|
HC ASSAY OF CADMIUM - CADMIUM 24 HR URINE
|
Facility
|
OP
|
$59.00
|
|
|
Service Code
|
CPT 82300
|
| Hospital Charge Code |
3018230001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$15.96 |
| Max. Negotiated Rate |
$44.25 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$32.45
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23.64
|
| Rate for Payer: Aetna Government |
$23.64
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$16.55
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$16.55
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$16.55
|
| Rate for Payer: Brighton Health Commercial |
$44.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$23.64
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$39.32
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$33.10
|
| Rate for Payer: Elderplan Medicare Advantage |
$23.64
|
| Rate for Payer: EmblemHealth Commercial |
$23.64
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$21.28
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$20.09
|
| Rate for Payer: Fidelis Essential Plan QHP |
$21.04
|
| Rate for Payer: Fidelis Medicare Advantage |
$23.64
|
| Rate for Payer: Fidelis Qualified Health Plan |
$21.04
|
| Rate for Payer: Group Health Inc Commercial |
$23.64
|
| Rate for Payer: Group Health Inc Medicare |
$23.64
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$23.64
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$23.64
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$15.96
|
| Rate for Payer: Healthfirst Essential Plan |
$35.91
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23.64
|
| Rate for Payer: Healthfirst QHP |
$23.64
|
| Rate for Payer: Humana Medicare |
$24.11
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$23.64
|
| Rate for Payer: United Healthcare Commercial |
$29.31
|
| Rate for Payer: United Healthcare Medicare Advantage |
$23.64
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$23.64
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$15.96
|
| Rate for Payer: Wellcare Medicare |
$21.28
|
|
|
HC ASSAY OF CALCITONIN - CALCITONIN
|
Facility
|
OP
|
$66.00
|
|
|
Service Code
|
CPT 82308
|
| Hospital Charge Code |
3018230801
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$18.75 |
| Max. Negotiated Rate |
$60.28 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$36.30
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26.79
|
| Rate for Payer: Aetna Government |
$26.79
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$18.75
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$18.75
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$18.75
|
| Rate for Payer: Brighton Health Commercial |
$49.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26.79
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$45.52
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$38.32
|
| Rate for Payer: Elderplan Medicare Advantage |
$26.79
|
| Rate for Payer: EmblemHealth Commercial |
$26.79
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$24.11
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$22.77
|
| Rate for Payer: Fidelis Essential Plan QHP |
$23.84
|
| Rate for Payer: Fidelis Medicare Advantage |
$26.79
|
| Rate for Payer: Fidelis Qualified Health Plan |
$23.84
|
| Rate for Payer: Group Health Inc Commercial |
$26.79
|
| Rate for Payer: Group Health Inc Medicare |
$26.79
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26.79
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$26.79
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$26.79
|
| Rate for Payer: Healthfirst Essential Plan |
$60.28
|
| Rate for Payer: Healthfirst Medicare Advantage |
$26.79
|
| Rate for Payer: Healthfirst QHP |
$26.79
|
| Rate for Payer: Humana Medicare |
$27.33
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$26.79
|
| Rate for Payer: United Healthcare Commercial |
$33.92
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26.79
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26.79
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$26.79
|
| Rate for Payer: Wellcare Medicare |
$24.11
|
|
|
HC ASSAY OF CALCITONIN - CALCITONIN
|
Facility
|
IP
|
$66.00
|
|
|
Service Code
|
CPT 82308
|
| Hospital Charge Code |
3018230801
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$33.00 |
| Max. Negotiated Rate |
$33.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$33.00
|
|
|
HC ASSAY OF CALCIUM IN URINE - CALCIUM RANDOM URINE
|
Facility
|
IP
|
$15.00
|
|
|
Service Code
|
CPT 82340
|
| Hospital Charge Code |
3018234001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.50 |
| Max. Negotiated Rate |
$7.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$7.50
|
|
|
HC ASSAY OF CALCIUM IN URINE - CALCIUM RANDOM URINE
|
Facility
|
OP
|
$15.00
|
|
|
Service Code
|
CPT 82340
|
| Hospital Charge Code |
3018234001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.22 |
| Max. Negotiated Rate |
$13.57 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$8.25
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$6.03
|
| Rate for Payer: Aetna Government |
$6.03
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$4.22
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$4.22
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$4.22
|
| Rate for Payer: Brighton Health Commercial |
$11.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$6.03
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$10.24
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$8.62
|
| Rate for Payer: Elderplan Medicare Advantage |
$6.03
|
| Rate for Payer: EmblemHealth Commercial |
$6.03
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$5.43
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$5.13
|
| Rate for Payer: Fidelis Essential Plan QHP |
$5.37
|
| Rate for Payer: Fidelis Medicare Advantage |
$6.03
|
| Rate for Payer: Fidelis Qualified Health Plan |
$5.37
|
| Rate for Payer: Group Health Inc Commercial |
$6.03
|
| Rate for Payer: Group Health Inc Medicare |
$6.03
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$6.03
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$6.03
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$6.03
|
| Rate for Payer: Healthfirst Essential Plan |
$13.57
|
| Rate for Payer: Healthfirst Medicare Advantage |
$6.03
|
| Rate for Payer: Healthfirst QHP |
$6.03
|
| Rate for Payer: Humana Medicare |
$6.15
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$6.03
|
| Rate for Payer: United Healthcare Commercial |
$7.64
|
| Rate for Payer: United Healthcare Medicare Advantage |
$6.03
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$6.03
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$6.03
|
| Rate for Payer: Wellcare Medicare |
$5.43
|
|
|
HC ASSAY OF CALCIUM IN URINE - CALCIUM TIMED URINE
|
Facility
|
OP
|
$15.00
|
|
|
Service Code
|
CPT 82340
|
| Hospital Charge Code |
3018234002
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.22 |
| Max. Negotiated Rate |
$13.57 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$8.25
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$6.03
|
| Rate for Payer: Aetna Government |
$6.03
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$4.22
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$4.22
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$4.22
|
| Rate for Payer: Brighton Health Commercial |
$11.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$6.03
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$10.24
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$8.62
|
| Rate for Payer: Elderplan Medicare Advantage |
$6.03
|
| Rate for Payer: EmblemHealth Commercial |
$6.03
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$5.43
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$5.13
|
| Rate for Payer: Fidelis Essential Plan QHP |
$5.37
|
| Rate for Payer: Fidelis Medicare Advantage |
$6.03
|
| Rate for Payer: Fidelis Qualified Health Plan |
$5.37
|
| Rate for Payer: Group Health Inc Commercial |
$6.03
|
| Rate for Payer: Group Health Inc Medicare |
$6.03
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$6.03
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$6.03
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$6.03
|
| Rate for Payer: Healthfirst Essential Plan |
$13.57
|
| Rate for Payer: Healthfirst Medicare Advantage |
$6.03
|
| Rate for Payer: Healthfirst QHP |
$6.03
|
| Rate for Payer: Humana Medicare |
$6.15
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$6.03
|
| Rate for Payer: United Healthcare Commercial |
$7.64
|
| Rate for Payer: United Healthcare Medicare Advantage |
$6.03
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$6.03
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$6.03
|
| Rate for Payer: Wellcare Medicare |
$5.43
|
|
|
HC ASSAY OF CALCIUM IN URINE - CALCIUM TIMED URINE
|
Facility
|
IP
|
$15.00
|
|
|
Service Code
|
CPT 82340
|
| Hospital Charge Code |
3018234002
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.50 |
| Max. Negotiated Rate |
$7.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$7.50
|
|
|
HC ASSAY OF CALCIUM, IONIZED - CALCIUM IONIZED
|
Facility
|
IP
|
$34.00
|
|
|
Service Code
|
CPT 82330
|
| Hospital Charge Code |
3018233001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$17.00 |
| Max. Negotiated Rate |
$17.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$17.00
|
|
|
HC ASSAY OF CALCIUM, IONIZED - CALCIUM IONIZED
|
Facility
|
OP
|
$34.00
|
|
|
Service Code
|
CPT 82330
|
| Hospital Charge Code |
3018233001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.08 |
| Max. Negotiated Rate |
$25.50 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18.70
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$13.68
|
| Rate for Payer: Aetna Government |
$13.68
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$9.58
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$9.58
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$9.58
|
| Rate for Payer: Brighton Health Commercial |
$25.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$13.68
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23.23
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19.55
|
| Rate for Payer: Elderplan Medicare Advantage |
$13.68
|
| Rate for Payer: EmblemHealth Commercial |
$13.68
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$12.31
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$11.63
|
| Rate for Payer: Fidelis Essential Plan QHP |
$12.18
|
| Rate for Payer: Fidelis Medicare Advantage |
$13.68
|
| Rate for Payer: Fidelis Qualified Health Plan |
$12.18
|
| Rate for Payer: Group Health Inc Commercial |
$13.68
|
| Rate for Payer: Group Health Inc Medicare |
$13.68
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$13.68
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$13.68
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Healthfirst Essential Plan |
$11.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$13.68
|
| Rate for Payer: Healthfirst QHP |
$13.68
|
| Rate for Payer: Humana Medicare |
$13.95
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$13.68
|
| Rate for Payer: United Healthcare Commercial |
$17.31
|
| Rate for Payer: United Healthcare Medicare Advantage |
$13.68
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$13.68
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Wellcare Medicare |
$12.31
|
|
|
HC ASSAY OF CALCIUM, IONIZED - IONIZED CALCIUM CRRT
|
Facility
|
IP
|
$34.00
|
|
|
Service Code
|
CPT 82330
|
| Hospital Charge Code |
3018233002
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$17.00 |
| Max. Negotiated Rate |
$17.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$17.00
|
|
|
HC ASSAY OF CALCIUM, IONIZED - IONIZED CALCIUM CRRT
|
Facility
|
OP
|
$34.00
|
|
|
Service Code
|
CPT 82330
|
| Hospital Charge Code |
3018233002
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.08 |
| Max. Negotiated Rate |
$25.50 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18.70
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$13.68
|
| Rate for Payer: Aetna Government |
$13.68
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$9.58
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$9.58
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$9.58
|
| Rate for Payer: Brighton Health Commercial |
$25.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$13.68
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$23.23
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$19.55
|
| Rate for Payer: Elderplan Medicare Advantage |
$13.68
|
| Rate for Payer: EmblemHealth Commercial |
$13.68
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$12.31
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$11.63
|
| Rate for Payer: Fidelis Essential Plan QHP |
$12.18
|
| Rate for Payer: Fidelis Medicare Advantage |
$13.68
|
| Rate for Payer: Fidelis Qualified Health Plan |
$12.18
|
| Rate for Payer: Group Health Inc Commercial |
$13.68
|
| Rate for Payer: Group Health Inc Medicare |
$13.68
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$13.68
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$13.68
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Healthfirst Essential Plan |
$11.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$13.68
|
| Rate for Payer: Healthfirst QHP |
$13.68
|
| Rate for Payer: Humana Medicare |
$13.95
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$13.68
|
| Rate for Payer: United Healthcare Commercial |
$17.31
|
| Rate for Payer: United Healthcare Medicare Advantage |
$13.68
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$13.68
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Wellcare Medicare |
$12.31
|
|
|
HC ASSAY OF CALCIUM, TOTAL - CALCIUM
|
Facility
|
IP
|
$12.00
|
|
|
Service Code
|
CPT 82310
|
| Hospital Charge Code |
3018231001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.00 |
| Max. Negotiated Rate |
$6.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$6.00
|
|
|
HC ASSAY OF CALCIUM, TOTAL - CALCIUM
|
Facility
|
OP
|
$12.00
|
|
|
Service Code
|
CPT 82310
|
| Hospital Charge Code |
3018231001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.61 |
| Max. Negotiated Rate |
$11.43 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$6.60
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$5.16
|
| Rate for Payer: Aetna Government |
$5.16
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$3.61
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$3.61
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$3.61
|
| Rate for Payer: Brighton Health Commercial |
$9.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$5.16
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$8.76
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$7.37
|
| Rate for Payer: Elderplan Medicare Advantage |
$5.16
|
| Rate for Payer: EmblemHealth Commercial |
$5.16
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$4.64
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$4.39
|
| Rate for Payer: Fidelis Essential Plan QHP |
$4.59
|
| Rate for Payer: Fidelis Medicare Advantage |
$5.16
|
| Rate for Payer: Fidelis Qualified Health Plan |
$4.59
|
| Rate for Payer: Group Health Inc Commercial |
$5.16
|
| Rate for Payer: Group Health Inc Medicare |
$5.16
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$5.16
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$5.16
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Healthfirst Essential Plan |
$11.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$5.16
|
| Rate for Payer: Healthfirst QHP |
$5.16
|
| Rate for Payer: Humana Medicare |
$5.26
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$5.16
|
| Rate for Payer: United Healthcare Commercial |
$6.53
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5.16
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$5.16
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Wellcare Medicare |
$4.64
|
|
|
HC ASSAY OF CALCIUM, TOTAL - PTH, INTACT AND CALCIUM
|
Facility
|
OP
|
$12.00
|
|
|
Service Code
|
CPT 82310
|
| Hospital Charge Code |
3018231003
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.61 |
| Max. Negotiated Rate |
$11.43 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$6.60
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$5.16
|
| Rate for Payer: Aetna Government |
$5.16
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$3.61
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$3.61
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$3.61
|
| Rate for Payer: Brighton Health Commercial |
$9.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$5.16
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$8.76
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$7.37
|
| Rate for Payer: Elderplan Medicare Advantage |
$5.16
|
| Rate for Payer: EmblemHealth Commercial |
$5.16
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$4.64
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$4.39
|
| Rate for Payer: Fidelis Essential Plan QHP |
$4.59
|
| Rate for Payer: Fidelis Medicare Advantage |
$5.16
|
| Rate for Payer: Fidelis Qualified Health Plan |
$4.59
|
| Rate for Payer: Group Health Inc Commercial |
$5.16
|
| Rate for Payer: Group Health Inc Medicare |
$5.16
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$5.16
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$5.16
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Healthfirst Essential Plan |
$11.43
|
| Rate for Payer: Healthfirst Medicare Advantage |
$5.16
|
| Rate for Payer: Healthfirst QHP |
$5.16
|
| Rate for Payer: Humana Medicare |
$5.26
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$5.16
|
| Rate for Payer: United Healthcare Commercial |
$6.53
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5.16
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$5.16
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$5.08
|
| Rate for Payer: Wellcare Medicare |
$4.64
|
|
|
HC ASSAY OF CALCIUM, TOTAL - PTH, INTACT AND CALCIUM
|
Facility
|
IP
|
$12.00
|
|
|
Service Code
|
CPT 82310
|
| Hospital Charge Code |
3018231003
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.00 |
| Max. Negotiated Rate |
$6.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$6.00
|
|
|
HC ASSAY OF CARBAMAZEPINE TOTAL - CARBAMAZEPINE TOTAL
|
Facility
|
OP
|
$36.00
|
|
|
Service Code
|
CPT 80156
|
| Hospital Charge Code |
3018015601
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.20 |
| Max. Negotiated Rate |
$27.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19.80
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$14.57
|
| Rate for Payer: Aetna Government |
$14.57
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$10.20
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$10.20
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$10.20
|
| Rate for Payer: Brighton Health Commercial |
$27.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$14.57
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24.74
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$20.83
|
| Rate for Payer: Elderplan Medicare Advantage |
$14.57
|
| Rate for Payer: EmblemHealth Commercial |
$14.57
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$13.11
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$12.38
|
| Rate for Payer: Fidelis Essential Plan QHP |
$12.97
|
| Rate for Payer: Fidelis Medicare Advantage |
$14.57
|
| Rate for Payer: Fidelis Qualified Health Plan |
$12.97
|
| Rate for Payer: Group Health Inc Commercial |
$14.57
|
| Rate for Payer: Group Health Inc Medicare |
$14.57
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$14.57
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$14.57
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$10.61
|
| Rate for Payer: Healthfirst Essential Plan |
$23.87
|
| Rate for Payer: Healthfirst Medicare Advantage |
$14.57
|
| Rate for Payer: Healthfirst QHP |
$14.57
|
| Rate for Payer: Humana Medicare |
$14.86
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$14.57
|
| Rate for Payer: United Healthcare Commercial |
$18.44
|
| Rate for Payer: United Healthcare Medicare Advantage |
$14.57
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$14.57
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$10.61
|
| Rate for Payer: Wellcare Medicare |
$13.11
|
|
|
HC ASSAY OF CARBAMAZEPINE TOTAL - CARBAMAZEPINE TOTAL
|
Facility
|
IP
|
$36.00
|
|
|
Service Code
|
CPT 80156
|
| Hospital Charge Code |
3018015601
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$18.00 |
| Max. Negotiated Rate |
$18.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$18.00
|
|
|
HC ASSAY OF CERULOPLASMIN - CERULOPLASMIN
|
Facility
|
OP
|
$26.00
|
|
|
Service Code
|
CPT 82390
|
| Hospital Charge Code |
3018239001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.52 |
| Max. Negotiated Rate |
$19.50 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14.30
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$10.74
|
| Rate for Payer: Aetna Government |
$10.74
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$7.52
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$7.52
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$7.52
|
| Rate for Payer: Brighton Health Commercial |
$19.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$10.74
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18.26
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$15.37
|
| Rate for Payer: Elderplan Medicare Advantage |
$10.74
|
| Rate for Payer: EmblemHealth Commercial |
$10.74
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$9.67
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$9.13
|
| Rate for Payer: Fidelis Essential Plan QHP |
$9.56
|
| Rate for Payer: Fidelis Medicare Advantage |
$10.74
|
| Rate for Payer: Fidelis Qualified Health Plan |
$9.56
|
| Rate for Payer: Group Health Inc Commercial |
$10.74
|
| Rate for Payer: Group Health Inc Medicare |
$10.74
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$10.74
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$10.74
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$8.18
|
| Rate for Payer: Healthfirst Essential Plan |
$18.41
|
| Rate for Payer: Healthfirst Medicare Advantage |
$10.74
|
| Rate for Payer: Healthfirst QHP |
$10.74
|
| Rate for Payer: Humana Medicare |
$10.95
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$10.74
|
| Rate for Payer: United Healthcare Commercial |
$13.61
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10.74
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$10.74
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$8.18
|
| Rate for Payer: Wellcare Medicare |
$9.67
|
|
|
HC ASSAY OF CERULOPLASMIN - CERULOPLASMIN
|
Facility
|
IP
|
$26.00
|
|
|
Service Code
|
CPT 82390
|
| Hospital Charge Code |
3018239001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.00 |
| Max. Negotiated Rate |
$13.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$13.00
|
|
|
HC ASSAY OF CHROMIUM - CHROMIUM LEVEL
|
Facility
|
IP
|
$50.00
|
|
|
Service Code
|
CPT 82495
|
| Hospital Charge Code |
3018249501
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$25.00 |
| Max. Negotiated Rate |
$25.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$25.00
|
|
|
HC ASSAY OF CHROMIUM - CHROMIUM LEVEL
|
Facility
|
OP
|
$50.00
|
|
|
Service Code
|
CPT 82495
|
| Hospital Charge Code |
3018249501
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$14.20 |
| Max. Negotiated Rate |
$45.63 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$27.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20.28
|
| Rate for Payer: Aetna Government |
$20.28
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$14.20
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$14.20
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$14.20
|
| Rate for Payer: Brighton Health Commercial |
$37.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$20.28
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$34.47
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$29.02
|
| Rate for Payer: Elderplan Medicare Advantage |
$20.28
|
| Rate for Payer: EmblemHealth Commercial |
$20.28
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$18.25
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$17.24
|
| Rate for Payer: Fidelis Essential Plan QHP |
$18.05
|
| Rate for Payer: Fidelis Medicare Advantage |
$20.28
|
| Rate for Payer: Fidelis Qualified Health Plan |
$18.05
|
| Rate for Payer: Group Health Inc Commercial |
$20.28
|
| Rate for Payer: Group Health Inc Medicare |
$20.28
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$20.28
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20.28
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$20.28
|
| Rate for Payer: Healthfirst Essential Plan |
$45.63
|
| Rate for Payer: Healthfirst Medicare Advantage |
$20.28
|
| Rate for Payer: Healthfirst QHP |
$20.28
|
| Rate for Payer: Humana Medicare |
$20.69
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20.28
|
| Rate for Payer: United Healthcare Commercial |
$25.69
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20.28
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20.28
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$20.28
|
| Rate for Payer: Wellcare Medicare |
$18.25
|
|
|
HC ASSAY OF CITRATE - CITRATE 24 HOUR URINE
|
Facility
|
OP
|
$69.00
|
|
|
Service Code
|
CPT 82507
|
| Hospital Charge Code |
3018250701
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$19.46 |
| Max. Negotiated Rate |
$57.49 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$37.95
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27.80
|
| Rate for Payer: Aetna Government |
$27.80
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$19.46
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$19.46
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$19.46
|
| Rate for Payer: Brighton Health Commercial |
$51.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27.80
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$47.26
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$39.78
|
| Rate for Payer: Elderplan Medicare Advantage |
$27.80
|
| Rate for Payer: EmblemHealth Commercial |
$27.80
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$25.02
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$23.63
|
| Rate for Payer: Fidelis Essential Plan QHP |
$24.74
|
| Rate for Payer: Fidelis Medicare Advantage |
$27.80
|
| Rate for Payer: Fidelis Qualified Health Plan |
$24.74
|
| Rate for Payer: Group Health Inc Commercial |
$27.80
|
| Rate for Payer: Group Health Inc Medicare |
$27.80
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27.80
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27.80
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$25.55
|
| Rate for Payer: Healthfirst Essential Plan |
$57.49
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27.80
|
| Rate for Payer: Healthfirst QHP |
$27.80
|
| Rate for Payer: Humana Medicare |
$28.36
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27.80
|
| Rate for Payer: United Healthcare Commercial |
$35.22
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27.80
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27.80
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$25.55
|
| Rate for Payer: Wellcare Medicare |
$25.02
|
|
|
HC ASSAY OF CITRATE - CITRATE 24 HOUR URINE
|
Facility
|
IP
|
$69.00
|
|
|
Service Code
|
CPT 82507
|
| Hospital Charge Code |
3018250701
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$34.50 |
| Max. Negotiated Rate |
$34.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34.50
|
|
|
HC ASSAY OF CITRATE - STONE RISK PROFILE
|
Facility
|
OP
|
$69.00
|
|
|
Service Code
|
CPT 82507
|
| Hospital Charge Code |
3018250702
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$19.46 |
| Max. Negotiated Rate |
$57.49 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$37.95
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$27.80
|
| Rate for Payer: Aetna Government |
$27.80
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$19.46
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$19.46
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$19.46
|
| Rate for Payer: Brighton Health Commercial |
$51.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$27.80
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$47.26
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$39.78
|
| Rate for Payer: Elderplan Medicare Advantage |
$27.80
|
| Rate for Payer: EmblemHealth Commercial |
$27.80
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$25.02
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$23.63
|
| Rate for Payer: Fidelis Essential Plan QHP |
$24.74
|
| Rate for Payer: Fidelis Medicare Advantage |
$27.80
|
| Rate for Payer: Fidelis Qualified Health Plan |
$24.74
|
| Rate for Payer: Group Health Inc Commercial |
$27.80
|
| Rate for Payer: Group Health Inc Medicare |
$27.80
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$27.80
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$27.80
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$25.55
|
| Rate for Payer: Healthfirst Essential Plan |
$57.49
|
| Rate for Payer: Healthfirst Medicare Advantage |
$27.80
|
| Rate for Payer: Healthfirst QHP |
$27.80
|
| Rate for Payer: Humana Medicare |
$28.36
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$27.80
|
| Rate for Payer: United Healthcare Commercial |
$35.22
|
| Rate for Payer: United Healthcare Medicare Advantage |
$27.80
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$27.80
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$25.55
|
| Rate for Payer: Wellcare Medicare |
$25.02
|
|
|
HC ASSAY OF CITRATE - STONE RISK PROFILE
|
Facility
|
IP
|
$69.00
|
|
|
Service Code
|
CPT 82507
|
| Hospital Charge Code |
3018250702
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$34.50 |
| Max. Negotiated Rate |
$34.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$34.50
|
|
