Z NAIL RF 11.5 MM X 32 CM UNIV
|
Facility
IP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006279
|
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 11.5 MM X 34 CM UNIV
|
Facility
OP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006282
|
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 11.5 MM X 34 CM UNIV
|
Facility
IP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006282
|
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 11.5 MM X 36 CM UNIV
|
Facility
OP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006285
|
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 11.5 MM X 36 CM UNIV
|
Facility
IP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006285
|
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 11.5 MM X 38 CM UNIV
|
Facility
OP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006288
|
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 11.5 MM X 38 CM UNIV
|
Facility
IP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006288
|
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 11.5 MM X 40 CM UNIV
|
Facility
IP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006291
|
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 11.5 MM X 40 CM UNIV
|
Facility
OP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006291
|
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 11.5 MM X 42 CM UNIV
|
Facility
OP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006294
|
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 11.5 MM X 42 CM UNIV
|
Facility
IP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006294
|
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 11.5 MM X 44 CM UNIV
|
Facility
IP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006297
|
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 11.5 MM X 44 CM UNIV
|
Facility
OP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006297
|
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 13 MM X 16 CM UNIV
|
Facility
OP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006265
|
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 13 MM X 16 CM UNIV
|
Facility
IP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006265
|
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 13 MM X 20 CM UNIV
|
Facility
OP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006268
|
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 13 MM X 20 CM UNIV
|
Facility
IP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006268
|
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 13 MM X 24 CM UNIV
|
Facility
OP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006271
|
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 13 MM X 24 CM UNIV
|
Facility
IP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006271
|
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 13 MM X 28 CM UNIV
|
Facility
OP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006274
|
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 13 MM X 28 CM UNIV
|
Facility
IP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006274
|
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 13 MM X 30 CM UNIV
|
Facility
IP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006277
|
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 13 MM X 30 CM UNIV
|
Facility
OP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006277
|
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 13 MM X 32 CM UNIV
|
Facility
IP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006280
|
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 13 MM X 32 CM UNIV
|
Facility
OP
|
$4,523.76
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40006280
|
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
|
|