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Charge Type Price  
Service Code HCPCS C1713
Hospital Charge Code 40205502
Hospital Revenue Code 278
Min. Negotiated Rate $118.09
Max. Negotiated Rate $354.27
Rate for Payer: 1199SEIU National Benefit Fund Commercial $185.57
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 $168.70
Rate for Payer: Cigna LocalPlus Benefit Plan $194.00
Rate for Payer: Fidelis Medicare Advantage $354.27
Rate for Payer: Group Health Inc Commercial $168.70
Rate for Payer: Group Health Inc Medicare $118.09
Rate for Payer: Hamaspik Choice Inc Medicaid $168.70
Rate for Payer: Hamaspik Choice Inc Medicare $168.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $219.31
Service Code HCPCS C1713
Hospital Charge Code 40208155
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $498.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial $261.25
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 $237.50
Rate for Payer: Cigna LocalPlus Benefit Plan $273.12
Rate for Payer: Fidelis Medicare Advantage $498.75
Rate for Payer: Group Health Inc Commercial $237.50
Rate for Payer: Group Health Inc Medicare $166.25
Rate for Payer: Hamaspik Choice Inc Medicaid $237.50
Rate for Payer: Hamaspik Choice Inc Medicare $237.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $308.75
Service Code HCPCS C1713
Hospital Charge Code 40208155
Hospital Revenue Code 278
Min. Negotiated Rate $237.50
Max. Negotiated Rate $237.50
Rate for Payer: Hamaspik Choice Inc Medicaid $237.50
Rate for Payer: Hamaspik Choice Inc Medicare $237.50
Service Code HCPCS C1713
Hospital Charge Code 40203839
Hospital Revenue Code 278
Min. Negotiated Rate $139.50
Max. Negotiated Rate $139.50
Rate for Payer: Hamaspik Choice Inc Medicaid $139.50
Rate for Payer: Hamaspik Choice Inc Medicare $139.50
Service Code HCPCS C1713
Hospital Charge Code 40203839
Hospital Revenue Code 278
Min. Negotiated Rate $97.65
Max. Negotiated Rate $292.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial $153.45
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 $139.50
Rate for Payer: Cigna LocalPlus Benefit Plan $160.42
Rate for Payer: Fidelis Medicare Advantage $292.95
Rate for Payer: Group Health Inc Commercial $139.50
Rate for Payer: Group Health Inc Medicare $97.65
Rate for Payer: Hamaspik Choice Inc Medicaid $139.50
Rate for Payer: Hamaspik Choice Inc Medicare $139.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $181.35
Service Code HCPCS C1776
Hospital Charge Code 40205248
Hospital Revenue Code 278
Min. Negotiated Rate $70.00
Max. Negotiated Rate $70.00
Rate for Payer: Hamaspik Choice Inc Medicaid $70.00
Rate for Payer: Hamaspik Choice Inc Medicare $70.00
Service Code HCPCS C1776
Hospital Charge Code 40205248
Hospital Revenue Code 278
Min. Negotiated Rate $49.00
Max. Negotiated Rate $339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial $77.00
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 $70.00
Rate for Payer: Cigna LocalPlus Benefit Plan $80.50
Rate for Payer: Fidelis Medicare Advantage $147.00
Rate for Payer: Group Health Inc Commercial $70.00
Rate for Payer: Group Health Inc Medicare $49.00
Rate for Payer: Hamaspik Choice Inc Medicaid $70.00
Rate for Payer: Hamaspik Choice Inc Medicare $70.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $91.00
Service Code HCPCS C1713
Hospital Charge Code 40029593
Hospital Revenue Code 278
Min. Negotiated Rate $49.00
Max. Negotiated Rate $147.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $77.00
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 $70.00
Rate for Payer: Cigna LocalPlus Benefit Plan $80.50
Rate for Payer: Fidelis Medicare Advantage $147.00
Rate for Payer: Group Health Inc Commercial $70.00
Rate for Payer: Group Health Inc Medicare $49.00
Rate for Payer: Hamaspik Choice Inc Medicaid $70.00
Rate for Payer: Hamaspik Choice Inc Medicare $70.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $91.00
Service Code HCPCS C1713
Hospital Charge Code 40029593
Hospital Revenue Code 278
Min. Negotiated Rate $70.00
Max. Negotiated Rate $70.00
Rate for Payer: Hamaspik Choice Inc Medicaid $70.00
Rate for Payer: Hamaspik Choice Inc Medicare $70.00
Service Code HCPCS C1713
Hospital Charge Code 40029594
Hospital Revenue Code 278
Min. Negotiated Rate $49.00
Max. Negotiated Rate $147.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $77.00
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 $70.00
Rate for Payer: Cigna LocalPlus Benefit Plan $80.50
Rate for Payer: Fidelis Medicare Advantage $147.00
Rate for Payer: Group Health Inc Commercial $70.00
Rate for Payer: Group Health Inc Medicare $49.00
Rate for Payer: Hamaspik Choice Inc Medicaid $70.00
Rate for Payer: Hamaspik Choice Inc Medicare $70.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $91.00
Service Code HCPCS C1713
Hospital Charge Code 40029594
Hospital Revenue Code 278
Min. Negotiated Rate $70.00
Max. Negotiated Rate $70.00
Rate for Payer: Hamaspik Choice Inc Medicaid $70.00
Rate for Payer: Hamaspik Choice Inc Medicare $70.00
Service Code HCPCS C1713
Hospital Charge Code 40029595
Hospital Revenue Code 278
Min. Negotiated Rate $70.00
Max. Negotiated Rate $70.00
Rate for Payer: Hamaspik Choice Inc Medicaid $70.00
Rate for Payer: Hamaspik Choice Inc Medicare $70.00
Service Code HCPCS C1713
Hospital Charge Code 40029595
Hospital Revenue Code 278
Min. Negotiated Rate $49.00
Max. Negotiated Rate $147.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $77.00
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 $70.00
Rate for Payer: Cigna LocalPlus Benefit Plan $80.50
Rate for Payer: Fidelis Medicare Advantage $147.00
Rate for Payer: Group Health Inc Commercial $70.00
Rate for Payer: Group Health Inc Medicare $49.00
Rate for Payer: Hamaspik Choice Inc Medicaid $70.00
Rate for Payer: Hamaspik Choice Inc Medicare $70.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $91.00
Service Code HCPCS C1776
Hospital Charge Code 40208087
Hospital Revenue Code 278
Min. Negotiated Rate $53.00
Max. Negotiated Rate $53.00
Rate for Payer: Hamaspik Choice Inc Medicaid $53.00
Rate for Payer: Hamaspik Choice Inc Medicare $53.00
Service Code HCPCS C1776
Hospital Charge Code 40208087
Hospital Revenue Code 278
Min. Negotiated Rate $37.10
Max. Negotiated Rate $339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial $58.30
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 $53.00
Rate for Payer: Cigna LocalPlus Benefit Plan $60.95
Rate for Payer: Fidelis Medicare Advantage $111.30
Rate for Payer: Group Health Inc Commercial $53.00
Rate for Payer: Group Health Inc Medicare $37.10
Rate for Payer: Hamaspik Choice Inc Medicaid $53.00
Rate for Payer: Hamaspik Choice Inc Medicare $53.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $68.90
Service Code HCPCS C1713
Hospital Charge Code 40205569
Hospital Revenue Code 278
Min. Negotiated Rate $87.50
Max. Negotiated Rate $87.50
Rate for Payer: Hamaspik Choice Inc Medicaid $87.50
Rate for Payer: Hamaspik Choice Inc Medicare $87.50
Service Code HCPCS C1713
Hospital Charge Code 40205569
Hospital Revenue Code 278
Min. Negotiated Rate $61.25
Max. Negotiated Rate $183.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial $96.25
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 $87.50
Rate for Payer: Cigna LocalPlus Benefit Plan $100.62
Rate for Payer: Fidelis Medicare Advantage $183.75
Rate for Payer: Group Health Inc Commercial $87.50
Rate for Payer: Group Health Inc Medicare $61.25
Rate for Payer: Hamaspik Choice Inc Medicaid $87.50
Rate for Payer: Hamaspik Choice Inc Medicare $87.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $113.75
Service Code HCPCS C1713
Hospital Charge Code 40205594
Hospital Revenue Code 278
Min. Negotiated Rate $61.25
Max. Negotiated Rate $183.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial $96.25
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 $87.50
Rate for Payer: Cigna LocalPlus Benefit Plan $100.62
Rate for Payer: Fidelis Medicare Advantage $183.75
Rate for Payer: Group Health Inc Commercial $87.50
Rate for Payer: Group Health Inc Medicare $61.25
Rate for Payer: Hamaspik Choice Inc Medicaid $87.50
Rate for Payer: Hamaspik Choice Inc Medicare $87.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $113.75
Service Code HCPCS C1713
Hospital Charge Code 40205594
Hospital Revenue Code 278
Min. Negotiated Rate $87.50
Max. Negotiated Rate $87.50
Rate for Payer: Hamaspik Choice Inc Medicaid $87.50
Rate for Payer: Hamaspik Choice Inc Medicare $87.50
Service Code HCPCS C1713
Hospital Charge Code 40205596
Hospital Revenue Code 278
Min. Negotiated Rate $87.50
Max. Negotiated Rate $87.50
Rate for Payer: Hamaspik Choice Inc Medicaid $87.50
Rate for Payer: Hamaspik Choice Inc Medicare $87.50
Service Code HCPCS C1713
Hospital Charge Code 40205596
Hospital Revenue Code 278
Min. Negotiated Rate $61.25
Max. Negotiated Rate $183.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial $96.25
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 $87.50
Rate for Payer: Cigna LocalPlus Benefit Plan $100.62
Rate for Payer: Fidelis Medicare Advantage $183.75
Rate for Payer: Group Health Inc Commercial $87.50
Rate for Payer: Group Health Inc Medicare $61.25
Rate for Payer: Hamaspik Choice Inc Medicaid $87.50
Rate for Payer: Hamaspik Choice Inc Medicare $87.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $113.75
Service Code HCPCS C1776
Hospital Charge Code 40208076
Hospital Revenue Code 278
Min. Negotiated Rate $86.73
Max. Negotiated Rate $339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial $136.29
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 $123.90
Rate for Payer: Cigna LocalPlus Benefit Plan $142.48
Rate for Payer: Fidelis Medicare Advantage $260.19
Rate for Payer: Group Health Inc Commercial $123.90
Rate for Payer: Group Health Inc Medicare $86.73
Rate for Payer: Hamaspik Choice Inc Medicaid $123.90
Rate for Payer: Hamaspik Choice Inc Medicare $123.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $161.07
Service Code HCPCS C1776
Hospital Charge Code 40208076
Hospital Revenue Code 278
Min. Negotiated Rate $123.90
Max. Negotiated Rate $123.90
Rate for Payer: Hamaspik Choice Inc Medicaid $123.90
Rate for Payer: Hamaspik Choice Inc Medicare $123.90
Service Code HCPCS C1776
Hospital Charge Code 40205030
Hospital Revenue Code 278
Min. Negotiated Rate $73.50
Max. Negotiated Rate $339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial $115.50
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 $105.00
Rate for Payer: Cigna LocalPlus Benefit Plan $120.75
Rate for Payer: Fidelis Medicare Advantage $220.50
Rate for Payer: Group Health Inc Commercial $105.00
Rate for Payer: Group Health Inc Medicare $73.50
Rate for Payer: Hamaspik Choice Inc Medicaid $105.00
Rate for Payer: Hamaspik Choice Inc Medicare $105.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $136.50
Service Code HCPCS C1776
Hospital Charge Code 40205030
Hospital Revenue Code 278
Min. Negotiated Rate $105.00
Max. Negotiated Rate $105.00
Rate for Payer: Hamaspik Choice Inc Medicaid $105.00
Rate for Payer: Hamaspik Choice Inc Medicare $105.00