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Charge Type Price  
Service Code HCPCS C1713
Hospital Charge Code 40204666
Hospital Revenue Code 278
Min. Negotiated Rate $201.30
Max. Negotiated Rate $201.30
Rate for Payer: Hamaspik Choice Inc Medicaid $201.30
Rate for Payer: Hamaspik Choice Inc Medicare $201.30
Service Code HCPCS C1713
Hospital Charge Code 40204489
Hospital Revenue Code 278
Min. Negotiated Rate $91.65
Max. Negotiated Rate $91.65
Rate for Payer: Hamaspik Choice Inc Medicaid $91.65
Rate for Payer: Hamaspik Choice Inc Medicare $91.65
Service Code HCPCS C1713
Hospital Charge Code 40204489
Hospital Revenue Code 278
Min. Negotiated Rate $64.16
Max. Negotiated Rate $192.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial $100.82
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 $91.65
Rate for Payer: Cigna LocalPlus Benefit Plan $105.40
Rate for Payer: Fidelis Medicare Advantage $192.46
Rate for Payer: Group Health Inc Commercial $91.65
Rate for Payer: Group Health Inc Medicare $64.16
Rate for Payer: Hamaspik Choice Inc Medicaid $91.65
Rate for Payer: Hamaspik Choice Inc Medicare $91.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $119.14
Service Code HCPCS C1713
Hospital Charge Code 40204490
Hospital Revenue Code 278
Min. Negotiated Rate $78.65
Max. Negotiated Rate $78.65
Rate for Payer: Hamaspik Choice Inc Medicaid $78.65
Rate for Payer: Hamaspik Choice Inc Medicare $78.65
Service Code HCPCS C1713
Hospital Charge Code 40204490
Hospital Revenue Code 278
Min. Negotiated Rate $55.06
Max. Negotiated Rate $165.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial $86.52
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 $78.65
Rate for Payer: Cigna LocalPlus Benefit Plan $90.45
Rate for Payer: Fidelis Medicare Advantage $165.16
Rate for Payer: Group Health Inc Commercial $78.65
Rate for Payer: Group Health Inc Medicare $55.06
Rate for Payer: Hamaspik Choice Inc Medicaid $78.65
Rate for Payer: Hamaspik Choice Inc Medicare $78.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $102.24
Service Code HCPCS C1776
Hospital Charge Code 40205368
Hospital Revenue Code 278
Min. Negotiated Rate $115.35
Max. Negotiated Rate $115.35
Rate for Payer: Hamaspik Choice Inc Medicaid $115.35
Rate for Payer: Hamaspik Choice Inc Medicare $115.35
Service Code HCPCS C1776
Hospital Charge Code 40205368
Hospital Revenue Code 278
Min. Negotiated Rate $80.74
Max. Negotiated Rate $339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial $126.88
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 $115.35
Rate for Payer: Cigna LocalPlus Benefit Plan $132.65
Rate for Payer: Fidelis Medicare Advantage $242.24
Rate for Payer: Group Health Inc Commercial $115.35
Rate for Payer: Group Health Inc Medicare $80.74
Rate for Payer: Hamaspik Choice Inc Medicaid $115.35
Rate for Payer: Hamaspik Choice Inc Medicare $115.35
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $149.96
Service Code HCPCS C1713
Hospital Charge Code 40205421
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 C1713
Hospital Charge Code 40205421
Hospital Revenue Code 278
Min. Negotiated Rate $86.73
Max. Negotiated Rate $260.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial $136.29
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 $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 C1713
Hospital Charge Code 40205496
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 C1713
Hospital Charge Code 40205496
Hospital Revenue Code 278
Min. Negotiated Rate $86.73
Max. Negotiated Rate $260.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial $136.29
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 $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 C1713
Hospital Charge Code 40004619
Hospital Revenue Code 278
Min. Negotiated Rate $154.00
Max. Negotiated Rate $154.00
Rate for Payer: Hamaspik Choice Inc Medicaid $154.00
Rate for Payer: Hamaspik Choice Inc Medicare $154.00
Service Code HCPCS C1713
Hospital Charge Code 40004619
Hospital Revenue Code 278
Min. Negotiated Rate $107.80
Max. Negotiated Rate $323.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $169.40
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 $154.00
Rate for Payer: Cigna LocalPlus Benefit Plan $177.10
Rate for Payer: Fidelis Medicare Advantage $323.40
Rate for Payer: Group Health Inc Commercial $154.00
Rate for Payer: Group Health Inc Medicare $107.80
Rate for Payer: Hamaspik Choice Inc Medicaid $154.00
Rate for Payer: Hamaspik Choice Inc Medicare $154.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $200.20
Service Code HCPCS C1713
Hospital Charge Code 40004620
Hospital Revenue Code 278
Min. Negotiated Rate $112.00
Max. Negotiated Rate $336.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $176.00
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 $160.00
Rate for Payer: Cigna LocalPlus Benefit Plan $184.00
Rate for Payer: Fidelis Medicare Advantage $336.00
Rate for Payer: Group Health Inc Commercial $160.00
Rate for Payer: Group Health Inc Medicare $112.00
Rate for Payer: Hamaspik Choice Inc Medicaid $160.00
Rate for Payer: Hamaspik Choice Inc Medicare $160.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $208.00
Service Code HCPCS C1713
Hospital Charge Code 40004620
Hospital Revenue Code 278
Min. Negotiated Rate $160.00
Max. Negotiated Rate $160.00
Rate for Payer: Hamaspik Choice Inc Medicaid $160.00
Rate for Payer: Hamaspik Choice Inc Medicare $160.00
Service Code HCPCS C1713
Hospital Charge Code 40004626
Hospital Revenue Code 278
Min. Negotiated Rate $154.00
Max. Negotiated Rate $154.00
Rate for Payer: Hamaspik Choice Inc Medicaid $154.00
Rate for Payer: Hamaspik Choice Inc Medicare $154.00
Service Code HCPCS C1713
Hospital Charge Code 40004626
Hospital Revenue Code 278
Min. Negotiated Rate $107.80
Max. Negotiated Rate $323.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $169.40
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 $154.00
Rate for Payer: Cigna LocalPlus Benefit Plan $177.10
Rate for Payer: Fidelis Medicare Advantage $323.40
Rate for Payer: Group Health Inc Commercial $154.00
Rate for Payer: Group Health Inc Medicare $107.80
Rate for Payer: Hamaspik Choice Inc Medicaid $154.00
Rate for Payer: Hamaspik Choice Inc Medicare $154.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $200.20
Service Code HCPCS C1713
Hospital Charge Code 40004621
Hospital Revenue Code 278
Min. Negotiated Rate $107.80
Max. Negotiated Rate $323.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $169.40
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 $154.00
Rate for Payer: Cigna LocalPlus Benefit Plan $177.10
Rate for Payer: Fidelis Medicare Advantage $323.40
Rate for Payer: Group Health Inc Commercial $154.00
Rate for Payer: Group Health Inc Medicare $107.80
Rate for Payer: Hamaspik Choice Inc Medicaid $154.00
Rate for Payer: Hamaspik Choice Inc Medicare $154.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $200.20
Service Code HCPCS C1713
Hospital Charge Code 40004621
Hospital Revenue Code 278
Min. Negotiated Rate $154.00
Max. Negotiated Rate $154.00
Rate for Payer: Hamaspik Choice Inc Medicaid $154.00
Rate for Payer: Hamaspik Choice Inc Medicare $154.00
Service Code HCPCS C1713
Hospital Charge Code 40004622
Hospital Revenue Code 278
Min. Negotiated Rate $154.00
Max. Negotiated Rate $154.00
Rate for Payer: Hamaspik Choice Inc Medicaid $154.00
Rate for Payer: Hamaspik Choice Inc Medicare $154.00
Service Code HCPCS C1713
Hospital Charge Code 40004622
Hospital Revenue Code 278
Min. Negotiated Rate $107.80
Max. Negotiated Rate $323.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $169.40
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 $154.00
Rate for Payer: Cigna LocalPlus Benefit Plan $177.10
Rate for Payer: Fidelis Medicare Advantage $323.40
Rate for Payer: Group Health Inc Commercial $154.00
Rate for Payer: Group Health Inc Medicare $107.80
Rate for Payer: Hamaspik Choice Inc Medicaid $154.00
Rate for Payer: Hamaspik Choice Inc Medicare $154.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $200.20
Service Code HCPCS C1713
Hospital Charge Code 40004623
Hospital Revenue Code 278
Min. Negotiated Rate $107.80
Max. Negotiated Rate $323.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $169.40
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 $154.00
Rate for Payer: Cigna LocalPlus Benefit Plan $177.10
Rate for Payer: Fidelis Medicare Advantage $323.40
Rate for Payer: Group Health Inc Commercial $154.00
Rate for Payer: Group Health Inc Medicare $107.80
Rate for Payer: Hamaspik Choice Inc Medicaid $154.00
Rate for Payer: Hamaspik Choice Inc Medicare $154.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $200.20
Service Code HCPCS C1713
Hospital Charge Code 40004623
Hospital Revenue Code 278
Min. Negotiated Rate $154.00
Max. Negotiated Rate $154.00
Rate for Payer: Hamaspik Choice Inc Medicaid $154.00
Rate for Payer: Hamaspik Choice Inc Medicare $154.00
Service Code HCPCS C1713
Hospital Charge Code 40004624
Hospital Revenue Code 278
Min. Negotiated Rate $154.00
Max. Negotiated Rate $154.00
Rate for Payer: Hamaspik Choice Inc Medicaid $154.00
Rate for Payer: Hamaspik Choice Inc Medicare $154.00
Service Code HCPCS C1713
Hospital Charge Code 40004624
Hospital Revenue Code 278
Min. Negotiated Rate $107.80
Max. Negotiated Rate $323.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $169.40
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 $154.00
Rate for Payer: Cigna LocalPlus Benefit Plan $177.10
Rate for Payer: Fidelis Medicare Advantage $323.40
Rate for Payer: Group Health Inc Commercial $154.00
Rate for Payer: Group Health Inc Medicare $107.80
Rate for Payer: Hamaspik Choice Inc Medicaid $154.00
Rate for Payer: Hamaspik Choice Inc Medicare $154.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $200.20