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Service Code HCPCS C1713
Hospital Charge Code 40006268
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,488.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $2,714.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan $2,601.16
Rate for Payer: EmblemHealth Commercial $2,261.88
Rate for Payer: Fidelis Medicare Advantage $4,749.95
Rate for Payer: Group Health Inc Commercial $2,261.88
Rate for Payer: Group Health Inc Medicare $1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,940.44
Service Code HCPCS C1713
Hospital Charge Code 40006268
Hospital Revenue Code 278
Min. Negotiated Rate $2,261.88
Max. Negotiated Rate $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Service Code HCPCS C1713
Hospital Charge Code 40006271
Hospital Revenue Code 278
Min. Negotiated Rate $2,261.88
Max. Negotiated Rate $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Service Code HCPCS C1713
Hospital Charge Code 40006271
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,488.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $2,714.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan $2,601.16
Rate for Payer: EmblemHealth Commercial $2,261.88
Rate for Payer: Fidelis Medicare Advantage $4,749.95
Rate for Payer: Group Health Inc Commercial $2,261.88
Rate for Payer: Group Health Inc Medicare $1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,940.44
Service Code HCPCS C1713
Hospital Charge Code 40006274
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,488.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $2,714.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan $2,601.16
Rate for Payer: EmblemHealth Commercial $2,261.88
Rate for Payer: Fidelis Medicare Advantage $4,749.95
Rate for Payer: Group Health Inc Commercial $2,261.88
Rate for Payer: Group Health Inc Medicare $1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,940.44
Service Code HCPCS C1713
Hospital Charge Code 40006274
Hospital Revenue Code 278
Min. Negotiated Rate $2,261.88
Max. Negotiated Rate $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Service Code HCPCS C1713
Hospital Charge Code 40006277
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,488.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $2,714.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan $2,601.16
Rate for Payer: EmblemHealth Commercial $2,261.88
Rate for Payer: Fidelis Medicare Advantage $4,749.95
Rate for Payer: Group Health Inc Commercial $2,261.88
Rate for Payer: Group Health Inc Medicare $1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,940.44
Service Code HCPCS C1713
Hospital Charge Code 40006277
Hospital Revenue Code 278
Min. Negotiated Rate $2,261.88
Max. Negotiated Rate $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Service Code HCPCS C1713
Hospital Charge Code 40006280
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,488.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $2,714.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan $2,601.16
Rate for Payer: EmblemHealth Commercial $2,261.88
Rate for Payer: Fidelis Medicare Advantage $4,749.95
Rate for Payer: Group Health Inc Commercial $2,261.88
Rate for Payer: Group Health Inc Medicare $1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,940.44
Service Code HCPCS C1713
Hospital Charge Code 40006280
Hospital Revenue Code 278
Min. Negotiated Rate $2,261.88
Max. Negotiated Rate $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Service Code HCPCS C1713
Hospital Charge Code 40006283
Hospital Revenue Code 278
Min. Negotiated Rate $2,261.88
Max. Negotiated Rate $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Service Code HCPCS C1713
Hospital Charge Code 40006283
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,488.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $2,714.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan $2,601.16
Rate for Payer: EmblemHealth Commercial $2,261.88
Rate for Payer: Fidelis Medicare Advantage $4,749.95
Rate for Payer: Group Health Inc Commercial $2,261.88
Rate for Payer: Group Health Inc Medicare $1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,940.44
Service Code HCPCS C1713
Hospital Charge Code 40006286
Hospital Revenue Code 278
Min. Negotiated Rate $2,261.88
Max. Negotiated Rate $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Service Code HCPCS C1713
Hospital Charge Code 40006286
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,488.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $2,714.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan $2,601.16
Rate for Payer: EmblemHealth Commercial $2,261.88
Rate for Payer: Fidelis Medicare Advantage $4,749.95
Rate for Payer: Group Health Inc Commercial $2,261.88
Rate for Payer: Group Health Inc Medicare $1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,940.44
Service Code HCPCS C1713
Hospital Charge Code 40006289
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,488.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $2,714.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan $2,601.16
Rate for Payer: EmblemHealth Commercial $2,261.88
Rate for Payer: Fidelis Medicare Advantage $4,749.95
Rate for Payer: Group Health Inc Commercial $2,261.88
Rate for Payer: Group Health Inc Medicare $1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,940.44
Service Code HCPCS C1713
Hospital Charge Code 40006289
Hospital Revenue Code 278
Min. Negotiated Rate $2,261.88
Max. Negotiated Rate $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Service Code HCPCS C1713
Hospital Charge Code 40006292
Hospital Revenue Code 278
Min. Negotiated Rate $2,261.88
Max. Negotiated Rate $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Service Code HCPCS C1713
Hospital Charge Code 40006292
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,488.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $2,714.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan $2,601.16
Rate for Payer: EmblemHealth Commercial $2,261.88
Rate for Payer: Fidelis Medicare Advantage $4,749.95
Rate for Payer: Group Health Inc Commercial $2,261.88
Rate for Payer: Group Health Inc Medicare $1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,940.44
Service Code HCPCS C1713
Hospital Charge Code 40006295
Hospital Revenue Code 278
Min. Negotiated Rate $2,261.88
Max. Negotiated Rate $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Service Code HCPCS C1713
Hospital Charge Code 40006295
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,488.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $2,714.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan $2,601.16
Rate for Payer: EmblemHealth Commercial $2,261.88
Rate for Payer: Fidelis Medicare Advantage $4,749.95
Rate for Payer: Group Health Inc Commercial $2,261.88
Rate for Payer: Group Health Inc Medicare $1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,940.44
Service Code HCPCS C1713
Hospital Charge Code 40006298
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,488.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $2,714.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan $2,601.16
Rate for Payer: EmblemHealth Commercial $2,261.88
Rate for Payer: Fidelis Medicare Advantage $4,749.95
Rate for Payer: Group Health Inc Commercial $2,261.88
Rate for Payer: Group Health Inc Medicare $1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,940.44
Service Code HCPCS C1713
Hospital Charge Code 40006298
Hospital Revenue Code 278
Min. Negotiated Rate $2,261.88
Max. Negotiated Rate $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Service Code HCPCS C1713
Hospital Charge Code 40006276
Hospital Revenue Code 278
Min. Negotiated Rate $2,261.88
Max. Negotiated Rate $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Service Code HCPCS C1713
Hospital Charge Code 40006276
Hospital Revenue Code 278
Min. Negotiated Rate $134.20
Max. Negotiated Rate $4,749.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,488.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $134.20
Rate for Payer: Aetna Government $134.20
Rate for Payer: Brighton Health Commercial $2,714.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,261.88
Rate for Payer: Cigna LocalPlus Benefit Plan $2,601.16
Rate for Payer: EmblemHealth Commercial $2,261.88
Rate for Payer: Fidelis Medicare Advantage $4,749.95
Rate for Payer: Group Health Inc Commercial $2,261.88
Rate for Payer: Group Health Inc Medicare $1,583.32
Rate for Payer: Hamaspik Choice Inc Medicaid $2,261.88
Rate for Payer: Hamaspik Choice Inc Medicare $2,261.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2,940.44
Service Code HCPCS J3489
Hospital Charge Code 41653263
Hospital Revenue Code 636
Min. Negotiated Rate $8.25
Max. Negotiated Rate $3,256.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $62.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $8.25
Rate for Payer: Aetna Government $8.25
Rate for Payer: Affinity Essential Plan 1&2 $73.26
Rate for Payer: Affinity Essential Plan 3&4 $73.26
Rate for Payer: Affinity Medicaid/CHP/HARP $32.56
Rate for Payer: Amida Care Medicaid $32.56
Rate for Payer: Brighton Health Commercial $67.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $56.50
Rate for Payer: Cigna LocalPlus Benefit Plan $64.98
Rate for Payer: Fidelis CHP/HARP/Medicaid $3,256.00
Rate for Payer: Fidelis Essential Plan Aliesa $32.56
Rate for Payer: Fidelis Essential Plan QHP $32.56
Rate for Payer: Fidelis Qualified Health Plan $34.19
Rate for Payer: Group Health Inc Commercial $56.50
Rate for Payer: Group Health Inc Medicare $39.55
Rate for Payer: Hamaspik Choice Inc Medicaid $32.56
Rate for Payer: Hamaspik Choice Inc Medicare $56.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid $32.56
Rate for Payer: Healthfirst Essential Plan $73.26
Rate for Payer: Healthfirst QHP $32.56
Rate for Payer: SOMOS CHP/HARP/Medicaid $32.56
Rate for Payer: SOMOS Essential $32.56
Rate for Payer: United Healthcare Essential Plan 1&2 $73.26
Rate for Payer: United Healthcare Essential Plan 3&4 $35.82
Rate for Payer: United Healthcare Medicaid $32.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $73.45
Rate for Payer: Wellcare CHP/FHP/Medicaid $32.56