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Service Code HCPCS 76642 TC
Hospital Charge Code 41308070
Hospital Revenue Code 402
Rate for Payer: Cash Price $105.08
Service Code HCPCS 76604
Hospital Charge Code 30300154
Hospital Revenue Code 402
Rate for Payer: Cash Price $127.14
Service Code HCPCS 76604
Hospital Charge Code 30300154
Hospital Revenue Code 402
Min. Negotiated Rate $49.80
Max. Negotiated Rate $186.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial $186.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $127.14
Rate for Payer: Aetna Government $127.14
Rate for Payer: Affinity Essential Plan 1&2 $89.00
Rate for Payer: Affinity Essential Plan 3&4 $89.00
Rate for Payer: Affinity Medicaid/CHP/HARP $89.00
Rate for Payer: Brighton Health Commercial $127.14
Rate for Payer: Cash Price $127.14
Rate for Payer: Cash Price $127.14
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $127.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $124.58
Rate for Payer: Cigna LocalPlus Benefit Plan $105.41
Rate for Payer: Elderplan Medicare Advantage $127.14
Rate for Payer: EmblemHealth Commercial $89.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $108.07
Rate for Payer: Fidelis Essential Plan Aliesa $108.07
Rate for Payer: Fidelis Essential Plan QHP $113.15
Rate for Payer: Fidelis Medicare Advantage $127.14
Rate for Payer: Fidelis Qualified Health Plan $113.15
Rate for Payer: Group Health Inc Commercial $114.43
Rate for Payer: Group Health Inc Medicare $114.43
Rate for Payer: Hamaspik Choice Inc Medicaid $169.72
Rate for Payer: Hamaspik Choice Inc Medicare $127.14
Rate for Payer: Healthfirst CHP/FHP/Medicaid $114.43
Rate for Payer: Healthfirst Medicare Advantage $127.14
Rate for Payer: Healthfirst QHP $127.14
Rate for Payer: Humana Medicare $129.68
Rate for Payer: Senior Whole Health Medicare Advantage $127.14
Rate for Payer: United Healthcare Commercial $49.80
Rate for Payer: United Healthcare Medicare Advantage $127.14
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $127.14
Rate for Payer: Wellcare CHP/FHP/Medicaid $101.71
Rate for Payer: Wellcare Medicare $120.78
Service Code HCPCS 93930 TC
Hospital Charge Code 41304040
Hospital Revenue Code 920
Min. Negotiated Rate $94.00
Max. Negotiated Rate $564.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial $388.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $283.37
Rate for Payer: Aetna Government $283.37
Rate for Payer: Affinity Essential Plan 1&2 $198.36
Rate for Payer: Affinity Essential Plan 3&4 $198.36
Rate for Payer: Affinity Medicaid/CHP/HARP $198.36
Rate for Payer: Brighton Health Commercial $529.37
Rate for Payer: Cash Price $283.37
Rate for Payer: Cash Price $283.37
Rate for Payer: Cash Price $283.37
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $283.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $564.66
Rate for Payer: Cigna LocalPlus Benefit Plan $479.96
Rate for Payer: Elderplan Medicare Advantage $283.37
Rate for Payer: EmblemHealth Commercial $283.37
Rate for Payer: Fidelis Essential Plan Aliesa $240.86
Rate for Payer: Fidelis Essential Plan QHP $252.20
Rate for Payer: Fidelis Medicare Advantage $283.37
Rate for Payer: Fidelis Qualified Health Plan $252.20
Rate for Payer: Group Health Inc Commercial $283.37
Rate for Payer: Group Health Inc Medicare $283.37
Rate for Payer: Hamaspik Choice Inc Medicaid $352.92
Rate for Payer: Hamaspik Choice Inc Medicare $283.37
Rate for Payer: Healthfirst Medicare Advantage $240.86
Rate for Payer: Healthfirst QHP $283.37
Rate for Payer: Humana Medicare $289.04
Rate for Payer: Senior Whole Health Medicare Advantage $283.37
Rate for Payer: United Healthcare Commercial $94.00
Rate for Payer: United Healthcare Medicare Advantage $283.37
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $283.37
Rate for Payer: Wellcare CHP/FHP/Medicaid $226.70
Rate for Payer: Wellcare Medicare $269.20
Service Code HCPCS 93930 TC
Hospital Charge Code 41304040
Hospital Revenue Code 920
Rate for Payer: Cash Price $283.37
Service Code HCPCS 76818 TC
Hospital Charge Code 41304030
Hospital Revenue Code 402
Rate for Payer: Cash Price $127.14
Service Code HCPCS 76818 TC
Hospital Charge Code 41304030
Hospital Revenue Code 402
Min. Negotiated Rate $77.02
Max. Negotiated Rate $192.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial $186.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $127.14
Rate for Payer: Aetna Government $127.14
Rate for Payer: Affinity Essential Plan 1&2 $89.00
Rate for Payer: Affinity Essential Plan 3&4 $89.00
Rate for Payer: Affinity Medicaid/CHP/HARP $89.00
Rate for Payer: Brighton Health Commercial $127.14
Rate for Payer: Cash Price $127.14
Rate for Payer: Cash Price $127.14
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $127.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $192.70
Rate for Payer: Cigna LocalPlus Benefit Plan $163.05
Rate for Payer: Elderplan Medicare Advantage $127.14
Rate for Payer: EmblemHealth Commercial $89.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $108.07
Rate for Payer: Fidelis Essential Plan Aliesa $108.07
Rate for Payer: Fidelis Essential Plan QHP $113.15
Rate for Payer: Fidelis Medicare Advantage $127.14
Rate for Payer: Fidelis Qualified Health Plan $113.15
Rate for Payer: Group Health Inc Commercial $114.43
Rate for Payer: Group Health Inc Medicare $114.43
Rate for Payer: Hamaspik Choice Inc Medicaid $169.72
Rate for Payer: Hamaspik Choice Inc Medicare $127.14
Rate for Payer: Healthfirst CHP/FHP/Medicaid $114.43
Rate for Payer: Healthfirst Medicare Advantage $127.14
Rate for Payer: Healthfirst QHP $127.14
Rate for Payer: Humana Medicare $129.68
Rate for Payer: Senior Whole Health Medicare Advantage $127.14
Rate for Payer: United Healthcare Commercial $77.02
Rate for Payer: United Healthcare Medicare Advantage $127.14
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $127.14
Rate for Payer: Wellcare CHP/FHP/Medicaid $101.71
Rate for Payer: Wellcare Medicare $120.78
Service Code HCPCS 76942 TC
Hospital Charge Code 41307722
Hospital Revenue Code 402
Min. Negotiated Rate $21.62
Max. Negotiated Rate $915.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial $629.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $21.62
Rate for Payer: Aetna Government $21.62
Rate for Payer: Brighton Health Commercial $858.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $915.51
Rate for Payer: Cigna LocalPlus Benefit Plan $778.19
Rate for Payer: Group Health Inc Commercial $572.20
Rate for Payer: Group Health Inc Medicare $400.54
Rate for Payer: Hamaspik Choice Inc Medicaid $572.20
Rate for Payer: Hamaspik Choice Inc Medicare $572.20
Service Code HCPCS 76940 TC
Hospital Charge Code 41309618
Hospital Revenue Code 402
Min. Negotiated Rate $51.49
Max. Negotiated Rate $439.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial $302.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $51.49
Rate for Payer: Aetna Government $51.49
Rate for Payer: Brighton Health Commercial $412.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $439.68
Rate for Payer: Cigna LocalPlus Benefit Plan $373.73
Rate for Payer: Group Health Inc Commercial $274.80
Rate for Payer: Group Health Inc Medicare $192.36
Rate for Payer: Hamaspik Choice Inc Medicaid $274.80
Rate for Payer: Hamaspik Choice Inc Medicare $274.80
Service Code HCPCS 76937 TC
Hospital Charge Code 41309852
Hospital Revenue Code 402
Min. Negotiated Rate $13.39
Max. Negotiated Rate $613.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial $421.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $13.39
Rate for Payer: Aetna Government $13.39
Rate for Payer: Brighton Health Commercial $574.94
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $613.26
Rate for Payer: Cigna LocalPlus Benefit Plan $521.27
Rate for Payer: Group Health Inc Commercial $383.29
Rate for Payer: Group Health Inc Medicare $268.30
Rate for Payer: Hamaspik Choice Inc Medicaid $383.29
Rate for Payer: Hamaspik Choice Inc Medicare $383.29
Service Code HCPCS 76936 TC
Hospital Charge Code 41307705
Hospital Revenue Code 402
Min. Negotiated Rate $85.18
Max. Negotiated Rate $421.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial $421.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $362.98
Rate for Payer: Aetna Government $362.98
Rate for Payer: Affinity Essential Plan 1&2 $254.09
Rate for Payer: Affinity Essential Plan 3&4 $254.09
Rate for Payer: Affinity Medicaid/CHP/HARP $254.09
Rate for Payer: Brighton Health Commercial $362.98
Rate for Payer: Cash Price $362.98
Rate for Payer: Cash Price $362.98
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $362.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $213.11
Rate for Payer: Cigna LocalPlus Benefit Plan $180.32
Rate for Payer: Elderplan Medicare Advantage $362.98
Rate for Payer: EmblemHealth Commercial $254.09
Rate for Payer: Fidelis CHP/HARP/Medicaid $308.53
Rate for Payer: Fidelis Essential Plan Aliesa $308.53
Rate for Payer: Fidelis Essential Plan QHP $323.05
Rate for Payer: Fidelis Medicare Advantage $362.98
Rate for Payer: Fidelis Qualified Health Plan $323.05
Rate for Payer: Group Health Inc Commercial $326.68
Rate for Payer: Group Health Inc Medicare $326.68
Rate for Payer: Hamaspik Choice Inc Medicaid $383.29
Rate for Payer: Hamaspik Choice Inc Medicare $362.98
Rate for Payer: Healthfirst CHP/FHP/Medicaid $326.68
Rate for Payer: Healthfirst Medicare Advantage $362.98
Rate for Payer: Healthfirst QHP $362.98
Rate for Payer: Humana Medicare $370.24
Rate for Payer: Senior Whole Health Medicare Advantage $362.98
Rate for Payer: United Healthcare Commercial $85.18
Rate for Payer: United Healthcare Medicare Advantage $362.98
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $362.98
Rate for Payer: Wellcare CHP/FHP/Medicaid $290.38
Rate for Payer: Wellcare Medicare $344.83
Service Code HCPCS 76936 TC
Hospital Charge Code 41307705
Hospital Revenue Code 402
Rate for Payer: Cash Price $362.98
Service Code HCPCS 76942 TC
Hospital Charge Code 41304066
Hospital Revenue Code 402
Min. Negotiated Rate $21.62
Max. Negotiated Rate $915.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial $629.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $21.62
Rate for Payer: Aetna Government $21.62
Rate for Payer: Brighton Health Commercial $858.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $915.51
Rate for Payer: Cigna LocalPlus Benefit Plan $778.19
Rate for Payer: Group Health Inc Commercial $572.20
Rate for Payer: Group Health Inc Medicare $400.54
Rate for Payer: Hamaspik Choice Inc Medicaid $572.20
Rate for Payer: Hamaspik Choice Inc Medicare $572.20
Service Code HCPCS 76942 TC
Hospital Charge Code 41104066
Hospital Revenue Code 402
Min. Negotiated Rate $21.62
Max. Negotiated Rate $915.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial $629.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $21.62
Rate for Payer: Aetna Government $21.62
Rate for Payer: Brighton Health Commercial $858.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $915.51
Rate for Payer: Cigna LocalPlus Benefit Plan $778.19
Rate for Payer: Group Health Inc Commercial $572.20
Rate for Payer: Group Health Inc Medicare $400.54
Rate for Payer: Hamaspik Choice Inc Medicaid $572.20
Rate for Payer: Hamaspik Choice Inc Medicare $572.20
Service Code HCPCS 76942 TC
Hospital Charge Code 41304068
Hospital Revenue Code 402
Min. Negotiated Rate $21.62
Max. Negotiated Rate $915.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial $629.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $21.62
Rate for Payer: Aetna Government $21.62
Rate for Payer: Brighton Health Commercial $858.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $915.51
Rate for Payer: Cigna LocalPlus Benefit Plan $778.19
Rate for Payer: Group Health Inc Commercial $572.20
Rate for Payer: Group Health Inc Medicare $400.54
Rate for Payer: Hamaspik Choice Inc Medicaid $572.20
Rate for Payer: Hamaspik Choice Inc Medicare $572.20
Service Code HCPCS 76536 TC
Hospital Charge Code 41304020
Hospital Revenue Code 402
Min. Negotiated Rate $77.02
Max. Negotiated Rate $192.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial $186.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $127.14
Rate for Payer: Aetna Government $127.14
Rate for Payer: Affinity Essential Plan 1&2 $89.00
Rate for Payer: Affinity Essential Plan 3&4 $89.00
Rate for Payer: Affinity Medicaid/CHP/HARP $89.00
Rate for Payer: Brighton Health Commercial $127.14
Rate for Payer: Cash Price $127.14
Rate for Payer: Cash Price $127.14
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $127.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $192.70
Rate for Payer: Cigna LocalPlus Benefit Plan $163.05
Rate for Payer: Elderplan Medicare Advantage $127.14
Rate for Payer: EmblemHealth Commercial $89.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $108.07
Rate for Payer: Fidelis Essential Plan Aliesa $108.07
Rate for Payer: Fidelis Essential Plan QHP $113.15
Rate for Payer: Fidelis Medicare Advantage $127.14
Rate for Payer: Fidelis Qualified Health Plan $113.15
Rate for Payer: Group Health Inc Commercial $114.43
Rate for Payer: Group Health Inc Medicare $114.43
Rate for Payer: Hamaspik Choice Inc Medicaid $169.72
Rate for Payer: Hamaspik Choice Inc Medicare $127.14
Rate for Payer: Healthfirst CHP/FHP/Medicaid $114.43
Rate for Payer: Healthfirst Medicare Advantage $127.14
Rate for Payer: Healthfirst QHP $127.14
Rate for Payer: Humana Medicare $129.68
Rate for Payer: Senior Whole Health Medicare Advantage $127.14
Rate for Payer: United Healthcare Commercial $77.02
Rate for Payer: United Healthcare Medicare Advantage $127.14
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $127.14
Rate for Payer: Wellcare CHP/FHP/Medicaid $101.71
Rate for Payer: Wellcare Medicare $120.78
Service Code HCPCS 76536 TC
Hospital Charge Code 41304020
Hospital Revenue Code 402
Rate for Payer: Cash Price $127.14
Service Code HCPCS 93990 TC
Hospital Charge Code 41201183
Hospital Revenue Code 921
Rate for Payer: Cash Price $127.14
Service Code HCPCS 93990 TC
Hospital Charge Code 41201183
Hospital Revenue Code 921
Min. Negotiated Rate $89.00
Max. Negotiated Rate $271.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial $186.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $127.14
Rate for Payer: Aetna Government $127.14
Rate for Payer: Affinity Essential Plan 1&2 $89.00
Rate for Payer: Affinity Essential Plan 3&4 $89.00
Rate for Payer: Affinity Medicaid/CHP/HARP $89.00
Rate for Payer: Brighton Health Commercial $254.59
Rate for Payer: Cash Price $127.14
Rate for Payer: Cash Price $127.14
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $127.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $271.56
Rate for Payer: Cigna LocalPlus Benefit Plan $230.83
Rate for Payer: Elderplan Medicare Advantage $127.14
Rate for Payer: EmblemHealth Commercial $127.14
Rate for Payer: Fidelis Essential Plan Aliesa $108.07
Rate for Payer: Fidelis Essential Plan QHP $113.15
Rate for Payer: Fidelis Medicare Advantage $127.14
Rate for Payer: Fidelis Qualified Health Plan $113.15
Rate for Payer: Group Health Inc Commercial $127.14
Rate for Payer: Group Health Inc Medicare $127.14
Rate for Payer: Hamaspik Choice Inc Medicaid $169.72
Rate for Payer: Hamaspik Choice Inc Medicare $127.14
Rate for Payer: Healthfirst Medicare Advantage $108.07
Rate for Payer: Healthfirst QHP $127.14
Rate for Payer: Humana Medicare $129.68
Rate for Payer: Senior Whole Health Medicare Advantage $127.14
Rate for Payer: United Healthcare Commercial $169.72
Rate for Payer: United Healthcare Medicare Advantage $127.14
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $127.14
Rate for Payer: Wellcare CHP/FHP/Medicaid $101.71
Rate for Payer: Wellcare Medicare $120.78
Service Code HCPCS 76831 TC
Hospital Charge Code 41309621
Hospital Revenue Code 402
Min. Negotiated Rate $122.39
Max. Negotiated Rate $388.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial $388.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $283.37
Rate for Payer: Aetna Government $283.37
Rate for Payer: Affinity Essential Plan 1&2 $198.36
Rate for Payer: Affinity Essential Plan 3&4 $198.36
Rate for Payer: Affinity Medicaid/CHP/HARP $198.36
Rate for Payer: Brighton Health Commercial $283.37
Rate for Payer: Cash Price $283.37
Rate for Payer: Cash Price $283.37
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $283.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $306.20
Rate for Payer: Cigna LocalPlus Benefit Plan $259.09
Rate for Payer: Elderplan Medicare Advantage $283.37
Rate for Payer: EmblemHealth Commercial $198.36
Rate for Payer: Fidelis CHP/HARP/Medicaid $240.86
Rate for Payer: Fidelis Essential Plan Aliesa $240.86
Rate for Payer: Fidelis Essential Plan QHP $252.20
Rate for Payer: Fidelis Medicare Advantage $283.37
Rate for Payer: Fidelis Qualified Health Plan $252.20
Rate for Payer: Group Health Inc Commercial $255.03
Rate for Payer: Group Health Inc Medicare $255.03
Rate for Payer: Hamaspik Choice Inc Medicaid $352.92
Rate for Payer: Hamaspik Choice Inc Medicare $283.37
Rate for Payer: Healthfirst CHP/FHP/Medicaid $255.03
Rate for Payer: Healthfirst Medicare Advantage $283.37
Rate for Payer: Healthfirst QHP $283.37
Rate for Payer: Humana Medicare $289.04
Rate for Payer: Senior Whole Health Medicare Advantage $283.37
Rate for Payer: United Healthcare Commercial $122.39
Rate for Payer: United Healthcare Medicare Advantage $283.37
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $283.37
Rate for Payer: Wellcare CHP/FHP/Medicaid $226.70
Rate for Payer: Wellcare Medicare $269.20
Service Code HCPCS 76831 TC
Hospital Charge Code 41309621
Hospital Revenue Code 402
Rate for Payer: Cash Price $283.37
Service Code HCPCS 76885 TC
Hospital Charge Code 41307750
Hospital Revenue Code 402
Min. Negotiated Rate $49.80
Max. Negotiated Rate $132.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial $132.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $105.08
Rate for Payer: Aetna Government $105.08
Rate for Payer: Affinity Essential Plan 1&2 $73.56
Rate for Payer: Affinity Essential Plan 3&4 $73.56
Rate for Payer: Affinity Medicaid/CHP/HARP $73.56
Rate for Payer: Brighton Health Commercial $105.08
Rate for Payer: Cash Price $105.08
Rate for Payer: Cash Price $105.08
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $105.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $124.58
Rate for Payer: Cigna LocalPlus Benefit Plan $105.41
Rate for Payer: Elderplan Medicare Advantage $105.08
Rate for Payer: EmblemHealth Commercial $73.56
Rate for Payer: Fidelis CHP/HARP/Medicaid $89.32
Rate for Payer: Fidelis Essential Plan Aliesa $89.32
Rate for Payer: Fidelis Essential Plan QHP $93.52
Rate for Payer: Fidelis Medicare Advantage $105.08
Rate for Payer: Fidelis Qualified Health Plan $93.52
Rate for Payer: Group Health Inc Commercial $94.57
Rate for Payer: Group Health Inc Medicare $94.57
Rate for Payer: Hamaspik Choice Inc Medicaid $120.86
Rate for Payer: Hamaspik Choice Inc Medicare $105.08
Rate for Payer: Healthfirst CHP/FHP/Medicaid $94.57
Rate for Payer: Healthfirst Medicare Advantage $105.08
Rate for Payer: Healthfirst QHP $105.08
Rate for Payer: Humana Medicare $107.18
Rate for Payer: Senior Whole Health Medicare Advantage $105.08
Rate for Payer: United Healthcare Commercial $49.80
Rate for Payer: United Healthcare Medicare Advantage $105.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $105.08
Rate for Payer: Wellcare CHP/FHP/Medicaid $84.06
Rate for Payer: Wellcare Medicare $99.83
Service Code HCPCS 76885 TC
Hospital Charge Code 41307750
Hospital Revenue Code 402
Rate for Payer: Cash Price $105.08
Service Code HCPCS 76998 TC
Hospital Charge Code 41307706
Hospital Revenue Code 402
Min. Negotiated Rate $50.29
Max. Negotiated Rate $278.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial $191.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $50.29
Rate for Payer: Aetna Government $50.29
Rate for Payer: Brighton Health Commercial $261.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $278.52
Rate for Payer: Cigna LocalPlus Benefit Plan $236.74
Rate for Payer: Group Health Inc Commercial $174.08
Rate for Payer: Group Health Inc Medicare $121.85
Rate for Payer: Hamaspik Choice Inc Medicaid $174.08
Rate for Payer: Hamaspik Choice Inc Medicare $174.08
Service Code HCPCS 76770 TC
Hospital Charge Code 41301508
Hospital Revenue Code 402
Min. Negotiated Rate $77.02
Max. Negotiated Rate $192.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial $186.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $127.14
Rate for Payer: Aetna Government $127.14
Rate for Payer: Affinity Essential Plan 1&2 $89.00
Rate for Payer: Affinity Essential Plan 3&4 $89.00
Rate for Payer: Affinity Medicaid/CHP/HARP $89.00
Rate for Payer: Brighton Health Commercial $127.14
Rate for Payer: Cash Price $127.14
Rate for Payer: Cash Price $127.14
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $127.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $192.70
Rate for Payer: Cigna LocalPlus Benefit Plan $163.05
Rate for Payer: Elderplan Medicare Advantage $127.14
Rate for Payer: EmblemHealth Commercial $89.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $108.07
Rate for Payer: Fidelis Essential Plan Aliesa $108.07
Rate for Payer: Fidelis Essential Plan QHP $113.15
Rate for Payer: Fidelis Medicare Advantage $127.14
Rate for Payer: Fidelis Qualified Health Plan $113.15
Rate for Payer: Group Health Inc Commercial $114.43
Rate for Payer: Group Health Inc Medicare $114.43
Rate for Payer: Hamaspik Choice Inc Medicaid $169.72
Rate for Payer: Hamaspik Choice Inc Medicare $127.14
Rate for Payer: Healthfirst CHP/FHP/Medicaid $114.43
Rate for Payer: Healthfirst Medicare Advantage $127.14
Rate for Payer: Healthfirst QHP $127.14
Rate for Payer: Humana Medicare $129.68
Rate for Payer: Senior Whole Health Medicare Advantage $127.14
Rate for Payer: United Healthcare Commercial $77.02
Rate for Payer: United Healthcare Medicare Advantage $127.14
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $127.14
Rate for Payer: Wellcare CHP/FHP/Medicaid $101.71
Rate for Payer: Wellcare Medicare $120.78