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Service Code HCPCS C1776
Hospital Charge Code 40209084
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 40209084
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
Service Code HCPCS C1713
Hospital Charge Code 40209087
Hospital Revenue Code 278
Min. Negotiated Rate $91.88
Max. Negotiated Rate $275.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial $144.38
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 $131.25
Rate for Payer: Cigna LocalPlus Benefit Plan $150.94
Rate for Payer: Fidelis Medicare Advantage $275.62
Rate for Payer: Group Health Inc Commercial $131.25
Rate for Payer: Group Health Inc Medicare $91.88
Rate for Payer: Hamaspik Choice Inc Medicaid $131.25
Rate for Payer: Hamaspik Choice Inc Medicare $131.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $170.62
Service Code HCPCS C1713
Hospital Charge Code 40209087
Hospital Revenue Code 278
Min. Negotiated Rate $131.25
Max. Negotiated Rate $131.25
Rate for Payer: Hamaspik Choice Inc Medicaid $131.25
Rate for Payer: Hamaspik Choice Inc Medicare $131.25
Service Code HCPCS C1776
Hospital Charge Code 40208105
Hospital Revenue Code 278
Min. Negotiated Rate $129.50
Max. Negotiated Rate $388.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $203.50
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 $185.00
Rate for Payer: Cigna LocalPlus Benefit Plan $212.75
Rate for Payer: Fidelis Medicare Advantage $388.50
Rate for Payer: Group Health Inc Commercial $185.00
Rate for Payer: Group Health Inc Medicare $129.50
Rate for Payer: Hamaspik Choice Inc Medicaid $185.00
Rate for Payer: Hamaspik Choice Inc Medicare $185.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $240.50
Service Code HCPCS C1776
Hospital Charge Code 40208105
Hospital Revenue Code 278
Min. Negotiated Rate $185.00
Max. Negotiated Rate $185.00
Rate for Payer: Hamaspik Choice Inc Medicaid $185.00
Rate for Payer: Hamaspik Choice Inc Medicare $185.00
Service Code HCPCS C1776
Hospital Charge Code 40209082
Hospital Revenue Code 278
Min. Negotiated Rate $129.50
Max. Negotiated Rate $388.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $203.50
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 $185.00
Rate for Payer: Cigna LocalPlus Benefit Plan $212.75
Rate for Payer: Fidelis Medicare Advantage $388.50
Rate for Payer: Group Health Inc Commercial $185.00
Rate for Payer: Group Health Inc Medicare $129.50
Rate for Payer: Hamaspik Choice Inc Medicaid $185.00
Rate for Payer: Hamaspik Choice Inc Medicare $185.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $240.50
Service Code HCPCS C1776
Hospital Charge Code 40209082
Hospital Revenue Code 278
Min. Negotiated Rate $185.00
Max. Negotiated Rate $185.00
Rate for Payer: Hamaspik Choice Inc Medicaid $185.00
Rate for Payer: Hamaspik Choice Inc Medicare $185.00
Service Code HCPCS C1776
Hospital Charge Code 40209083
Hospital Revenue Code 278
Min. Negotiated Rate $185.00
Max. Negotiated Rate $185.00
Rate for Payer: Hamaspik Choice Inc Medicaid $185.00
Rate for Payer: Hamaspik Choice Inc Medicare $185.00
Service Code HCPCS C1776
Hospital Charge Code 40209083
Hospital Revenue Code 278
Min. Negotiated Rate $129.50
Max. Negotiated Rate $388.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $203.50
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 $185.00
Rate for Payer: Cigna LocalPlus Benefit Plan $212.75
Rate for Payer: Fidelis Medicare Advantage $388.50
Rate for Payer: Group Health Inc Commercial $185.00
Rate for Payer: Group Health Inc Medicare $129.50
Rate for Payer: Hamaspik Choice Inc Medicaid $185.00
Rate for Payer: Hamaspik Choice Inc Medicare $185.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $240.50
Service Code HCPCS C1713
Hospital Charge Code 40206240
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
Service Code HCPCS C1713
Hospital Charge Code 40206240
Hospital Revenue Code 278
Min. Negotiated Rate $73.50
Max. Negotiated Rate $220.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $115.50
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 $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 C1713
Hospital Charge Code 40205693
Hospital Revenue Code 278
Min. Negotiated Rate $73.50
Max. Negotiated Rate $220.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $115.50
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 $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 C1713
Hospital Charge Code 40205693
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
Service Code HCPCS C1776
Hospital Charge Code 40208160
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
Service Code HCPCS C1776
Hospital Charge Code 40208160
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 40205204
Hospital Revenue Code 278
Min. Negotiated Rate $800.00
Max. Negotiated Rate $800.00
Rate for Payer: Hamaspik Choice Inc Medicaid $800.00
Rate for Payer: Hamaspik Choice Inc Medicare $800.00
Service Code HCPCS C1776
Hospital Charge Code 40205204
Hospital Revenue Code 278
Min. Negotiated Rate $339.17
Max. Negotiated Rate $1,680.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $880.00
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 $800.00
Rate for Payer: Cigna LocalPlus Benefit Plan $920.00
Rate for Payer: Fidelis Medicare Advantage $1,680.00
Rate for Payer: Group Health Inc Commercial $800.00
Rate for Payer: Group Health Inc Medicare $560.00
Rate for Payer: Hamaspik Choice Inc Medicaid $800.00
Rate for Payer: Hamaspik Choice Inc Medicare $800.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,040.00
Service Code HCPCS C1776
Hospital Charge Code 40208159
Hospital Revenue Code 278
Min. Negotiated Rate $339.17
Max. Negotiated Rate $1,680.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $880.00
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 $800.00
Rate for Payer: Cigna LocalPlus Benefit Plan $920.00
Rate for Payer: Fidelis Medicare Advantage $1,680.00
Rate for Payer: Group Health Inc Commercial $800.00
Rate for Payer: Group Health Inc Medicare $560.00
Rate for Payer: Hamaspik Choice Inc Medicaid $800.00
Rate for Payer: Hamaspik Choice Inc Medicare $800.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,040.00
Service Code HCPCS C1776
Hospital Charge Code 40208159
Hospital Revenue Code 278
Min. Negotiated Rate $800.00
Max. Negotiated Rate $800.00
Rate for Payer: Hamaspik Choice Inc Medicaid $800.00
Rate for Payer: Hamaspik Choice Inc Medicare $800.00
Service Code HCPCS C1713
Hospital Charge Code 40200695
Hospital Revenue Code 278
Min. Negotiated Rate $15.00
Max. Negotiated Rate $15.00
Rate for Payer: Hamaspik Choice Inc Medicaid $15.00
Rate for Payer: Hamaspik Choice Inc Medicare $15.00
Service Code HCPCS C1713
Hospital Charge Code 40200695
Hospital Revenue Code 278
Min. Negotiated Rate $10.50
Max. Negotiated Rate $134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $16.50
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 $15.00
Rate for Payer: Cigna LocalPlus Benefit Plan $17.25
Rate for Payer: Fidelis Medicare Advantage $31.50
Rate for Payer: Group Health Inc Commercial $15.00
Rate for Payer: Group Health Inc Medicare $10.50
Rate for Payer: Hamaspik Choice Inc Medicaid $15.00
Rate for Payer: Hamaspik Choice Inc Medicare $15.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $19.50
Hospital Charge Code 40205534
Hospital Revenue Code 279
Min. Negotiated Rate $192.50
Max. Negotiated Rate $440.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $302.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $275.00
Rate for Payer: Aetna Government $275.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $440.00
Rate for Payer: Cigna LocalPlus Benefit Plan $374.00
Rate for Payer: Group Health Inc Commercial $275.00
Rate for Payer: Group Health Inc Medicare $192.50
Rate for Payer: Hamaspik Choice Inc Medicaid $275.00
Rate for Payer: Hamaspik Choice Inc Medicare $275.00
Service Code MS-DRG 478
Min. Negotiated Rate $18,778.34
Max. Negotiated Rate $41,191.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial $35,147.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $40,383.52
Rate for Payer: Aetna Government $40,383.52
Rate for Payer: Brighton Health Commercial $34,563.65
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $41,191.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $41,164.12
Rate for Payer: Cigna LocalPlus Benefit Plan $33,970.39
Rate for Payer: Elderplan Medicare Advantage $38,364.34
Rate for Payer: EmblemHealth Commercial $20,440.20
Rate for Payer: Fidelis Medicare Advantage $40,383.52
Rate for Payer: Group Health Inc Commercial $40,383.52
Rate for Payer: Group Health Inc Medicare $40,383.52
Rate for Payer: Hamaspik Choice Inc Medicare $40,383.52
Rate for Payer: Healthfirst Medicare Advantage $18,778.34
Rate for Payer: Senior Whole Health Medicare Advantage $40,383.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $40,383.52
Rate for Payer: Wellcare Medicare $38,364.34
Service Code MS-DRG 477
Min. Negotiated Rate $25,131.89
Max. Negotiated Rate $58,179.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial $49,675.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $54,047.07
Rate for Payer: Aetna Government $54,047.07
Rate for Payer: Brighton Health Commercial $48,850.50
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $55,128.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $58,179.26
Rate for Payer: Cigna LocalPlus Benefit Plan $48,012.02
Rate for Payer: Elderplan Medicare Advantage $51,344.72
Rate for Payer: EmblemHealth Commercial $28,889.20
Rate for Payer: Fidelis Medicare Advantage $54,047.07
Rate for Payer: Group Health Inc Commercial $54,047.07
Rate for Payer: Group Health Inc Medicare $54,047.07
Rate for Payer: Hamaspik Choice Inc Medicare $54,047.07
Rate for Payer: Healthfirst Medicare Advantage $25,131.89
Rate for Payer: Senior Whole Health Medicare Advantage $54,047.07
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $54,047.07
Rate for Payer: Wellcare Medicare $51,344.72