|
HC PM DEVICE INTERROGATE REMOTE - CARD DEVICE REMOTE - PACEMAKER
|
Facility
|
OP
|
$56.00
|
|
|
Service Code
|
CPT 93294
|
| Hospital Charge Code |
4809329402
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$19.60 |
| Max. Negotiated Rate |
$342.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$342.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29.11
|
| Rate for Payer: Aetna Government |
$29.11
|
| Rate for Payer: Brighton Health Commercial |
$42.00
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$44.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$38.08
|
| Rate for Payer: EmblemHealth Commercial |
$28.00
|
| Rate for Payer: Group Health Inc Commercial |
$28.00
|
| Rate for Payer: Group Health Inc Medicare |
$19.60
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28.00
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$32.07
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
|
|
HC PM DEVICE PROGR EVAL DUAL - CARD DEVICE IN CLINIC PCMKR DUAL CHAMBER
|
Facility
|
OP
|
$109.00
|
|
|
Service Code
|
CPT 93280
|
| Hospital Charge Code |
4809328004
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$31.89 |
| Max. Negotiated Rate |
$316.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$59.95
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$45.56
|
| Rate for Payer: Aetna Government |
$45.56
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$31.89
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$31.89
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$31.89
|
| Rate for Payer: Brighton Health Commercial |
$81.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$45.56
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$87.20
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$74.12
|
| Rate for Payer: Elderplan Medicare Advantage |
$45.56
|
| Rate for Payer: EmblemHealth Commercial |
$45.56
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$41.00
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$38.73
|
| Rate for Payer: Fidelis Essential Plan QHP |
$40.55
|
| Rate for Payer: Fidelis Medicare Advantage |
$45.56
|
| Rate for Payer: Fidelis Qualified Health Plan |
$40.55
|
| Rate for Payer: Group Health Inc Commercial |
$45.56
|
| Rate for Payer: Group Health Inc Medicare |
$45.56
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$45.56
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$45.56
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$87.38
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38.73
|
| Rate for Payer: Healthfirst QHP |
$45.56
|
| Rate for Payer: Humana Medicare |
$46.47
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$45.56
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$45.56
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$45.56
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$43.28
|
| Rate for Payer: Wellcare Medicare |
$43.28
|
|
|
HC PM DEVICE PROGR EVAL DUAL - CARD DEVICE IN CLINIC PCMKR DUAL CHAMBER
|
Facility
|
IP
|
$109.00
|
|
|
Service Code
|
CPT 93280
|
| Hospital Charge Code |
4809328004
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$54.50 |
| Max. Negotiated Rate |
$54.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$54.50
|
|
|
HC PM DEVICE PROGR EVAL DUAL - CARD DEVICE INPATIENT PCMKR DUAL CHAMBER
|
Facility
|
OP
|
$109.00
|
|
|
Service Code
|
CPT 93280
|
| Hospital Charge Code |
4809328005
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$31.89 |
| Max. Negotiated Rate |
$316.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$59.95
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$45.56
|
| Rate for Payer: Aetna Government |
$45.56
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$31.89
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$31.89
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$31.89
|
| Rate for Payer: Brighton Health Commercial |
$81.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$45.56
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$87.20
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$74.12
|
| Rate for Payer: Elderplan Medicare Advantage |
$45.56
|
| Rate for Payer: EmblemHealth Commercial |
$45.56
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$41.00
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$38.73
|
| Rate for Payer: Fidelis Essential Plan QHP |
$40.55
|
| Rate for Payer: Fidelis Medicare Advantage |
$45.56
|
| Rate for Payer: Fidelis Qualified Health Plan |
$40.55
|
| Rate for Payer: Group Health Inc Commercial |
$45.56
|
| Rate for Payer: Group Health Inc Medicare |
$45.56
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$45.56
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$45.56
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$87.38
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38.73
|
| Rate for Payer: Healthfirst QHP |
$45.56
|
| Rate for Payer: Humana Medicare |
$46.47
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$45.56
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$45.56
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$45.56
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$43.28
|
| Rate for Payer: Wellcare Medicare |
$43.28
|
|
|
HC PM DEVICE PROGR EVAL DUAL - CARD DEVICE INPATIENT PCMKR DUAL CHAMBER
|
Facility
|
IP
|
$109.00
|
|
|
Service Code
|
CPT 93280
|
| Hospital Charge Code |
4809328005
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$54.50 |
| Max. Negotiated Rate |
$54.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$54.50
|
|
|
HC PM DEVICE PROGR EVAL DUAL - CARDIAC DEVICE CHECK CHECK - INPATIENT
|
Facility
|
IP
|
$122.00
|
|
|
Service Code
|
CPT 93280
|
| Hospital Charge Code |
4809328002
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$61.00 |
| Max. Negotiated Rate |
$61.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$61.00
|
|
|
HC PM DEVICE PROGR EVAL DUAL - CARDIAC DEVICE CHECK CHECK - INPATIENT
|
Facility
|
OP
|
$122.00
|
|
|
Service Code
|
CPT 93280
|
| Hospital Charge Code |
4809328002
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$31.89 |
| Max. Negotiated Rate |
$316.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$67.10
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$45.56
|
| Rate for Payer: Aetna Government |
$45.56
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$31.89
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$31.89
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$31.89
|
| Rate for Payer: Brighton Health Commercial |
$91.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$45.56
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$97.60
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$82.96
|
| Rate for Payer: Elderplan Medicare Advantage |
$45.56
|
| Rate for Payer: EmblemHealth Commercial |
$45.56
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$41.00
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$38.73
|
| Rate for Payer: Fidelis Essential Plan QHP |
$40.55
|
| Rate for Payer: Fidelis Medicare Advantage |
$45.56
|
| Rate for Payer: Fidelis Qualified Health Plan |
$40.55
|
| Rate for Payer: Group Health Inc Commercial |
$45.56
|
| Rate for Payer: Group Health Inc Medicare |
$45.56
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$45.56
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$45.56
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$87.38
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38.73
|
| Rate for Payer: Healthfirst QHP |
$45.56
|
| Rate for Payer: Humana Medicare |
$46.47
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$45.56
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$45.56
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$45.56
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$43.28
|
| Rate for Payer: Wellcare Medicare |
$43.28
|
|
|
HC PM DEVICE PROGR EVAL DUAL - CARDIAC DEVICE CHECK - IN CLINIC
|
Facility
|
IP
|
$122.00
|
|
|
Service Code
|
CPT 93280
|
| Hospital Charge Code |
4809328001
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$61.00 |
| Max. Negotiated Rate |
$61.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$61.00
|
|
|
HC PM DEVICE PROGR EVAL DUAL - CARDIAC DEVICE CHECK - IN CLINIC
|
Facility
|
OP
|
$122.00
|
|
|
Service Code
|
CPT 93280
|
| Hospital Charge Code |
4809328001
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$31.89 |
| Max. Negotiated Rate |
$316.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$67.10
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$45.56
|
| Rate for Payer: Aetna Government |
$45.56
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$31.89
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$31.89
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$31.89
|
| Rate for Payer: Brighton Health Commercial |
$91.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$45.56
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$97.60
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$82.96
|
| Rate for Payer: Elderplan Medicare Advantage |
$45.56
|
| Rate for Payer: EmblemHealth Commercial |
$45.56
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$41.00
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$38.73
|
| Rate for Payer: Fidelis Essential Plan QHP |
$40.55
|
| Rate for Payer: Fidelis Medicare Advantage |
$45.56
|
| Rate for Payer: Fidelis Qualified Health Plan |
$40.55
|
| Rate for Payer: Group Health Inc Commercial |
$45.56
|
| Rate for Payer: Group Health Inc Medicare |
$45.56
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$45.56
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$45.56
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$87.38
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38.73
|
| Rate for Payer: Healthfirst QHP |
$45.56
|
| Rate for Payer: Humana Medicare |
$46.47
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$45.56
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$45.56
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$45.56
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$43.28
|
| Rate for Payer: Wellcare Medicare |
$43.28
|
|
|
HC PM DEVICE PROGR EVAL DUAL - CRT DUAL
|
Facility
|
OP
|
$122.00
|
|
|
Service Code
|
CPT 93280
|
| Hospital Charge Code |
4809328003
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$31.89 |
| Max. Negotiated Rate |
$316.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$67.10
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$45.56
|
| Rate for Payer: Aetna Government |
$45.56
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$31.89
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$31.89
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$31.89
|
| Rate for Payer: Brighton Health Commercial |
$91.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$45.56
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$97.60
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$82.96
|
| Rate for Payer: Elderplan Medicare Advantage |
$45.56
|
| Rate for Payer: EmblemHealth Commercial |
$45.56
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$41.00
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$38.73
|
| Rate for Payer: Fidelis Essential Plan QHP |
$40.55
|
| Rate for Payer: Fidelis Medicare Advantage |
$45.56
|
| Rate for Payer: Fidelis Qualified Health Plan |
$40.55
|
| Rate for Payer: Group Health Inc Commercial |
$45.56
|
| Rate for Payer: Group Health Inc Medicare |
$45.56
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$45.56
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$45.56
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$87.38
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38.73
|
| Rate for Payer: Healthfirst QHP |
$45.56
|
| Rate for Payer: Humana Medicare |
$46.47
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$45.56
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$45.56
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$45.56
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$43.28
|
| Rate for Payer: Wellcare Medicare |
$43.28
|
|
|
HC PM DEVICE PROGR EVAL DUAL - CRT DUAL
|
Facility
|
IP
|
$122.00
|
|
|
Service Code
|
CPT 93280
|
| Hospital Charge Code |
4809328003
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$61.00 |
| Max. Negotiated Rate |
$61.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$61.00
|
|
|
HC PM DEVICE PROGR EVAL MULTI - CARD DEVICE IN CLINIC PCMKR BIV CHAMBER
|
Facility
|
OP
|
$109.00
|
|
|
Service Code
|
CPT 93281
|
| Hospital Charge Code |
4809328103
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$31.89 |
| Max. Negotiated Rate |
$316.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$59.95
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$45.56
|
| Rate for Payer: Aetna Government |
$45.56
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$31.89
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$31.89
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$31.89
|
| Rate for Payer: Brighton Health Commercial |
$81.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$45.56
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$87.20
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$74.12
|
| Rate for Payer: Elderplan Medicare Advantage |
$45.56
|
| Rate for Payer: EmblemHealth Commercial |
$45.56
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$41.00
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$38.73
|
| Rate for Payer: Fidelis Essential Plan QHP |
$40.55
|
| Rate for Payer: Fidelis Medicare Advantage |
$45.56
|
| Rate for Payer: Fidelis Qualified Health Plan |
$40.55
|
| Rate for Payer: Group Health Inc Commercial |
$45.56
|
| Rate for Payer: Group Health Inc Medicare |
$45.56
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$45.56
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$45.56
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$93.08
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38.73
|
| Rate for Payer: Healthfirst QHP |
$45.56
|
| Rate for Payer: Humana Medicare |
$46.47
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$45.56
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$45.56
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$45.56
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$43.28
|
| Rate for Payer: Wellcare Medicare |
$43.28
|
|
|
HC PM DEVICE PROGR EVAL MULTI - CARD DEVICE IN CLINIC PCMKR BIV CHAMBER
|
Facility
|
IP
|
$109.00
|
|
|
Service Code
|
CPT 93281
|
| Hospital Charge Code |
4809328103
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$54.50 |
| Max. Negotiated Rate |
$54.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$54.50
|
|
|
HC PM DEVICE PROGR EVAL MULTI - CARD DEVICE INPATIENT PCMKR BIV CHAMBER
|
Facility
|
IP
|
$109.00
|
|
|
Service Code
|
CPT 93281
|
| Hospital Charge Code |
4809328104
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$54.50 |
| Max. Negotiated Rate |
$54.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$54.50
|
|
|
HC PM DEVICE PROGR EVAL MULTI - CARD DEVICE INPATIENT PCMKR BIV CHAMBER
|
Facility
|
OP
|
$109.00
|
|
|
Service Code
|
CPT 93281
|
| Hospital Charge Code |
4809328104
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$31.89 |
| Max. Negotiated Rate |
$316.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$59.95
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$45.56
|
| Rate for Payer: Aetna Government |
$45.56
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$31.89
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$31.89
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$31.89
|
| Rate for Payer: Brighton Health Commercial |
$81.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$45.56
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$87.20
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$74.12
|
| Rate for Payer: Elderplan Medicare Advantage |
$45.56
|
| Rate for Payer: EmblemHealth Commercial |
$45.56
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$41.00
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$38.73
|
| Rate for Payer: Fidelis Essential Plan QHP |
$40.55
|
| Rate for Payer: Fidelis Medicare Advantage |
$45.56
|
| Rate for Payer: Fidelis Qualified Health Plan |
$40.55
|
| Rate for Payer: Group Health Inc Commercial |
$45.56
|
| Rate for Payer: Group Health Inc Medicare |
$45.56
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$45.56
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$45.56
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$93.08
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38.73
|
| Rate for Payer: Healthfirst QHP |
$45.56
|
| Rate for Payer: Humana Medicare |
$46.47
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$45.56
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$45.56
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$45.56
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$43.28
|
| Rate for Payer: Wellcare Medicare |
$43.28
|
|
|
HC PM DEVICE PROGR EVAL SNGL - CARD DEVICE IN CLINIC PCMKR SING CHAMBER
|
Facility
|
OP
|
$109.00
|
|
|
Service Code
|
CPT 93279
|
| Hospital Charge Code |
4809327904
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$31.89 |
| Max. Negotiated Rate |
$342.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$342.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$45.56
|
| Rate for Payer: Aetna Government |
$45.56
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$31.89
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$31.89
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$31.89
|
| Rate for Payer: Brighton Health Commercial |
$81.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$45.56
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$87.20
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$74.12
|
| Rate for Payer: Elderplan Medicare Advantage |
$45.56
|
| Rate for Payer: EmblemHealth Commercial |
$45.56
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$41.00
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$38.73
|
| Rate for Payer: Fidelis Essential Plan QHP |
$40.55
|
| Rate for Payer: Fidelis Medicare Advantage |
$45.56
|
| Rate for Payer: Fidelis Qualified Health Plan |
$40.55
|
| Rate for Payer: Group Health Inc Commercial |
$45.56
|
| Rate for Payer: Group Health Inc Medicare |
$45.56
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$45.56
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$45.56
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$75.09
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38.73
|
| Rate for Payer: Healthfirst QHP |
$45.56
|
| Rate for Payer: Humana Medicare |
$46.47
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$45.56
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$45.56
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$45.56
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$43.28
|
| Rate for Payer: Wellcare Medicare |
$43.28
|
|
|
HC PM DEVICE PROGR EVAL SNGL - CARD DEVICE IN CLINIC PCMKR SING CHAMBER
|
Facility
|
IP
|
$109.00
|
|
|
Service Code
|
CPT 93279
|
| Hospital Charge Code |
4809327904
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$54.50 |
| Max. Negotiated Rate |
$54.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$54.50
|
|
|
HC PM DEVICE PROGR EVAL SNGL - CARD DEVICE INPATIENT PCMKR W/ PROG
|
Facility
|
OP
|
$109.00
|
|
|
Service Code
|
CPT 93279
|
| Hospital Charge Code |
4809327905
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$31.89 |
| Max. Negotiated Rate |
$342.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$342.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$45.56
|
| Rate for Payer: Aetna Government |
$45.56
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$31.89
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$31.89
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$31.89
|
| Rate for Payer: Brighton Health Commercial |
$81.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$45.56
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$87.20
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$74.12
|
| Rate for Payer: Elderplan Medicare Advantage |
$45.56
|
| Rate for Payer: EmblemHealth Commercial |
$45.56
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$41.00
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$38.73
|
| Rate for Payer: Fidelis Essential Plan QHP |
$40.55
|
| Rate for Payer: Fidelis Medicare Advantage |
$45.56
|
| Rate for Payer: Fidelis Qualified Health Plan |
$40.55
|
| Rate for Payer: Group Health Inc Commercial |
$45.56
|
| Rate for Payer: Group Health Inc Medicare |
$45.56
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$45.56
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$45.56
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$75.09
|
| Rate for Payer: Healthfirst Medicare Advantage |
$38.73
|
| Rate for Payer: Healthfirst QHP |
$45.56
|
| Rate for Payer: Humana Medicare |
$46.47
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$45.56
|
| Rate for Payer: United Healthcare Commercial |
$316.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$45.56
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$45.56
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$43.28
|
| Rate for Payer: Wellcare Medicare |
$43.28
|
|
|
HC PM DEVICE PROGR EVAL SNGL - CARD DEVICE INPATIENT PCMKR W/ PROG
|
Facility
|
IP
|
$109.00
|
|
|
Service Code
|
CPT 93279
|
| Hospital Charge Code |
4809327905
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$54.50 |
| Max. Negotiated Rate |
$54.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$54.50
|
|
|
HC PMS2 (POSTMEIOTIC SEGREGATION INCREASED 2 S. CEREVISIAE) DUP/DELE VARIANTS
|
Facility
|
IP
|
$136.00
|
|
|
Service Code
|
CPT 81319
|
| Hospital Charge Code |
3108131901
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$68.00 |
| Max. Negotiated Rate |
$68.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$68.00
|
|
|
HC PMS2 (POSTMEIOTIC SEGREGATION INCREASED 2 S. CEREVISIAE) DUP/DELE VARIANTS
|
Facility
|
OP
|
$136.00
|
|
|
Service Code
|
CPT 81319
|
| Hospital Charge Code |
3108131901
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$74.80 |
| Max. Negotiated Rate |
$207.57 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$74.80
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$203.50
|
| Rate for Payer: Aetna Government |
$203.50
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$142.45
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$142.45
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$142.45
|
| Rate for Payer: Brighton Health Commercial |
$203.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$203.50
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$108.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$92.48
|
| Rate for Payer: Elderplan Medicare Advantage |
$203.50
|
| Rate for Payer: EmblemHealth Commercial |
$203.50
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$183.15
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$172.97
|
| Rate for Payer: Fidelis Essential Plan QHP |
$181.12
|
| Rate for Payer: Fidelis Medicare Advantage |
$203.50
|
| Rate for Payer: Fidelis Qualified Health Plan |
$181.12
|
| Rate for Payer: Group Health Inc Commercial |
$203.50
|
| Rate for Payer: Group Health Inc Medicare |
$203.50
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$203.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$203.50
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$203.50
|
| Rate for Payer: Healthfirst Medicare Advantage |
$203.50
|
| Rate for Payer: Healthfirst QHP |
$203.50
|
| Rate for Payer: Humana Medicare |
$207.57
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$203.50
|
| Rate for Payer: United Healthcare Medicare Advantage |
$203.50
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$203.50
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$193.32
|
| Rate for Payer: Wellcare Medicare |
$183.15
|
|
|
HC PMS2 (POSTMEIOTIC SEGREGATION INCREASED 2 S. CEREVISIAE) FULL SEQUENCE ANALYSIS
|
Facility
|
IP
|
$136.00
|
|
|
Service Code
|
CPT 81317
|
| Hospital Charge Code |
3108131701
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$68.00 |
| Max. Negotiated Rate |
$68.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$68.00
|
|
|
HC PMS2 (POSTMEIOTIC SEGREGATION INCREASED 2 S. CEREVISIAE) FULL SEQUENCE ANALYSIS
|
Facility
|
OP
|
$136.00
|
|
|
Service Code
|
CPT 81317
|
| Hospital Charge Code |
3108131701
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$74.80 |
| Max. Negotiated Rate |
$690.03 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$74.80
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$676.50
|
| Rate for Payer: Aetna Government |
$676.50
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$473.55
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$473.55
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$473.55
|
| Rate for Payer: Brighton Health Commercial |
$676.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$676.50
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$108.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$92.48
|
| Rate for Payer: Elderplan Medicare Advantage |
$676.50
|
| Rate for Payer: EmblemHealth Commercial |
$676.50
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$608.85
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$575.02
|
| Rate for Payer: Fidelis Essential Plan QHP |
$602.09
|
| Rate for Payer: Fidelis Medicare Advantage |
$676.50
|
| Rate for Payer: Fidelis Qualified Health Plan |
$602.09
|
| Rate for Payer: Group Health Inc Commercial |
$676.50
|
| Rate for Payer: Group Health Inc Medicare |
$676.50
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$676.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$676.50
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$676.50
|
| Rate for Payer: Healthfirst Medicare Advantage |
$676.50
|
| Rate for Payer: Healthfirst QHP |
$676.50
|
| Rate for Payer: Humana Medicare |
$690.03
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$676.50
|
| Rate for Payer: United Healthcare Medicare Advantage |
$676.50
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$676.50
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$642.67
|
| Rate for Payer: Wellcare Medicare |
$608.85
|
|
|
HC POCT COVID ID NOW
|
Facility
|
IP
|
$130.00
|
|
|
Service Code
|
CPT 87635 QW
|
| Hospital Charge Code |
3068763501
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$65.00 |
| Max. Negotiated Rate |
$65.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$65.00
|
|
|
HC POCT COVID ID NOW
|
Facility
|
OP
|
$130.00
|
|
|
Service Code
|
CPT 87635 QW
|
| Hospital Charge Code |
3068763501
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$30.79 |
| Max. Negotiated Rate |
$104.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$71.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$51.31
|
| Rate for Payer: Aetna Government |
$51.31
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$35.92
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$35.92
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$35.92
|
| Rate for Payer: Brighton Health Commercial |
$97.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$51.31
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$104.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$88.40
|
| Rate for Payer: Elderplan Medicare Advantage |
$51.31
|
| Rate for Payer: EmblemHealth Commercial |
$51.31
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$46.18
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$43.61
|
| Rate for Payer: Fidelis Essential Plan QHP |
$45.67
|
| Rate for Payer: Fidelis Medicare Advantage |
$51.31
|
| Rate for Payer: Fidelis Qualified Health Plan |
$45.67
|
| Rate for Payer: Group Health Inc Commercial |
$51.31
|
| Rate for Payer: Group Health Inc Medicare |
$51.31
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$51.31
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$51.31
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$30.79
|
| Rate for Payer: Healthfirst Essential Plan |
$69.28
|
| Rate for Payer: Healthfirst Medicare Advantage |
$51.31
|
| Rate for Payer: Healthfirst QHP |
$51.31
|
| Rate for Payer: Humana Medicare |
$52.34
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$51.31
|
| Rate for Payer: United Healthcare Commercial |
$46.18
|
| Rate for Payer: United Healthcare Medicare Advantage |
$51.31
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$51.31
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$30.79
|
| Rate for Payer: Wellcare Medicare |
$46.18
|
|
