|
ENALAPRIL 20 MG TAB
|
Facility
OP
|
$0.14
|
|
| Hospital Charge Code |
41652891
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.05 |
| Max. Negotiated Rate |
$0.11 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.08
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.07
|
| Rate for Payer: Aetna Government |
$0.07
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.11
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.10
|
| Rate for Payer: Group Health Inc Commercial |
$0.07
|
| Rate for Payer: Group Health Inc Medicare |
$0.05
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.07
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.07
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$0.09
|
|
|
ENALAPRIL 20 MG TAB
|
Facility
OP
|
$0.14
|
|
| Hospital Charge Code |
41642891
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.05 |
| Max. Negotiated Rate |
$0.11 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.08
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.07
|
| Rate for Payer: Aetna Government |
$0.07
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.11
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.10
|
| Rate for Payer: Group Health Inc Commercial |
$0.07
|
| Rate for Payer: Group Health Inc Medicare |
$0.05
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.07
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.07
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$0.09
|
|
|
ENALAPRIL 2.5 MG TAB
|
Facility
OP
|
$1.00
|
|
| Hospital Charge Code |
41640258
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.35 |
| Max. Negotiated Rate |
$0.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.50
|
| Rate for Payer: Aetna Government |
$0.50
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.68
|
| Rate for Payer: Group Health Inc Commercial |
$0.50
|
| Rate for Payer: Group Health Inc Medicare |
$0.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.50
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$0.65
|
|
|
ENALAPRIL 2.5 MG TAB
|
Facility
OP
|
$1.00
|
|
| Hospital Charge Code |
41650258
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.35 |
| Max. Negotiated Rate |
$0.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.50
|
| Rate for Payer: Aetna Government |
$0.50
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.68
|
| Rate for Payer: Group Health Inc Commercial |
$0.50
|
| Rate for Payer: Group Health Inc Medicare |
$0.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.50
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$0.65
|
|
|
ENALAPRILAT 1.25MG/ML INJ 1ML
|
Facility
OP
|
$2.47
|
|
| Hospital Charge Code |
41654522
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.86 |
| Max. Negotiated Rate |
$1.98 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1.36
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$1.24
|
| Rate for Payer: Aetna Government |
$1.24
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$1.98
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$1.68
|
| Rate for Payer: Group Health Inc Commercial |
$1.24
|
| Rate for Payer: Group Health Inc Medicare |
$0.86
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$1.24
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$1.24
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1.61
|
|
|
ENALAPRILAT 1.25MG/ML INJ 1ML
|
Facility
OP
|
$2.47
|
|
| Hospital Charge Code |
41644522
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.86 |
| Max. Negotiated Rate |
$1.98 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1.36
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$1.24
|
| Rate for Payer: Aetna Government |
$1.24
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$1.98
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$1.68
|
| Rate for Payer: Group Health Inc Commercial |
$1.24
|
| Rate for Payer: Group Health Inc Medicare |
$0.86
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$1.24
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$1.24
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1.61
|
|
|
ENALAPRILAT 1.25MG/ML INJ 2ML
|
Facility
OP
|
$0.01
|
|
|
Service Code
|
HCPCS J3490
|
| Hospital Charge Code |
41657029
|
|
Hospital Revenue Code
|
636
|
| Max. Negotiated Rate |
$0.01 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.01
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.01
|
| Rate for Payer: Aetna Government |
$0.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.01
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.01
|
| Rate for Payer: Group Health Inc Commercial |
$0.01
|
| Rate for Payer: Group Health Inc Medicare |
$0.00
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.01
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.01
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$0.01
|
|
|
ENALAPRILAT 1.25MG/ML INJ 2ML
|
Facility
OP
|
$0.01
|
|
|
Service Code
|
HCPCS J3490
|
| Hospital Charge Code |
41647029
|
|
Hospital Revenue Code
|
636
|
| Max. Negotiated Rate |
$0.01 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.01
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.01
|
| Rate for Payer: Aetna Government |
$0.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.01
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.01
|
| Rate for Payer: Group Health Inc Commercial |
$0.01
|
| Rate for Payer: Group Health Inc Medicare |
$0.00
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.01
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.01
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$0.01
|
|
|
ENALAPRILAT 1.25MG/ML INJ 2ML
|
Facility
IP
|
$0.01
|
|
|
Service Code
|
HCPCS J3490
|
| Hospital Charge Code |
41657029
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$0.01 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.01
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.01
|
|
|
ENALAPRILAT 1.25MG/ML INJ 2ML
|
Facility
IP
|
$0.01
|
|
|
Service Code
|
HCPCS J3490
|
| Hospital Charge Code |
41647029
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$0.01 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.01
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.01
|
|
|
ENAMEL MICROABRASION
|
Facility
OP
|
$184.00
|
|
|
Service Code
|
HCPCS D9970
|
| Hospital Charge Code |
42303376
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$16.51 |
| Max. Negotiated Rate |
$2,915.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$101.20
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$16.51
|
| Rate for Payer: Aetna Government |
$16.51
|
| 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: Group Health Inc Commercial |
$92.00
|
| Rate for Payer: Group Health Inc Medicare |
$64.40
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$92.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$92.00
|
|
|
ENDARTERECTOMY
|
Facility
OP
|
$6,846.53
|
|
|
Service Code
|
HCPCS 35301
|
| Hospital Charge Code |
40031865
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,290.82 |
| Max. Negotiated Rate |
$3,765.59 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$3,765.59
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$1,290.82
|
| Rate for Payer: Aetna Government |
$1,290.82
|
| 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: Fidelis CHP/HARP/Medicaid |
$1,293.51
|
| Rate for Payer: Group Health Inc Commercial |
$3,423.26
|
| Rate for Payer: Group Health Inc Medicare |
$2,396.29
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$3,423.26
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$3,423.26
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$1,437.23
|
|
|
END CAP- +10MM
|
Facility
OP
|
$266.00
|
|
| Hospital Charge Code |
40200508
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$93.10 |
| Max. Negotiated Rate |
$212.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$146.30
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$133.00
|
| Rate for Payer: Aetna Government |
$133.00
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$212.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$180.88
|
| Rate for Payer: Group Health Inc Commercial |
$133.00
|
| Rate for Payer: Group Health Inc Medicare |
$93.10
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$133.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$133.00
|
|
|
END CAP + 15MM
|
Facility
OP
|
$278.00
|
|
| Hospital Charge Code |
40200507
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$97.30 |
| Max. Negotiated Rate |
$222.40 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$152.90
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$139.00
|
| Rate for Payer: Aetna Government |
$139.00
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$222.40
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$189.04
|
| Rate for Payer: Group Health Inc Commercial |
$139.00
|
| Rate for Payer: Group Health Inc Medicare |
$97.30
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$139.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$139.00
|
|
|
ENDCAP LARGE ROUND 12MM
|
Facility
OP
|
$382.87
|
|
| Hospital Charge Code |
64906234
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$134.00 |
| Max. Negotiated Rate |
$306.30 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$210.58
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$191.44
|
| Rate for Payer: Aetna Government |
$191.44
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$306.30
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$260.35
|
| Rate for Payer: Group Health Inc Commercial |
$191.44
|
| Rate for Payer: Group Health Inc Medicare |
$134.00
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$191.44
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$191.44
|
|
|
ENDCAP LARGE ROUND 16MM
|
Facility
OP
|
$382.87
|
|
| Hospital Charge Code |
64906232
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$134.00 |
| Max. Negotiated Rate |
$306.30 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$210.58
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$191.44
|
| Rate for Payer: Aetna Government |
$191.44
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$306.30
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$260.35
|
| Rate for Payer: Group Health Inc Commercial |
$191.44
|
| Rate for Payer: Group Health Inc Medicare |
$134.00
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$191.44
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$191.44
|
|
|
END CAP LOWER
|
Facility
OP
|
$866.80
|
|
|
Service Code
|
HCPCS C1889
|
| Hospital Charge Code |
64907516
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$303.38 |
| Max. Negotiated Rate |
$910.14 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$476.74
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$433.40
|
| Rate for Payer: Aetna Government |
$433.40
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$433.40
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$498.41
|
| Rate for Payer: Fidelis Medicare Advantage |
$910.14
|
| Rate for Payer: Group Health Inc Commercial |
$433.40
|
| Rate for Payer: Group Health Inc Medicare |
$303.38
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$433.40
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$433.40
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$563.42
|
|
|
END CAP LOWER
|
Facility
IP
|
$866.80
|
|
|
Service Code
|
HCPCS C1889
|
| Hospital Charge Code |
64907516
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$433.40 |
| Max. Negotiated Rate |
$433.40 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$433.40
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$433.40
|
|
|
ENDCAP ORTHO 8MM DIA 4MML
|
Facility
OP
|
$450.13
|
|
| Hospital Charge Code |
64906001
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$157.55 |
| Max. Negotiated Rate |
$360.10 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$247.57
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$225.06
|
| Rate for Payer: Aetna Government |
$225.06
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$360.10
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$306.09
|
| Rate for Payer: Group Health Inc Commercial |
$225.06
|
| Rate for Payer: Group Health Inc Medicare |
$157.55
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$225.06
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$225.06
|
|
|
END CAP-PED FEMORAL NAIL
|
Facility
IP
|
$524.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
40202045
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$262.00 |
| Max. Negotiated Rate |
$262.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$262.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$262.00
|
|
|
END CAP-PED FEMORAL NAIL
|
Facility
OP
|
$524.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
40202045
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.20 |
| Max. Negotiated Rate |
$550.20 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$288.20
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
| Rate for Payer: Aetna Government |
$134.20
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$262.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$301.30
|
| Rate for Payer: Fidelis Medicare Advantage |
$550.20
|
| Rate for Payer: Group Health Inc Commercial |
$262.00
|
| Rate for Payer: Group Health Inc Medicare |
$183.40
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$262.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$262.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$340.60
|
|
|
END CAP REMOVAL TOOL
|
Facility
IP
|
$288.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
40006155
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$144.00 |
| Max. Negotiated Rate |
$144.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$144.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$144.00
|
|
|
END CAP REMOVAL TOOL
|
Facility
OP
|
$288.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
40006155
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$100.80 |
| Max. Negotiated Rate |
$302.40 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$158.40
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
| Rate for Payer: Aetna Government |
$134.20
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$144.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$165.60
|
| Rate for Payer: Fidelis Medicare Advantage |
$302.40
|
| Rate for Payer: Group Health Inc Commercial |
$144.00
|
| Rate for Payer: Group Health Inc Medicare |
$100.80
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$144.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$144.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$187.20
|
|
|
ENDCAP SMALL ROUND 12MM
|
Facility
OP
|
$382.87
|
|
| Hospital Charge Code |
64906233
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$134.00 |
| Max. Negotiated Rate |
$306.30 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$210.58
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$191.44
|
| Rate for Payer: Aetna Government |
$191.44
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$306.30
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$260.35
|
| Rate for Payer: Group Health Inc Commercial |
$191.44
|
| Rate for Payer: Group Health Inc Medicare |
$134.00
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$191.44
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$191.44
|
|
|
ENDCAP SMALL ROUND 16MM
|
Facility
OP
|
$382.87
|
|
| Hospital Charge Code |
64906231
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$134.00 |
| Max. Negotiated Rate |
$306.30 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$210.58
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$191.44
|
| Rate for Payer: Aetna Government |
$191.44
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$306.30
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$260.35
|
| Rate for Payer: Group Health Inc Commercial |
$191.44
|
| Rate for Payer: Group Health Inc Medicare |
$134.00
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$191.44
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$191.44
|
|
