Z NAIL 6.0 X 75 CANC SCREW PT
|
Facility
IP
|
$459.80
|
|
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
|
|
Z NAIL 6.0 X 80 CANC SCREW FA
|
Facility
IP
|
$430.14
|
|
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
|
|
Z NAIL 6.0 X 80 CANC SCREW FA
|
Facility
OP
|
$430.14
|
|
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
|
|
Z NAIL 6.0 X 80 CANC SCREW PT
|
Facility
IP
|
$459.80
|
|
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
|
|
Z NAIL 6.0 X 80 CANC SCREW PT
|
Facility
OP
|
$459.80
|
|
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
|
|
Z NAIL 6.0 X 85 CANC SCREW FA
|
Facility
IP
|
$430.14
|
|
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
|
|
Z NAIL 6.0 X 85 CANC SCREW FA
|
Facility
OP
|
$430.14
|
|
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
|
|
Z NAIL 6.0 X 85 CANC SCREW PT
|
Facility
OP
|
$459.80
|
|
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
|
|
Z NAIL 6.0 X 85 CANC SCREW PT
|
Facility
IP
|
$459.80
|
|
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
|
|
Z NAIL 6.0 X 90 CANC SCREW FA
|
Facility
IP
|
$430.14
|
|
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
|
|
Z NAIL 6.0 X 90 CANC SCREW FA
|
Facility
OP
|
$430.14
|
|
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
|
|
Z NAIL 6.0 X 90 CANC SCREW PT
|
Facility
IP
|
$459.80
|
|
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
|
|
Z NAIL 6.0 X 90 CANC SCREW PT
|
Facility
OP
|
$459.80
|
|
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
|
|
Z NAIL 6.0 X 95 CANC SCREW FA
|
Facility
OP
|
$430.14
|
|
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
|
|
Z NAIL 6.0 X 95 CANC SCREW FA
|
Facility
IP
|
$430.14
|
|
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
|
|
Z NAIL 6.0 X 95 CANC SCREW PT
|
Facility
IP
|
$459.80
|
|
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
|
|
Z NAIL 6.0 X 95 CANC SCREW PT
|
Facility
OP
|
$459.80
|
|
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
|
|
Z NAIL RF 10 MM X 16 CM UNIV
|
Facility
OP
|
$4,523.76
|
|
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
|
|
Z NAIL RF 10 MM X 16 CM UNIV
|
Facility
IP
|
$4,523.76
|
|
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
|
|
Z NAIL RF 10 MM X 20 CM UNIV
|
Facility
OP
|
$4,523.76
|
|
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
|
|
Z NAIL RF 10 MM X 20 CM UNIV
|
Facility
IP
|
$4,523.76
|
|
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
|
|
Z NAIL RF 10 MM X 24 CM UNIV
|
Facility
IP
|
$4,523.76
|
|
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
|
|
Z NAIL RF 10 MM X 24 CM UNIV
|
Facility
OP
|
$4,523.76
|
|
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
|
|
Z NAIL RF 10 MM X 28 CM UNIV
|
Facility
OP
|
$4,523.76
|
|
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
|
|
Z NAIL RF 10 MM X 28 CM UNIV
|
Facility
IP
|
$4,523.76
|
|
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
|
|