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Charge Type Price  
Service Code HCPCS C1713
Hospital Charge Code 40205929
Hospital Revenue Code 278
Min. Negotiated Rate $121.00
Max. Negotiated Rate $121.00
Rate for Payer: Hamaspik Choice Inc Medicaid $121.00
Rate for Payer: Hamaspik Choice Inc Medicare $121.00
Service Code HCPCS C1713
Hospital Charge Code 40205929
Hospital Revenue Code 278
Min. Negotiated Rate $84.70
Max. Negotiated Rate $254.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial $133.10
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 $121.00
Rate for Payer: Cigna LocalPlus Benefit Plan $139.15
Rate for Payer: Fidelis Medicare Advantage $254.10
Rate for Payer: Group Health Inc Commercial $121.00
Rate for Payer: Group Health Inc Medicare $84.70
Rate for Payer: Hamaspik Choice Inc Medicaid $121.00
Rate for Payer: Hamaspik Choice Inc Medicare $121.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $157.30
Service Code HCPCS C1713
Hospital Charge Code 40200932
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $413.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial $216.70
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 $197.00
Rate for Payer: Cigna LocalPlus Benefit Plan $226.55
Rate for Payer: Fidelis Medicare Advantage $413.70
Rate for Payer: Group Health Inc Commercial $197.00
Rate for Payer: Group Health Inc Medicare $137.90
Rate for Payer: Hamaspik Choice Inc Medicaid $197.00
Rate for Payer: Hamaspik Choice Inc Medicare $197.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $256.10
Service Code HCPCS C1713
Hospital Charge Code 40200932
Hospital Revenue Code 278
Min. Negotiated Rate $197.00
Max. Negotiated Rate $197.00
Rate for Payer: Hamaspik Choice Inc Medicaid $197.00
Rate for Payer: Hamaspik Choice Inc Medicare $197.00
Service Code HCPCS C1713
Hospital Charge Code 40206237
Hospital Revenue Code 278
Min. Negotiated Rate $93.59
Max. Negotiated Rate $280.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial $147.07
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 $133.70
Rate for Payer: Cigna LocalPlus Benefit Plan $153.76
Rate for Payer: Fidelis Medicare Advantage $280.77
Rate for Payer: Group Health Inc Commercial $133.70
Rate for Payer: Group Health Inc Medicare $93.59
Rate for Payer: Hamaspik Choice Inc Medicaid $133.70
Rate for Payer: Hamaspik Choice Inc Medicare $133.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $173.81
Service Code HCPCS C1713
Hospital Charge Code 40206237
Hospital Revenue Code 278
Min. Negotiated Rate $133.70
Max. Negotiated Rate $133.70
Rate for Payer: Hamaspik Choice Inc Medicaid $133.70
Rate for Payer: Hamaspik Choice Inc Medicare $133.70
Service Code HCPCS C1713
Hospital Charge Code 40206259
Hospital Revenue Code 278
Min. Negotiated Rate $240.00
Max. Negotiated Rate $240.00
Rate for Payer: Hamaspik Choice Inc Medicaid $240.00
Rate for Payer: Hamaspik Choice Inc Medicare $240.00
Service Code HCPCS C1713
Hospital Charge Code 40206259
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $504.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $264.00
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 $240.00
Rate for Payer: Cigna LocalPlus Benefit Plan $276.00
Rate for Payer: Fidelis Medicare Advantage $504.00
Rate for Payer: Group Health Inc Commercial $240.00
Rate for Payer: Group Health Inc Medicare $168.00
Rate for Payer: Hamaspik Choice Inc Medicaid $240.00
Rate for Payer: Hamaspik Choice Inc Medicare $240.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $312.00
Service Code HCPCS C1713
Hospital Charge Code 40205818
Hospital Revenue Code 278
Min. Negotiated Rate $195.00
Max. Negotiated Rate $195.00
Rate for Payer: Hamaspik Choice Inc Medicaid $195.00
Rate for Payer: Hamaspik Choice Inc Medicare $195.00
Service Code HCPCS C1713
Hospital Charge Code 40205818
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $409.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $214.50
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 $195.00
Rate for Payer: Cigna LocalPlus Benefit Plan $224.25
Rate for Payer: Fidelis Medicare Advantage $409.50
Rate for Payer: Group Health Inc Commercial $195.00
Rate for Payer: Group Health Inc Medicare $136.50
Rate for Payer: Hamaspik Choice Inc Medicaid $195.00
Rate for Payer: Hamaspik Choice Inc Medicare $195.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $253.50
Service Code HCPCS C1769
Hospital Charge Code 40206070
Hospital Revenue Code 278
Min. Negotiated Rate $4.08
Max. Negotiated Rate $160.65
Rate for Payer: 1199SEIU National Benefit Fund Commercial $84.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4.08
Rate for Payer: Aetna Government $4.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $76.50
Rate for Payer: Cigna LocalPlus Benefit Plan $87.98
Rate for Payer: Fidelis Medicare Advantage $160.65
Rate for Payer: Group Health Inc Commercial $76.50
Rate for Payer: Group Health Inc Medicare $53.55
Rate for Payer: Hamaspik Choice Inc Medicaid $76.50
Rate for Payer: Hamaspik Choice Inc Medicare $76.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $99.45
Service Code HCPCS C1769
Hospital Charge Code 40206070
Hospital Revenue Code 278
Min. Negotiated Rate $76.50
Max. Negotiated Rate $76.50
Rate for Payer: Hamaspik Choice Inc Medicaid $76.50
Rate for Payer: Hamaspik Choice Inc Medicare $76.50
Service Code HCPCS C1713
Hospital Charge Code 40205578
Hospital Revenue Code 278
Min. Negotiated Rate $153.30
Max. Negotiated Rate $153.30
Rate for Payer: Hamaspik Choice Inc Medicaid $153.30
Rate for Payer: Hamaspik Choice Inc Medicare $153.30
Service Code HCPCS C1713
Hospital Charge Code 40205578
Hospital Revenue Code 278
Min. Negotiated Rate $107.31
Max. Negotiated Rate $321.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial $168.63
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 $153.30
Rate for Payer: Cigna LocalPlus Benefit Plan $176.30
Rate for Payer: Fidelis Medicare Advantage $321.93
Rate for Payer: Group Health Inc Commercial $153.30
Rate for Payer: Group Health Inc Medicare $107.31
Rate for Payer: Hamaspik Choice Inc Medicaid $153.30
Rate for Payer: Hamaspik Choice Inc Medicare $153.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $199.29
Service Code HCPCS C1713
Hospital Charge Code 40205581
Hospital Revenue Code 278
Min. Negotiated Rate $95.06
Max. Negotiated Rate $285.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial $149.38
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 $135.80
Rate for Payer: Cigna LocalPlus Benefit Plan $156.17
Rate for Payer: Fidelis Medicare Advantage $285.18
Rate for Payer: Group Health Inc Commercial $135.80
Rate for Payer: Group Health Inc Medicare $95.06
Rate for Payer: Hamaspik Choice Inc Medicaid $135.80
Rate for Payer: Hamaspik Choice Inc Medicare $135.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $176.54
Service Code HCPCS C1713
Hospital Charge Code 40205581
Hospital Revenue Code 278
Min. Negotiated Rate $135.80
Max. Negotiated Rate $135.80
Rate for Payer: Hamaspik Choice Inc Medicaid $135.80
Rate for Payer: Hamaspik Choice Inc Medicare $135.80
Service Code HCPCS C1713
Hospital Charge Code 40204473
Hospital Revenue Code 278
Min. Negotiated Rate $156.00
Max. Negotiated Rate $156.00
Rate for Payer: Hamaspik Choice Inc Medicaid $156.00
Rate for Payer: Hamaspik Choice Inc Medicare $156.00
Service Code HCPCS C1713
Hospital Charge Code 40204473
Hospital Revenue Code 278
Min. Negotiated Rate $109.20
Max. Negotiated Rate $327.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial $171.60
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 $156.00
Rate for Payer: Cigna LocalPlus Benefit Plan $179.40
Rate for Payer: Fidelis Medicare Advantage $327.60
Rate for Payer: Group Health Inc Commercial $156.00
Rate for Payer: Group Health Inc Medicare $109.20
Rate for Payer: Hamaspik Choice Inc Medicaid $156.00
Rate for Payer: Hamaspik Choice Inc Medicare $156.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $202.80
Service Code HCPCS C1713
Hospital Charge Code 40204474
Hospital Revenue Code 278
Min. Negotiated Rate $109.20
Max. Negotiated Rate $327.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial $171.60
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 $156.00
Rate for Payer: Cigna LocalPlus Benefit Plan $179.40
Rate for Payer: Fidelis Medicare Advantage $327.60
Rate for Payer: Group Health Inc Commercial $156.00
Rate for Payer: Group Health Inc Medicare $109.20
Rate for Payer: Hamaspik Choice Inc Medicaid $156.00
Rate for Payer: Hamaspik Choice Inc Medicare $156.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $202.80
Service Code HCPCS C1713
Hospital Charge Code 40204474
Hospital Revenue Code 278
Min. Negotiated Rate $156.00
Max. Negotiated Rate $156.00
Rate for Payer: Hamaspik Choice Inc Medicaid $156.00
Rate for Payer: Hamaspik Choice Inc Medicare $156.00
Service Code HCPCS C1713
Hospital Charge Code 40204471
Hospital Revenue Code 278
Min. Negotiated Rate $109.20
Max. Negotiated Rate $327.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial $171.60
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 $156.00
Rate for Payer: Cigna LocalPlus Benefit Plan $179.40
Rate for Payer: Fidelis Medicare Advantage $327.60
Rate for Payer: Group Health Inc Commercial $156.00
Rate for Payer: Group Health Inc Medicare $109.20
Rate for Payer: Hamaspik Choice Inc Medicaid $156.00
Rate for Payer: Hamaspik Choice Inc Medicare $156.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $202.80
Service Code HCPCS C1713
Hospital Charge Code 40204471
Hospital Revenue Code 278
Min. Negotiated Rate $156.00
Max. Negotiated Rate $156.00
Rate for Payer: Hamaspik Choice Inc Medicaid $156.00
Rate for Payer: Hamaspik Choice Inc Medicare $156.00
Service Code HCPCS C1713
Hospital Charge Code 40202639
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 40202639
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 40206220
Hospital Revenue Code 278
Min. Negotiated Rate $108.78
Max. Negotiated Rate $326.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial $170.94
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 $155.40
Rate for Payer: Cigna LocalPlus Benefit Plan $178.71
Rate for Payer: Fidelis Medicare Advantage $326.34
Rate for Payer: Group Health Inc Commercial $155.40
Rate for Payer: Group Health Inc Medicare $108.78
Rate for Payer: Hamaspik Choice Inc Medicaid $155.40
Rate for Payer: Hamaspik Choice Inc Medicare $155.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $202.02