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Service Code CPT 81257
Hospital Charge Code 3008125701
Hospital Revenue Code 300
Min. Negotiated Rate $127.50
Max. Negotiated Rate $127.50
Rate for Payer: Hamaspik Choice Inc Medicaid $127.50
Service Code CPT 81257
Hospital Charge Code 3108125702
Hospital Revenue Code 310
Min. Negotiated Rate $71.58
Max. Negotiated Rate $204.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $140.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $102.26
Rate for Payer: Aetna Government $102.26
Rate for Payer: Affinity Essential Plan 1&2 $71.58
Rate for Payer: Affinity Essential Plan 3&4 $71.58
Rate for Payer: Affinity Medicaid/CHP/HARP $71.58
Rate for Payer: Brighton Health Commercial $102.26
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $102.26
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $204.00
Rate for Payer: Cigna LocalPlus Benefit Plan $173.40
Rate for Payer: Elderplan Medicare Advantage $102.26
Rate for Payer: EmblemHealth Commercial $102.26
Rate for Payer: Fidelis CHP/HARP/Medicaid $92.03
Rate for Payer: Fidelis Essential Plan Aliesa $86.92
Rate for Payer: Fidelis Essential Plan QHP $91.01
Rate for Payer: Fidelis Medicare Advantage $102.26
Rate for Payer: Fidelis Qualified Health Plan $91.01
Rate for Payer: Group Health Inc Commercial $102.26
Rate for Payer: Group Health Inc Medicare $102.26
Rate for Payer: Hamaspik Choice Inc Medicaid $102.26
Rate for Payer: Hamaspik Choice Inc Medicare $102.26
Rate for Payer: Healthfirst CHP/FHP/Medicaid $102.26
Rate for Payer: Healthfirst Medicare Advantage $102.26
Rate for Payer: Healthfirst QHP $102.26
Rate for Payer: Humana Medicare $104.31
Rate for Payer: Senior Whole Health Medicare Advantage $102.26
Rate for Payer: United Healthcare Medicare Advantage $102.26
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $102.26
Rate for Payer: Wellcare CHP/FHP/Medicaid $97.15
Rate for Payer: Wellcare Medicare $92.03
Service Code CPT 81361
Hospital Charge Code 3108136101
Hospital Revenue Code 310
Min. Negotiated Rate $98.50
Max. Negotiated Rate $98.50
Rate for Payer: Hamaspik Choice Inc Medicaid $98.50
Service Code CPT 81361
Hospital Charge Code 3108136101
Hospital Revenue Code 310
Min. Negotiated Rate $108.35
Max. Negotiated Rate $336.33
Rate for Payer: 1199SEIU National Benefit Fund Commercial $108.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $174.81
Rate for Payer: Aetna Government $174.81
Rate for Payer: Affinity Essential Plan 1&2 $122.37
Rate for Payer: Affinity Essential Plan 3&4 $122.37
Rate for Payer: Affinity Medicaid/CHP/HARP $122.37
Rate for Payer: Brighton Health Commercial $174.81
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $174.81
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $157.60
Rate for Payer: Cigna LocalPlus Benefit Plan $133.96
Rate for Payer: Elderplan Medicare Advantage $174.81
Rate for Payer: EmblemHealth Commercial $174.81
Rate for Payer: Fidelis CHP/HARP/Medicaid $157.33
Rate for Payer: Fidelis Essential Plan Aliesa $148.59
Rate for Payer: Fidelis Essential Plan QHP $155.58
Rate for Payer: Fidelis Medicare Advantage $174.81
Rate for Payer: Fidelis Qualified Health Plan $155.58
Rate for Payer: Group Health Inc Commercial $174.81
Rate for Payer: Group Health Inc Medicare $174.81
Rate for Payer: Hamaspik Choice Inc Medicaid $174.81
Rate for Payer: Hamaspik Choice Inc Medicare $174.81
Rate for Payer: Healthfirst CHP/FHP/Medicaid $149.48
Rate for Payer: Healthfirst Essential Plan $336.33
Rate for Payer: Healthfirst Medicare Advantage $174.81
Rate for Payer: Healthfirst QHP $174.81
Rate for Payer: Humana Medicare $178.31
Rate for Payer: Senior Whole Health Medicare Advantage $174.81
Rate for Payer: United Healthcare Medicare Advantage $174.81
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $174.81
Rate for Payer: Wellcare CHP/FHP/Medicaid $149.48
Rate for Payer: Wellcare Medicare $157.33
Service Code CPT G0277
Hospital Charge Code 413G027701
Hospital Revenue Code 413
Min. Negotiated Rate $117.94
Max. Negotiated Rate $3,163.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $766.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $168.49
Rate for Payer: Aetna Government $168.49
Rate for Payer: Affinity Essential Plan 1&2 $117.94
Rate for Payer: Affinity Essential Plan 3&4 $117.94
Rate for Payer: Affinity Medicaid/CHP/HARP $117.94
Rate for Payer: Brighton Health Commercial $1,045.50
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $168.49
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $697.00
Rate for Payer: Cigna LocalPlus Benefit Plan $794.58
Rate for Payer: Elderplan Medicare Advantage $168.49
Rate for Payer: EmblemHealth Commercial $168.49
Rate for Payer: Fidelis CHP/HARP/Medicaid $151.64
Rate for Payer: Fidelis Essential Plan Aliesa $143.22
Rate for Payer: Fidelis Essential Plan QHP $149.96
Rate for Payer: Fidelis Medicare Advantage $168.49
Rate for Payer: Fidelis Qualified Health Plan $149.96
Rate for Payer: Group Health Inc Commercial $168.49
Rate for Payer: Group Health Inc Medicare $168.49
Rate for Payer: Hamaspik Choice Inc Medicaid $168.49
Rate for Payer: Hamaspik Choice Inc Medicare $168.49
Rate for Payer: Healthfirst CHP/FHP/Medicaid $205.09
Rate for Payer: Healthfirst Medicare Advantage $143.22
Rate for Payer: Healthfirst QHP $168.49
Rate for Payer: Humana Medicare $171.86
Rate for Payer: Senior Whole Health Medicare Advantage $168.49
Rate for Payer: United Healthcare Commercial $3,163.00
Rate for Payer: United Healthcare Medicare Advantage $168.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $168.49
Rate for Payer: Wellcare CHP/FHP/Medicaid $160.07
Rate for Payer: Wellcare Medicare $160.07
Service Code CPT G0277
Hospital Charge Code 413G027701
Hospital Revenue Code 413
Min. Negotiated Rate $697.00
Max. Negotiated Rate $697.00
Rate for Payer: Hamaspik Choice Inc Medicaid $697.00
Service Code CPT 92593
Hospital Charge Code 4719259301
Hospital Revenue Code 471
Min. Negotiated Rate $88.50
Max. Negotiated Rate $88.50
Rate for Payer: Hamaspik Choice Inc Medicaid $88.50
Service Code CPT 92593
Hospital Charge Code 4719259301
Hospital Revenue Code 471
Min. Negotiated Rate $31.14
Max. Negotiated Rate $158.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $97.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $31.14
Rate for Payer: Aetna Government $31.14
Rate for Payer: Brighton Health Commercial $132.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $141.60
Rate for Payer: Cigna LocalPlus Benefit Plan $120.36
Rate for Payer: EmblemHealth Commercial $88.50
Rate for Payer: Group Health Inc Commercial $88.50
Rate for Payer: Group Health Inc Medicare $61.95
Rate for Payer: Hamaspik Choice Inc Medicaid $88.50
Rate for Payer: Hamaspik Choice Inc Medicare $88.50
Rate for Payer: United Healthcare Commercial $158.00
Service Code CPT 92592
Hospital Charge Code 4719259201
Hospital Revenue Code 471
Min. Negotiated Rate $18.79
Max. Negotiated Rate $158.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $58.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $18.79
Rate for Payer: Aetna Government $18.79
Rate for Payer: Brighton Health Commercial $79.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $84.80
Rate for Payer: Cigna LocalPlus Benefit Plan $72.08
Rate for Payer: EmblemHealth Commercial $53.00
Rate for Payer: Group Health Inc Commercial $53.00
Rate for Payer: Group Health Inc Medicare $37.10
Rate for Payer: Hamaspik Choice Inc Medicaid $53.00
Rate for Payer: Hamaspik Choice Inc Medicare $53.00
Rate for Payer: United Healthcare Commercial $158.00
Service Code CPT 92592
Hospital Charge Code 4719259201
Hospital Revenue Code 471
Min. Negotiated Rate $53.00
Max. Negotiated Rate $53.00
Rate for Payer: Hamaspik Choice Inc Medicaid $53.00
Service Code CPT 92591
Hospital Charge Code 4719259101
Hospital Revenue Code 471
Min. Negotiated Rate $60.74
Max. Negotiated Rate $169.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial $116.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $60.74
Rate for Payer: Aetna Government $60.74
Rate for Payer: Brighton Health Commercial $159.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $169.60
Rate for Payer: Cigna LocalPlus Benefit Plan $144.16
Rate for Payer: EmblemHealth Commercial $106.00
Rate for Payer: Group Health Inc Commercial $106.00
Rate for Payer: Group Health Inc Medicare $74.20
Rate for Payer: Hamaspik Choice Inc Medicaid $106.00
Rate for Payer: Hamaspik Choice Inc Medicare $106.00
Rate for Payer: United Healthcare Commercial $158.00
Service Code CPT 92591
Hospital Charge Code 4719259101
Hospital Revenue Code 471
Min. Negotiated Rate $106.00
Max. Negotiated Rate $106.00
Rate for Payer: Hamaspik Choice Inc Medicaid $106.00
Service Code CPT 92590
Hospital Charge Code 4719259001
Hospital Revenue Code 471
Min. Negotiated Rate $47.77
Max. Negotiated Rate $158.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $77.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $47.77
Rate for Payer: Aetna Government $47.77
Rate for Payer: Brighton Health Commercial $105.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $112.80
Rate for Payer: Cigna LocalPlus Benefit Plan $95.88
Rate for Payer: EmblemHealth Commercial $70.50
Rate for Payer: Group Health Inc Commercial $70.50
Rate for Payer: Group Health Inc Medicare $49.35
Rate for Payer: Hamaspik Choice Inc Medicaid $70.50
Rate for Payer: Hamaspik Choice Inc Medicare $70.50
Rate for Payer: United Healthcare Commercial $158.00
Service Code CPT 92590
Hospital Charge Code 4719259001
Hospital Revenue Code 471
Min. Negotiated Rate $70.50
Max. Negotiated Rate $70.50
Rate for Payer: Hamaspik Choice Inc Medicaid $70.50
Service Code CPT 78492 TC
Hospital Charge Code 4047849201
Hospital Revenue Code 404
Min. Negotiated Rate $2,185.00
Max. Negotiated Rate $2,185.00
Rate for Payer: Hamaspik Choice Inc Medicaid $2,185.00
Service Code CPT 78492 TC
Hospital Charge Code 4047849201
Hospital Revenue Code 404
Min. Negotiated Rate $342.00
Max. Negotiated Rate $3,277.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $875.00
Rate for Payer: Aetna Government $875.00
Rate for Payer: Brighton Health Commercial $3,277.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,369.76
Rate for Payer: Cigna LocalPlus Benefit Plan $1,994.69
Rate for Payer: EmblemHealth Commercial $2,185.00
Rate for Payer: Group Health Inc Commercial $2,185.00
Rate for Payer: Group Health Inc Medicare $1,529.50
Rate for Payer: Hamaspik Choice Inc Medicaid $2,185.00
Rate for Payer: Hamaspik Choice Inc Medicare $2,185.00
Rate for Payer: Healthfirst Essential Plan $1,802.09
Rate for Payer: United Healthcare Commercial $885.89
Rate for Payer: Wellcare CHP/FHP/Medicaid $800.93
Service Code CPT 78491 TC
Hospital Charge Code 4047849101
Hospital Revenue Code 404
Min. Negotiated Rate $342.00
Max. Negotiated Rate $3,277.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $342.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $875.00
Rate for Payer: Aetna Government $875.00
Rate for Payer: Brighton Health Commercial $3,277.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2,369.76
Rate for Payer: Cigna LocalPlus Benefit Plan $1,994.69
Rate for Payer: EmblemHealth Commercial $2,185.00
Rate for Payer: Group Health Inc Commercial $2,185.00
Rate for Payer: Group Health Inc Medicare $1,529.50
Rate for Payer: Hamaspik Choice Inc Medicaid $2,185.00
Rate for Payer: Hamaspik Choice Inc Medicare $2,185.00
Rate for Payer: Healthfirst Essential Plan $1,097.62
Rate for Payer: United Healthcare Commercial $885.89
Rate for Payer: Wellcare CHP/FHP/Medicaid $487.83
Service Code CPT 78491 TC
Hospital Charge Code 4047849101
Hospital Revenue Code 404
Min. Negotiated Rate $2,185.00
Max. Negotiated Rate $2,185.00
Rate for Payer: Hamaspik Choice Inc Medicaid $2,185.00
Service Code CPT 78466 TC
Hospital Charge Code 3407846601
Hospital Revenue Code 340
Min. Negotiated Rate $557.00
Max. Negotiated Rate $557.00
Rate for Payer: Hamaspik Choice Inc Medicaid $557.00
Service Code CPT 78466 TC
Hospital Charge Code 3407846601
Hospital Revenue Code 340
Min. Negotiated Rate $107.15
Max. Negotiated Rate $835.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $612.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $107.15
Rate for Payer: Aetna Government $107.15
Rate for Payer: Brighton Health Commercial $835.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $623.58
Rate for Payer: Cigna LocalPlus Benefit Plan $524.89
Rate for Payer: EmblemHealth Commercial $135.32
Rate for Payer: Group Health Inc Commercial $557.00
Rate for Payer: Group Health Inc Medicare $389.90
Rate for Payer: Hamaspik Choice Inc Medicaid $557.00
Rate for Payer: Hamaspik Choice Inc Medicare $557.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid $135.32
Rate for Payer: Healthfirst Essential Plan $262.37
Rate for Payer: United Healthcare Commercial $233.11
Rate for Payer: Wellcare CHP/FHP/Medicaid $116.61
Service Code CPT 78469 TC
Hospital Charge Code 3407846901
Hospital Revenue Code 340
Min. Negotiated Rate $1,926.50
Max. Negotiated Rate $1,926.50
Rate for Payer: Hamaspik Choice Inc Medicaid $1,926.50
Service Code CPT 78469 TC
Hospital Charge Code 3407846901
Hospital Revenue Code 340
Min. Negotiated Rate $124.48
Max. Negotiated Rate $2,889.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2,119.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $124.48
Rate for Payer: Aetna Government $124.48
Rate for Payer: Brighton Health Commercial $2,889.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $623.58
Rate for Payer: Cigna LocalPlus Benefit Plan $524.89
Rate for Payer: EmblemHealth Commercial $169.91
Rate for Payer: Group Health Inc Commercial $1,926.50
Rate for Payer: Group Health Inc Medicare $1,348.55
Rate for Payer: Hamaspik Choice Inc Medicaid $1,926.50
Rate for Payer: Hamaspik Choice Inc Medicare $1,926.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid $169.91
Rate for Payer: Healthfirst Essential Plan $374.67
Rate for Payer: United Healthcare Commercial $233.11
Rate for Payer: Wellcare CHP/FHP/Medicaid $166.52
Service Code CPT 92950
Hospital Charge Code 4509295001
Hospital Revenue Code 450
Min. Negotiated Rate $383.00
Max. Negotiated Rate $383.00
Rate for Payer: Hamaspik Choice Inc Medicaid $383.00
Service Code CPT 92950
Hospital Charge Code 4509295001
Hospital Revenue Code 450
Min. Negotiated Rate $165.00
Max. Negotiated Rate $874.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial $694.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $380.47
Rate for Payer: Aetna Government $380.47
Rate for Payer: Affinity Essential Plan 1&2 $266.33
Rate for Payer: Affinity Essential Plan 3&4 $266.33
Rate for Payer: Affinity Medicaid/CHP/HARP $266.33
Rate for Payer: Brighton Health Commercial $874.00
Rate for Payer: Carelon Behavioral Health CHP/Medicaid $380.47
Rate for Payer: Carelon Behavioral Health Medicare Advantage $380.47
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $380.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $792.81
Rate for Payer: Cigna LocalPlus Benefit Plan $673.89
Rate for Payer: Elderplan Medicare Advantage $380.47
Rate for Payer: EmblemHealth Commercial $525.00
Rate for Payer: Fidelis CHP/HARP/Medicaid $342.42
Rate for Payer: Fidelis Essential Plan Aliesa $323.40
Rate for Payer: Fidelis Essential Plan QHP $338.62
Rate for Payer: Fidelis Medicare Advantage $380.47
Rate for Payer: Fidelis Qualified Health Plan $338.62
Rate for Payer: Group Health Inc Commercial $525.00
Rate for Payer: Group Health Inc Medicare $525.00
Rate for Payer: Hamaspik Choice Inc Medicaid $380.47
Rate for Payer: Hamaspik Choice Inc Medicare $380.47
Rate for Payer: Healthfirst CHP/FHP/Medicaid $165.00
Rate for Payer: Healthfirst Medicare Advantage $225.00
Rate for Payer: Healthfirst QHP $380.47
Rate for Payer: Humana Medicare $388.08
Rate for Payer: MetroPlus Health Commercial/Exchange/Gold Care/Medicare Advantage $399.49
Rate for Payer: Senior Whole Health Medicare Advantage $380.47
Rate for Payer: United Healthcare Commercial $569.00
Rate for Payer: United Healthcare Medicare Advantage $380.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $380.47
Rate for Payer: Wellcare CHP/FHP/Medicaid $361.45
Rate for Payer: Wellcare Medicare $361.45
Service Code CPT 92950
Hospital Charge Code 4609295001
Hospital Revenue Code 460
Min. Negotiated Rate $383.00
Max. Negotiated Rate $383.00
Rate for Payer: Hamaspik Choice Inc Medicaid $383.00