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Charge Type Price  
Service Code HCPCS C1713
Hospital Charge Code 40205237
Hospital Revenue Code 278
Min. Negotiated Rate $7,175.02
Max. Negotiated Rate $7,175.02
Rate for Payer: Hamaspik Choice Inc Medicaid $7,175.02
Rate for Payer: Hamaspik Choice Inc Medicare $7,175.02
Service Code HCPCS C1713
Hospital Charge Code 40205237
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $15,067.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial $7,892.52
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 $7,175.02
Rate for Payer: Cigna LocalPlus Benefit Plan $8,251.27
Rate for Payer: Fidelis Medicare Advantage $15,067.54
Rate for Payer: Group Health Inc Commercial $7,175.02
Rate for Payer: Group Health Inc Medicare $5,022.51
Rate for Payer: Hamaspik Choice Inc Medicaid $7,175.02
Rate for Payer: Hamaspik Choice Inc Medicare $7,175.02
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $9,327.53
Service Code HCPCS C1713
Hospital Charge Code 40205951
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $1,374.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial $719.95
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 $654.50
Rate for Payer: Cigna LocalPlus Benefit Plan $752.68
Rate for Payer: Fidelis Medicare Advantage $1,374.45
Rate for Payer: Group Health Inc Commercial $654.50
Rate for Payer: Group Health Inc Medicare $458.15
Rate for Payer: Hamaspik Choice Inc Medicaid $654.50
Rate for Payer: Hamaspik Choice Inc Medicare $654.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $850.85
Service Code HCPCS C1713
Hospital Charge Code 40205951
Hospital Revenue Code 278
Min. Negotiated Rate $654.50
Max. Negotiated Rate $654.50
Rate for Payer: Hamaspik Choice Inc Medicaid $654.50
Rate for Payer: Hamaspik Choice Inc Medicare $654.50
Service Code HCPCS C1713
Hospital Charge Code 40205751
Hospital Revenue Code 278
Min. Negotiated Rate $793.80
Max. Negotiated Rate $793.80
Rate for Payer: Hamaspik Choice Inc Medicaid $793.80
Rate for Payer: Hamaspik Choice Inc Medicare $793.80
Service Code HCPCS C1713
Hospital Charge Code 40205751
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $1,666.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial $873.18
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 $793.80
Rate for Payer: Cigna LocalPlus Benefit Plan $912.87
Rate for Payer: Fidelis Medicare Advantage $1,666.98
Rate for Payer: Group Health Inc Commercial $793.80
Rate for Payer: Group Health Inc Medicare $555.66
Rate for Payer: Hamaspik Choice Inc Medicaid $793.80
Rate for Payer: Hamaspik Choice Inc Medicare $793.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,031.94
Service Code HCPCS C1713
Hospital Charge Code 40205950
Hospital Revenue Code 278
Min. Negotiated Rate $519.50
Max. Negotiated Rate $519.50
Rate for Payer: Hamaspik Choice Inc Medicaid $519.50
Rate for Payer: Hamaspik Choice Inc Medicare $519.50
Service Code HCPCS C1713
Hospital Charge Code 40205950
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $1,090.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial $571.45
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 $519.50
Rate for Payer: Cigna LocalPlus Benefit Plan $597.42
Rate for Payer: Fidelis Medicare Advantage $1,090.95
Rate for Payer: Group Health Inc Commercial $519.50
Rate for Payer: Group Health Inc Medicare $363.65
Rate for Payer: Hamaspik Choice Inc Medicaid $519.50
Rate for Payer: Hamaspik Choice Inc Medicare $519.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $675.35
Service Code HCPCS C1713
Hospital Charge Code 40205506
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $1,587.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial $831.60
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 $756.00
Rate for Payer: Cigna LocalPlus Benefit Plan $869.40
Rate for Payer: Fidelis Medicare Advantage $1,587.60
Rate for Payer: Group Health Inc Commercial $756.00
Rate for Payer: Group Health Inc Medicare $529.20
Rate for Payer: Hamaspik Choice Inc Medicaid $756.00
Rate for Payer: Hamaspik Choice Inc Medicare $756.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $982.80
Service Code HCPCS C1713
Hospital Charge Code 40205506
Hospital Revenue Code 278
Min. Negotiated Rate $756.00
Max. Negotiated Rate $756.00
Rate for Payer: Hamaspik Choice Inc Medicaid $756.00
Rate for Payer: Hamaspik Choice Inc Medicare $756.00
Service Code HCPCS C1713
Hospital Charge Code 40209970
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $1,243.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial $651.42
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 $592.20
Rate for Payer: Cigna LocalPlus Benefit Plan $681.03
Rate for Payer: Fidelis Medicare Advantage $1,243.62
Rate for Payer: Group Health Inc Commercial $592.20
Rate for Payer: Group Health Inc Medicare $414.54
Rate for Payer: Hamaspik Choice Inc Medicaid $592.20
Rate for Payer: Hamaspik Choice Inc Medicare $592.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $769.86
Service Code HCPCS C1713
Hospital Charge Code 40209970
Hospital Revenue Code 278
Min. Negotiated Rate $592.20
Max. Negotiated Rate $592.20
Rate for Payer: Hamaspik Choice Inc Medicaid $592.20
Rate for Payer: Hamaspik Choice Inc Medicare $592.20
Service Code HCPCS C1713
Hospital Charge Code 40008254
Hospital Revenue Code 278
Min. Negotiated Rate $105.00
Max. Negotiated Rate $315.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $165.00
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 $150.00
Rate for Payer: Cigna LocalPlus Benefit Plan $172.50
Rate for Payer: Fidelis Medicare Advantage $315.00
Rate for Payer: Group Health Inc Commercial $150.00
Rate for Payer: Group Health Inc Medicare $105.00
Rate for Payer: Hamaspik Choice Inc Medicaid $150.00
Rate for Payer: Hamaspik Choice Inc Medicare $150.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $195.00
Service Code HCPCS C1713
Hospital Charge Code 40008254
Hospital Revenue Code 278
Min. Negotiated Rate $150.00
Max. Negotiated Rate $150.00
Rate for Payer: Hamaspik Choice Inc Medicaid $150.00
Rate for Payer: Hamaspik Choice Inc Medicare $150.00
Service Code HCPCS C1713
Hospital Charge Code 40208171
Hospital Revenue Code 278
Min. Negotiated Rate $51.97
Max. Negotiated Rate $155.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial $81.66
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 $74.24
Rate for Payer: Cigna LocalPlus Benefit Plan $85.38
Rate for Payer: Fidelis Medicare Advantage $155.90
Rate for Payer: Group Health Inc Commercial $74.24
Rate for Payer: Group Health Inc Medicare $51.97
Rate for Payer: Hamaspik Choice Inc Medicaid $74.24
Rate for Payer: Hamaspik Choice Inc Medicare $74.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $96.51
Service Code HCPCS C1713
Hospital Charge Code 40208171
Hospital Revenue Code 278
Min. Negotiated Rate $74.24
Max. Negotiated Rate $74.24
Rate for Payer: Hamaspik Choice Inc Medicaid $74.24
Rate for Payer: Hamaspik Choice Inc Medicare $74.24
Service Code HCPCS C1713
Hospital Charge Code 40208174
Hospital Revenue Code 278
Min. Negotiated Rate $22.54
Max. Negotiated Rate $134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $35.42
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 $32.20
Rate for Payer: Cigna LocalPlus Benefit Plan $37.03
Rate for Payer: Fidelis Medicare Advantage $67.62
Rate for Payer: Group Health Inc Commercial $32.20
Rate for Payer: Group Health Inc Medicare $22.54
Rate for Payer: Hamaspik Choice Inc Medicaid $32.20
Rate for Payer: Hamaspik Choice Inc Medicare $32.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $41.86
Service Code HCPCS C1713
Hospital Charge Code 40208174
Hospital Revenue Code 278
Min. Negotiated Rate $32.20
Max. Negotiated Rate $32.20
Rate for Payer: Hamaspik Choice Inc Medicaid $32.20
Rate for Payer: Hamaspik Choice Inc Medicare $32.20
Service Code HCPCS C1769
Hospital Charge Code 40029614
Hospital Revenue Code 272
Min. Negotiated Rate $4.08
Max. Negotiated Rate $248.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $170.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4.08
Rate for Payer: Aetna Government $4.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $248.00
Rate for Payer: Cigna LocalPlus Benefit Plan $210.80
Rate for Payer: Group Health Inc Commercial $155.00
Rate for Payer: Group Health Inc Medicare $108.50
Rate for Payer: Hamaspik Choice Inc Medicaid $155.00
Rate for Payer: Hamaspik Choice Inc Medicare $155.00
Hospital Charge Code 40029615
Hospital Revenue Code 272
Min. Negotiated Rate $66.50
Max. Negotiated Rate $152.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $104.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $95.00
Rate for Payer: Aetna Government $95.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $152.00
Rate for Payer: Cigna LocalPlus Benefit Plan $129.20
Rate for Payer: Group Health Inc Commercial $95.00
Rate for Payer: Group Health Inc Medicare $66.50
Rate for Payer: Hamaspik Choice Inc Medicaid $95.00
Rate for Payer: Hamaspik Choice Inc Medicare $95.00
Service Code HCPCS C1769
Hospital Charge Code 40205161
Hospital Revenue Code 278
Min. Negotiated Rate $21.70
Max. Negotiated Rate $21.70
Rate for Payer: Hamaspik Choice Inc Medicaid $21.70
Rate for Payer: Hamaspik Choice Inc Medicare $21.70
Service Code HCPCS C1769
Hospital Charge Code 40205161
Hospital Revenue Code 278
Min. Negotiated Rate $4.08
Max. Negotiated Rate $45.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial $23.87
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4.08
Rate for Payer: Aetna Government $4.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $21.70
Rate for Payer: Cigna LocalPlus Benefit Plan $24.96
Rate for Payer: Fidelis Medicare Advantage $45.57
Rate for Payer: Group Health Inc Commercial $21.70
Rate for Payer: Group Health Inc Medicare $15.19
Rate for Payer: Hamaspik Choice Inc Medicaid $21.70
Rate for Payer: Hamaspik Choice Inc Medicare $21.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $28.21
Service Code HCPCS C1776
Hospital Charge Code 40205235
Hospital Revenue Code 278
Min. Negotiated Rate $1,689.97
Max. Negotiated Rate $1,689.97
Rate for Payer: Hamaspik Choice Inc Medicaid $1,689.97
Rate for Payer: Hamaspik Choice Inc Medicare $1,689.97
Service Code HCPCS C1776
Hospital Charge Code 40205235
Hospital Revenue Code 278
Min. Negotiated Rate $339.17
Max. Negotiated Rate $3,548.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,858.97
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 $1,689.97
Rate for Payer: Cigna LocalPlus Benefit Plan $1,943.47
Rate for Payer: Fidelis Medicare Advantage $3,548.94
Rate for Payer: Group Health Inc Commercial $1,689.97
Rate for Payer: Group Health Inc Medicare $1,182.98
Rate for Payer: Hamaspik Choice Inc Medicaid $1,689.97
Rate for Payer: Hamaspik Choice Inc Medicare $1,689.97
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,196.96
Service Code HCPCS C1776
Hospital Charge Code 40208156
Hospital Revenue Code 278
Min. Negotiated Rate $339.17
Max. Negotiated Rate $3,472.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,819.12
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 $1,653.75
Rate for Payer: Cigna LocalPlus Benefit Plan $1,901.81
Rate for Payer: Fidelis Medicare Advantage $3,472.88
Rate for Payer: Group Health Inc Commercial $1,653.75
Rate for Payer: Group Health Inc Medicare $1,157.62
Rate for Payer: Hamaspik Choice Inc Medicaid $1,653.75
Rate for Payer: Hamaspik Choice Inc Medicare $1,653.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,149.88