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Charge Type Price  
Service Code HCPCS 74248 TC
Min. Negotiated Rate $26.91
Max. Negotiated Rate $265.76
Rate for Payer: Cash Price $58.78
Rate for Payer: Cash Price $58.78
Rate for Payer: Fidelis CHP/HARP/Medicaid $56.52
Rate for Payer: Fidelis Essential Plan Aliesa $56.52
Rate for Payer: Fidelis Essential Plan QHP $59.66
Rate for Payer: Fidelis Medicare Advantage $62.80
Rate for Payer: Fidelis Qualified Health Plan $59.66
Rate for Payer: Hamaspik Choice Inc Medicaid $62.80
Rate for Payer: Hamaspik Choice Inc Medicare $62.80
Rate for Payer: Healthfirst CHP/FHP/Medicaid $47.10
Rate for Payer: Healthfirst Medicare Advantage $59.66
Rate for Payer: Healthfirst QHP $62.80
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $43.96
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $62.80
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $53.38
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $43.96
Rate for Payer: Senior Whole Health Medicare Advantage $62.80
Rate for Payer: SOMOS CHP/HARP/Medicaid $164.85
Rate for Payer: SOMOS Essential $164.85
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $62.80
Service Code HCPCS 78660 26
Min. Negotiated Rate $16.41
Max. Negotiated Rate $462.19
Rate for Payer: Cash Price $22.25
Rate for Payer: Cash Price $22.25
Rate for Payer: Fidelis CHP/HARP/Medicaid $21.10
Rate for Payer: Fidelis Essential Plan Aliesa $21.10
Rate for Payer: Fidelis Essential Plan QHP $22.27
Rate for Payer: Fidelis Medicare Advantage $23.44
Rate for Payer: Fidelis Qualified Health Plan $22.27
Rate for Payer: Hamaspik Choice Inc Medicaid $23.44
Rate for Payer: Hamaspik Choice Inc Medicare $23.44
Rate for Payer: Healthfirst CHP/FHP/Medicaid $17.58
Rate for Payer: Healthfirst Medicare Advantage $22.27
Rate for Payer: Healthfirst QHP $23.44
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $16.41
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $23.44
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $19.92
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $16.41
Rate for Payer: Senior Whole Health Medicare Advantage $23.44
Rate for Payer: SOMOS CHP/HARP/Medicaid $61.53
Rate for Payer: SOMOS Essential $61.53
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $23.44
Service Code HCPCS 78660
Min. Negotiated Rate $16.41
Max. Negotiated Rate $462.19
Rate for Payer: Cash Price $155.21
Rate for Payer: Cash Price $155.21
Rate for Payer: Fidelis CHP/HARP/Medicaid $158.46
Rate for Payer: Fidelis Essential Plan Aliesa $158.46
Rate for Payer: Fidelis Essential Plan QHP $167.27
Rate for Payer: Fidelis Medicare Advantage $176.07
Rate for Payer: Fidelis Qualified Health Plan $167.27
Rate for Payer: Hamaspik Choice Inc Medicaid $176.07
Rate for Payer: Hamaspik Choice Inc Medicare $176.07
Rate for Payer: Healthfirst CHP/FHP/Medicaid $132.05
Rate for Payer: Healthfirst Medicare Advantage $167.27
Rate for Payer: Healthfirst QHP $176.07
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $123.25
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $176.07
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $149.66
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $123.25
Rate for Payer: Senior Whole Health Medicare Advantage $176.07
Rate for Payer: SOMOS CHP/HARP/Medicaid $462.19
Rate for Payer: SOMOS Essential $462.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $176.07
Service Code HCPCS 78660 TC
Min. Negotiated Rate $16.41
Max. Negotiated Rate $462.19
Rate for Payer: Cash Price $132.96
Rate for Payer: Cash Price $132.96
Rate for Payer: Fidelis CHP/HARP/Medicaid $137.37
Rate for Payer: Fidelis Essential Plan Aliesa $137.37
Rate for Payer: Fidelis Essential Plan QHP $145.00
Rate for Payer: Fidelis Medicare Advantage $152.63
Rate for Payer: Fidelis Qualified Health Plan $145.00
Rate for Payer: Hamaspik Choice Inc Medicaid $152.63
Rate for Payer: Hamaspik Choice Inc Medicare $152.63
Rate for Payer: Healthfirst CHP/FHP/Medicaid $114.47
Rate for Payer: Healthfirst Medicare Advantage $145.00
Rate for Payer: Healthfirst QHP $152.63
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $106.84
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $152.63
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $129.74
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $106.84
Rate for Payer: Senior Whole Health Medicare Advantage $152.63
Rate for Payer: SOMOS CHP/HARP/Medicaid $400.66
Rate for Payer: SOMOS Essential $400.66
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $152.63
Service Code HCPCS 78835
Min. Negotiated Rate $16.89
Max. Negotiated Rate $295.05
Rate for Payer: Cash Price $103.53
Rate for Payer: Cash Price $103.53
Rate for Payer: Fidelis CHP/HARP/Medicaid $101.16
Rate for Payer: Fidelis Essential Plan Aliesa $101.16
Rate for Payer: Fidelis Essential Plan QHP $106.78
Rate for Payer: Fidelis Medicare Advantage $112.40
Rate for Payer: Fidelis Qualified Health Plan $106.78
Rate for Payer: Hamaspik Choice Inc Medicaid $112.40
Rate for Payer: Hamaspik Choice Inc Medicare $112.40
Rate for Payer: Healthfirst CHP/FHP/Medicaid $84.30
Rate for Payer: Healthfirst Medicare Advantage $106.78
Rate for Payer: Healthfirst QHP $112.40
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $78.68
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $112.40
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $95.54
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $78.68
Rate for Payer: Senior Whole Health Medicare Advantage $112.40
Rate for Payer: SOMOS CHP/HARP/Medicaid $295.05
Rate for Payer: SOMOS Essential $295.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $112.40
Service Code HCPCS 78835 26
Min. Negotiated Rate $16.89
Max. Negotiated Rate $295.05
Rate for Payer: Cash Price $22.75
Rate for Payer: Cash Price $22.75
Rate for Payer: Fidelis CHP/HARP/Medicaid $21.72
Rate for Payer: Fidelis Essential Plan Aliesa $21.72
Rate for Payer: Fidelis Essential Plan QHP $22.92
Rate for Payer: Fidelis Medicare Advantage $24.13
Rate for Payer: Fidelis Qualified Health Plan $22.92
Rate for Payer: Hamaspik Choice Inc Medicaid $24.13
Rate for Payer: Hamaspik Choice Inc Medicare $24.13
Rate for Payer: Healthfirst CHP/FHP/Medicaid $18.10
Rate for Payer: Healthfirst Medicare Advantage $22.92
Rate for Payer: Healthfirst QHP $24.13
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $16.89
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $24.13
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $20.51
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $16.89
Rate for Payer: Senior Whole Health Medicare Advantage $24.13
Rate for Payer: SOMOS CHP/HARP/Medicaid $63.34
Rate for Payer: SOMOS Essential $63.34
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $24.13
Service Code HCPCS 78835 TC
Min. Negotiated Rate $16.89
Max. Negotiated Rate $295.05
Rate for Payer: Cash Price $80.78
Rate for Payer: Cash Price $80.78
Rate for Payer: Fidelis CHP/HARP/Medicaid $79.43
Rate for Payer: Fidelis Essential Plan Aliesa $79.43
Rate for Payer: Fidelis Essential Plan QHP $83.85
Rate for Payer: Fidelis Medicare Advantage $88.26
Rate for Payer: Fidelis Qualified Health Plan $83.85
Rate for Payer: Hamaspik Choice Inc Medicaid $88.26
Rate for Payer: Hamaspik Choice Inc Medicare $88.26
Rate for Payer: Healthfirst CHP/FHP/Medicaid $66.20
Rate for Payer: Healthfirst Medicare Advantage $83.85
Rate for Payer: Healthfirst QHP $88.26
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $61.78
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $88.26
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $75.02
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $61.78
Rate for Payer: Senior Whole Health Medicare Advantage $88.26
Rate for Payer: SOMOS CHP/HARP/Medicaid $231.68
Rate for Payer: SOMOS Essential $231.68
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $88.26
Service Code HCPCS 78130
Min. Negotiated Rate $18.70
Max. Negotiated Rate $396.20
Rate for Payer: Cash Price $145.10
Rate for Payer: Cash Price $145.10
Rate for Payer: Fidelis CHP/HARP/Medicaid $135.84
Rate for Payer: Fidelis Essential Plan Aliesa $135.84
Rate for Payer: Fidelis Essential Plan QHP $143.38
Rate for Payer: Fidelis Medicare Advantage $150.93
Rate for Payer: Fidelis Qualified Health Plan $143.38
Rate for Payer: Hamaspik Choice Inc Medicaid $150.93
Rate for Payer: Hamaspik Choice Inc Medicare $150.93
Rate for Payer: Healthfirst CHP/FHP/Medicaid $113.20
Rate for Payer: Healthfirst Medicare Advantage $143.38
Rate for Payer: Healthfirst QHP $150.93
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $105.65
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $150.93
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $128.29
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $105.65
Rate for Payer: Senior Whole Health Medicare Advantage $150.93
Rate for Payer: SOMOS CHP/HARP/Medicaid $396.20
Rate for Payer: SOMOS Essential $396.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $150.93
Service Code HCPCS 78130 26
Min. Negotiated Rate $18.70
Max. Negotiated Rate $396.20
Rate for Payer: Cash Price $25.83
Rate for Payer: Cash Price $25.83
Rate for Payer: Fidelis CHP/HARP/Medicaid $24.05
Rate for Payer: Fidelis Essential Plan Aliesa $24.05
Rate for Payer: Fidelis Essential Plan QHP $25.38
Rate for Payer: Fidelis Medicare Advantage $26.72
Rate for Payer: Fidelis Qualified Health Plan $25.38
Rate for Payer: Hamaspik Choice Inc Medicaid $26.72
Rate for Payer: Hamaspik Choice Inc Medicare $26.72
Rate for Payer: Healthfirst CHP/FHP/Medicaid $20.04
Rate for Payer: Healthfirst Medicare Advantage $25.38
Rate for Payer: Healthfirst QHP $26.72
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $18.70
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $26.72
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $22.71
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $18.70
Rate for Payer: Senior Whole Health Medicare Advantage $26.72
Rate for Payer: SOMOS CHP/HARP/Medicaid $70.14
Rate for Payer: SOMOS Essential $70.14
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $26.72
Service Code HCPCS 78130 TC
Min. Negotiated Rate $18.70
Max. Negotiated Rate $396.20
Rate for Payer: Cash Price $119.28
Rate for Payer: Cash Price $119.28
Rate for Payer: Fidelis CHP/HARP/Medicaid $111.79
Rate for Payer: Fidelis Essential Plan Aliesa $111.79
Rate for Payer: Fidelis Essential Plan QHP $118.00
Rate for Payer: Fidelis Medicare Advantage $124.21
Rate for Payer: Fidelis Qualified Health Plan $118.00
Rate for Payer: Hamaspik Choice Inc Medicaid $124.21
Rate for Payer: Hamaspik Choice Inc Medicare $124.21
Rate for Payer: Healthfirst CHP/FHP/Medicaid $93.16
Rate for Payer: Healthfirst Medicare Advantage $118.00
Rate for Payer: Healthfirst QHP $124.21
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $86.95
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $124.21
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $105.58
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $86.95
Rate for Payer: Senior Whole Health Medicare Advantage $124.21
Rate for Payer: SOMOS CHP/HARP/Medicaid $326.06
Rate for Payer: SOMOS Essential $326.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $124.21
Service Code HCPCS 78120 TC
Min. Negotiated Rate $7.46
Max. Negotiated Rate $229.16
Rate for Payer: Cash Price $73.23
Rate for Payer: Cash Price $73.23
Rate for Payer: Fidelis CHP/HARP/Medicaid $68.98
Rate for Payer: Fidelis Essential Plan Aliesa $68.98
Rate for Payer: Fidelis Essential Plan QHP $72.81
Rate for Payer: Fidelis Medicare Advantage $76.64
Rate for Payer: Fidelis Qualified Health Plan $72.81
Rate for Payer: Hamaspik Choice Inc Medicaid $76.64
Rate for Payer: Hamaspik Choice Inc Medicare $76.64
Rate for Payer: Healthfirst CHP/FHP/Medicaid $57.48
Rate for Payer: Healthfirst Medicare Advantage $72.81
Rate for Payer: Healthfirst QHP $76.64
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $53.65
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $76.64
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $65.14
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $53.65
Rate for Payer: Senior Whole Health Medicare Advantage $76.64
Rate for Payer: SOMOS CHP/HARP/Medicaid $201.18
Rate for Payer: SOMOS Essential $201.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $76.64
Service Code HCPCS 78120 26
Min. Negotiated Rate $7.46
Max. Negotiated Rate $229.16
Rate for Payer: Cash Price $10.22
Rate for Payer: Cash Price $10.22
Rate for Payer: Fidelis CHP/HARP/Medicaid $9.59
Rate for Payer: Fidelis Essential Plan Aliesa $9.59
Rate for Payer: Fidelis Essential Plan QHP $10.13
Rate for Payer: Fidelis Medicare Advantage $10.66
Rate for Payer: Fidelis Qualified Health Plan $10.13
Rate for Payer: Hamaspik Choice Inc Medicaid $10.66
Rate for Payer: Hamaspik Choice Inc Medicare $10.66
Rate for Payer: Healthfirst CHP/FHP/Medicaid $8.00
Rate for Payer: Healthfirst Medicare Advantage $10.13
Rate for Payer: Healthfirst QHP $10.66
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $7.46
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $10.66
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $9.06
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $7.46
Rate for Payer: Senior Whole Health Medicare Advantage $10.66
Rate for Payer: SOMOS CHP/HARP/Medicaid $27.98
Rate for Payer: SOMOS Essential $27.98
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $10.66
Service Code HCPCS 78120
Min. Negotiated Rate $7.46
Max. Negotiated Rate $229.16
Rate for Payer: Cash Price $83.45
Rate for Payer: Cash Price $83.45
Rate for Payer: Fidelis CHP/HARP/Medicaid $78.57
Rate for Payer: Fidelis Essential Plan Aliesa $78.57
Rate for Payer: Fidelis Essential Plan QHP $82.94
Rate for Payer: Fidelis Medicare Advantage $87.30
Rate for Payer: Fidelis Qualified Health Plan $82.94
Rate for Payer: Hamaspik Choice Inc Medicaid $87.30
Rate for Payer: Hamaspik Choice Inc Medicare $87.30
Rate for Payer: Healthfirst CHP/FHP/Medicaid $65.48
Rate for Payer: Healthfirst Medicare Advantage $82.94
Rate for Payer: Healthfirst QHP $87.30
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $61.11
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $87.30
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $74.20
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $61.11
Rate for Payer: Senior Whole Health Medicare Advantage $87.30
Rate for Payer: SOMOS CHP/HARP/Medicaid $229.16
Rate for Payer: SOMOS Essential $229.16
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $87.30
Service Code HCPCS 78121 26
Min. Negotiated Rate $10.00
Max. Negotiated Rate $248.41
Rate for Payer: Cash Price $13.75
Rate for Payer: Cash Price $13.75
Rate for Payer: Fidelis CHP/HARP/Medicaid $12.86
Rate for Payer: Fidelis Essential Plan Aliesa $12.86
Rate for Payer: Fidelis Essential Plan QHP $13.58
Rate for Payer: Fidelis Medicare Advantage $14.29
Rate for Payer: Fidelis Qualified Health Plan $13.58
Rate for Payer: Hamaspik Choice Inc Medicaid $14.29
Rate for Payer: Hamaspik Choice Inc Medicare $14.29
Rate for Payer: Healthfirst CHP/FHP/Medicaid $10.72
Rate for Payer: Healthfirst Medicare Advantage $13.58
Rate for Payer: Healthfirst QHP $14.29
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $10.00
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $14.29
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $12.15
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $10.00
Rate for Payer: Senior Whole Health Medicare Advantage $14.29
Rate for Payer: SOMOS CHP/HARP/Medicaid $37.52
Rate for Payer: SOMOS Essential $37.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $14.29
Service Code HCPCS 78121 TC
Min. Negotiated Rate $10.00
Max. Negotiated Rate $248.41
Rate for Payer: Cash Price $76.77
Rate for Payer: Cash Price $76.77
Rate for Payer: Fidelis CHP/HARP/Medicaid $72.31
Rate for Payer: Fidelis Essential Plan Aliesa $72.31
Rate for Payer: Fidelis Essential Plan QHP $76.32
Rate for Payer: Fidelis Medicare Advantage $80.34
Rate for Payer: Fidelis Qualified Health Plan $76.32
Rate for Payer: Hamaspik Choice Inc Medicaid $80.34
Rate for Payer: Hamaspik Choice Inc Medicare $80.34
Rate for Payer: Healthfirst CHP/FHP/Medicaid $60.26
Rate for Payer: Healthfirst Medicare Advantage $76.32
Rate for Payer: Healthfirst QHP $80.34
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $56.24
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $80.34
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $68.29
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $56.24
Rate for Payer: Senior Whole Health Medicare Advantage $80.34
Rate for Payer: SOMOS CHP/HARP/Medicaid $210.89
Rate for Payer: SOMOS Essential $210.89
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $80.34
Service Code HCPCS 78121
Min. Negotiated Rate $10.00
Max. Negotiated Rate $248.41
Rate for Payer: Cash Price $90.52
Rate for Payer: Cash Price $90.52
Rate for Payer: Fidelis CHP/HARP/Medicaid $85.17
Rate for Payer: Fidelis Essential Plan Aliesa $85.17
Rate for Payer: Fidelis Essential Plan QHP $89.90
Rate for Payer: Fidelis Medicare Advantage $94.63
Rate for Payer: Fidelis Qualified Health Plan $89.90
Rate for Payer: Hamaspik Choice Inc Medicaid $94.63
Rate for Payer: Hamaspik Choice Inc Medicare $94.63
Rate for Payer: Healthfirst CHP/FHP/Medicaid $70.97
Rate for Payer: Healthfirst Medicare Advantage $89.90
Rate for Payer: Healthfirst QHP $94.63
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $66.24
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $94.63
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $80.44
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $66.24
Rate for Payer: Senior Whole Health Medicare Advantage $94.63
Rate for Payer: SOMOS CHP/HARP/Medicaid $248.41
Rate for Payer: SOMOS Essential $248.41
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $94.63
Service Code HCPCS 77293 26
Min. Negotiated Rate $84.38
Max. Negotiated Rate $1,316.49
Rate for Payer: Cash Price $116.01
Rate for Payer: Cash Price $116.01
Rate for Payer: Fidelis CHP/HARP/Medicaid $108.49
Rate for Payer: Fidelis Essential Plan Aliesa $108.49
Rate for Payer: Fidelis Essential Plan QHP $114.51
Rate for Payer: Fidelis Medicare Advantage $120.54
Rate for Payer: Fidelis Qualified Health Plan $114.51
Rate for Payer: Hamaspik Choice Inc Medicaid $120.54
Rate for Payer: Hamaspik Choice Inc Medicare $120.54
Rate for Payer: Healthfirst CHP/FHP/Medicaid $90.40
Rate for Payer: Healthfirst Medicare Advantage $114.51
Rate for Payer: Healthfirst QHP $120.54
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $84.38
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $120.54
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $102.46
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $84.38
Rate for Payer: Senior Whole Health Medicare Advantage $120.54
Rate for Payer: SOMOS CHP/HARP/Medicaid $316.42
Rate for Payer: SOMOS Essential $316.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $120.54
Service Code HCPCS 77293 TC
Min. Negotiated Rate $84.38
Max. Negotiated Rate $1,316.49
Rate for Payer: Cash Price $359.05
Rate for Payer: Cash Price $359.05
Rate for Payer: Fidelis CHP/HARP/Medicaid $342.88
Rate for Payer: Fidelis Essential Plan Aliesa $342.88
Rate for Payer: Fidelis Essential Plan QHP $361.93
Rate for Payer: Fidelis Medicare Advantage $380.98
Rate for Payer: Fidelis Qualified Health Plan $361.93
Rate for Payer: Hamaspik Choice Inc Medicaid $380.98
Rate for Payer: Hamaspik Choice Inc Medicare $380.98
Rate for Payer: Healthfirst CHP/FHP/Medicaid $285.74
Rate for Payer: Healthfirst Medicare Advantage $361.93
Rate for Payer: Healthfirst QHP $380.98
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $266.69
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $380.98
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $323.83
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $266.69
Rate for Payer: Senior Whole Health Medicare Advantage $380.98
Rate for Payer: SOMOS CHP/HARP/Medicaid $1,000.07
Rate for Payer: SOMOS Essential $1,000.07
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $380.98
Service Code HCPCS 77293
Min. Negotiated Rate $84.38
Max. Negotiated Rate $1,316.49
Rate for Payer: Cash Price $475.06
Rate for Payer: Cash Price $475.06
Rate for Payer: Fidelis CHP/HARP/Medicaid $451.37
Rate for Payer: Fidelis Essential Plan Aliesa $451.37
Rate for Payer: Fidelis Essential Plan QHP $476.44
Rate for Payer: Fidelis Medicare Advantage $501.52
Rate for Payer: Fidelis Qualified Health Plan $476.44
Rate for Payer: Hamaspik Choice Inc Medicaid $501.52
Rate for Payer: Hamaspik Choice Inc Medicare $501.52
Rate for Payer: Healthfirst CHP/FHP/Medicaid $376.14
Rate for Payer: Healthfirst Medicare Advantage $476.44
Rate for Payer: Healthfirst QHP $501.52
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $351.06
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $501.52
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $426.29
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $351.06
Rate for Payer: Senior Whole Health Medicare Advantage $501.52
Rate for Payer: SOMOS CHP/HARP/Medicaid $1,316.49
Rate for Payer: SOMOS Essential $1,316.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $501.52
Service Code HCPCS 74235 26
Min. Negotiated Rate $45.74
Max. Negotiated Rate $502.90
Rate for Payer: Cash Price $61.76
Rate for Payer: Cash Price $61.76
Rate for Payer: Fidelis CHP/HARP/Medicaid $58.82
Rate for Payer: Fidelis Essential Plan Aliesa $58.82
Rate for Payer: Fidelis Essential Plan QHP $62.08
Rate for Payer: Fidelis Medicare Advantage $65.35
Rate for Payer: Fidelis Qualified Health Plan $62.08
Rate for Payer: Hamaspik Choice Inc Medicaid $65.35
Rate for Payer: Hamaspik Choice Inc Medicare $65.35
Rate for Payer: Healthfirst CHP/FHP/Medicaid $49.01
Rate for Payer: Healthfirst Medicare Advantage $62.08
Rate for Payer: Healthfirst QHP $65.35
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $45.74
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $65.35
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $55.55
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $45.74
Rate for Payer: Senior Whole Health Medicare Advantage $65.35
Rate for Payer: SOMOS CHP/HARP/Medicaid $171.55
Rate for Payer: SOMOS Essential $171.55
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $65.35
Service Code HCPCS 74235
Min. Negotiated Rate $45.74
Max. Negotiated Rate $502.90
Rate for Payer: SOMOS CHP/HARP/Medicaid $502.90
Rate for Payer: SOMOS Essential $502.90
Service Code HCPCS 74235 TC
Min. Negotiated Rate $45.74
Max. Negotiated Rate $502.90
Rate for Payer: SOMOS CHP/HARP/Medicaid $331.36
Rate for Payer: SOMOS Essential $331.36
Service Code HCPCS 78800 26
Min. Negotiated Rate $24.55
Max. Negotiated Rate $758.99
Rate for Payer: Cash Price $34.32
Rate for Payer: Cash Price $34.32
Rate for Payer: Fidelis CHP/HARP/Medicaid $31.56
Rate for Payer: Fidelis Essential Plan Aliesa $31.56
Rate for Payer: Fidelis Essential Plan QHP $33.32
Rate for Payer: Fidelis Medicare Advantage $35.07
Rate for Payer: Fidelis Qualified Health Plan $33.32
Rate for Payer: Hamaspik Choice Inc Medicaid $35.07
Rate for Payer: Hamaspik Choice Inc Medicare $35.07
Rate for Payer: Healthfirst CHP/FHP/Medicaid $26.30
Rate for Payer: Healthfirst Medicare Advantage $33.32
Rate for Payer: Healthfirst QHP $35.07
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $24.55
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $35.07
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $29.81
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $24.55
Rate for Payer: Senior Whole Health Medicare Advantage $35.07
Rate for Payer: SOMOS CHP/HARP/Medicaid $92.06
Rate for Payer: SOMOS Essential $92.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $35.07
Service Code HCPCS 78800
Min. Negotiated Rate $24.55
Max. Negotiated Rate $758.99
Rate for Payer: Cash Price $273.37
Rate for Payer: Cash Price $273.37
Rate for Payer: Fidelis CHP/HARP/Medicaid $260.23
Rate for Payer: Fidelis Essential Plan Aliesa $260.23
Rate for Payer: Fidelis Essential Plan QHP $274.68
Rate for Payer: Fidelis Medicare Advantage $289.14
Rate for Payer: Fidelis Qualified Health Plan $274.68
Rate for Payer: Hamaspik Choice Inc Medicaid $289.14
Rate for Payer: Hamaspik Choice Inc Medicare $289.14
Rate for Payer: Healthfirst CHP/FHP/Medicaid $216.86
Rate for Payer: Healthfirst Medicare Advantage $274.68
Rate for Payer: Healthfirst QHP $289.14
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $202.40
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $289.14
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $245.77
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $202.40
Rate for Payer: Senior Whole Health Medicare Advantage $289.14
Rate for Payer: SOMOS CHP/HARP/Medicaid $758.99
Rate for Payer: SOMOS Essential $758.99
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $289.14
Service Code HCPCS 78800 TC
Min. Negotiated Rate $24.55
Max. Negotiated Rate $758.99
Rate for Payer: Cash Price $239.05
Rate for Payer: Cash Price $239.05
Rate for Payer: Fidelis CHP/HARP/Medicaid $228.66
Rate for Payer: Fidelis Essential Plan Aliesa $228.66
Rate for Payer: Fidelis Essential Plan QHP $241.37
Rate for Payer: Fidelis Medicare Advantage $254.07
Rate for Payer: Fidelis Qualified Health Plan $241.37
Rate for Payer: Hamaspik Choice Inc Medicaid $254.07
Rate for Payer: Hamaspik Choice Inc Medicare $254.07
Rate for Payer: Healthfirst CHP/FHP/Medicaid $190.55
Rate for Payer: Healthfirst Medicare Advantage $241.37
Rate for Payer: Healthfirst QHP $254.07
Rate for Payer: MetroPlus Health CHP/HARP/HIV SNP/Medicaid $177.85
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $254.07
Rate for Payer: MetroPlus Health Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (Non-Aliessa) $215.96
Rate for Payer: MetroPlus Health Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliessa) $177.85
Rate for Payer: Senior Whole Health Medicare Advantage $254.07
Rate for Payer: SOMOS CHP/HARP/Medicaid $666.94
Rate for Payer: SOMOS Essential $666.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $254.07