|
ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY
|
Facility
|
IP
|
$27.91
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
7183910910
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$13.96 |
| Max. Negotiated Rate |
$13.96 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$13.96
|
|
|
ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY
|
Facility
|
OP
|
$25.66
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
0955100310
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.59 |
| Max. Negotiated Rate |
$20.53 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14.11
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.76
|
| Rate for Payer: Aetna Government |
$0.76
|
| Rate for Payer: Brighton Health Commercial |
$19.25
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20.53
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17.45
|
| Rate for Payer: EmblemHealth Commercial |
$12.83
|
| Rate for Payer: Group Health Inc Commercial |
$12.83
|
| Rate for Payer: Group Health Inc Medicare |
$8.98
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$12.83
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$12.83
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$16.68
|
|
|
ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY
|
Facility
|
IP
|
$29.77
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
0075062430
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$14.88 |
| Max. Negotiated Rate |
$14.88 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$14.88
|
|
|
ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY
|
Facility
|
IP
|
$25.66
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
0955100310
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$12.83 |
| Max. Negotiated Rate |
$12.83 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$12.83
|
|
|
ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY
|
Facility
|
OP
|
$29.77
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
0075062430
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.59 |
| Max. Negotiated Rate |
$23.81 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16.37
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.76
|
| Rate for Payer: Aetna Government |
$0.76
|
| Rate for Payer: Brighton Health Commercial |
$22.33
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23.81
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20.24
|
| Rate for Payer: EmblemHealth Commercial |
$14.88
|
| Rate for Payer: Group Health Inc Commercial |
$14.88
|
| Rate for Payer: Group Health Inc Medicare |
$10.42
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$14.88
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$14.88
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$19.35
|
|
|
ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY
|
Facility
|
OP
|
$27.91
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
7183910910
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.59 |
| Max. Negotiated Rate |
$22.33 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15.35
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.76
|
| Rate for Payer: Aetna Government |
$0.76
|
| Rate for Payer: Brighton Health Commercial |
$20.93
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$22.33
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18.98
|
| Rate for Payer: EmblemHealth Commercial |
$13.96
|
| Rate for Payer: Group Health Inc Commercial |
$13.96
|
| Rate for Payer: Group Health Inc Medicare |
$9.77
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$13.96
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$13.96
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$18.14
|
|
|
ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY
|
Facility
|
OP
|
$27.91
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
7183911010
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.59 |
| Max. Negotiated Rate |
$22.33 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15.35
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.76
|
| Rate for Payer: Aetna Government |
$0.76
|
| Rate for Payer: Brighton Health Commercial |
$20.93
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$22.33
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18.98
|
| Rate for Payer: EmblemHealth Commercial |
$13.95
|
| Rate for Payer: Group Health Inc Commercial |
$13.95
|
| Rate for Payer: Group Health Inc Medicare |
$9.77
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$13.95
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$13.95
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$18.14
|
|
|
ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY
|
Facility
|
IP
|
$25.62
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
0955100410
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$12.81 |
| Max. Negotiated Rate |
$12.81 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$12.81
|
|
|
ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY
|
Facility
|
IP
|
$27.91
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
0781324602
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$13.95 |
| Max. Negotiated Rate |
$13.95 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$13.95
|
|
|
ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY
|
Facility
|
IP
|
$29.77
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
0075062040
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$14.88 |
| Max. Negotiated Rate |
$14.88 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$14.88
|
|
|
ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY
|
Facility
|
OP
|
$27.91
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
0781324602
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.59 |
| Max. Negotiated Rate |
$22.33 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15.35
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.76
|
| Rate for Payer: Aetna Government |
$0.76
|
| Rate for Payer: Brighton Health Commercial |
$20.93
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$22.33
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18.98
|
| Rate for Payer: EmblemHealth Commercial |
$13.95
|
| Rate for Payer: Group Health Inc Commercial |
$13.95
|
| Rate for Payer: Group Health Inc Medicare |
$9.77
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$13.95
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$13.95
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$18.14
|
|
|
ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY
|
Facility
|
OP
|
$29.77
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
0075062040
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.59 |
| Max. Negotiated Rate |
$23.82 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16.37
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.76
|
| Rate for Payer: Aetna Government |
$0.76
|
| Rate for Payer: Brighton Health Commercial |
$22.33
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23.82
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20.24
|
| Rate for Payer: EmblemHealth Commercial |
$14.88
|
| Rate for Payer: Group Health Inc Commercial |
$14.88
|
| Rate for Payer: Group Health Inc Medicare |
$10.42
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$14.88
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$14.88
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$19.35
|
|
|
ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY
|
Facility
|
IP
|
$27.91
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
7183911010
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$13.95 |
| Max. Negotiated Rate |
$13.95 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$13.95
|
|
|
ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY
|
Facility
|
IP
|
$25.62
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
0955100401
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$12.81 |
| Max. Negotiated Rate |
$12.81 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$12.81
|
|
|
ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY
|
Facility
|
OP
|
$25.62
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
0955100401
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.59 |
| Max. Negotiated Rate |
$20.49 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14.09
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.76
|
| Rate for Payer: Aetna Government |
$0.76
|
| Rate for Payer: Brighton Health Commercial |
$19.21
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20.49
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17.42
|
| Rate for Payer: EmblemHealth Commercial |
$12.81
|
| Rate for Payer: Group Health Inc Commercial |
$12.81
|
| Rate for Payer: Group Health Inc Medicare |
$8.97
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$12.81
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$12.81
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$16.65
|
|
|
ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY
|
Facility
|
OP
|
$25.62
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
0955100410
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.59 |
| Max. Negotiated Rate |
$20.49 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14.09
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.76
|
| Rate for Payer: Aetna Government |
$0.76
|
| Rate for Payer: Brighton Health Commercial |
$19.21
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20.49
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17.42
|
| Rate for Payer: EmblemHealth Commercial |
$12.81
|
| Rate for Payer: Group Health Inc Commercial |
$12.81
|
| Rate for Payer: Group Health Inc Medicare |
$8.97
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$12.81
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$12.81
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$16.65
|
|
|
ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY
|
Facility
|
IP
|
$25.65
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
0955100610
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$12.82 |
| Max. Negotiated Rate |
$12.82 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$12.82
|
|
|
ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY
|
Facility
|
IP
|
$29.80
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
0075062160
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$14.90 |
| Max. Negotiated Rate |
$14.90 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$14.90
|
|
|
ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY
|
Facility
|
OP
|
$27.96
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
7183911110
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.59 |
| Max. Negotiated Rate |
$22.37 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15.38
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.76
|
| Rate for Payer: Aetna Government |
$0.76
|
| Rate for Payer: Brighton Health Commercial |
$20.97
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$22.37
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19.01
|
| Rate for Payer: EmblemHealth Commercial |
$13.98
|
| Rate for Payer: Group Health Inc Commercial |
$13.98
|
| Rate for Payer: Group Health Inc Medicare |
$9.79
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$13.98
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$13.98
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$18.17
|
|
|
ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY
|
Facility
|
OP
|
$25.63
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
0075801601
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.59 |
| Max. Negotiated Rate |
$20.51 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14.10
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.76
|
| Rate for Payer: Aetna Government |
$0.76
|
| Rate for Payer: Brighton Health Commercial |
$19.22
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20.51
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17.43
|
| Rate for Payer: EmblemHealth Commercial |
$12.82
|
| Rate for Payer: Group Health Inc Commercial |
$12.82
|
| Rate for Payer: Group Health Inc Medicare |
$8.97
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$12.82
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$12.82
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$16.66
|
|
|
ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY
|
Facility
|
IP
|
$27.96
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
7183911110
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$13.98 |
| Max. Negotiated Rate |
$13.98 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$13.98
|
|
|
ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY
|
Facility
|
OP
|
$25.65
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
0955100610
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.59 |
| Max. Negotiated Rate |
$20.52 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14.11
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.76
|
| Rate for Payer: Aetna Government |
$0.76
|
| Rate for Payer: Brighton Health Commercial |
$19.24
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20.52
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17.44
|
| Rate for Payer: EmblemHealth Commercial |
$12.82
|
| Rate for Payer: Group Health Inc Commercial |
$12.82
|
| Rate for Payer: Group Health Inc Medicare |
$8.98
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$12.82
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$12.82
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$16.67
|
|
|
ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY
|
Facility
|
IP
|
$25.63
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
0075801601
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$12.82 |
| Max. Negotiated Rate |
$12.82 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$12.82
|
|
|
ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY
|
Facility
|
OP
|
$29.80
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
0075062160
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.59 |
| Max. Negotiated Rate |
$23.84 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16.39
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.76
|
| Rate for Payer: Aetna Government |
$0.76
|
| Rate for Payer: Brighton Health Commercial |
$22.35
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23.84
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20.27
|
| Rate for Payer: EmblemHealth Commercial |
$14.90
|
| Rate for Payer: Group Health Inc Commercial |
$14.90
|
| Rate for Payer: Group Health Inc Medicare |
$10.43
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$14.90
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$14.90
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$19.37
|
|
|
ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY
|
Facility
|
OP
|
$11.10
|
|
|
Service Code
|
HCPCS J1650
|
| Hospital Charge Code |
6332358499
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.59 |
| Max. Negotiated Rate |
$8.88 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$6.11
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.76
|
| Rate for Payer: Aetna Government |
$0.76
|
| Rate for Payer: Brighton Health Commercial |
$8.32
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$8.88
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$7.55
|
| Rate for Payer: EmblemHealth Commercial |
$5.55
|
| Rate for Payer: Group Health Inc Commercial |
$5.55
|
| Rate for Payer: Group Health Inc Medicare |
$3.88
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$5.55
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$5.55
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$7.21
|
|
