TAPE,DELTA-LITE PL,CST MX 3X4
|
Facility
OP
|
$6.46
|
|
Hospital Charge Code |
64902201
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$2.26 |
Max. Negotiated Rate |
$5.17 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$3.55
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$3.23
|
Rate for Payer: Aetna Government |
$3.23
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$5.17
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$4.39
|
Rate for Payer: Group Health Inc Commercial |
$3.23
|
Rate for Payer: Group Health Inc Medicare |
$2.26
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$3.23
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$3.23
|
|
TAPE,DELTA-LITE PL CST MX 4X4
|
Facility
OP
|
$8.38
|
|
Hospital Charge Code |
64902198
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$2.93 |
Max. Negotiated Rate |
$6.70 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$4.61
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$4.19
|
Rate for Payer: Aetna Government |
$4.19
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$6.70
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$5.70
|
Rate for Payer: Group Health Inc Commercial |
$4.19
|
Rate for Payer: Group Health Inc Medicare |
$2.93
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$4.19
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$4.19
|
|
TAPE ELASTIC STRETCHED ELASTIKON
|
Facility
OP
|
$13.05
|
|
Hospital Charge Code |
64901717
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$4.57 |
Max. Negotiated Rate |
$10.44 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$7.18
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$6.52
|
Rate for Payer: Aetna Government |
$6.52
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$10.44
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$8.87
|
Rate for Payer: Group Health Inc Commercial |
$6.52
|
Rate for Payer: Group Health Inc Medicare |
$4.57
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$6.52
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$6.52
|
|
TAPE GLOW 'N TELL
|
Facility
OP
|
$141.13
|
|
Hospital Charge Code |
64904190
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$49.40 |
Max. Negotiated Rate |
$112.90 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$77.62
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$70.56
|
Rate for Payer: Aetna Government |
$70.56
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$112.90
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$95.97
|
Rate for Payer: Group Health Inc Commercial |
$70.56
|
Rate for Payer: Group Health Inc Medicare |
$49.40
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$70.56
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$70.56
|
|
TAPE GLOW' N TELL
|
Facility
OP
|
$100.00
|
|
Hospital Charge Code |
40205982
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$35.00 |
Max. Negotiated Rate |
$80.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$55.00
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$50.00
|
Rate for Payer: Aetna Government |
$50.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$80.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$68.00
|
Rate for Payer: Group Health Inc Commercial |
$50.00
|
Rate for Payer: Group Health Inc Medicare |
$35.00
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$50.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$50.00
|
|
TAPE,HY
|
Facility
OP
|
$3.75
|
|
Hospital Charge Code |
64903187
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$1.31 |
Max. Negotiated Rate |
$3.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$2.06
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$1.88
|
Rate for Payer: Aetna Government |
$1.88
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$3.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$2.55
|
Rate for Payer: Group Health Inc Commercial |
$1.88
|
Rate for Payer: Group Health Inc Medicare |
$1.31
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1.88
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1.88
|
|
TAPE HYPO ALLERG ET II W/H
|
Facility
OP
|
$15.06
|
|
Hospital Charge Code |
64902069
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$5.27 |
Max. Negotiated Rate |
$12.05 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$8.28
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$7.53
|
Rate for Payer: Aetna Government |
$7.53
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12.05
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$10.24
|
Rate for Payer: Group Health Inc Commercial |
$7.53
|
Rate for Payer: Group Health Inc Medicare |
$5.27
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$7.53
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$7.53
|
|
TAPE MEASURING DISPOSABLE
|
Facility
OP
|
$0.05
|
|
Hospital Charge Code |
64901869
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$0.02 |
Max. Negotiated Rate |
$0.04 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.03
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.03
|
Rate for Payer: Aetna Government |
$0.03
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.04
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.03
|
Rate for Payer: Group Health Inc Commercial |
$0.03
|
Rate for Payer: Group Health Inc Medicare |
$0.02
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.03
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.03
|
|
TAPENTADOL 100 MG TABLET
|
Facility
OP
|
$5.00
|
|
Hospital Charge Code |
41646090
|
Hospital Revenue Code
|
250
|
Min. Negotiated Rate |
$1.75 |
Max. Negotiated Rate |
$4.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$2.75
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$2.50
|
Rate for Payer: Aetna Government |
$2.50
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$4.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$3.40
|
Rate for Payer: Group Health Inc Commercial |
$2.50
|
Rate for Payer: Group Health Inc Medicare |
$1.75
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2.50
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2.50
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$3.25
|
|
TAPENTADOL 50 MG TABLET
|
Facility
OP
|
$5.00
|
|
Hospital Charge Code |
41656090
|
Hospital Revenue Code
|
250
|
Min. Negotiated Rate |
$1.75 |
Max. Negotiated Rate |
$4.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$2.75
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$2.50
|
Rate for Payer: Aetna Government |
$2.50
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$4.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$3.40
|
Rate for Payer: Group Health Inc Commercial |
$2.50
|
Rate for Payer: Group Health Inc Medicare |
$1.75
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2.50
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2.50
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$3.25
|
|
TAPENTADOL 75 MG TABLET
|
Facility
OP
|
$4.80
|
|
Hospital Charge Code |
41656088
|
Hospital Revenue Code
|
250
|
Min. Negotiated Rate |
$1.68 |
Max. Negotiated Rate |
$3.84 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$2.64
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$2.40
|
Rate for Payer: Aetna Government |
$2.40
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$3.84
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$3.26
|
Rate for Payer: Group Health Inc Commercial |
$2.40
|
Rate for Payer: Group Health Inc Medicare |
$1.68
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2.40
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2.40
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$3.12
|
|
TAPENTADOL 75MG TABLET
|
Facility
OP
|
$4.80
|
|
Hospital Charge Code |
41646088
|
Hospital Revenue Code
|
250
|
Min. Negotiated Rate |
$1.68 |
Max. Negotiated Rate |
$3.84 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$2.64
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$2.40
|
Rate for Payer: Aetna Government |
$2.40
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$3.84
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$3.26
|
Rate for Payer: Group Health Inc Commercial |
$2.40
|
Rate for Payer: Group Health Inc Medicare |
$1.68
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2.40
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2.40
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$3.12
|
|
TAPE PAPER MICROPORE 1X10YD
|
Facility
OP
|
$0.84
|
|
Hospital Charge Code |
40209453
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$0.29 |
Max. Negotiated Rate |
$0.67 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.46
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.42
|
Rate for Payer: Aetna Government |
$0.42
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.67
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.57
|
Rate for Payer: Group Health Inc Commercial |
$0.42
|
Rate for Payer: Group Health Inc Medicare |
$0.29
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.42
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.42
|
|
TAPE,PAPER,SURG,MICR,1X10Y
|
Facility
OP
|
$0.67
|
|
Hospital Charge Code |
64901715
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$0.23 |
Max. Negotiated Rate |
$0.54 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.37
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.34
|
Rate for Payer: Aetna Government |
$0.34
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.54
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.46
|
Rate for Payer: Group Health Inc Commercial |
$0.34
|
Rate for Payer: Group Health Inc Medicare |
$0.23
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.34
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.34
|
|
TAPE,PAPER,SURG,MICR,2X10Y
|
Facility
OP
|
$1.34
|
|
Hospital Charge Code |
64901712
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$0.47 |
Max. Negotiated Rate |
$1.07 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.74
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.67
|
Rate for Payer: Aetna Government |
$0.67
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$1.07
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.91
|
Rate for Payer: Group Health Inc Commercial |
$0.67
|
Rate for Payer: Group Health Inc Medicare |
$0.47
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.67
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.67
|
|
TAPE,PAPER,SURG,MICR,3X10Y
|
Facility
OP
|
$2.04
|
|
Hospital Charge Code |
64901709
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$0.71 |
Max. Negotiated Rate |
$1.63 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1.12
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$1.02
|
Rate for Payer: Aetna Government |
$1.02
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$1.63
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$1.39
|
Rate for Payer: Group Health Inc Commercial |
$1.02
|
Rate for Payer: Group Health Inc Medicare |
$0.71
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1.02
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1.02
|
|
TAPE PLASTIC 1/2 TRANSPORE
|
Facility
OP
|
$0.65
|
|
Hospital Charge Code |
64901937
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$0.23 |
Max. Negotiated Rate |
$0.52 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.36
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.33
|
Rate for Payer: Aetna Government |
$0.33
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.52
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.44
|
Rate for Payer: Group Health Inc Commercial |
$0.33
|
Rate for Payer: Group Health Inc Medicare |
$0.23
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.33
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.33
|
|
TAPER STEM PLUG
|
Facility
OP
|
$1,692.00
|
|
Hospital Charge Code |
40200044
|
Hospital Revenue Code
|
279
|
Min. Negotiated Rate |
$592.20 |
Max. Negotiated Rate |
$1,353.60 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$930.60
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$846.00
|
Rate for Payer: Aetna Government |
$846.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$1,353.60
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$1,150.56
|
Rate for Payer: Group Health Inc Commercial |
$846.00
|
Rate for Payer: Group Health Inc Medicare |
$592.20
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$846.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$846.00
|
|
TAPE SILK 1X10YD HYPOALL15831
|
Facility
OP
|
$1.06
|
|
Hospital Charge Code |
40209454
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$0.37 |
Max. Negotiated Rate |
$0.85 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.58
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.53
|
Rate for Payer: Aetna Government |
$0.53
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.85
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.72
|
Rate for Payer: Group Health Inc Commercial |
$0.53
|
Rate for Payer: Group Health Inc Medicare |
$0.37
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.53
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.53
|
|
TAPE SILK HYPOALLERGENIC
|
Facility
OP
|
$1.16
|
|
Hospital Charge Code |
64901232
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$0.41 |
Max. Negotiated Rate |
$0.93 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.64
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.58
|
Rate for Payer: Aetna Government |
$0.58
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.93
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.79
|
Rate for Payer: Group Health Inc Commercial |
$0.58
|
Rate for Payer: Group Health Inc Medicare |
$0.41
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.58
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.58
|
|
TAPE SLK HYPOALLERGENIC
|
Facility
OP
|
$3.66
|
|
Hospital Charge Code |
64901032
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$1.28 |
Max. Negotiated Rate |
$2.93 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$2.01
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$1.83
|
Rate for Payer: Aetna Government |
$1.83
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$2.93
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$2.49
|
Rate for Payer: Group Health Inc Commercial |
$1.83
|
Rate for Payer: Group Health Inc Medicare |
$1.28
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1.83
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1.83
|
|
TAPE,SURG,TRANSPORE
|
Facility
OP
|
$1.26
|
|
Hospital Charge Code |
64902051
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$0.44 |
Max. Negotiated Rate |
$1.01 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.69
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.63
|
Rate for Payer: Aetna Government |
$0.63
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$1.01
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.86
|
Rate for Payer: Group Health Inc Commercial |
$0.63
|
Rate for Payer: Group Health Inc Medicare |
$0.44
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.63
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.63
|
|
TAPE SUTURE FIBERWIRE 1.3MM
|
Facility
OP
|
$5.82
|
|
Hospital Charge Code |
64906795
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$2.04 |
Max. Negotiated Rate |
$4.66 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$3.20
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$2.91
|
Rate for Payer: Aetna Government |
$2.91
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$4.66
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$3.96
|
Rate for Payer: Group Health Inc Commercial |
$2.91
|
Rate for Payer: Group Health Inc Medicare |
$2.04
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2.91
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2.91
|
|
TAPE TRANSPORE PLASTIC
|
Facility
OP
|
$15.18
|
|
Hospital Charge Code |
64905577
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$5.31 |
Max. Negotiated Rate |
$12.14 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$8.35
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$7.59
|
Rate for Payer: Aetna Government |
$7.59
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$12.14
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$10.32
|
Rate for Payer: Group Health Inc Commercial |
$7.59
|
Rate for Payer: Group Health Inc Medicare |
$5.31
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$7.59
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$7.59
|
|
TAPE UMBILICAL
|
Facility
OP
|
$4.78
|
|
Hospital Charge Code |
64907101
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$1.67 |
Max. Negotiated Rate |
$3.82 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$2.63
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$2.39
|
Rate for Payer: Aetna Government |
$2.39
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$3.82
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$3.25
|
Rate for Payer: Group Health Inc Commercial |
$2.39
|
Rate for Payer: Group Health Inc Medicare |
$1.67
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2.39
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2.39
|
|