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Charge Type Price  
Service Code HCPCS C1713
Hospital Charge Code 40006366
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
Service Code HCPCS C1713
Hospital Charge Code 40006442
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
Service Code HCPCS C1713
Hospital Charge Code 40006442
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
Service Code HCPCS C1713
Hospital Charge Code 40006369
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
Service Code HCPCS C1713
Hospital Charge Code 40006369
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
Service Code HCPCS C1713
Hospital Charge Code 40006445
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
Service Code HCPCS C1713
Hospital Charge Code 40006445
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
Service Code HCPCS C1713
Hospital Charge Code 40006372
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
Service Code HCPCS C1713
Hospital Charge Code 40006372
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
Service Code HCPCS C1713
Hospital Charge Code 40006448
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
Service Code HCPCS C1713
Hospital Charge Code 40006448
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
Service Code HCPCS C1713
Hospital Charge Code 40006375
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
Service Code HCPCS C1713
Hospital Charge Code 40006375
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
Service Code HCPCS C1713
Hospital Charge Code 40006451
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
Service Code HCPCS C1713
Hospital Charge Code 40006451
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
Service Code HCPCS C1713
Hospital Charge Code 40006378
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
Service Code HCPCS C1713
Hospital Charge Code 40006378
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
Service Code HCPCS C1713
Hospital Charge Code 40006263
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,488.07
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 $2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan $2,601.16
Rate for Payer: Fidelis Medicare Advantage $4,749.95
Rate for Payer: Group Health Inc Commercial $2,261.88
Rate for Payer: Group Health Inc Medicare $1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,940.44
Service Code HCPCS C1713
Hospital Charge Code 40006263
Hospital Revenue Code 278
Min. Negotiated Rate $2,261.88
Max. Negotiated Rate $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Service Code HCPCS C1713
Hospital Charge Code 40006266
Hospital Revenue Code 278
Min. Negotiated Rate $2,261.88
Max. Negotiated Rate $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Service Code HCPCS C1713
Hospital Charge Code 40006266
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,488.07
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 $2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan $2,601.16
Rate for Payer: Fidelis Medicare Advantage $4,749.95
Rate for Payer: Group Health Inc Commercial $2,261.88
Rate for Payer: Group Health Inc Medicare $1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,940.44
Service Code HCPCS C1713
Hospital Charge Code 40006269
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,488.07
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 $2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan $2,601.16
Rate for Payer: Fidelis Medicare Advantage $4,749.95
Rate for Payer: Group Health Inc Commercial $2,261.88
Rate for Payer: Group Health Inc Medicare $1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,940.44
Service Code HCPCS C1713
Hospital Charge Code 40006269
Hospital Revenue Code 278
Min. Negotiated Rate $2,261.88
Max. Negotiated Rate $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Service Code HCPCS C1713
Hospital Charge Code 40006272
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,488.07
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 $2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan $2,601.16
Rate for Payer: Fidelis Medicare Advantage $4,749.95
Rate for Payer: Group Health Inc Commercial $2,261.88
Rate for Payer: Group Health Inc Medicare $1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,940.44
Service Code HCPCS C1713
Hospital Charge Code 40006272
Hospital Revenue Code 278
Min. Negotiated Rate $2,261.88
Max. Negotiated Rate $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88