St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

TROPICAMIDE 1% OPHTHALMIC SOLN 15 ML

Facility

$10.74

Hospital Charge Code	41641943
Hospital Revenue Code	250
Min. Negotiated Rate	$3.76
Max. Negotiated Rate	$8.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.37
Rate for Payer: Aetna Government	$5.37
Rate for Payer: Brighton Health Commercial	$8.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.59
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.30
Rate for Payer: Group Health Inc Commercial	$5.37
Rate for Payer: Group Health Inc Medicare	$3.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.37
Rate for Payer: Hamaspik Choice Inc Medicare	$5.37
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6.98

TROPICAMIDE 1% OPHTHALMIC SOLN 15 ML

Facility

$10.74

Hospital Charge Code	41651943
Hospital Revenue Code	250
Min. Negotiated Rate	$3.76
Max. Negotiated Rate	$8.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.37
Rate for Payer: Aetna Government	$5.37
Rate for Payer: Brighton Health Commercial	$8.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.59
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.30
Rate for Payer: Group Health Inc Commercial	$5.37
Rate for Payer: Group Health Inc Medicare	$3.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.37
Rate for Payer: Hamaspik Choice Inc Medicare	$5.37
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6.98

TROPICAMIDE 1% OPHTHALMIC SOLN 2 ML

Facility

$5.00

Hospital Charge Code	41654321
Hospital Revenue Code	250
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$4.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.50
Rate for Payer: Aetna Government	$2.50
Rate for Payer: Brighton Health Commercial	$3.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.40
Rate for Payer: Group Health Inc Commercial	$2.50
Rate for Payer: Group Health Inc Medicare	$1.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.50
Rate for Payer: Hamaspik Choice Inc Medicare	$2.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.25

TROPICAMIDE 1% OPHTHALMIC SOLN 2 ML

Facility

$5.00

Hospital Charge Code	41644321
Hospital Revenue Code	250
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$4.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.50
Rate for Payer: Aetna Government	$2.50
Rate for Payer: Brighton Health Commercial	$3.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.40
Rate for Payer: Group Health Inc Commercial	$2.50
Rate for Payer: Group Health Inc Medicare	$1.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.50
Rate for Payer: Hamaspik Choice Inc Medicare	$2.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.25

TROPICAMIDE 1 % OP SOLN [8250]

Facility

$0.71

Service Code	NDC 17478010212
Hospital Charge Code	17478010212
Hospital Revenue Code	250
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.36
Rate for Payer: Aetna Government	$0.36
Rate for Payer: Brighton Health Commercial	$0.53
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.57
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.48
Rate for Payer: Group Health Inc Commercial	$0.36
Rate for Payer: Group Health Inc Medicare	$0.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.36
Rate for Payer: Hamaspik Choice Inc Medicare	$0.36
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.46

TROPICAMIDE 1 % OP SOLN [8250]

Facility

$2.38

Service Code	NDC 70069012101
Hospital Charge Code	70069012101
Hospital Revenue Code	250
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$1.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.19
Rate for Payer: Aetna Government	$1.19
Rate for Payer: Brighton Health Commercial	$1.78
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.62
Rate for Payer: Group Health Inc Commercial	$1.19
Rate for Payer: Group Health Inc Medicare	$0.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.19
Rate for Payer: Hamaspik Choice Inc Medicare	$1.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.54

TROPICAMIDE 1 % OP SOLN [8250]

Facility

$4.67

Service Code	NDC 61314035501
Hospital Charge Code	61314035501
Hospital Revenue Code	250
Min. Negotiated Rate	$1.63
Max. Negotiated Rate	$3.73
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.57
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.33
Rate for Payer: Aetna Government	$2.33
Rate for Payer: Brighton Health Commercial	$3.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.73
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.17
Rate for Payer: Group Health Inc Commercial	$2.33
Rate for Payer: Group Health Inc Medicare	$1.63
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.33
Rate for Payer: Hamaspik Choice Inc Medicare	$2.33
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.03

TROPICAMIDE 1 % OP SOLN [8250]

Facility

$3.17

Service Code	NDC 61314035502
Hospital Charge Code	61314035502
Hospital Revenue Code	250
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$2.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.59
Rate for Payer: Aetna Government	$1.59
Rate for Payer: Brighton Health Commercial	$2.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.16
Rate for Payer: Group Health Inc Commercial	$1.59
Rate for Payer: Group Health Inc Medicare	$1.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.59
Rate for Payer: Hamaspik Choice Inc Medicare	$1.59
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.06

TROPICAMIDE 1 % OP SOLN [8250]

Facility

$5.00

Service Code	NDC 24208058559
Hospital Charge Code	24208058559
Hospital Revenue Code	250
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$4.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.50
Rate for Payer: Aetna Government	$2.50
Rate for Payer: Brighton Health Commercial	$3.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.40
Rate for Payer: Group Health Inc Commercial	$2.50
Rate for Payer: Group Health Inc Medicare	$1.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.50
Rate for Payer: Hamaspik Choice Inc Medicare	$2.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.25

TROPONIN I (IN-HOUSE)

Facility

$31.18

Service Code	HCPCS 84484
Hospital Charge Code	40602036
Hospital Revenue Code	301
Min. Negotiated Rate	$9.98
Max. Negotiated Rate	$23.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$12.47
Rate for Payer: Aetna Government	$12.47
Rate for Payer: Brighton Health Commercial	$23.38
Rate for Payer: Cash Price	$12.47
Rate for Payer: Cash Price	$12.47
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$12.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$15.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.23
Rate for Payer: Elderplan Medicare Advantage	$12.47
Rate for Payer: EmblemHealth Commercial	$12.47
Rate for Payer: Fidelis Essential Plan Aliesa	$10.60
Rate for Payer: Fidelis Essential Plan QHP	$11.10
Rate for Payer: Fidelis Medicare Advantage	$12.47
Rate for Payer: Fidelis Qualified Health Plan	$11.10
Rate for Payer: Group Health Inc Commercial	$12.47
Rate for Payer: Group Health Inc Medicare	$12.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.59
Rate for Payer: Hamaspik Choice Inc Medicare	$12.47
Rate for Payer: Healthfirst Medicare Advantage	$12.47
Rate for Payer: Healthfirst QHP	$12.47
Rate for Payer: Senior Whole Health Medicare Advantage	$12.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$12.47
Rate for Payer: Wellcare CHP/FHP/Medicaid	$9.98
Rate for Payer: Wellcare Medicare	$11.22

TROPONIN I (IN-HOUSE)

Facility

$31.18

Service Code	HCPCS 84484
Hospital Charge Code	40602036
Hospital Revenue Code	301
Rate for Payer: Cash Price	$12.47

TRTMNT HUMERUS FRACTURE W/O MANIP

Facility

$917.80

Hospital Charge Code	30103068
Hospital Revenue Code	450
Min. Negotiated Rate	$165.00
Max. Negotiated Rate	$874.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$694.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$458.90
Rate for Payer: Aetna Government	$458.90
Rate for Payer: Brighton Health Commercial	$874.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$747.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$635.21
Rate for Payer: EmblemHealth Commercial	$525.00
Rate for Payer: Group Health Inc Commercial	$525.00
Rate for Payer: Group Health Inc Medicare	$525.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$458.90
Rate for Payer: Hamaspik Choice Inc Medicare	$458.90
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$165.00
Rate for Payer: Healthfirst Medicare Advantage	$225.00

TRTMNT. OF ROOT CANAL OBSTRUCTION

Facility

$425.25

Service Code	HCPCS D3331
Hospital Charge Code	42303303
Hospital Revenue Code	361
Rate for Payer: Cash Price	$1,018.19

TRTMNT. OF ROOT CANAL OBSTRUCTION

Facility

$425.25

Service Code	HCPCS D3331
Hospital Charge Code	42303303
Hospital Revenue Code	361
Min. Negotiated Rate	$212.62
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$233.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,018.19
Rate for Payer: Aetna Government	$1,018.19
Rate for Payer: Brighton Health Commercial	$318.94
Rate for Payer: Cash Price	$1,018.19
Rate for Payer: Cash Price	$1,018.19
Rate for Payer: Cash Price	$1,018.19
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$1,018.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Elderplan Medicare Advantage	$1,018.19
Rate for Payer: EmblemHealth Commercial	$1,018.19
Rate for Payer: Fidelis Essential Plan Aliesa	$865.46
Rate for Payer: Fidelis Essential Plan QHP	$906.19
Rate for Payer: Fidelis Medicare Advantage	$1,018.19
Rate for Payer: Fidelis Qualified Health Plan	$906.19
Rate for Payer: Group Health Inc Commercial	$1,018.19
Rate for Payer: Group Health Inc Medicare	$1,018.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.62
Rate for Payer: Hamaspik Choice Inc Medicare	$1,018.19
Rate for Payer: Healthfirst Medicare Advantage	$865.46
Rate for Payer: Healthfirst QHP	$1,018.19
Rate for Payer: Senior Whole Health Medicare Advantage	$1,018.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,018.19
Rate for Payer: Wellcare CHP/FHP/Medicaid	$814.55
Rate for Payer: Wellcare Medicare	$967.28

TRUCLEAR INCIS PLUS BLADE 2.9

Facility

$1,773.75

Hospital Charge Code	64905902
Hospital Revenue Code	270
Min. Negotiated Rate	$620.81
Max. Negotiated Rate	$1,419.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$975.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$886.88
Rate for Payer: Aetna Government	$886.88
Rate for Payer: Brighton Health Commercial	$1,330.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,419.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,206.15
Rate for Payer: Group Health Inc Commercial	$886.88
Rate for Payer: Group Health Inc Medicare	$620.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$886.88
Rate for Payer: Hamaspik Choice Inc Medicare	$886.88

TRUCLEAR ULTRA RECIPROCATING

Facility

$2,378.75

Hospital Charge Code	64905960
Hospital Revenue Code	270
Min. Negotiated Rate	$832.56
Max. Negotiated Rate	$1,903.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,308.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,189.38
Rate for Payer: Aetna Government	$1,189.38
Rate for Payer: Brighton Health Commercial	$1,784.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,903.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,617.55
Rate for Payer: Group Health Inc Commercial	$1,189.38
Rate for Payer: Group Health Inc Medicare	$832.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,189.38
Rate for Payer: Hamaspik Choice Inc Medicare	$1,189.38

TRUE CLONE THOR 11 VENT

Facility

$600.00

Hospital Charge Code	64903535
Hospital Revenue Code	270
Min. Negotiated Rate	$210.00
Max. Negotiated Rate	$480.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$330.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$300.00
Rate for Payer: Aetna Government	$300.00
Rate for Payer: Brighton Health Commercial	$450.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$480.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$408.00
Rate for Payer: Group Health Inc Commercial	$300.00
Rate for Payer: Group Health Inc Medicare	$210.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$300.00
Rate for Payer: Hamaspik Choice Inc Medicare	$300.00

TRUE CLONE THOR 13 VENT

Facility

$570.00

Hospital Charge Code	64903537
Hospital Revenue Code	270
Min. Negotiated Rate	$199.50
Max. Negotiated Rate	$456.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$313.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$285.00
Rate for Payer: Aetna Government	$285.00
Rate for Payer: Brighton Health Commercial	$427.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$456.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$387.60
Rate for Payer: Group Health Inc Commercial	$285.00
Rate for Payer: Group Health Inc Medicare	$199.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$285.00
Rate for Payer: Hamaspik Choice Inc Medicare	$285.00

TRV CUT BIOPSY NEEDLE

Facility

$35.08

Hospital Charge Code	40200040
Hospital Revenue Code	270
Min. Negotiated Rate	$12.28
Max. Negotiated Rate	$28.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$19.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$17.54
Rate for Payer: Aetna Government	$17.54
Rate for Payer: Brighton Health Commercial	$26.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$28.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$23.85
Rate for Payer: Group Health Inc Commercial	$17.54
Rate for Payer: Group Health Inc Medicare	$12.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.54
Rate for Payer: Hamaspik Choice Inc Medicare	$17.54

TRYPAN BLUE

Facility

$69.80

Service Code	HCPCS J3490
Hospital Charge Code	41650197
Hospital Revenue Code	636
Min. Negotiated Rate	$34.90
Max. Negotiated Rate	$34.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.90
Rate for Payer: Hamaspik Choice Inc Medicare	$34.90

TRYPAN BLUE

Facility

$69.80

Service Code	HCPCS J3490
Hospital Charge Code	41640197
Hospital Revenue Code	636
Min. Negotiated Rate	$34.90
Max. Negotiated Rate	$34.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.90
Rate for Payer: Hamaspik Choice Inc Medicare	$34.90

TRYPAN BLUE

Facility

$69.80

Service Code	HCPCS J3490
Hospital Charge Code	41650197
Hospital Revenue Code	636
Min. Negotiated Rate	$24.43
Max. Negotiated Rate	$45.37
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$38.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$34.90
Rate for Payer: Aetna Government	$34.90
Rate for Payer: Brighton Health Commercial	$41.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$34.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$40.14
Rate for Payer: Group Health Inc Commercial	$34.90
Rate for Payer: Group Health Inc Medicare	$24.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.90
Rate for Payer: Hamaspik Choice Inc Medicare	$34.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$45.37

TRYPAN BLUE

Facility

$69.80

Service Code	HCPCS J3490
Hospital Charge Code	41640197
Hospital Revenue Code	636
Min. Negotiated Rate	$24.43
Max. Negotiated Rate	$45.37
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$38.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$34.90
Rate for Payer: Aetna Government	$34.90
Rate for Payer: Brighton Health Commercial	$41.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$34.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$40.14
Rate for Payer: Group Health Inc Commercial	$34.90
Rate for Payer: Group Health Inc Medicare	$24.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.90
Rate for Payer: Hamaspik Choice Inc Medicare	$34.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$45.37

TRYPAN BLUE 0.06 % IO SOSY [188003]

Facility

$192.24

Service Code	NDC 68803061210
Hospital Charge Code	68803061210
Hospital Revenue Code	250
Min. Negotiated Rate	$67.28
Max. Negotiated Rate	$153.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$105.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$96.12
Rate for Payer: Aetna Government	$96.12
Rate for Payer: Brighton Health Commercial	$144.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$153.79
Rate for Payer: Cigna LocalPlus Benefit Plan	$130.72
Rate for Payer: Group Health Inc Commercial	$96.12
Rate for Payer: Group Health Inc Medicare	$67.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$96.12
Rate for Payer: Hamaspik Choice Inc Medicare	$96.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$124.96

TRYPAN BLUE SYRINGE

Facility

$133.50

Hospital Charge Code	64904352
Hospital Revenue Code	270
Min. Negotiated Rate	$46.72
Max. Negotiated Rate	$106.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$73.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$66.75
Rate for Payer: Aetna Government	$66.75
Rate for Payer: Brighton Health Commercial	$100.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$106.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$90.78
Rate for Payer: Group Health Inc Commercial	$66.75
Rate for Payer: Group Health Inc Medicare	$46.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$66.75
Rate for Payer: Hamaspik Choice Inc Medicare	$66.75

Know your out-of-pocket cost for care.

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