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Service Code HCPCS D2394
Hospital Charge Code 42303282
Hospital Revenue Code 361
Rate for Payer: Cash Price $1,018.19
Service Code HCPCS D2390
Hospital Charge Code 42303281
Hospital Revenue Code 361
Min. Negotiated Rate $122.50
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $134.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1,018.19
Rate for Payer: Aetna Government $1,018.19
Rate for Payer: Affinity Essential Plan 1&2 $712.73
Rate for Payer: Affinity Essential Plan 3&4 $712.73
Rate for Payer: Affinity Medicaid/CHP/HARP $712.73
Rate for Payer: Brighton Health Commercial $183.75
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $1,018.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan $2,477.75
Rate for Payer: Elderplan Medicare Advantage $1,018.19
Rate for Payer: EmblemHealth Commercial $1,018.19
Rate for Payer: Fidelis Essential Plan Aliesa $865.46
Rate for Payer: Fidelis Essential Plan QHP $906.19
Rate for Payer: Fidelis Medicare Advantage $1,018.19
Rate for Payer: Fidelis Qualified Health Plan $906.19
Rate for Payer: Group Health Inc Commercial $1,018.19
Rate for Payer: Group Health Inc Medicare $1,018.19
Rate for Payer: Hamaspik Choice Inc Medicaid $122.50
Rate for Payer: Hamaspik Choice Inc Medicare $1,018.19
Rate for Payer: Healthfirst Medicare Advantage $865.46
Rate for Payer: Healthfirst QHP $1,018.19
Rate for Payer: Humana Medicare $1,038.55
Rate for Payer: Senior Whole Health Medicare Advantage $1,018.19
Rate for Payer: United Healthcare Medicare Advantage $1,018.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,018.19
Rate for Payer: Wellcare CHP/FHP/Medicaid $814.55
Rate for Payer: Wellcare Medicare $967.28
Service Code HCPCS D2390
Hospital Charge Code 42303281
Hospital Revenue Code 361
Rate for Payer: Cash Price $1,018.19
Service Code HCPCS D2335
Hospital Charge Code 42300390
Hospital Revenue Code 361
Min. Negotiated Rate $122.50
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $134.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1,018.19
Rate for Payer: Aetna Government $1,018.19
Rate for Payer: Affinity Essential Plan 1&2 $712.73
Rate for Payer: Affinity Essential Plan 3&4 $712.73
Rate for Payer: Affinity Medicaid/CHP/HARP $712.73
Rate for Payer: Brighton Health Commercial $183.75
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $1,018.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan $2,477.75
Rate for Payer: Elderplan Medicare Advantage $1,018.19
Rate for Payer: EmblemHealth Commercial $1,018.19
Rate for Payer: Fidelis Essential Plan Aliesa $865.46
Rate for Payer: Fidelis Essential Plan QHP $906.19
Rate for Payer: Fidelis Medicare Advantage $1,018.19
Rate for Payer: Fidelis Qualified Health Plan $906.19
Rate for Payer: Group Health Inc Commercial $1,018.19
Rate for Payer: Group Health Inc Medicare $1,018.19
Rate for Payer: Hamaspik Choice Inc Medicaid $122.50
Rate for Payer: Hamaspik Choice Inc Medicare $1,018.19
Rate for Payer: Healthfirst Medicare Advantage $865.46
Rate for Payer: Healthfirst QHP $1,018.19
Rate for Payer: Humana Medicare $1,038.55
Rate for Payer: Senior Whole Health Medicare Advantage $1,018.19
Rate for Payer: United Healthcare Medicare Advantage $1,018.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,018.19
Rate for Payer: Wellcare CHP/FHP/Medicaid $814.55
Rate for Payer: Wellcare Medicare $967.28
Service Code HCPCS D2335
Hospital Charge Code 42300390
Hospital Revenue Code 361
Rate for Payer: Cash Price $1,018.19
Service Code HCPCS D2330
Hospital Charge Code 42300375
Hospital Revenue Code 361
Min. Negotiated Rate $62.50
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $68.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1,018.19
Rate for Payer: Aetna Government $1,018.19
Rate for Payer: Affinity Essential Plan 1&2 $712.73
Rate for Payer: Affinity Essential Plan 3&4 $712.73
Rate for Payer: Affinity Medicaid/CHP/HARP $712.73
Rate for Payer: Brighton Health Commercial $93.75
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $1,018.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan $2,477.75
Rate for Payer: Elderplan Medicare Advantage $1,018.19
Rate for Payer: EmblemHealth Commercial $1,018.19
Rate for Payer: Fidelis Essential Plan Aliesa $865.46
Rate for Payer: Fidelis Essential Plan QHP $906.19
Rate for Payer: Fidelis Medicare Advantage $1,018.19
Rate for Payer: Fidelis Qualified Health Plan $906.19
Rate for Payer: Group Health Inc Commercial $1,018.19
Rate for Payer: Group Health Inc Medicare $1,018.19
Rate for Payer: Hamaspik Choice Inc Medicaid $62.50
Rate for Payer: Hamaspik Choice Inc Medicare $1,018.19
Rate for Payer: Healthfirst Medicare Advantage $865.46
Rate for Payer: Healthfirst QHP $1,018.19
Rate for Payer: Humana Medicare $1,038.55
Rate for Payer: Senior Whole Health Medicare Advantage $1,018.19
Rate for Payer: United Healthcare Medicare Advantage $1,018.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,018.19
Rate for Payer: Wellcare CHP/FHP/Medicaid $814.55
Rate for Payer: Wellcare Medicare $967.28
Service Code HCPCS D2330
Hospital Charge Code 42300375
Hospital Revenue Code 361
Rate for Payer: Cash Price $1,018.19
Service Code HCPCS D2391
Hospital Charge Code 42300415
Hospital Revenue Code 361
Rate for Payer: Cash Price $1,018.19
Service Code HCPCS D2391
Hospital Charge Code 42300415
Hospital Revenue Code 361
Min. Negotiated Rate $62.50
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $68.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1,018.19
Rate for Payer: Aetna Government $1,018.19
Rate for Payer: Affinity Essential Plan 1&2 $712.73
Rate for Payer: Affinity Essential Plan 3&4 $712.73
Rate for Payer: Affinity Medicaid/CHP/HARP $712.73
Rate for Payer: Brighton Health Commercial $93.75
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $1,018.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan $2,477.75
Rate for Payer: Elderplan Medicare Advantage $1,018.19
Rate for Payer: EmblemHealth Commercial $1,018.19
Rate for Payer: Fidelis Essential Plan Aliesa $865.46
Rate for Payer: Fidelis Essential Plan QHP $906.19
Rate for Payer: Fidelis Medicare Advantage $1,018.19
Rate for Payer: Fidelis Qualified Health Plan $906.19
Rate for Payer: Group Health Inc Commercial $1,018.19
Rate for Payer: Group Health Inc Medicare $1,018.19
Rate for Payer: Hamaspik Choice Inc Medicaid $62.50
Rate for Payer: Hamaspik Choice Inc Medicare $1,018.19
Rate for Payer: Healthfirst Medicare Advantage $865.46
Rate for Payer: Healthfirst QHP $1,018.19
Rate for Payer: Humana Medicare $1,038.55
Rate for Payer: Senior Whole Health Medicare Advantage $1,018.19
Rate for Payer: United Healthcare Medicare Advantage $1,018.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,018.19
Rate for Payer: Wellcare CHP/FHP/Medicaid $814.55
Rate for Payer: Wellcare Medicare $967.28
Service Code HCPCS D2330
Hospital Charge Code 42300400
Hospital Revenue Code 361
Rate for Payer: Cash Price $1,018.19
Service Code HCPCS D2330
Hospital Charge Code 42300400
Hospital Revenue Code 361
Min. Negotiated Rate $62.50
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $68.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1,018.19
Rate for Payer: Aetna Government $1,018.19
Rate for Payer: Affinity Essential Plan 1&2 $712.73
Rate for Payer: Affinity Essential Plan 3&4 $712.73
Rate for Payer: Affinity Medicaid/CHP/HARP $712.73
Rate for Payer: Brighton Health Commercial $93.75
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $1,018.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan $2,477.75
Rate for Payer: Elderplan Medicare Advantage $1,018.19
Rate for Payer: EmblemHealth Commercial $1,018.19
Rate for Payer: Fidelis Essential Plan Aliesa $865.46
Rate for Payer: Fidelis Essential Plan QHP $906.19
Rate for Payer: Fidelis Medicare Advantage $1,018.19
Rate for Payer: Fidelis Qualified Health Plan $906.19
Rate for Payer: Group Health Inc Commercial $1,018.19
Rate for Payer: Group Health Inc Medicare $1,018.19
Rate for Payer: Hamaspik Choice Inc Medicaid $62.50
Rate for Payer: Hamaspik Choice Inc Medicare $1,018.19
Rate for Payer: Healthfirst Medicare Advantage $865.46
Rate for Payer: Healthfirst QHP $1,018.19
Rate for Payer: Humana Medicare $1,038.55
Rate for Payer: Senior Whole Health Medicare Advantage $1,018.19
Rate for Payer: United Healthcare Medicare Advantage $1,018.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,018.19
Rate for Payer: Wellcare CHP/FHP/Medicaid $814.55
Rate for Payer: Wellcare Medicare $967.28
Service Code HCPCS D2332
Hospital Charge Code 42300410
Hospital Revenue Code 361
Rate for Payer: Cash Price $1,018.19
Service Code HCPCS D2332
Hospital Charge Code 42300410
Hospital Revenue Code 361
Min. Negotiated Rate $108.75
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $119.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1,018.19
Rate for Payer: Aetna Government $1,018.19
Rate for Payer: Affinity Essential Plan 1&2 $712.73
Rate for Payer: Affinity Essential Plan 3&4 $712.73
Rate for Payer: Affinity Medicaid/CHP/HARP $712.73
Rate for Payer: Brighton Health Commercial $163.12
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $1,018.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan $2,477.75
Rate for Payer: Elderplan Medicare Advantage $1,018.19
Rate for Payer: EmblemHealth Commercial $1,018.19
Rate for Payer: Fidelis Essential Plan Aliesa $865.46
Rate for Payer: Fidelis Essential Plan QHP $906.19
Rate for Payer: Fidelis Medicare Advantage $1,018.19
Rate for Payer: Fidelis Qualified Health Plan $906.19
Rate for Payer: Group Health Inc Commercial $1,018.19
Rate for Payer: Group Health Inc Medicare $1,018.19
Rate for Payer: Hamaspik Choice Inc Medicaid $108.75
Rate for Payer: Hamaspik Choice Inc Medicare $1,018.19
Rate for Payer: Healthfirst Medicare Advantage $865.46
Rate for Payer: Healthfirst QHP $1,018.19
Rate for Payer: Humana Medicare $1,038.55
Rate for Payer: Senior Whole Health Medicare Advantage $1,018.19
Rate for Payer: United Healthcare Medicare Advantage $1,018.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,018.19
Rate for Payer: Wellcare CHP/FHP/Medicaid $814.55
Rate for Payer: Wellcare Medicare $967.28
Service Code HCPCS D2331
Hospital Charge Code 42300405
Hospital Revenue Code 361
Min. Negotiated Rate $91.25
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $100.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1,018.19
Rate for Payer: Aetna Government $1,018.19
Rate for Payer: Affinity Essential Plan 1&2 $712.73
Rate for Payer: Affinity Essential Plan 3&4 $712.73
Rate for Payer: Affinity Medicaid/CHP/HARP $712.73
Rate for Payer: Brighton Health Commercial $136.88
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $1,018.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan $2,477.75
Rate for Payer: Elderplan Medicare Advantage $1,018.19
Rate for Payer: EmblemHealth Commercial $1,018.19
Rate for Payer: Fidelis Essential Plan Aliesa $865.46
Rate for Payer: Fidelis Essential Plan QHP $906.19
Rate for Payer: Fidelis Medicare Advantage $1,018.19
Rate for Payer: Fidelis Qualified Health Plan $906.19
Rate for Payer: Group Health Inc Commercial $1,018.19
Rate for Payer: Group Health Inc Medicare $1,018.19
Rate for Payer: Hamaspik Choice Inc Medicaid $91.25
Rate for Payer: Hamaspik Choice Inc Medicare $1,018.19
Rate for Payer: Healthfirst Medicare Advantage $865.46
Rate for Payer: Healthfirst QHP $1,018.19
Rate for Payer: Humana Medicare $1,038.55
Rate for Payer: Senior Whole Health Medicare Advantage $1,018.19
Rate for Payer: United Healthcare Medicare Advantage $1,018.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,018.19
Rate for Payer: Wellcare CHP/FHP/Medicaid $814.55
Rate for Payer: Wellcare Medicare $967.28
Service Code HCPCS D2331
Hospital Charge Code 42300405
Hospital Revenue Code 361
Rate for Payer: Cash Price $1,018.19
Service Code HCPCS D2393
Hospital Charge Code 42300425
Hospital Revenue Code 361
Min. Negotiated Rate $102.50
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $112.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1,018.19
Rate for Payer: Aetna Government $1,018.19
Rate for Payer: Affinity Essential Plan 1&2 $712.73
Rate for Payer: Affinity Essential Plan 3&4 $712.73
Rate for Payer: Affinity Medicaid/CHP/HARP $712.73
Rate for Payer: Brighton Health Commercial $153.75
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $1,018.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan $2,477.75
Rate for Payer: Elderplan Medicare Advantage $1,018.19
Rate for Payer: EmblemHealth Commercial $1,018.19
Rate for Payer: Fidelis Essential Plan Aliesa $865.46
Rate for Payer: Fidelis Essential Plan QHP $906.19
Rate for Payer: Fidelis Medicare Advantage $1,018.19
Rate for Payer: Fidelis Qualified Health Plan $906.19
Rate for Payer: Group Health Inc Commercial $1,018.19
Rate for Payer: Group Health Inc Medicare $1,018.19
Rate for Payer: Hamaspik Choice Inc Medicaid $102.50
Rate for Payer: Hamaspik Choice Inc Medicare $1,018.19
Rate for Payer: Healthfirst Medicare Advantage $865.46
Rate for Payer: Healthfirst QHP $1,018.19
Rate for Payer: Humana Medicare $1,038.55
Rate for Payer: Senior Whole Health Medicare Advantage $1,018.19
Rate for Payer: United Healthcare Medicare Advantage $1,018.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,018.19
Rate for Payer: Wellcare CHP/FHP/Medicaid $814.55
Rate for Payer: Wellcare Medicare $967.28
Service Code HCPCS D2393
Hospital Charge Code 42300425
Hospital Revenue Code 361
Rate for Payer: Cash Price $1,018.19
Service Code HCPCS D2332
Hospital Charge Code 42300385
Hospital Revenue Code 361
Min. Negotiated Rate $108.75
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $119.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1,018.19
Rate for Payer: Aetna Government $1,018.19
Rate for Payer: Affinity Essential Plan 1&2 $712.73
Rate for Payer: Affinity Essential Plan 3&4 $712.73
Rate for Payer: Affinity Medicaid/CHP/HARP $712.73
Rate for Payer: Brighton Health Commercial $163.12
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $1,018.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan $2,477.75
Rate for Payer: Elderplan Medicare Advantage $1,018.19
Rate for Payer: EmblemHealth Commercial $1,018.19
Rate for Payer: Fidelis Essential Plan Aliesa $865.46
Rate for Payer: Fidelis Essential Plan QHP $906.19
Rate for Payer: Fidelis Medicare Advantage $1,018.19
Rate for Payer: Fidelis Qualified Health Plan $906.19
Rate for Payer: Group Health Inc Commercial $1,018.19
Rate for Payer: Group Health Inc Medicare $1,018.19
Rate for Payer: Hamaspik Choice Inc Medicaid $108.75
Rate for Payer: Hamaspik Choice Inc Medicare $1,018.19
Rate for Payer: Healthfirst Medicare Advantage $865.46
Rate for Payer: Healthfirst QHP $1,018.19
Rate for Payer: Humana Medicare $1,038.55
Rate for Payer: Senior Whole Health Medicare Advantage $1,018.19
Rate for Payer: United Healthcare Medicare Advantage $1,018.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,018.19
Rate for Payer: Wellcare CHP/FHP/Medicaid $814.55
Rate for Payer: Wellcare Medicare $967.28
Service Code HCPCS D2332
Hospital Charge Code 42300385
Hospital Revenue Code 361
Rate for Payer: Cash Price $1,018.19
Service Code HCPCS D2331
Hospital Charge Code 42300380
Hospital Revenue Code 361
Min. Negotiated Rate $91.25
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $100.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1,018.19
Rate for Payer: Aetna Government $1,018.19
Rate for Payer: Affinity Essential Plan 1&2 $712.73
Rate for Payer: Affinity Essential Plan 3&4 $712.73
Rate for Payer: Affinity Medicaid/CHP/HARP $712.73
Rate for Payer: Brighton Health Commercial $136.88
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $1,018.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan $2,477.75
Rate for Payer: Elderplan Medicare Advantage $1,018.19
Rate for Payer: EmblemHealth Commercial $1,018.19
Rate for Payer: Fidelis Essential Plan Aliesa $865.46
Rate for Payer: Fidelis Essential Plan QHP $906.19
Rate for Payer: Fidelis Medicare Advantage $1,018.19
Rate for Payer: Fidelis Qualified Health Plan $906.19
Rate for Payer: Group Health Inc Commercial $1,018.19
Rate for Payer: Group Health Inc Medicare $1,018.19
Rate for Payer: Hamaspik Choice Inc Medicaid $91.25
Rate for Payer: Hamaspik Choice Inc Medicare $1,018.19
Rate for Payer: Healthfirst Medicare Advantage $865.46
Rate for Payer: Healthfirst QHP $1,018.19
Rate for Payer: Humana Medicare $1,038.55
Rate for Payer: Senior Whole Health Medicare Advantage $1,018.19
Rate for Payer: United Healthcare Medicare Advantage $1,018.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,018.19
Rate for Payer: Wellcare CHP/FHP/Medicaid $814.55
Rate for Payer: Wellcare Medicare $967.28
Service Code HCPCS D2331
Hospital Charge Code 42300380
Hospital Revenue Code 361
Rate for Payer: Cash Price $1,018.19
Service Code HCPCS D2392
Hospital Charge Code 42300420
Hospital Revenue Code 361
Rate for Payer: Cash Price $1,018.19
Service Code HCPCS D2392
Hospital Charge Code 42300420
Hospital Revenue Code 361
Min. Negotiated Rate $83.75
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $92.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1,018.19
Rate for Payer: Aetna Government $1,018.19
Rate for Payer: Affinity Essential Plan 1&2 $712.73
Rate for Payer: Affinity Essential Plan 3&4 $712.73
Rate for Payer: Affinity Medicaid/CHP/HARP $712.73
Rate for Payer: Brighton Health Commercial $125.62
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Cash Price $1,018.19
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $1,018.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan $2,477.75
Rate for Payer: Elderplan Medicare Advantage $1,018.19
Rate for Payer: EmblemHealth Commercial $1,018.19
Rate for Payer: Fidelis Essential Plan Aliesa $865.46
Rate for Payer: Fidelis Essential Plan QHP $906.19
Rate for Payer: Fidelis Medicare Advantage $1,018.19
Rate for Payer: Fidelis Qualified Health Plan $906.19
Rate for Payer: Group Health Inc Commercial $1,018.19
Rate for Payer: Group Health Inc Medicare $1,018.19
Rate for Payer: Hamaspik Choice Inc Medicaid $83.75
Rate for Payer: Hamaspik Choice Inc Medicare $1,018.19
Rate for Payer: Healthfirst Medicare Advantage $865.46
Rate for Payer: Healthfirst QHP $1,018.19
Rate for Payer: Humana Medicare $1,038.55
Rate for Payer: Senior Whole Health Medicare Advantage $1,018.19
Rate for Payer: United Healthcare Medicare Advantage $1,018.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,018.19
Rate for Payer: Wellcare CHP/FHP/Medicaid $814.55
Rate for Payer: Wellcare Medicare $967.28
Service Code HCPCS C1874
Hospital Charge Code 66521638
Hospital Revenue Code 278
Min. Negotiated Rate $1,500.00
Max. Negotiated Rate $1,500.00
Rate for Payer: Hamaspik Choice Inc Medicaid $1,500.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,500.00
Service Code HCPCS C1874
Hospital Charge Code 66521638
Hospital Revenue Code 278
Min. Negotiated Rate $265.52
Max. Negotiated Rate $3,150.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,650.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $265.52
Rate for Payer: Aetna Government $265.52
Rate for Payer: Brighton Health Commercial $1,800.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,500.00
Rate for Payer: Cigna LocalPlus Benefit Plan $1,725.00
Rate for Payer: EmblemHealth Commercial $1,500.00
Rate for Payer: Fidelis Medicare Advantage $3,150.00
Rate for Payer: Group Health Inc Commercial $1,500.00
Rate for Payer: Group Health Inc Medicare $1,050.00
Rate for Payer: Hamaspik Choice Inc Medicaid $1,500.00
Rate for Payer: Hamaspik Choice Inc Medicare $1,500.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,950.00