Z NAIL 6.0 X 45 CANC SCREW FA
|
Facility
IP
|
$430.14
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006415
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$215.07 |
Max. Negotiated Rate |
$215.07 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$215.07
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$215.07
|
|
Z NAIL 6.0 X 45 CANC SCREW FA
|
Facility
OP
|
$430.14
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006415
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$451.65 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$236.58
|
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 |
$215.07
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$247.33
|
Rate for Payer: Fidelis Medicare Advantage |
$451.65
|
Rate for Payer: Group Health Inc Commercial |
$215.07
|
Rate for Payer: Group Health Inc Medicare |
$150.55
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$215.07
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$215.07
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$279.59
|
|
Z NAIL 6.0 X 50 CANC SCREW FA
|
Facility
OP
|
$430.14
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006420
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$451.65 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$236.58
|
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 |
$215.07
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$247.33
|
Rate for Payer: Fidelis Medicare Advantage |
$451.65
|
Rate for Payer: Group Health Inc Commercial |
$215.07
|
Rate for Payer: Group Health Inc Medicare |
$150.55
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$215.07
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$215.07
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$279.59
|
|
Z NAIL 6.0 X 50 CANC SCREW FA
|
Facility
IP
|
$430.14
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006420
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$215.07 |
Max. Negotiated Rate |
$215.07 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$215.07
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$215.07
|
|
Z NAIL 6.0 X 50 CANC SCREW PT
|
Facility
OP
|
$459.80
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006347
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$482.79 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$252.89
|
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 |
$229.90
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$264.38
|
Rate for Payer: Fidelis Medicare Advantage |
$482.79
|
Rate for Payer: Group Health Inc Commercial |
$229.90
|
Rate for Payer: Group Health Inc Medicare |
$160.93
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$229.90
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$229.90
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$298.87
|
|
Z NAIL 6.0 X 50 CANC SCREW PT
|
Facility
IP
|
$459.80
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006347
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$229.90 |
Max. Negotiated Rate |
$229.90 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$229.90
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$229.90
|
|
Z NAIL 6.0 X 55 CANC SCREW FA
|
Facility
IP
|
$430.14
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006425
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$215.07 |
Max. Negotiated Rate |
$215.07 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$215.07
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$215.07
|
|
Z NAIL 6.0 X 55 CANC SCREW FA
|
Facility
OP
|
$430.14
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006425
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$451.65 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$236.58
|
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 |
$215.07
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$247.33
|
Rate for Payer: Fidelis Medicare Advantage |
$451.65
|
Rate for Payer: Group Health Inc Commercial |
$215.07
|
Rate for Payer: Group Health Inc Medicare |
$150.55
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$215.07
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$215.07
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$279.59
|
|
Z NAIL 6.0 X 55 CANC SCREW PT
|
Facility
OP
|
$459.80
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006352
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$482.79 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$252.89
|
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 |
$229.90
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$264.38
|
Rate for Payer: Fidelis Medicare Advantage |
$482.79
|
Rate for Payer: Group Health Inc Commercial |
$229.90
|
Rate for Payer: Group Health Inc Medicare |
$160.93
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$229.90
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$229.90
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$298.87
|
|
Z NAIL 6.0 X 55 CANC SCREW PT
|
Facility
IP
|
$459.80
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006352
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$229.90 |
Max. Negotiated Rate |
$229.90 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$229.90
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$229.90
|
|
Z NAIL 6.0 X 60 CANC SCREW FA
|
Facility
OP
|
$430.14
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006430
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$451.65 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$236.58
|
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 |
$215.07
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$247.33
|
Rate for Payer: Fidelis Medicare Advantage |
$451.65
|
Rate for Payer: Group Health Inc Commercial |
$215.07
|
Rate for Payer: Group Health Inc Medicare |
$150.55
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$215.07
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$215.07
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$279.59
|
|
Z NAIL 6.0 X 60 CANC SCREW FA
|
Facility
IP
|
$430.14
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006430
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$215.07 |
Max. Negotiated Rate |
$215.07 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$215.07
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$215.07
|
|
Z NAIL 6.0 X 60 CANC SCREW PT
|
Facility
IP
|
$459.80
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006357
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$229.90 |
Max. Negotiated Rate |
$229.90 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$229.90
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$229.90
|
|
Z NAIL 6.0 X 60 CANC SCREW PT
|
Facility
OP
|
$459.80
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006357
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$482.79 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$252.89
|
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 |
$229.90
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$264.38
|
Rate for Payer: Fidelis Medicare Advantage |
$482.79
|
Rate for Payer: Group Health Inc Commercial |
$229.90
|
Rate for Payer: Group Health Inc Medicare |
$160.93
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$229.90
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$229.90
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$298.87
|
|
Z NAIL 6.0 X 65 CANC SCREW FA
|
Facility
OP
|
$430.14
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006433
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$451.65 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$236.58
|
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 |
$215.07
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$247.33
|
Rate for Payer: Fidelis Medicare Advantage |
$451.65
|
Rate for Payer: Group Health Inc Commercial |
$215.07
|
Rate for Payer: Group Health Inc Medicare |
$150.55
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$215.07
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$215.07
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$279.59
|
|
Z NAIL 6.0 X 65 CANC SCREW FA
|
Facility
IP
|
$430.14
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006433
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$215.07 |
Max. Negotiated Rate |
$215.07 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$215.07
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$215.07
|
|
Z NAIL 6.0 X 65 CANC SCREW PT
|
Facility
IP
|
$459.80
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006360
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$229.90 |
Max. Negotiated Rate |
$229.90 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$229.90
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$229.90
|
|
Z NAIL 6.0 X 65 CANC SCREW PT
|
Facility
OP
|
$459.80
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006360
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$482.79 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$252.89
|
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 |
$229.90
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$264.38
|
Rate for Payer: Fidelis Medicare Advantage |
$482.79
|
Rate for Payer: Group Health Inc Commercial |
$229.90
|
Rate for Payer: Group Health Inc Medicare |
$160.93
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$229.90
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$229.90
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$298.87
|
|
Z NAIL 6.0 X 70 CANC SCREW FA
|
Facility
OP
|
$430.14
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006436
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$451.65 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$236.58
|
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 |
$215.07
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$247.33
|
Rate for Payer: Fidelis Medicare Advantage |
$451.65
|
Rate for Payer: Group Health Inc Commercial |
$215.07
|
Rate for Payer: Group Health Inc Medicare |
$150.55
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$215.07
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$215.07
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$279.59
|
|
Z NAIL 6.0 X 70 CANC SCREW FA
|
Facility
IP
|
$430.14
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006436
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$215.07 |
Max. Negotiated Rate |
$215.07 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$215.07
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$215.07
|
|
Z NAIL 6.0 X 70 CANC SCREW PT
|
Facility
OP
|
$459.80
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006363
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$482.79 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$252.89
|
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 |
$229.90
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$264.38
|
Rate for Payer: Fidelis Medicare Advantage |
$482.79
|
Rate for Payer: Group Health Inc Commercial |
$229.90
|
Rate for Payer: Group Health Inc Medicare |
$160.93
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$229.90
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$229.90
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$298.87
|
|
Z NAIL 6.0 X 70 CANC SCREW PT
|
Facility
IP
|
$459.80
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006363
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$229.90 |
Max. Negotiated Rate |
$229.90 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$229.90
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$229.90
|
|
Z NAIL 6.0 X 75 CANC SCREW FA
|
Facility
OP
|
$430.14
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006439
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$451.65 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$236.58
|
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 |
$215.07
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$247.33
|
Rate for Payer: Fidelis Medicare Advantage |
$451.65
|
Rate for Payer: Group Health Inc Commercial |
$215.07
|
Rate for Payer: Group Health Inc Medicare |
$150.55
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$215.07
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$215.07
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$279.59
|
|
Z NAIL 6.0 X 75 CANC SCREW FA
|
Facility
IP
|
$430.14
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006439
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$215.07 |
Max. Negotiated Rate |
$215.07 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$215.07
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$215.07
|
|
Z NAIL 6.0 X 75 CANC SCREW PT
|
Facility
OP
|
$459.80
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006366
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$134.20 |
Max. Negotiated Rate |
$482.79 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$252.89
|
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 |
$229.90
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$264.38
|
Rate for Payer: Fidelis Medicare Advantage |
$482.79
|
Rate for Payer: Group Health Inc Commercial |
$229.90
|
Rate for Payer: Group Health Inc Medicare |
$160.93
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$229.90
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$229.90
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$298.87
|
|