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Service Code NDC 00574010603
Hospital Charge Code 00574010603
Hospital Revenue Code 250
Min. Negotiated Rate $1.45
Max. Negotiated Rate $3.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.07
Rate for Payer: Aetna Government $2.07
Rate for Payer: Brighton Health Commercial $3.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $3.31
Rate for Payer: Cigna LocalPlus Benefit Plan $2.81
Rate for Payer: Group Health Inc Commercial $2.07
Rate for Payer: Group Health Inc Medicare $1.45
Rate for Payer: Hamaspik Choice Inc Medicaid $2.07
Rate for Payer: Hamaspik Choice Inc Medicare $2.07
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2.69
Service Code NDC 00781532531
Hospital Charge Code 00781532531
Hospital Revenue Code 250
Min. Negotiated Rate $2.19
Max. Negotiated Rate $5.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial $3.45
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $3.13
Rate for Payer: Aetna Government $3.13
Rate for Payer: Brighton Health Commercial $4.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $5.01
Rate for Payer: Cigna LocalPlus Benefit Plan $4.26
Rate for Payer: Group Health Inc Commercial $3.13
Rate for Payer: Group Health Inc Medicare $2.19
Rate for Payer: Hamaspik Choice Inc Medicaid $3.13
Rate for Payer: Hamaspik Choice Inc Medicare $3.13
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $4.07
Service Code HCPCS 31652
Hospital Charge Code 41543275
Hospital Revenue Code 361
Min. Negotiated Rate $745.00
Max. Negotiated Rate $6,671.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,880.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4,330.61
Rate for Payer: Aetna Government $4,330.61
Rate for Payer: Affinity Essential Plan 1&2 $3,031.43
Rate for Payer: Affinity Essential Plan 3&4 $3,031.43
Rate for Payer: Affinity Medicaid/CHP/HARP $3,031.43
Rate for Payer: Brighton Health Commercial $6,671.38
Rate for Payer: Cash Price $4,330.61
Rate for Payer: Cash Price $4,330.61
Rate for Payer: Cash Price $4,330.61
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $4,330.61
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 $4,330.61
Rate for Payer: EmblemHealth Commercial $745.00
Rate for Payer: Fidelis Essential Plan Aliesa $3,681.02
Rate for Payer: Fidelis Essential Plan QHP $3,854.24
Rate for Payer: Fidelis Medicare Advantage $4,330.61
Rate for Payer: Fidelis Qualified Health Plan $3,854.24
Rate for Payer: Group Health Inc Commercial $4,330.61
Rate for Payer: Group Health Inc Medicare $4,330.61
Rate for Payer: Hamaspik Choice Inc Medicaid $4,447.59
Rate for Payer: Hamaspik Choice Inc Medicare $4,330.61
Rate for Payer: Healthfirst Medicare Advantage $3,681.02
Rate for Payer: Healthfirst QHP $4,330.61
Rate for Payer: Humana Medicare $4,417.22
Rate for Payer: Senior Whole Health Medicare Advantage $4,330.61
Rate for Payer: United Healthcare Commercial $1,468.00
Rate for Payer: United Healthcare Medicare Advantage $4,330.61
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $4,330.61
Rate for Payer: Wellcare CHP/FHP/Medicaid $3,464.49
Rate for Payer: Wellcare Medicare $4,114.08
Service Code HCPCS 31652
Hospital Charge Code 41543275
Hospital Revenue Code 361
Rate for Payer: Cash Price $4,330.61
Service Code HCPCS 95070
Hospital Charge Code 30301414
Hospital Revenue Code 924
Min. Negotiated Rate $433.87
Max. Negotiated Rate $1,176.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial $808.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $619.82
Rate for Payer: Aetna Government $619.82
Rate for Payer: Affinity Essential Plan 1&2 $433.87
Rate for Payer: Affinity Essential Plan 3&4 $433.87
Rate for Payer: Affinity Medicaid/CHP/HARP $433.87
Rate for Payer: Brighton Health Commercial $1,103.10
Rate for Payer: Cash Price $619.82
Rate for Payer: Cash Price $619.82
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $619.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1,176.64
Rate for Payer: Cigna LocalPlus Benefit Plan $1,000.14
Rate for Payer: Elderplan Medicare Advantage $619.82
Rate for Payer: EmblemHealth Commercial $619.82
Rate for Payer: Fidelis Essential Plan Aliesa $526.85
Rate for Payer: Fidelis Essential Plan QHP $551.64
Rate for Payer: Fidelis Medicare Advantage $619.82
Rate for Payer: Fidelis Qualified Health Plan $551.64
Rate for Payer: Group Health Inc Commercial $619.82
Rate for Payer: Group Health Inc Medicare $619.82
Rate for Payer: Hamaspik Choice Inc Medicaid $735.40
Rate for Payer: Hamaspik Choice Inc Medicare $619.82
Rate for Payer: Healthfirst Medicare Advantage $526.85
Rate for Payer: Healthfirst QHP $619.82
Rate for Payer: Humana Medicare $632.22
Rate for Payer: Senior Whole Health Medicare Advantage $619.82
Rate for Payer: United Healthcare Commercial $735.40
Rate for Payer: United Healthcare Medicare Advantage $619.82
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $619.82
Rate for Payer: Wellcare CHP/FHP/Medicaid $495.86
Rate for Payer: Wellcare Medicare $588.83
Service Code HCPCS 95070
Hospital Charge Code 30301414
Hospital Revenue Code 924
Rate for Payer: Cash Price $619.82
Service Code HCPCS 31647
Hospital Charge Code 40008343
Hospital Revenue Code 360
Min. Negotiated Rate $1,505.00
Max. Negotiated Rate $12,358.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,485.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $7,914.90
Rate for Payer: Aetna Government $7,914.90
Rate for Payer: Affinity Essential Plan 1&2 $5,540.43
Rate for Payer: Affinity Essential Plan 3&4 $5,540.43
Rate for Payer: Affinity Medicaid/CHP/HARP $5,540.43
Rate for Payer: Brighton Health Commercial $12,358.12
Rate for Payer: Cash Price $7,914.90
Rate for Payer: Cash Price $7,914.90
Rate for Payer: Cash Price $7,914.90
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $7,914.90
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 $7,914.90
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $6,727.66
Rate for Payer: Fidelis Essential Plan QHP $7,044.26
Rate for Payer: Fidelis Medicare Advantage $7,914.90
Rate for Payer: Fidelis Qualified Health Plan $7,044.26
Rate for Payer: Group Health Inc Commercial $7,914.90
Rate for Payer: Group Health Inc Medicare $7,914.90
Rate for Payer: Hamaspik Choice Inc Medicaid $8,238.75
Rate for Payer: Hamaspik Choice Inc Medicare $7,914.90
Rate for Payer: Healthfirst Medicare Advantage $6,727.66
Rate for Payer: Healthfirst QHP $7,914.90
Rate for Payer: Humana Medicare $8,073.20
Rate for Payer: Senior Whole Health Medicare Advantage $7,914.90
Rate for Payer: United Healthcare Commercial $1,835.00
Rate for Payer: United Healthcare Medicare Advantage $7,914.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $7,914.90
Rate for Payer: Wellcare CHP/FHP/Medicaid $6,331.92
Rate for Payer: Wellcare Medicare $7,519.16
Service Code HCPCS 31647
Hospital Charge Code 40008343
Hospital Revenue Code 360
Rate for Payer: Cash Price $7,914.90
Service Code MSDRG 202
Min. Negotiated Rate $8,210.56
Max. Negotiated Rate $28,333.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial $14,118.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $20,605.86
Rate for Payer: Aetna Government $20,605.86
Rate for Payer: Brighton Health Commercial $13,883.75
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $21,017.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $16,535.07
Rate for Payer: Cigna LocalPlus Benefit Plan $13,645.45
Rate for Payer: Elderplan Medicare Advantage $19,575.57
Rate for Payer: EmblemHealth Commercial $8,210.56
Rate for Payer: Fidelis Medicare Advantage $20,605.86
Rate for Payer: Group Health Inc Commercial $20,605.86
Rate for Payer: Group Health Inc Medicare $20,605.86
Rate for Payer: Hamaspik Choice Inc Medicare $20,605.86
Rate for Payer: Healthfirst Medicare Advantage $9,581.72
Rate for Payer: Humana Medicare $28,333.06
Rate for Payer: Senior Whole Health Medicare Advantage $20,605.86
Rate for Payer: United Healthcare Commercial $19,041.80
Rate for Payer: United Healthcare Medicare Advantage $20,605.86
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $20,605.86
Rate for Payer: Wellcare Medicare $19,575.57
Service Code MSDRG 203
Min. Negotiated Rate $5,958.77
Max. Negotiated Rate $23,325.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial $10,246.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $16,964.28
Rate for Payer: Aetna Government $16,964.28
Rate for Payer: Brighton Health Commercial $10,076.05
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $17,303.57
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $12,000.23
Rate for Payer: Cigna LocalPlus Benefit Plan $9,903.10
Rate for Payer: Elderplan Medicare Advantage $16,116.07
Rate for Payer: EmblemHealth Commercial $5,958.77
Rate for Payer: Fidelis Medicare Advantage $16,964.28
Rate for Payer: Group Health Inc Commercial $16,964.28
Rate for Payer: Group Health Inc Medicare $16,964.28
Rate for Payer: Hamaspik Choice Inc Medicare $16,964.28
Rate for Payer: Healthfirst Medicare Advantage $7,888.39
Rate for Payer: Humana Medicare $23,325.88
Rate for Payer: Senior Whole Health Medicare Advantage $16,964.28
Rate for Payer: United Healthcare Commercial $13,819.48
Rate for Payer: United Healthcare Medicare Advantage $16,964.28
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $16,964.28
Rate for Payer: Wellcare Medicare $16,116.07
Hospital Charge Code 40200661
Hospital Revenue Code 270
Min. Negotiated Rate $5.95
Max. Negotiated Rate $13.61
Rate for Payer: 1199SEIU National Benefit Fund Commercial $9.36
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $8.50
Rate for Payer: Aetna Government $8.50
Rate for Payer: Brighton Health Commercial $12.76
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $13.61
Rate for Payer: Cigna LocalPlus Benefit Plan $11.57
Rate for Payer: Group Health Inc Commercial $8.50
Rate for Payer: Group Health Inc Medicare $5.95
Rate for Payer: Hamaspik Choice Inc Medicaid $8.50
Rate for Payer: Hamaspik Choice Inc Medicare $8.50
Hospital Charge Code 40200010
Hospital Revenue Code 270
Min. Negotiated Rate $1.74
Max. Negotiated Rate $3.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.48
Rate for Payer: Aetna Government $2.48
Rate for Payer: Brighton Health Commercial $3.73
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $3.98
Rate for Payer: Cigna LocalPlus Benefit Plan $3.38
Rate for Payer: Group Health Inc Commercial $2.48
Rate for Payer: Group Health Inc Medicare $1.74
Rate for Payer: Hamaspik Choice Inc Medicaid $2.48
Rate for Payer: Hamaspik Choice Inc Medicare $2.48
Hospital Charge Code 40200660
Hospital Revenue Code 270
Min. Negotiated Rate $22.20
Max. Negotiated Rate $50.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial $34.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $31.72
Rate for Payer: Aetna Government $31.72
Rate for Payer: Brighton Health Commercial $47.57
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $50.74
Rate for Payer: Cigna LocalPlus Benefit Plan $43.13
Rate for Payer: Group Health Inc Commercial $31.72
Rate for Payer: Group Health Inc Medicare $22.20
Rate for Payer: Hamaspik Choice Inc Medicaid $31.72
Rate for Payer: Hamaspik Choice Inc Medicare $31.72
Service Code HCPCS 94799 TC
Hospital Charge Code 40302375
Hospital Revenue Code 460
Rate for Payer: Cash Price $180.64
Service Code HCPCS 94799 TC
Hospital Charge Code 40302375
Hospital Revenue Code 460
Min. Negotiated Rate $126.45
Max. Negotiated Rate $336.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $231.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $180.64
Rate for Payer: Aetna Government $180.64
Rate for Payer: Affinity Essential Plan 1&2 $126.45
Rate for Payer: Affinity Essential Plan 3&4 $126.45
Rate for Payer: Affinity Medicaid/CHP/HARP $126.45
Rate for Payer: Brighton Health Commercial $315.75
Rate for Payer: Cash Price $180.64
Rate for Payer: Cash Price $180.64
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $180.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $336.80
Rate for Payer: Cigna LocalPlus Benefit Plan $286.28
Rate for Payer: Elderplan Medicare Advantage $180.64
Rate for Payer: EmblemHealth Commercial $180.64
Rate for Payer: Fidelis Essential Plan Aliesa $153.54
Rate for Payer: Fidelis Essential Plan QHP $160.77
Rate for Payer: Fidelis Medicare Advantage $180.64
Rate for Payer: Fidelis Qualified Health Plan $160.77
Rate for Payer: Group Health Inc Commercial $180.64
Rate for Payer: Group Health Inc Medicare $180.64
Rate for Payer: Hamaspik Choice Inc Medicaid $210.50
Rate for Payer: Hamaspik Choice Inc Medicare $180.64
Rate for Payer: Healthfirst Medicare Advantage $153.54
Rate for Payer: Healthfirst QHP $180.64
Rate for Payer: Humana Medicare $184.25
Rate for Payer: Senior Whole Health Medicare Advantage $180.64
Rate for Payer: United Healthcare Commercial $210.50
Rate for Payer: United Healthcare Medicare Advantage $180.64
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $180.64
Rate for Payer: Wellcare CHP/FHP/Medicaid $144.51
Rate for Payer: Wellcare Medicare $171.61
Service Code HCPCS 31625
Hospital Charge Code 40000445
Hospital Revenue Code 360
Min. Negotiated Rate $1,373.93
Max. Negotiated Rate $3,249.71
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,888.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1,962.76
Rate for Payer: Aetna Government $1,962.76
Rate for Payer: Affinity Essential Plan 1&2 $1,373.93
Rate for Payer: Affinity Essential Plan 3&4 $1,373.93
Rate for Payer: Affinity Medicaid/CHP/HARP $1,373.93
Rate for Payer: Brighton Health Commercial $3,249.71
Rate for Payer: Cash Price $1,962.76
Rate for Payer: Cash Price $1,962.76
Rate for Payer: Cash Price $1,962.76
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $1,962.76
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 $1,962.76
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $1,668.35
Rate for Payer: Fidelis Essential Plan QHP $1,746.86
Rate for Payer: Fidelis Medicare Advantage $1,962.76
Rate for Payer: Fidelis Qualified Health Plan $1,746.86
Rate for Payer: Group Health Inc Commercial $1,962.76
Rate for Payer: Group Health Inc Medicare $1,962.76
Rate for Payer: Hamaspik Choice Inc Medicaid $2,166.48
Rate for Payer: Hamaspik Choice Inc Medicare $1,962.76
Rate for Payer: Healthfirst Medicare Advantage $1,668.35
Rate for Payer: Healthfirst QHP $1,962.76
Rate for Payer: Humana Medicare $2,002.02
Rate for Payer: Senior Whole Health Medicare Advantage $1,962.76
Rate for Payer: United Healthcare Commercial $1,409.00
Rate for Payer: United Healthcare Medicare Advantage $1,962.76
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,962.76
Rate for Payer: Wellcare CHP/FHP/Medicaid $1,570.21
Rate for Payer: Wellcare Medicare $1,864.62
Service Code HCPCS 31625
Hospital Charge Code 40000445
Hospital Revenue Code 360
Rate for Payer: Cash Price $1,962.76
Service Code HCPCS 31624
Hospital Charge Code 40019994
Hospital Revenue Code 360
Min. Negotiated Rate $1,373.93
Max. Negotiated Rate $3,249.71
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,888.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1,962.76
Rate for Payer: Aetna Government $1,962.76
Rate for Payer: Affinity Essential Plan 1&2 $1,373.93
Rate for Payer: Affinity Essential Plan 3&4 $1,373.93
Rate for Payer: Affinity Medicaid/CHP/HARP $1,373.93
Rate for Payer: Brighton Health Commercial $3,249.71
Rate for Payer: Cash Price $1,962.76
Rate for Payer: Cash Price $1,962.76
Rate for Payer: Cash Price $1,962.76
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $1,962.76
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 $1,962.76
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $1,668.35
Rate for Payer: Fidelis Essential Plan QHP $1,746.86
Rate for Payer: Fidelis Medicare Advantage $1,962.76
Rate for Payer: Fidelis Qualified Health Plan $1,746.86
Rate for Payer: Group Health Inc Commercial $1,962.76
Rate for Payer: Group Health Inc Medicare $1,962.76
Rate for Payer: Hamaspik Choice Inc Medicaid $2,166.48
Rate for Payer: Hamaspik Choice Inc Medicare $1,962.76
Rate for Payer: Healthfirst Medicare Advantage $1,668.35
Rate for Payer: Healthfirst QHP $1,962.76
Rate for Payer: Humana Medicare $2,002.02
Rate for Payer: Senior Whole Health Medicare Advantage $1,962.76
Rate for Payer: United Healthcare Commercial $1,409.00
Rate for Payer: United Healthcare Medicare Advantage $1,962.76
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1,962.76
Rate for Payer: Wellcare CHP/FHP/Medicaid $1,570.21
Rate for Payer: Wellcare Medicare $1,864.62
Service Code HCPCS 31624
Hospital Charge Code 40019994
Hospital Revenue Code 360
Rate for Payer: Cash Price $1,962.76
Service Code HCPCS 39000
Hospital Charge Code 40042085
Hospital Revenue Code 360
Min. Negotiated Rate $513.46
Max. Negotiated Rate $2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,010.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $513.46
Rate for Payer: Aetna Government $513.46
Rate for Payer: Brighton Health Commercial $1,377.90
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: EmblemHealth Commercial $1,505.00
Rate for Payer: Group Health Inc Commercial $918.60
Rate for Payer: Group Health Inc Medicare $643.02
Rate for Payer: Hamaspik Choice Inc Medicaid $918.60
Rate for Payer: Hamaspik Choice Inc Medicare $918.60
Rate for Payer: United Healthcare Commercial $1,496.00
Service Code HCPCS 31629
Hospital Charge Code 40019650
Hospital Revenue Code 360
Rate for Payer: Cash Price $4,330.61
Service Code HCPCS 31629
Hospital Charge Code 40019650
Hospital Revenue Code 360
Min. Negotiated Rate $1,505.00
Max. Negotiated Rate $6,671.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1,888.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4,330.61
Rate for Payer: Aetna Government $4,330.61
Rate for Payer: Affinity Essential Plan 1&2 $3,031.43
Rate for Payer: Affinity Essential Plan 3&4 $3,031.43
Rate for Payer: Affinity Medicaid/CHP/HARP $3,031.43
Rate for Payer: Brighton Health Commercial $6,671.38
Rate for Payer: Cash Price $4,330.61
Rate for Payer: Cash Price $4,330.61
Rate for Payer: Cash Price $4,330.61
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $4,330.61
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 $4,330.61
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $3,681.02
Rate for Payer: Fidelis Essential Plan QHP $3,854.24
Rate for Payer: Fidelis Medicare Advantage $4,330.61
Rate for Payer: Fidelis Qualified Health Plan $3,854.24
Rate for Payer: Group Health Inc Commercial $4,330.61
Rate for Payer: Group Health Inc Medicare $4,330.61
Rate for Payer: Hamaspik Choice Inc Medicaid $4,447.59
Rate for Payer: Hamaspik Choice Inc Medicare $4,330.61
Rate for Payer: Healthfirst Medicare Advantage $3,681.02
Rate for Payer: Healthfirst QHP $4,330.61
Rate for Payer: Humana Medicare $4,417.22
Rate for Payer: Senior Whole Health Medicare Advantage $4,330.61
Rate for Payer: United Healthcare Commercial $1,835.00
Rate for Payer: United Healthcare Medicare Advantage $4,330.61
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $4,330.61
Rate for Payer: Wellcare CHP/FHP/Medicaid $3,464.49
Rate for Payer: Wellcare Medicare $4,114.08
Service Code CPT 31653
Hospital Revenue Code 361
Min. Negotiated Rate $745.00
Max. Negotiated Rate $4,417.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,880.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4,330.61
Rate for Payer: Aetna Government $4,330.61
Rate for Payer: Affinity Essential Plan 1&2 $3,031.43
Rate for Payer: Affinity Essential Plan 3&4 $3,031.43
Rate for Payer: Affinity Medicaid/CHP/HARP $3,031.43
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $4,330.61
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 $4,330.61
Rate for Payer: EmblemHealth Commercial $745.00
Rate for Payer: Fidelis Essential Plan Aliesa $3,681.02
Rate for Payer: Fidelis Essential Plan QHP $3,854.24
Rate for Payer: Fidelis Medicare Advantage $4,330.61
Rate for Payer: Fidelis Qualified Health Plan $3,854.24
Rate for Payer: Group Health Inc Commercial $4,330.61
Rate for Payer: Group Health Inc Medicare $4,330.61
Rate for Payer: Hamaspik Choice Inc Medicare $4,330.61
Rate for Payer: Healthfirst Medicare Advantage $3,681.02
Rate for Payer: Healthfirst QHP $4,330.61
Rate for Payer: Humana Medicare $4,417.22
Rate for Payer: Senior Whole Health Medicare Advantage $4,330.61
Rate for Payer: United Healthcare Commercial $1,468.00
Rate for Payer: United Healthcare Medicare Advantage $4,330.61
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $4,330.61
Rate for Payer: Wellcare CHP/FHP/Medicaid $3,464.49
Rate for Payer: Wellcare Medicare $4,114.08
Service Code CPT 31653
Hospital Revenue Code 360
Min. Negotiated Rate $1,468.00
Max. Negotiated Rate $4,417.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,880.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4,330.61
Rate for Payer: Aetna Government $4,330.61
Rate for Payer: Affinity Essential Plan 1&2 $3,031.43
Rate for Payer: Affinity Essential Plan 3&4 $3,031.43
Rate for Payer: Affinity Medicaid/CHP/HARP $3,031.43
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $4,330.61
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 $4,330.61
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $3,681.02
Rate for Payer: Fidelis Essential Plan QHP $3,854.24
Rate for Payer: Fidelis Medicare Advantage $4,330.61
Rate for Payer: Fidelis Qualified Health Plan $3,854.24
Rate for Payer: Group Health Inc Commercial $4,330.61
Rate for Payer: Group Health Inc Medicare $4,330.61
Rate for Payer: Hamaspik Choice Inc Medicare $4,330.61
Rate for Payer: Healthfirst Medicare Advantage $3,681.02
Rate for Payer: Healthfirst QHP $4,330.61
Rate for Payer: Humana Medicare $4,417.22
Rate for Payer: Senior Whole Health Medicare Advantage $4,330.61
Rate for Payer: United Healthcare Commercial $1,468.00
Rate for Payer: United Healthcare Medicare Advantage $4,330.61
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $4,330.61
Rate for Payer: Wellcare CHP/FHP/Medicaid $3,464.49
Rate for Payer: Wellcare Medicare $4,114.08
Service Code CPT 31652
Hospital Revenue Code 360
Min. Negotiated Rate $1,468.00
Max. Negotiated Rate $4,417.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,880.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $4,330.61
Rate for Payer: Aetna Government $4,330.61
Rate for Payer: Affinity Essential Plan 1&2 $3,031.43
Rate for Payer: Affinity Essential Plan 3&4 $3,031.43
Rate for Payer: Affinity Medicaid/CHP/HARP $3,031.43
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $4,330.61
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 $4,330.61
Rate for Payer: EmblemHealth Commercial $1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa $3,681.02
Rate for Payer: Fidelis Essential Plan QHP $3,854.24
Rate for Payer: Fidelis Medicare Advantage $4,330.61
Rate for Payer: Fidelis Qualified Health Plan $3,854.24
Rate for Payer: Group Health Inc Commercial $4,330.61
Rate for Payer: Group Health Inc Medicare $4,330.61
Rate for Payer: Hamaspik Choice Inc Medicare $4,330.61
Rate for Payer: Healthfirst Medicare Advantage $3,681.02
Rate for Payer: Healthfirst QHP $4,330.61
Rate for Payer: Humana Medicare $4,417.22
Rate for Payer: Senior Whole Health Medicare Advantage $4,330.61
Rate for Payer: United Healthcare Commercial $1,468.00
Rate for Payer: United Healthcare Medicare Advantage $4,330.61
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $4,330.61
Rate for Payer: Wellcare CHP/FHP/Medicaid $3,464.49
Rate for Payer: Wellcare Medicare $4,114.08