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Charge Type Price  
Service Code HCPCS C1713
Hospital Charge Code 40206220
Hospital Revenue Code 278
Min. Negotiated Rate $155.40
Max. Negotiated Rate $155.40
Rate for Payer: Hamaspik Choice Inc Medicaid $155.40
Rate for Payer: Hamaspik Choice Inc Medicare $155.40
Service Code HCPCS C1776
Hospital Charge Code 40208173
Hospital Revenue Code 278
Min. Negotiated Rate $149.45
Max. Negotiated Rate $448.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial $234.85
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 $213.50
Rate for Payer: Cigna LocalPlus Benefit Plan $245.52
Rate for Payer: Fidelis Medicare Advantage $448.35
Rate for Payer: Group Health Inc Commercial $213.50
Rate for Payer: Group Health Inc Medicare $149.45
Rate for Payer: Hamaspik Choice Inc Medicaid $213.50
Rate for Payer: Hamaspik Choice Inc Medicare $213.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $277.55
Service Code HCPCS C1776
Hospital Charge Code 40208173
Hospital Revenue Code 278
Min. Negotiated Rate $213.50
Max. Negotiated Rate $213.50
Rate for Payer: Hamaspik Choice Inc Medicaid $213.50
Rate for Payer: Hamaspik Choice Inc Medicare $213.50
Service Code HCPCS C1776
Hospital Charge Code 40209937
Hospital Revenue Code 278
Min. Negotiated Rate $1,096.80
Max. Negotiated Rate $1,096.80
Rate for Payer: Hamaspik Choice Inc Medicaid $1,096.80
Rate for Payer: Hamaspik Choice Inc Medicare $1,096.80
Service Code HCPCS C1776
Hospital Charge Code 40209937
Hospital Revenue Code 278
Min. Negotiated Rate $339.17
Max. Negotiated Rate $2,303.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,206.48
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 $1,096.80
Rate for Payer: Cigna LocalPlus Benefit Plan $1,261.32
Rate for Payer: Fidelis Medicare Advantage $2,303.28
Rate for Payer: Group Health Inc Commercial $1,096.80
Rate for Payer: Group Health Inc Medicare $767.76
Rate for Payer: Hamaspik Choice Inc Medicaid $1,096.80
Rate for Payer: Hamaspik Choice Inc Medicare $1,096.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,425.84
Service Code HCPCS C1713
Hospital Charge Code 40204701
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $526.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial $275.82
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 $250.75
Rate for Payer: Cigna LocalPlus Benefit Plan $288.36
Rate for Payer: Fidelis Medicare Advantage $526.58
Rate for Payer: Group Health Inc Commercial $250.75
Rate for Payer: Group Health Inc Medicare $175.52
Rate for Payer: Hamaspik Choice Inc Medicaid $250.75
Rate for Payer: Hamaspik Choice Inc Medicare $250.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $325.98
Service Code HCPCS C1713
Hospital Charge Code 40204701
Hospital Revenue Code 278
Min. Negotiated Rate $250.75
Max. Negotiated Rate $250.75
Rate for Payer: Hamaspik Choice Inc Medicaid $250.75
Rate for Payer: Hamaspik Choice Inc Medicare $250.75
Service Code HCPCS C1713
Hospital Charge Code 40204709
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,820.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,525.00
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 $2,295.45
Rate for Payer: Cigna LocalPlus Benefit Plan $2,639.77
Rate for Payer: Fidelis Medicare Advantage $4,820.44
Rate for Payer: Group Health Inc Commercial $2,295.45
Rate for Payer: Group Health Inc Medicare $1,606.82
Rate for Payer: Hamaspik Choice Inc Medicaid $2,295.45
Rate for Payer: Hamaspik Choice Inc Medicare $2,295.45
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,984.08
Service Code HCPCS C1713
Hospital Charge Code 40204709
Hospital Revenue Code 278
Min. Negotiated Rate $2,295.45
Max. Negotiated Rate $2,295.45
Rate for Payer: Hamaspik Choice Inc Medicaid $2,295.45
Rate for Payer: Hamaspik Choice Inc Medicare $2,295.45
Service Code HCPCS C1713
Hospital Charge Code 40204706
Hospital Revenue Code 278
Min. Negotiated Rate $200.80
Max. Negotiated Rate $200.80
Rate for Payer: Hamaspik Choice Inc Medicaid $200.80
Rate for Payer: Hamaspik Choice Inc Medicare $200.80
Service Code HCPCS C1713
Hospital Charge Code 40204706
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $421.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial $220.88
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 $200.80
Rate for Payer: Cigna LocalPlus Benefit Plan $230.92
Rate for Payer: Fidelis Medicare Advantage $421.68
Rate for Payer: Group Health Inc Commercial $200.80
Rate for Payer: Group Health Inc Medicare $140.56
Rate for Payer: Hamaspik Choice Inc Medicaid $200.80
Rate for Payer: Hamaspik Choice Inc Medicare $200.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $261.04
Service Code HCPCS C1713
Hospital Charge Code 40204707
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $471.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial $246.84
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 $224.40
Rate for Payer: Cigna LocalPlus Benefit Plan $258.06
Rate for Payer: Fidelis Medicare Advantage $471.24
Rate for Payer: Group Health Inc Commercial $224.40
Rate for Payer: Group Health Inc Medicare $157.08
Rate for Payer: Hamaspik Choice Inc Medicaid $224.40
Rate for Payer: Hamaspik Choice Inc Medicare $224.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $291.72
Service Code HCPCS C1713
Hospital Charge Code 40204707
Hospital Revenue Code 278
Min. Negotiated Rate $224.40
Max. Negotiated Rate $224.40
Rate for Payer: Hamaspik Choice Inc Medicaid $224.40
Rate for Payer: Hamaspik Choice Inc Medicare $224.40
Service Code HCPCS C1713
Hospital Charge Code 40204702
Hospital Revenue Code 278
Min. Negotiated Rate $24.99
Max. Negotiated Rate $134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $39.27
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 $35.70
Rate for Payer: Cigna LocalPlus Benefit Plan $41.06
Rate for Payer: Fidelis Medicare Advantage $74.97
Rate for Payer: Group Health Inc Commercial $35.70
Rate for Payer: Group Health Inc Medicare $24.99
Rate for Payer: Hamaspik Choice Inc Medicaid $35.70
Rate for Payer: Hamaspik Choice Inc Medicare $35.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $46.41
Service Code HCPCS C1713
Hospital Charge Code 40204702
Hospital Revenue Code 278
Min. Negotiated Rate $35.70
Max. Negotiated Rate $35.70
Rate for Payer: Hamaspik Choice Inc Medicaid $35.70
Rate for Payer: Hamaspik Choice Inc Medicare $35.70
Service Code HCPCS C1713
Hospital Charge Code 40204703
Hospital Revenue Code 278
Min. Negotiated Rate $22.40
Max. Negotiated Rate $134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $35.20
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 $32.00
Rate for Payer: Cigna LocalPlus Benefit Plan $36.80
Rate for Payer: Fidelis Medicare Advantage $67.20
Rate for Payer: Group Health Inc Commercial $32.00
Rate for Payer: Group Health Inc Medicare $22.40
Rate for Payer: Hamaspik Choice Inc Medicaid $32.00
Rate for Payer: Hamaspik Choice Inc Medicare $32.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $41.60
Service Code HCPCS C1713
Hospital Charge Code 40204703
Hospital Revenue Code 278
Min. Negotiated Rate $32.00
Max. Negotiated Rate $32.00
Rate for Payer: Hamaspik Choice Inc Medicaid $32.00
Rate for Payer: Hamaspik Choice Inc Medicare $32.00
Service Code HCPCS C1713
Hospital Charge Code 40204705
Hospital Revenue Code 278
Min. Negotiated Rate $24.99
Max. Negotiated Rate $134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $39.27
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 $35.70
Rate for Payer: Cigna LocalPlus Benefit Plan $41.06
Rate for Payer: Fidelis Medicare Advantage $74.97
Rate for Payer: Group Health Inc Commercial $35.70
Rate for Payer: Group Health Inc Medicare $24.99
Rate for Payer: Hamaspik Choice Inc Medicaid $35.70
Rate for Payer: Hamaspik Choice Inc Medicare $35.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $46.41
Service Code HCPCS C1713
Hospital Charge Code 40204705
Hospital Revenue Code 278
Min. Negotiated Rate $35.70
Max. Negotiated Rate $35.70
Rate for Payer: Hamaspik Choice Inc Medicaid $35.70
Rate for Payer: Hamaspik Choice Inc Medicare $35.70
Service Code HCPCS C1713
Hospital Charge Code 40205364
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $737.61
Rate for Payer: 1199SEIU National Benefit Fund Commercial $386.37
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 $351.24
Rate for Payer: Cigna LocalPlus Benefit Plan $403.93
Rate for Payer: Fidelis Medicare Advantage $737.61
Rate for Payer: Group Health Inc Commercial $351.24
Rate for Payer: Group Health Inc Medicare $245.87
Rate for Payer: Hamaspik Choice Inc Medicaid $351.24
Rate for Payer: Hamaspik Choice Inc Medicare $351.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $456.62
Service Code HCPCS C1713
Hospital Charge Code 40205364
Hospital Revenue Code 278
Min. Negotiated Rate $351.24
Max. Negotiated Rate $351.24
Rate for Payer: Hamaspik Choice Inc Medicaid $351.24
Rate for Payer: Hamaspik Choice Inc Medicare $351.24
Hospital Charge Code 40207820
Hospital Revenue Code 270
Min. Negotiated Rate $44.90
Max. Negotiated Rate $102.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial $70.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $64.14
Rate for Payer: Aetna Government $64.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $102.63
Rate for Payer: Cigna LocalPlus Benefit Plan $87.24
Rate for Payer: Group Health Inc Commercial $64.14
Rate for Payer: Group Health Inc Medicare $44.90
Rate for Payer: Hamaspik Choice Inc Medicaid $64.14
Rate for Payer: Hamaspik Choice Inc Medicare $64.14
Service Code HCPCS C1762
Hospital Charge Code 40204466
Hospital Revenue Code 278
Min. Negotiated Rate $1,879.82
Max. Negotiated Rate $11,182.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $5,857.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1,879.82
Rate for Payer: Aetna Government $1,879.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $5,325.00
Rate for Payer: Cigna LocalPlus Benefit Plan $6,123.75
Rate for Payer: Fidelis Medicare Advantage $11,182.50
Rate for Payer: Group Health Inc Commercial $5,325.00
Rate for Payer: Group Health Inc Medicare $3,727.50
Rate for Payer: Hamaspik Choice Inc Medicaid $5,325.00
Rate for Payer: Hamaspik Choice Inc Medicare $5,325.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $6,922.50
Service Code HCPCS C1762
Hospital Charge Code 40204466
Hospital Revenue Code 278
Min. Negotiated Rate $5,325.00
Max. Negotiated Rate $5,325.00
Rate for Payer: Hamaspik Choice Inc Medicaid $5,325.00
Rate for Payer: Hamaspik Choice Inc Medicare $5,325.00
Service Code HCPCS C1713
Hospital Charge Code 40205502
Hospital Revenue Code 278
Min. Negotiated Rate $168.70
Max. Negotiated Rate $168.70
Rate for Payer: Hamaspik Choice Inc Medicaid $168.70
Rate for Payer: Hamaspik Choice Inc Medicare $168.70