|
ZZ MYNX 6F/7F
|
Facility
OP
|
$400.00
|
|
|
Service Code
|
HCPCS C1760
|
| Hospital Charge Code |
41567745
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$73.50 |
| Max. Negotiated Rate |
$420.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$220.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$73.50
|
| Rate for Payer: Aetna Government |
$73.50
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$200.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$230.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$420.00
|
| Rate for Payer: Group Health Inc Commercial |
$200.00
|
| Rate for Payer: Group Health Inc Medicare |
$140.00
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$200.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$200.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$260.00
|
|
|
ZZ MYNX 6F/7F
|
Facility
IP
|
$400.00
|
|
|
Service Code
|
HCPCS C1760
|
| Hospital Charge Code |
41567745
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$200.00 |
| Max. Negotiated Rate |
$200.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$200.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$200.00
|
|
|
ZZ NAVILYST EXODUS DRAIN CATH
|
Facility
OP
|
$150.00
|
|
|
Service Code
|
HCPCS C1729
|
| Hospital Charge Code |
41563106
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2.42 |
| Max. Negotiated Rate |
$157.50 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$82.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$2.42
|
| Rate for Payer: Aetna Government |
$2.42
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$75.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$86.25
|
| Rate for Payer: Fidelis Medicare Advantage |
$157.50
|
| Rate for Payer: Group Health Inc Commercial |
$75.00
|
| Rate for Payer: Group Health Inc Medicare |
$52.50
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$75.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$75.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$97.50
|
|
|
ZZ NAVILYST EXODUS DRAIN CATH
|
Facility
IP
|
$150.00
|
|
|
Service Code
|
HCPCS C1729
|
| Hospital Charge Code |
41563106
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$75.00 |
| Max. Negotiated Rate |
$75.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$75.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$75.00
|
|
|
ZZ NDL BSD 18VT 7 18 1 WAL
|
Facility
OP
|
$8.51
|
|
| Hospital Charge Code |
41567011
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.98 |
| Max. Negotiated Rate |
$6.81 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$4.68
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$4.26
|
| Rate for Payer: Aetna Government |
$4.26
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$6.81
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$5.79
|
| Rate for Payer: Group Health Inc Commercial |
$4.26
|
| Rate for Payer: Group Health Inc Medicare |
$2.98
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$4.26
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$4.26
|
|
|
ZZ NDL BSD 19VT 7 19 1 WAL
|
Facility
OP
|
$8.51
|
|
| Hospital Charge Code |
41567012
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.98 |
| Max. Negotiated Rate |
$6.81 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$4.68
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$4.26
|
| Rate for Payer: Aetna Government |
$4.26
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$6.81
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$5.79
|
| Rate for Payer: Group Health Inc Commercial |
$4.26
|
| Rate for Payer: Group Health Inc Medicare |
$2.98
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$4.26
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$4.26
|
|
|
ZZ NDL DCM 19VT 7 19 2 WALL
|
Facility
OP
|
$13.82
|
|
| Hospital Charge Code |
41567013
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.84 |
| Max. Negotiated Rate |
$11.06 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$7.60
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$6.91
|
| Rate for Payer: Aetna Government |
$6.91
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11.06
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9.40
|
| Rate for Payer: Group Health Inc Commercial |
$6.91
|
| Rate for Payer: Group Health Inc Medicare |
$4.84
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$6.91
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$6.91
|
|
|
ZZ NEEDLE/18G/20CM
|
Facility
OP
|
$19.60
|
|
| Hospital Charge Code |
41569263
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.86 |
| Max. Negotiated Rate |
$15.68 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10.78
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$9.80
|
| Rate for Payer: Aetna Government |
$9.80
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15.68
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13.33
|
| Rate for Payer: Group Health Inc Commercial |
$9.80
|
| Rate for Payer: Group Health Inc Medicare |
$6.86
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$9.80
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$9.80
|
|
|
ZZ NEEDLE/18G SINGLE WALL/18G/9CM
|
Facility
OP
|
$4.63
|
|
| Hospital Charge Code |
41569264
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.62 |
| Max. Negotiated Rate |
$3.70 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$2.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$2.32
|
| Rate for Payer: Aetna Government |
$2.32
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$3.70
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$3.15
|
| Rate for Payer: Group Health Inc Commercial |
$2.32
|
| Rate for Payer: Group Health Inc Medicare |
$1.62
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$2.32
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$2.32
|
|
|
ZZ NEEDLE/21G SINGLE WALL/21G/7CM
|
Facility
OP
|
$5.31
|
|
| Hospital Charge Code |
41569266
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.86 |
| Max. Negotiated Rate |
$4.25 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$2.92
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$2.66
|
| Rate for Payer: Aetna Government |
$2.66
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$4.25
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$3.61
|
| Rate for Payer: Group Health Inc Commercial |
$2.66
|
| Rate for Payer: Group Health Inc Medicare |
$1.86
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$2.66
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$2.66
|
|
|
ZZ NEEDLE/21G TROCAR/21G/15CM
|
Facility
OP
|
$19.60
|
|
| Hospital Charge Code |
41569267
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.86 |
| Max. Negotiated Rate |
$15.68 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10.78
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$9.80
|
| Rate for Payer: Aetna Government |
$9.80
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15.68
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13.33
|
| Rate for Payer: Group Health Inc Commercial |
$9.80
|
| Rate for Payer: Group Health Inc Medicare |
$6.86
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$9.80
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$9.80
|
|
|
ZZ NEEDLE/21G TROCAR/21G/20CM
|
Facility
OP
|
$19.60
|
|
| Hospital Charge Code |
41569268
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.86 |
| Max. Negotiated Rate |
$15.68 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10.78
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$9.80
|
| Rate for Payer: Aetna Government |
$9.80
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15.68
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13.33
|
| Rate for Payer: Group Health Inc Commercial |
$9.80
|
| Rate for Payer: Group Health Inc Medicare |
$6.86
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$9.80
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$9.80
|
|
|
ZZ NEEDLE CHIBA 18G 10CM
|
Facility
OP
|
$34.50
|
|
| Hospital Charge Code |
41569894
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$12.08 |
| Max. Negotiated Rate |
$27.60 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18.98
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$17.25
|
| Rate for Payer: Aetna Government |
$17.25
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27.60
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23.46
|
| Rate for Payer: Group Health Inc Commercial |
$17.25
|
| Rate for Payer: Group Health Inc Medicare |
$12.08
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$17.25
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$17.25
|
|
|
ZZ NEEDLE CHIBA 18G 15CM
|
Facility
OP
|
$26.00
|
|
| Hospital Charge Code |
41569895
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.10 |
| Max. Negotiated Rate |
$20.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14.30
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$13.00
|
| Rate for Payer: Aetna Government |
$13.00
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17.68
|
| Rate for Payer: Group Health Inc Commercial |
$13.00
|
| Rate for Payer: Group Health Inc Medicare |
$9.10
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$13.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$13.00
|
|
|
ZZ NEEDLE CHIBA 18G 20CM
|
Facility
OP
|
$26.00
|
|
| Hospital Charge Code |
41569896
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.10 |
| Max. Negotiated Rate |
$20.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14.30
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$13.00
|
| Rate for Payer: Aetna Government |
$13.00
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17.68
|
| Rate for Payer: Group Health Inc Commercial |
$13.00
|
| Rate for Payer: Group Health Inc Medicare |
$9.10
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$13.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$13.00
|
|
|
ZZ NEEDLE/FRANSEEN/22G/10CM
|
Facility
OP
|
$56.00
|
|
| Hospital Charge Code |
41569711
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$19.60 |
| Max. Negotiated Rate |
$44.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$30.80
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28.00
|
| Rate for Payer: Aetna Government |
$28.00
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$44.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$38.08
|
| 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
|
|
|
ZZ NEEDLE/FRANSEEN/22G/20CM
|
Facility
OP
|
$56.00
|
|
| Hospital Charge Code |
41569713
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$19.60 |
| Max. Negotiated Rate |
$44.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$30.80
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28.00
|
| Rate for Payer: Aetna Government |
$28.00
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$44.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$38.08
|
| 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
|
|
|
ZZ NEEDLE/FRANSEEN 23G/15CM
|
Facility
OP
|
$58.83
|
|
| Hospital Charge Code |
41569714
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$20.59 |
| Max. Negotiated Rate |
$47.06 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$32.36
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29.42
|
| Rate for Payer: Aetna Government |
$29.42
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$47.06
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$40.00
|
| Rate for Payer: Group Health Inc Commercial |
$29.42
|
| Rate for Payer: Group Health Inc Medicare |
$20.59
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$29.42
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29.42
|
|
|
ZZ NEEDLE/LYMPHANGIO/30G
|
Facility
OP
|
$17.34
|
|
| Hospital Charge Code |
41569270
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.07 |
| Max. Negotiated Rate |
$13.87 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9.54
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$8.67
|
| Rate for Payer: Aetna Government |
$8.67
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13.87
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11.79
|
| Rate for Payer: Group Health Inc Commercial |
$8.67
|
| Rate for Payer: Group Health Inc Medicare |
$6.07
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$8.67
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$8.67
|
|
|
ZZ NEEDLE/POTTS/COURNANO 18G
|
Facility
OP
|
$10.96
|
|
| Hospital Charge Code |
41569271
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.84 |
| Max. Negotiated Rate |
$8.77 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$6.03
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$5.48
|
| Rate for Payer: Aetna Government |
$5.48
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$8.77
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$7.45
|
| Rate for Payer: Group Health Inc Commercial |
$5.48
|
| Rate for Payer: Group Health Inc Medicare |
$3.84
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$5.48
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$5.48
|
|
|
ZZ NEEDLE/SELDINGER 18G
|
Facility
OP
|
$10.96
|
|
| Hospital Charge Code |
41569272
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.84 |
| Max. Negotiated Rate |
$8.77 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$6.03
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$5.48
|
| Rate for Payer: Aetna Government |
$5.48
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$8.77
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$7.45
|
| Rate for Payer: Group Health Inc Commercial |
$5.48
|
| Rate for Payer: Group Health Inc Medicare |
$3.84
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$5.48
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$5.48
|
|
|
ZZ NEEDLE/TROCAR 18G/10CM
|
Facility
OP
|
$32.60
|
|
| Hospital Charge Code |
41569708
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$11.41 |
| Max. Negotiated Rate |
$26.08 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17.93
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$16.30
|
| Rate for Payer: Aetna Government |
$16.30
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26.08
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22.17
|
| Rate for Payer: Group Health Inc Commercial |
$16.30
|
| Rate for Payer: Group Health Inc Medicare |
$11.41
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$16.30
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$16.30
|
|
|
ZZ NEEDLE TROCAR 18G\20CM
|
Facility
OP
|
$32.60
|
|
| Hospital Charge Code |
41569709
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$11.41 |
| Max. Negotiated Rate |
$26.08 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17.93
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$16.30
|
| Rate for Payer: Aetna Government |
$16.30
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26.08
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22.17
|
| Rate for Payer: Group Health Inc Commercial |
$16.30
|
| Rate for Payer: Group Health Inc Medicare |
$11.41
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$16.30
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$16.30
|
|
|
ZZ NEEDLE TROCAR 20G\20CM
|
Facility
OP
|
$34.02
|
|
| Hospital Charge Code |
41569710
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$11.91 |
| Max. Negotiated Rate |
$27.22 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18.71
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$17.01
|
| Rate for Payer: Aetna Government |
$17.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27.22
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23.13
|
| Rate for Payer: Group Health Inc Commercial |
$17.01
|
| Rate for Payer: Group Health Inc Medicare |
$11.91
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$17.01
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$17.01
|
|
|
ZZ NEPH PERC ASS SET 104
|
Facility
OP
|
$185.69
|
|
| Hospital Charge Code |
41567014
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$64.99 |
| Max. Negotiated Rate |
$148.55 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$102.13
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$92.84
|
| Rate for Payer: Aetna Government |
$92.84
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$148.55
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$126.27
|
| Rate for Payer: Group Health Inc Commercial |
$92.84
|
| Rate for Payer: Group Health Inc Medicare |
$64.99
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$92.84
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$92.84
|
|
