Service Code HCPCS C1713
Hospital Charge Code 40209923
Hospital Revenue Code 278
Min. Negotiated Rate $1,363.00
Max. Negotiated Rate $1,363.00
Rate for Payer: Hamaspik Choice Inc Medicaid $1,363.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,363.00
Service Code HCPCS C1713
Hospital Charge Code 40209923
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $2,862.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,499.30
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 $1,363.00
Rate for Payer: Cigna LocalPlus Benefit Plan $1,567.45
Rate for Payer: Fidelis Medicare Advantage $2,862.30
Rate for Payer: Group Health Inc Commercial $1,363.00
Rate for Payer: Group Health Inc Medicare $954.10
Rate for Payer: Hamaspik Choice Inc Medicaid $1,363.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,363.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,771.90
Service Code HCPCS C1713
Hospital Charge Code 40204884
Hospital Revenue Code 278
Min. Negotiated Rate $1,333.00
Max. Negotiated Rate $1,333.00
Rate for Payer: Hamaspik Choice Inc Medicaid $1,333.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,333.00
Service Code HCPCS C1713
Hospital Charge Code 40204884
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $2,799.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,466.30
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 $1,333.00
Rate for Payer: Cigna LocalPlus Benefit Plan $1,532.95
Rate for Payer: Fidelis Medicare Advantage $2,799.30
Rate for Payer: Group Health Inc Commercial $1,333.00
Rate for Payer: Group Health Inc Medicare $933.10
Rate for Payer: Hamaspik Choice Inc Medicaid $1,333.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,333.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,732.90
Service Code HCPCS C1713
Hospital Charge Code 40008266
Hospital Revenue Code 278
Min. Negotiated Rate $224.23
Max. Negotiated Rate $224.23
Rate for Payer: Hamaspik Choice Inc Medicaid $224.23
Rate for Payer: Hamaspik Choice Inc Medicare $224.23
Service Code HCPCS C1713
Hospital Charge Code 40008266
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $470.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial $246.65
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 $224.23
Rate for Payer: Cigna LocalPlus Benefit Plan $257.86
Rate for Payer: Fidelis Medicare Advantage $470.88
Rate for Payer: Group Health Inc Commercial $224.23
Rate for Payer: Group Health Inc Medicare $156.96
Rate for Payer: Hamaspik Choice Inc Medicaid $224.23
Rate for Payer: Hamaspik Choice Inc Medicare $224.23
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $291.50
Service Code HCPCS C1713
Hospital Charge Code 40205318
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $2,805.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,469.60
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 $1,336.00
Rate for Payer: Cigna LocalPlus Benefit Plan $1,536.40
Rate for Payer: Fidelis Medicare Advantage $2,805.60
Rate for Payer: Group Health Inc Commercial $1,336.00
Rate for Payer: Group Health Inc Medicare $935.20
Rate for Payer: Hamaspik Choice Inc Medicaid $1,336.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,336.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,736.80
Service Code HCPCS C1713
Hospital Charge Code 40205318
Hospital Revenue Code 278
Min. Negotiated Rate $1,336.00
Max. Negotiated Rate $1,336.00
Rate for Payer: Hamaspik Choice Inc Medicaid $1,336.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,336.00
Service Code HCPCS C1713
Hospital Charge Code 40205319
Hospital Revenue Code 278
Min. Negotiated Rate $1,336.00
Max. Negotiated Rate $1,336.00
Rate for Payer: Hamaspik Choice Inc Medicaid $1,336.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,336.00