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Charge Type Price  
Service Code HCPCS C1713
Hospital Charge Code 40205497
Hospital Revenue Code 278
Min. Negotiated Rate $73.94
Max. Negotiated Rate $73.94
Rate for Payer: Hamaspik Choice Inc Medicaid $73.94
Rate for Payer: Hamaspik Choice Inc Medicare $73.94
Service Code HCPCS C1713
Hospital Charge Code 40205499
Hospital Revenue Code 278
Min. Negotiated Rate $54.60
Max. Negotiated Rate $54.60
Rate for Payer: Hamaspik Choice Inc Medicaid $54.60
Rate for Payer: Hamaspik Choice Inc Medicare $54.60
Service Code HCPCS C1713
Hospital Charge Code 40205499
Hospital Revenue Code 278
Min. Negotiated Rate $38.22
Max. Negotiated Rate $134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $60.06
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 $54.60
Rate for Payer: Cigna LocalPlus Benefit Plan $62.79
Rate for Payer: Fidelis Medicare Advantage $114.66
Rate for Payer: Group Health Inc Commercial $54.60
Rate for Payer: Group Health Inc Medicare $38.22
Rate for Payer: Hamaspik Choice Inc Medicaid $54.60
Rate for Payer: Hamaspik Choice Inc Medicare $54.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $70.98
Service Code HCPCS C1713
Hospital Charge Code 40205495
Hospital Revenue Code 278
Min. Negotiated Rate $38.22
Max. Negotiated Rate $134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $60.06
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 $54.60
Rate for Payer: Cigna LocalPlus Benefit Plan $62.79
Rate for Payer: Fidelis Medicare Advantage $114.66
Rate for Payer: Group Health Inc Commercial $54.60
Rate for Payer: Group Health Inc Medicare $38.22
Rate for Payer: Hamaspik Choice Inc Medicaid $54.60
Rate for Payer: Hamaspik Choice Inc Medicare $54.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $70.98
Service Code HCPCS C1713
Hospital Charge Code 40205495
Hospital Revenue Code 278
Min. Negotiated Rate $54.60
Max. Negotiated Rate $54.60
Rate for Payer: Hamaspik Choice Inc Medicaid $54.60
Rate for Payer: Hamaspik Choice Inc Medicare $54.60
Service Code HCPCS C1713
Hospital Charge Code 40205530
Hospital Revenue Code 278
Min. Negotiated Rate $38.22
Max. Negotiated Rate $134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $60.06
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 $54.60
Rate for Payer: Cigna LocalPlus Benefit Plan $62.79
Rate for Payer: Fidelis Medicare Advantage $114.66
Rate for Payer: Group Health Inc Commercial $54.60
Rate for Payer: Group Health Inc Medicare $38.22
Rate for Payer: Hamaspik Choice Inc Medicaid $54.60
Rate for Payer: Hamaspik Choice Inc Medicare $54.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $70.98
Service Code HCPCS C1713
Hospital Charge Code 40205530
Hospital Revenue Code 278
Min. Negotiated Rate $54.60
Max. Negotiated Rate $54.60
Rate for Payer: Hamaspik Choice Inc Medicaid $54.60
Rate for Payer: Hamaspik Choice Inc Medicare $54.60
Service Code HCPCS C1713
Hospital Charge Code 40205503
Hospital Revenue Code 278
Min. Negotiated Rate $54.60
Max. Negotiated Rate $54.60
Rate for Payer: Hamaspik Choice Inc Medicaid $54.60
Rate for Payer: Hamaspik Choice Inc Medicare $54.60
Service Code HCPCS C1713
Hospital Charge Code 40205503
Hospital Revenue Code 278
Min. Negotiated Rate $38.22
Max. Negotiated Rate $134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $60.06
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 $54.60
Rate for Payer: Cigna LocalPlus Benefit Plan $62.79
Rate for Payer: Fidelis Medicare Advantage $114.66
Rate for Payer: Group Health Inc Commercial $54.60
Rate for Payer: Group Health Inc Medicare $38.22
Rate for Payer: Hamaspik Choice Inc Medicaid $54.60
Rate for Payer: Hamaspik Choice Inc Medicare $54.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $70.98
Service Code HCPCS C1713
Hospital Charge Code 40205504
Hospital Revenue Code 278
Min. Negotiated Rate $40.18
Max. Negotiated Rate $134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $63.14
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 $57.40
Rate for Payer: Cigna LocalPlus Benefit Plan $66.01
Rate for Payer: Fidelis Medicare Advantage $120.54
Rate for Payer: Group Health Inc Commercial $57.40
Rate for Payer: Group Health Inc Medicare $40.18
Rate for Payer: Hamaspik Choice Inc Medicaid $57.40
Rate for Payer: Hamaspik Choice Inc Medicare $57.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $74.62
Service Code HCPCS C1713
Hospital Charge Code 40205504
Hospital Revenue Code 278
Min. Negotiated Rate $57.40
Max. Negotiated Rate $57.40
Rate for Payer: Hamaspik Choice Inc Medicaid $57.40
Rate for Payer: Hamaspik Choice Inc Medicare $57.40
Service Code HCPCS C1776
Hospital Charge Code 40205247
Hospital Revenue Code 278
Min. Negotiated Rate $39.00
Max. Negotiated Rate $39.00
Rate for Payer: Hamaspik Choice Inc Medicaid $39.00
Rate for Payer: Hamaspik Choice Inc Medicare $39.00
Service Code HCPCS C1776
Hospital Charge Code 40205247
Hospital Revenue Code 278
Min. Negotiated Rate $27.30
Max. Negotiated Rate $339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial $42.90
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 $39.00
Rate for Payer: Cigna LocalPlus Benefit Plan $44.85
Rate for Payer: Fidelis Medicare Advantage $81.90
Rate for Payer: Group Health Inc Commercial $39.00
Rate for Payer: Group Health Inc Medicare $27.30
Rate for Payer: Hamaspik Choice Inc Medicaid $39.00
Rate for Payer: Hamaspik Choice Inc Medicare $39.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $50.70
Service Code HCPCS C1713
Hospital Charge Code 40205550
Hospital Revenue Code 278
Min. Negotiated Rate $16.10
Max. Negotiated Rate $16.10
Rate for Payer: Hamaspik Choice Inc Medicaid $16.10
Rate for Payer: Hamaspik Choice Inc Medicare $16.10
Service Code HCPCS C1713
Hospital Charge Code 40205550
Hospital Revenue Code 278
Min. Negotiated Rate $11.27
Max. Negotiated Rate $134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $17.71
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 $16.10
Rate for Payer: Cigna LocalPlus Benefit Plan $18.52
Rate for Payer: Fidelis Medicare Advantage $33.81
Rate for Payer: Group Health Inc Commercial $16.10
Rate for Payer: Group Health Inc Medicare $11.27
Rate for Payer: Hamaspik Choice Inc Medicaid $16.10
Rate for Payer: Hamaspik Choice Inc Medicare $16.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $20.93
Service Code HCPCS C1713
Hospital Charge Code 40205498
Hospital Revenue Code 278
Min. Negotiated Rate $117.60
Max. Negotiated Rate $352.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $184.80
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 $168.00
Rate for Payer: Cigna LocalPlus Benefit Plan $193.20
Rate for Payer: Fidelis Medicare Advantage $352.80
Rate for Payer: Group Health Inc Commercial $168.00
Rate for Payer: Group Health Inc Medicare $117.60
Rate for Payer: Hamaspik Choice Inc Medicaid $168.00
Rate for Payer: Hamaspik Choice Inc Medicare $168.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $218.40
Service Code HCPCS C1713
Hospital Charge Code 40205498
Hospital Revenue Code 278
Min. Negotiated Rate $168.00
Max. Negotiated Rate $168.00
Rate for Payer: Hamaspik Choice Inc Medicaid $168.00
Rate for Payer: Hamaspik Choice Inc Medicare $168.00
Service Code HCPCS C1713
Hospital Charge Code 40205522
Hospital Revenue Code 278
Min. Negotiated Rate $224.00
Max. Negotiated Rate $224.00
Rate for Payer: Hamaspik Choice Inc Medicaid $224.00
Rate for Payer: Hamaspik Choice Inc Medicare $224.00
Service Code HCPCS C1713
Hospital Charge Code 40205522
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $470.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $246.40
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 $224.00
Rate for Payer: Cigna LocalPlus Benefit Plan $257.60
Rate for Payer: Fidelis Medicare Advantage $470.40
Rate for Payer: Group Health Inc Commercial $224.00
Rate for Payer: Group Health Inc Medicare $156.80
Rate for Payer: Hamaspik Choice Inc Medicaid $224.00
Rate for Payer: Hamaspik Choice Inc Medicare $224.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $291.20
Service Code HCPCS C1713
Hospital Charge Code 40205947
Hospital Revenue Code 278
Min. Negotiated Rate $297.48
Max. Negotiated Rate $297.48
Rate for Payer: Hamaspik Choice Inc Medicaid $297.48
Rate for Payer: Hamaspik Choice Inc Medicare $297.48
Service Code HCPCS C1713
Hospital Charge Code 40205947
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $624.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial $327.22
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 $297.48
Rate for Payer: Cigna LocalPlus Benefit Plan $342.10
Rate for Payer: Fidelis Medicare Advantage $624.70
Rate for Payer: Group Health Inc Commercial $297.48
Rate for Payer: Group Health Inc Medicare $208.23
Rate for Payer: Hamaspik Choice Inc Medicaid $297.48
Rate for Payer: Hamaspik Choice Inc Medicare $297.48
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $386.72
Service Code HCPCS C1713
Hospital Charge Code 40201569
Hospital Revenue Code 278
Min. Negotiated Rate $102.50
Max. Negotiated Rate $102.50
Rate for Payer: Hamaspik Choice Inc Medicaid $102.50
Rate for Payer: Hamaspik Choice Inc Medicare $102.50
Service Code HCPCS C1713
Hospital Charge Code 40201569
Hospital Revenue Code 278
Min. Negotiated Rate $71.75
Max. Negotiated Rate $215.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial $112.75
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 $102.50
Rate for Payer: Cigna LocalPlus Benefit Plan $117.88
Rate for Payer: Fidelis Medicare Advantage $215.25
Rate for Payer: Group Health Inc Commercial $102.50
Rate for Payer: Group Health Inc Medicare $71.75
Rate for Payer: Hamaspik Choice Inc Medicaid $102.50
Rate for Payer: Hamaspik Choice Inc Medicare $102.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $133.25
Service Code HCPCS C1713
Hospital Charge Code 40206254
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $643.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial $337.12
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 $306.48
Rate for Payer: Cigna LocalPlus Benefit Plan $352.45
Rate for Payer: Fidelis Medicare Advantage $643.60
Rate for Payer: Group Health Inc Commercial $306.48
Rate for Payer: Group Health Inc Medicare $214.53
Rate for Payer: Hamaspik Choice Inc Medicaid $306.48
Rate for Payer: Hamaspik Choice Inc Medicare $306.48
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $398.42
Service Code HCPCS C1713
Hospital Charge Code 40206254
Hospital Revenue Code 278
Min. Negotiated Rate $306.48
Max. Negotiated Rate $306.48
Rate for Payer: Hamaspik Choice Inc Medicaid $306.48
Rate for Payer: Hamaspik Choice Inc Medicare $306.48