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Charge Type Price  
Hospital Charge Code 41569913
Hospital Revenue Code 270
Min. Negotiated Rate $1,050.00
Max. Negotiated Rate $2,400.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,650.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1,500.00
Rate for Payer: Aetna Government $1,500.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,400.00
Rate for Payer: Cigna LocalPlus Benefit Plan $2,040.00
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
Hospital Charge Code 41569957
Hospital Revenue Code 279
Min. Negotiated Rate $171.50
Max. Negotiated Rate $392.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $269.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $245.00
Rate for Payer: Aetna Government $245.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $392.00
Rate for Payer: Cigna LocalPlus Benefit Plan $333.20
Rate for Payer: Group Health Inc Commercial $245.00
Rate for Payer: Group Health Inc Medicare $171.50
Rate for Payer: Hamaspik Choice Inc Medicaid $245.00
Rate for Payer: Hamaspik Choice Inc Medicare $245.00
Hospital Charge Code 41563142
Hospital Revenue Code 272
Min. Negotiated Rate $2,093.00
Max. Negotiated Rate $4,784.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $3,289.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2,990.00
Rate for Payer: Aetna Government $2,990.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $4,784.00
Rate for Payer: Cigna LocalPlus Benefit Plan $4,066.40
Rate for Payer: Group Health Inc Commercial $2,990.00
Rate for Payer: Group Health Inc Medicare $2,093.00
Rate for Payer: Hamaspik Choice Inc Medicaid $2,990.00
Rate for Payer: Hamaspik Choice Inc Medicare $2,990.00
Service Code HCPCS C1725
Hospital Charge Code 41569697
Hospital Revenue Code 278
Min. Negotiated Rate $16.37
Max. Negotiated Rate $49.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial $25.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $44.85
Rate for Payer: Aetna Government $44.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $23.39
Rate for Payer: Cigna LocalPlus Benefit Plan $26.90
Rate for Payer: Fidelis Medicare Advantage $49.12
Rate for Payer: Group Health Inc Commercial $23.39
Rate for Payer: Group Health Inc Medicare $16.37
Rate for Payer: Hamaspik Choice Inc Medicaid $23.39
Rate for Payer: Hamaspik Choice Inc Medicare $23.39
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $30.41
Service Code HCPCS C1725
Hospital Charge Code 41569697
Hospital Revenue Code 278
Min. Negotiated Rate $23.39
Max. Negotiated Rate $23.39
Rate for Payer: Hamaspik Choice Inc Medicaid $23.39
Rate for Payer: Hamaspik Choice Inc Medicare $23.39
Service Code HCPCS C1725
Hospital Charge Code 41569377
Hospital Revenue Code 278
Min. Negotiated Rate $16.48
Max. Negotiated Rate $16.48
Rate for Payer: Hamaspik Choice Inc Medicaid $16.48
Rate for Payer: Hamaspik Choice Inc Medicare $16.48
Service Code HCPCS C1725
Hospital Charge Code 41569377
Hospital Revenue Code 278
Min. Negotiated Rate $11.54
Max. Negotiated Rate $44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial $18.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $44.85
Rate for Payer: Aetna Government $44.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $16.48
Rate for Payer: Cigna LocalPlus Benefit Plan $18.95
Rate for Payer: Fidelis Medicare Advantage $34.61
Rate for Payer: Group Health Inc Commercial $16.48
Rate for Payer: Group Health Inc Medicare $11.54
Rate for Payer: Hamaspik Choice Inc Medicaid $16.48
Rate for Payer: Hamaspik Choice Inc Medicare $16.48
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $21.42
Service Code HCPCS C1725
Hospital Charge Code 41569379
Hospital Revenue Code 278
Min. Negotiated Rate $16.16
Max. Negotiated Rate $16.16
Rate for Payer: Hamaspik Choice Inc Medicaid $16.16
Rate for Payer: Hamaspik Choice Inc Medicare $16.16
Service Code HCPCS C1725
Hospital Charge Code 41569379
Hospital Revenue Code 278
Min. Negotiated Rate $11.31
Max. Negotiated Rate $44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial $17.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $44.85
Rate for Payer: Aetna Government $44.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $16.16
Rate for Payer: Cigna LocalPlus Benefit Plan $18.58
Rate for Payer: Fidelis Medicare Advantage $33.94
Rate for Payer: Group Health Inc Commercial $16.16
Rate for Payer: Group Health Inc Medicare $11.31
Rate for Payer: Hamaspik Choice Inc Medicaid $16.16
Rate for Payer: Hamaspik Choice Inc Medicare $16.16
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $21.01
Service Code HCPCS C1725
Hospital Charge Code 41569380
Hospital Revenue Code 278
Min. Negotiated Rate $16.16
Max. Negotiated Rate $16.16
Rate for Payer: Hamaspik Choice Inc Medicaid $16.16
Rate for Payer: Hamaspik Choice Inc Medicare $16.16
Service Code HCPCS C1725
Hospital Charge Code 41569380
Hospital Revenue Code 278
Min. Negotiated Rate $11.31
Max. Negotiated Rate $44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial $17.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $44.85
Rate for Payer: Aetna Government $44.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $16.16
Rate for Payer: Cigna LocalPlus Benefit Plan $18.58
Rate for Payer: Fidelis Medicare Advantage $33.94
Rate for Payer: Group Health Inc Commercial $16.16
Rate for Payer: Group Health Inc Medicare $11.31
Rate for Payer: Hamaspik Choice Inc Medicaid $16.16
Rate for Payer: Hamaspik Choice Inc Medicare $16.16
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $21.01
Service Code HCPCS C1725
Hospital Charge Code 41569381
Hospital Revenue Code 278
Min. Negotiated Rate $13.02
Max. Negotiated Rate $44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial $20.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $44.85
Rate for Payer: Aetna Government $44.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $18.60
Rate for Payer: Cigna LocalPlus Benefit Plan $21.40
Rate for Payer: Fidelis Medicare Advantage $39.07
Rate for Payer: Group Health Inc Commercial $18.60
Rate for Payer: Group Health Inc Medicare $13.02
Rate for Payer: Hamaspik Choice Inc Medicaid $18.60
Rate for Payer: Hamaspik Choice Inc Medicare $18.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $24.19
Service Code HCPCS C1725
Hospital Charge Code 41569381
Hospital Revenue Code 278
Min. Negotiated Rate $18.60
Max. Negotiated Rate $18.60
Rate for Payer: Hamaspik Choice Inc Medicaid $18.60
Rate for Payer: Hamaspik Choice Inc Medicare $18.60
Service Code HCPCS C1725
Hospital Charge Code 41569382
Hospital Revenue Code 278
Min. Negotiated Rate $11.31
Max. Negotiated Rate $44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial $17.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $44.85
Rate for Payer: Aetna Government $44.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $16.16
Rate for Payer: Cigna LocalPlus Benefit Plan $18.58
Rate for Payer: Fidelis Medicare Advantage $33.94
Rate for Payer: Group Health Inc Commercial $16.16
Rate for Payer: Group Health Inc Medicare $11.31
Rate for Payer: Hamaspik Choice Inc Medicaid $16.16
Rate for Payer: Hamaspik Choice Inc Medicare $16.16
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $21.01
Service Code HCPCS C1725
Hospital Charge Code 41569382
Hospital Revenue Code 278
Min. Negotiated Rate $16.16
Max. Negotiated Rate $16.16
Rate for Payer: Hamaspik Choice Inc Medicaid $16.16
Rate for Payer: Hamaspik Choice Inc Medicare $16.16
Service Code HCPCS C1725
Hospital Charge Code 41569730
Hospital Revenue Code 278
Min. Negotiated Rate $19.60
Max. Negotiated Rate $58.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $30.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $44.85
Rate for Payer: Aetna Government $44.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $28.00
Rate for Payer: Cigna LocalPlus Benefit Plan $32.20
Rate for Payer: Fidelis Medicare Advantage $58.80
Rate for Payer: Group Health Inc Commercial $28.00
Rate for Payer: Group Health Inc Medicare $19.60
Rate for Payer: Hamaspik Choice Inc Medicaid $28.00
Rate for Payer: Hamaspik Choice Inc Medicare $28.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $36.40
Service Code HCPCS C1725
Hospital Charge Code 41569730
Hospital Revenue Code 278
Min. Negotiated Rate $28.00
Max. Negotiated Rate $28.00
Rate for Payer: Hamaspik Choice Inc Medicaid $28.00
Rate for Payer: Hamaspik Choice Inc Medicare $28.00
Service Code HCPCS C1725
Hospital Charge Code 41569731
Hospital Revenue Code 278
Min. Negotiated Rate $8.44
Max. Negotiated Rate $44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial $13.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $44.85
Rate for Payer: Aetna Government $44.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $12.05
Rate for Payer: Cigna LocalPlus Benefit Plan $13.86
Rate for Payer: Fidelis Medicare Advantage $25.30
Rate for Payer: Group Health Inc Commercial $12.05
Rate for Payer: Group Health Inc Medicare $8.44
Rate for Payer: Hamaspik Choice Inc Medicaid $12.05
Rate for Payer: Hamaspik Choice Inc Medicare $12.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $15.66
Service Code HCPCS C1725
Hospital Charge Code 41569731
Hospital Revenue Code 278
Min. Negotiated Rate $12.05
Max. Negotiated Rate $12.05
Rate for Payer: Hamaspik Choice Inc Medicaid $12.05
Rate for Payer: Hamaspik Choice Inc Medicare $12.05
Service Code HCPCS C1725
Hospital Charge Code 41569707
Hospital Revenue Code 278
Min. Negotiated Rate $25.44
Max. Negotiated Rate $25.44
Rate for Payer: Hamaspik Choice Inc Medicaid $25.44
Rate for Payer: Hamaspik Choice Inc Medicare $25.44
Service Code HCPCS C1725
Hospital Charge Code 41569707
Hospital Revenue Code 278
Min. Negotiated Rate $17.81
Max. Negotiated Rate $53.43
Rate for Payer: 1199SEIU National Benefit Fund Commercial $27.99
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $44.85
Rate for Payer: Aetna Government $44.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $25.44
Rate for Payer: Cigna LocalPlus Benefit Plan $29.26
Rate for Payer: Fidelis Medicare Advantage $53.43
Rate for Payer: Group Health Inc Commercial $25.44
Rate for Payer: Group Health Inc Medicare $17.81
Rate for Payer: Hamaspik Choice Inc Medicaid $25.44
Rate for Payer: Hamaspik Choice Inc Medicare $25.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $33.08
Service Code HCPCS C1725
Hospital Charge Code 41569383
Hospital Revenue Code 278
Min. Negotiated Rate $16.16
Max. Negotiated Rate $16.16
Rate for Payer: Hamaspik Choice Inc Medicaid $16.16
Rate for Payer: Hamaspik Choice Inc Medicare $16.16
Service Code HCPCS C1725
Hospital Charge Code 41569383
Hospital Revenue Code 278
Min. Negotiated Rate $11.31
Max. Negotiated Rate $44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial $17.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $44.85
Rate for Payer: Aetna Government $44.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $16.16
Rate for Payer: Cigna LocalPlus Benefit Plan $18.58
Rate for Payer: Fidelis Medicare Advantage $33.94
Rate for Payer: Group Health Inc Commercial $16.16
Rate for Payer: Group Health Inc Medicare $11.31
Rate for Payer: Hamaspik Choice Inc Medicaid $16.16
Rate for Payer: Hamaspik Choice Inc Medicare $16.16
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $21.01
Service Code HCPCS C1725
Hospital Charge Code 41569384
Hospital Revenue Code 278
Min. Negotiated Rate $16.16
Max. Negotiated Rate $16.16
Rate for Payer: Hamaspik Choice Inc Medicaid $16.16
Rate for Payer: Hamaspik Choice Inc Medicare $16.16
Service Code HCPCS C1725
Hospital Charge Code 41569384
Hospital Revenue Code 278
Min. Negotiated Rate $11.31
Max. Negotiated Rate $44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial $17.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $44.85
Rate for Payer: Aetna Government $44.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $16.16
Rate for Payer: Cigna LocalPlus Benefit Plan $18.58
Rate for Payer: Fidelis Medicare Advantage $33.94
Rate for Payer: Group Health Inc Commercial $16.16
Rate for Payer: Group Health Inc Medicare $11.31
Rate for Payer: Hamaspik Choice Inc Medicaid $16.16
Rate for Payer: Hamaspik Choice Inc Medicare $16.16
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $21.01