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Charge Type Price  
Service Code HCPCS C1776
Hospital Charge Code 40205207
Hospital Revenue Code 278
Min. Negotiated Rate $23.10
Max. Negotiated Rate $23.10
Rate for Payer: Hamaspik Choice Inc Medicaid $23.10
Rate for Payer: Hamaspik Choice Inc Medicare $23.10
Hospital Charge Code 40209418
Hospital Revenue Code 270
Min. Negotiated Rate $52.92
Max. Negotiated Rate $120.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial $83.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $75.60
Rate for Payer: Aetna Government $75.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $120.96
Rate for Payer: Cigna LocalPlus Benefit Plan $102.82
Rate for Payer: Group Health Inc Commercial $75.60
Rate for Payer: Group Health Inc Medicare $52.92
Rate for Payer: Hamaspik Choice Inc Medicaid $75.60
Rate for Payer: Hamaspik Choice Inc Medicare $75.60
Service Code HCPCS C1776
Hospital Charge Code 40205669
Hospital Revenue Code 278
Min. Negotiated Rate $339.17
Max. Negotiated Rate $3,145.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,647.80
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 $1,498.00
Rate for Payer: Cigna LocalPlus Benefit Plan $1,722.70
Rate for Payer: Fidelis Medicare Advantage $3,145.80
Rate for Payer: Group Health Inc Commercial $1,498.00
Rate for Payer: Group Health Inc Medicare $1,048.60
Rate for Payer: Hamaspik Choice Inc Medicaid $1,498.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,498.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,947.40
Service Code HCPCS C1776
Hospital Charge Code 40205669
Hospital Revenue Code 278
Min. Negotiated Rate $1,498.00
Max. Negotiated Rate $1,498.00
Rate for Payer: Hamaspik Choice Inc Medicaid $1,498.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,498.00
Hospital Charge Code 40205422
Hospital Revenue Code 270
Min. Negotiated Rate $282.10
Max. Negotiated Rate $644.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $443.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $403.00
Rate for Payer: Aetna Government $403.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $644.80
Rate for Payer: Cigna LocalPlus Benefit Plan $548.08
Rate for Payer: Group Health Inc Commercial $403.00
Rate for Payer: Group Health Inc Medicare $282.10
Rate for Payer: Hamaspik Choice Inc Medicaid $403.00
Rate for Payer: Hamaspik Choice Inc Medicare $403.00
Hospital Charge Code 40205332
Hospital Revenue Code 270
Min. Negotiated Rate $220.85
Max. Negotiated Rate $504.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $347.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $315.50
Rate for Payer: Aetna Government $315.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $504.80
Rate for Payer: Cigna LocalPlus Benefit Plan $429.08
Rate for Payer: Group Health Inc Commercial $315.50
Rate for Payer: Group Health Inc Medicare $220.85
Rate for Payer: Hamaspik Choice Inc Medicaid $315.50
Rate for Payer: Hamaspik Choice Inc Medicare $315.50
Service Code HCPCS C1713
Hospital Charge Code 40205268
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $5,208.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,728.00
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 $2,480.00
Rate for Payer: Cigna LocalPlus Benefit Plan $2,852.00
Rate for Payer: Fidelis Medicare Advantage $5,208.00
Rate for Payer: Group Health Inc Commercial $2,480.00
Rate for Payer: Group Health Inc Medicare $1,736.00
Rate for Payer: Hamaspik Choice Inc Medicaid $2,480.00
Rate for Payer: Hamaspik Choice Inc Medicare $2,480.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,224.00
Service Code HCPCS C1713
Hospital Charge Code 40205268
Hospital Revenue Code 278
Min. Negotiated Rate $2,480.00
Max. Negotiated Rate $2,480.00
Rate for Payer: Hamaspik Choice Inc Medicaid $2,480.00
Rate for Payer: Hamaspik Choice Inc Medicare $2,480.00
Service Code HCPCS C1713
Hospital Charge Code 40205661
Hospital Revenue Code 278
Min. Negotiated Rate $2,480.00
Max. Negotiated Rate $2,480.00
Rate for Payer: Hamaspik Choice Inc Medicaid $2,480.00
Rate for Payer: Hamaspik Choice Inc Medicare $2,480.00
Service Code HCPCS C1713
Hospital Charge Code 40205661
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $5,208.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,728.00
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 $2,480.00
Rate for Payer: Cigna LocalPlus Benefit Plan $2,852.00
Rate for Payer: Fidelis Medicare Advantage $5,208.00
Rate for Payer: Group Health Inc Commercial $2,480.00
Rate for Payer: Group Health Inc Medicare $1,736.00
Rate for Payer: Hamaspik Choice Inc Medicaid $2,480.00
Rate for Payer: Hamaspik Choice Inc Medicare $2,480.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,224.00
Service Code HCPCS C1713
Hospital Charge Code 40205587
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $3,270.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,713.25
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 $1,557.50
Rate for Payer: Cigna LocalPlus Benefit Plan $1,791.12
Rate for Payer: Fidelis Medicare Advantage $3,270.75
Rate for Payer: Group Health Inc Commercial $1,557.50
Rate for Payer: Group Health Inc Medicare $1,090.25
Rate for Payer: Hamaspik Choice Inc Medicaid $1,557.50
Rate for Payer: Hamaspik Choice Inc Medicare $1,557.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,024.75
Service Code HCPCS C1713
Hospital Charge Code 40205587
Hospital Revenue Code 278
Min. Negotiated Rate $1,557.50
Max. Negotiated Rate $1,557.50
Rate for Payer: Hamaspik Choice Inc Medicaid $1,557.50
Rate for Payer: Hamaspik Choice Inc Medicare $1,557.50
Service Code HCPCS C1713
Hospital Charge Code 40206230
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $5,573.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,919.40
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 $2,654.00
Rate for Payer: Cigna LocalPlus Benefit Plan $3,052.10
Rate for Payer: Fidelis Medicare Advantage $5,573.40
Rate for Payer: Group Health Inc Commercial $2,654.00
Rate for Payer: Group Health Inc Medicare $1,857.80
Rate for Payer: Hamaspik Choice Inc Medicaid $2,654.00
Rate for Payer: Hamaspik Choice Inc Medicare $2,654.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,450.20
Service Code HCPCS C1713
Hospital Charge Code 40206230
Hospital Revenue Code 278
Min. Negotiated Rate $2,654.00
Max. Negotiated Rate $2,654.00
Rate for Payer: Hamaspik Choice Inc Medicaid $2,654.00
Rate for Payer: Hamaspik Choice Inc Medicare $2,654.00
Service Code HCPCS C1713
Hospital Charge Code 40209984
Hospital Revenue Code 278
Min. Negotiated Rate $2,654.00
Max. Negotiated Rate $2,654.00
Rate for Payer: Hamaspik Choice Inc Medicaid $2,654.00
Rate for Payer: Hamaspik Choice Inc Medicare $2,654.00
Service Code HCPCS C1713
Hospital Charge Code 40209984
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $5,573.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,919.40
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 $2,654.00
Rate for Payer: Cigna LocalPlus Benefit Plan $3,052.10
Rate for Payer: Fidelis Medicare Advantage $5,573.40
Rate for Payer: Group Health Inc Commercial $2,654.00
Rate for Payer: Group Health Inc Medicare $1,857.80
Rate for Payer: Hamaspik Choice Inc Medicaid $2,654.00
Rate for Payer: Hamaspik Choice Inc Medicare $2,654.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,450.20
Service Code HCPCS C1713
Hospital Charge Code 40209636
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $5,573.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,919.40
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 $2,654.00
Rate for Payer: Cigna LocalPlus Benefit Plan $3,052.10
Rate for Payer: Fidelis Medicare Advantage $5,573.40
Rate for Payer: Group Health Inc Commercial $2,654.00
Rate for Payer: Group Health Inc Medicare $1,857.80
Rate for Payer: Hamaspik Choice Inc Medicaid $2,654.00
Rate for Payer: Hamaspik Choice Inc Medicare $2,654.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3,450.20
Service Code HCPCS C1713
Hospital Charge Code 40209636
Hospital Revenue Code 278
Min. Negotiated Rate $2,654.00
Max. Negotiated Rate $2,654.00
Rate for Payer: Hamaspik Choice Inc Medicaid $2,654.00
Rate for Payer: Hamaspik Choice Inc Medicare $2,654.00
Service Code HCPCS C1713
Hospital Charge Code 40205314
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $703.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $368.50
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 $335.00
Rate for Payer: Cigna LocalPlus Benefit Plan $385.25
Rate for Payer: Fidelis Medicare Advantage $703.50
Rate for Payer: Group Health Inc Commercial $335.00
Rate for Payer: Group Health Inc Medicare $234.50
Rate for Payer: Hamaspik Choice Inc Medicaid $335.00
Rate for Payer: Hamaspik Choice Inc Medicare $335.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $435.50
Service Code HCPCS C1713
Hospital Charge Code 40205314
Hospital Revenue Code 278
Min. Negotiated Rate $335.00
Max. Negotiated Rate $335.00
Rate for Payer: Hamaspik Choice Inc Medicaid $335.00
Rate for Payer: Hamaspik Choice Inc Medicare $335.00
Service Code HCPCS C1713
Hospital Charge Code 40205895
Hospital Revenue Code 278
Min. Negotiated Rate $1,811.60
Max. Negotiated Rate $1,811.60
Rate for Payer: Hamaspik Choice Inc Medicaid $1,811.60
Rate for Payer: Hamaspik Choice Inc Medicare $1,811.60
Service Code HCPCS C1713
Hospital Charge Code 40205895
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $3,804.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,992.76
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 $1,811.60
Rate for Payer: Cigna LocalPlus Benefit Plan $2,083.34
Rate for Payer: Fidelis Medicare Advantage $3,804.36
Rate for Payer: Group Health Inc Commercial $1,811.60
Rate for Payer: Group Health Inc Medicare $1,268.12
Rate for Payer: Hamaspik Choice Inc Medicaid $1,811.60
Rate for Payer: Hamaspik Choice Inc Medicare $1,811.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,355.08
Service Code HCPCS C1713
Hospital Charge Code 40205759
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $3,995.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,092.86
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 $1,902.60
Rate for Payer: Cigna LocalPlus Benefit Plan $2,187.99
Rate for Payer: Fidelis Medicare Advantage $3,995.46
Rate for Payer: Group Health Inc Commercial $1,902.60
Rate for Payer: Group Health Inc Medicare $1,331.82
Rate for Payer: Hamaspik Choice Inc Medicaid $1,902.60
Rate for Payer: Hamaspik Choice Inc Medicare $1,902.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,473.38
Service Code HCPCS C1713
Hospital Charge Code 40205759
Hospital Revenue Code 278
Min. Negotiated Rate $1,902.60
Max. Negotiated Rate $1,902.60
Rate for Payer: Hamaspik Choice Inc Medicaid $1,902.60
Rate for Payer: Hamaspik Choice Inc Medicare $1,902.60
Hospital Charge Code 40203651
Hospital Revenue Code 272
Min. Negotiated Rate $76.30
Max. Negotiated Rate $174.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial $119.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $109.00
Rate for Payer: Aetna Government $109.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $174.40
Rate for Payer: Cigna LocalPlus Benefit Plan $148.24
Rate for Payer: Group Health Inc Commercial $109.00
Rate for Payer: Group Health Inc Medicare $76.30
Rate for Payer: Hamaspik Choice Inc Medicaid $109.00
Rate for Payer: Hamaspik Choice Inc Medicare $109.00