|
HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS RIGHT
|
Facility
|
OP
|
$241.00
|
|
|
Service Code
|
CPT 73080 TC
|
| Hospital Charge Code |
3207308003
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$17.44 |
| Max. Negotiated Rate |
$180.75 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$132.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$17.44
|
| Rate for Payer: Aetna Government |
$17.44
|
| Rate for Payer: Brighton Health Commercial |
$180.75
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$96.38
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$81.13
|
| Rate for Payer: EmblemHealth Commercial |
$25.71
|
| Rate for Payer: Group Health Inc Commercial |
$120.50
|
| Rate for Payer: Group Health Inc Medicare |
$84.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$120.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$120.50
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$25.71
|
| Rate for Payer: Healthfirst Essential Plan |
$49.66
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$22.07
|
|
|
HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS RIGHT
|
Facility
|
IP
|
$241.00
|
|
|
Service Code
|
CPT 73080 TC
|
| Hospital Charge Code |
3207308003
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$120.50 |
| Max. Negotiated Rate |
$120.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$120.50
|
|
|
HC X-RAY EXAM, BREAST SPECIMEN - MAMMO BREAST SPECIMEN
|
Facility
|
OP
|
$1,458.00
|
|
|
Service Code
|
CPT 76098 TC
|
| Hospital Charge Code |
3027609801
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.84 |
| Max. Negotiated Rate |
$1,093.50 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$801.90
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$6.84
|
| Rate for Payer: Aetna Government |
$6.84
|
| Rate for Payer: Brighton Health Commercial |
$1,093.50
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$871.21
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$733.32
|
| Rate for Payer: EmblemHealth Commercial |
$32.84
|
| Rate for Payer: Group Health Inc Commercial |
$729.00
|
| Rate for Payer: Group Health Inc Medicare |
$510.30
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$729.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$729.00
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$29.56
|
| Rate for Payer: Healthfirst Essential Plan |
$27.79
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$12.35
|
|
|
HC X-RAY EXAM, BREAST SPECIMEN - MAMMO BREAST SPECIMEN
|
Facility
|
IP
|
$1,458.00
|
|
|
Service Code
|
CPT 76098 TC
|
| Hospital Charge Code |
3027609801
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$729.00 |
| Max. Negotiated Rate |
$729.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$729.00
|
|
|
HC X-RAY EXAM HIPS BI 2 VWS - XR HIPS BILAT 2 VW W/ OR W/O PELVIS
|
Facility
|
OP
|
$339.00
|
|
|
Service Code
|
CPT 73521 TC
|
| Hospital Charge Code |
3207352101
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$21.90 |
| Max. Negotiated Rate |
$271.20 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$186.45
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21.90
|
| Rate for Payer: Aetna Government |
$21.90
|
| Rate for Payer: Brighton Health Commercial |
$254.25
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$271.20
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$230.52
|
| Rate for Payer: EmblemHealth Commercial |
$32.35
|
| Rate for Payer: Group Health Inc Commercial |
$169.50
|
| Rate for Payer: Group Health Inc Medicare |
$118.65
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$169.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$169.50
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$32.35
|
| Rate for Payer: Healthfirst Essential Plan |
$73.10
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$32.49
|
|
|
HC X-RAY EXAM HIPS BI 2 VWS - XR HIPS BILAT 2 VW W/ OR W/O PELVIS
|
Facility
|
IP
|
$339.00
|
|
|
Service Code
|
CPT 73521 TC
|
| Hospital Charge Code |
3207352101
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$169.50 |
| Max. Negotiated Rate |
$169.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$169.50
|
|
|
HC X-RAY EXAM HIPS BI 3-4 VWS - XR HIPS BILAT 3-4 VW W/ OR W/O PELVIS
|
Facility
|
IP
|
$339.00
|
|
|
Service Code
|
CPT 73522 TC
|
| Hospital Charge Code |
3207352201
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$169.50 |
| Max. Negotiated Rate |
$169.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$169.50
|
|
|
HC X-RAY EXAM HIPS BI 3-4 VWS - XR HIPS BILAT 3-4 VW W/ OR W/O PELVIS
|
Facility
|
OP
|
$339.00
|
|
|
Service Code
|
CPT 73522 TC
|
| Hospital Charge Code |
3207352201
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$26.36 |
| Max. Negotiated Rate |
$271.20 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$186.45
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$26.36
|
| Rate for Payer: Aetna Government |
$26.36
|
| Rate for Payer: Brighton Health Commercial |
$254.25
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$271.20
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$230.52
|
| Rate for Payer: EmblemHealth Commercial |
$42.13
|
| Rate for Payer: Group Health Inc Commercial |
$169.50
|
| Rate for Payer: Group Health Inc Medicare |
$118.65
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$169.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$169.50
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$42.13
|
| Rate for Payer: Healthfirst Essential Plan |
$89.46
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$39.76
|
|
|
HC X-RAY EXAM HIPS BI 5+ VWS - XR HIPS BILAT 5+ VW W/ OR W/O PELVIS
|
Facility
|
IP
|
$339.00
|
|
|
Service Code
|
CPT 73523 TC
|
| Hospital Charge Code |
3207352301
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$169.50 |
| Max. Negotiated Rate |
$169.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$169.50
|
|
|
HC X-RAY EXAM HIPS BI 5+ VWS - XR HIPS BILAT 5+ VW W/ OR W/O PELVIS
|
Facility
|
OP
|
$339.00
|
|
|
Service Code
|
CPT 73523 TC
|
| Hospital Charge Code |
3207352301
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$31.66 |
| Max. Negotiated Rate |
$271.20 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$186.45
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31.66
|
| Rate for Payer: Aetna Government |
$31.66
|
| Rate for Payer: Brighton Health Commercial |
$254.25
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$271.20
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$230.52
|
| Rate for Payer: EmblemHealth Commercial |
$49.46
|
| Rate for Payer: Group Health Inc Commercial |
$169.50
|
| Rate for Payer: Group Health Inc Medicare |
$118.65
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$169.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$169.50
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$49.46
|
| Rate for Payer: Healthfirst Essential Plan |
$103.81
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$46.14
|
|
|
HC X-RAY EXAM HIP UNI 1 VIEW - XR HIP 1 VW
|
Facility
|
IP
|
$241.00
|
|
|
Service Code
|
CPT 73501 TC
|
| Hospital Charge Code |
3207350101
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$120.50 |
| Max. Negotiated Rate |
$120.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$120.50
|
|
|
HC X-RAY EXAM HIP UNI 1 VIEW - XR HIP 1 VW
|
Facility
|
OP
|
$241.00
|
|
|
Service Code
|
CPT 73501 TC
|
| Hospital Charge Code |
3207350101
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$15.76 |
| Max. Negotiated Rate |
$192.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$132.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$15.76
|
| Rate for Payer: Aetna Government |
$15.76
|
| Rate for Payer: Brighton Health Commercial |
$180.75
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$192.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$163.88
|
| Rate for Payer: EmblemHealth Commercial |
$25.71
|
| Rate for Payer: Group Health Inc Commercial |
$120.50
|
| Rate for Payer: Group Health Inc Medicare |
$84.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$120.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$120.50
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$25.71
|
| Rate for Payer: Healthfirst Essential Plan |
$54.88
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$24.39
|
|
|
HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW
|
Facility
|
IP
|
$241.00
|
|
|
Service Code
|
CPT 73502 TC
|
| Hospital Charge Code |
3207350201
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$120.50 |
| Max. Negotiated Rate |
$120.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$120.50
|
|
|
HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW
|
Facility
|
OP
|
$241.00
|
|
|
Service Code
|
CPT 73502 TC
|
| Hospital Charge Code |
3207350201
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$23.57 |
| Max. Negotiated Rate |
$192.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$132.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23.57
|
| Rate for Payer: Aetna Government |
$23.57
|
| Rate for Payer: Brighton Health Commercial |
$180.75
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$192.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$163.88
|
| Rate for Payer: EmblemHealth Commercial |
$38.99
|
| Rate for Payer: Group Health Inc Commercial |
$120.50
|
| Rate for Payer: Group Health Inc Medicare |
$84.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$120.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$120.50
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$38.99
|
| Rate for Payer: Healthfirst Essential Plan |
$75.71
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$33.65
|
|
|
HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW RIGHT
|
Facility
|
IP
|
$241.00
|
|
|
Service Code
|
CPT 73502 TC
|
| Hospital Charge Code |
3207350202
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$120.50 |
| Max. Negotiated Rate |
$120.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$120.50
|
|
|
HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW RIGHT
|
Facility
|
OP
|
$241.00
|
|
|
Service Code
|
CPT 73502 TC
|
| Hospital Charge Code |
3207350202
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$23.57 |
| Max. Negotiated Rate |
$192.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$132.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$23.57
|
| Rate for Payer: Aetna Government |
$23.57
|
| Rate for Payer: Brighton Health Commercial |
$180.75
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$192.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$163.88
|
| Rate for Payer: EmblemHealth Commercial |
$38.99
|
| Rate for Payer: Group Health Inc Commercial |
$120.50
|
| Rate for Payer: Group Health Inc Medicare |
$84.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$120.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$120.50
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$38.99
|
| Rate for Payer: Healthfirst Essential Plan |
$75.71
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$33.65
|
|
|
HC X-RAY EXAM HIP UNI 4+ VIEWS - XR HIP 4+ VW
|
Facility
|
IP
|
$339.00
|
|
|
Service Code
|
CPT 73503 TC
|
| Hospital Charge Code |
3207350301
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$169.50 |
| Max. Negotiated Rate |
$169.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$169.50
|
|
|
HC X-RAY EXAM HIP UNI 4+ VIEWS - XR HIP 4+ VW
|
Facility
|
OP
|
$339.00
|
|
|
Service Code
|
CPT 73503 TC
|
| Hospital Charge Code |
3207350301
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$29.15 |
| Max. Negotiated Rate |
$271.20 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$186.45
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29.15
|
| Rate for Payer: Aetna Government |
$29.15
|
| Rate for Payer: Brighton Health Commercial |
$254.25
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$271.20
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$230.52
|
| Rate for Payer: EmblemHealth Commercial |
$49.81
|
| Rate for Payer: Group Health Inc Commercial |
$169.50
|
| Rate for Payer: Group Health Inc Medicare |
$118.65
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$169.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$169.50
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$49.81
|
| Rate for Payer: Healthfirst Essential Plan |
$94.81
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$42.14
|
|
|
HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS
|
Facility
|
IP
|
$241.00
|
|
|
Service Code
|
CPT 73140 TC
|
| Hospital Charge Code |
3207314001
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$120.50 |
| Max. Negotiated Rate |
$120.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$120.50
|
|
|
HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS
|
Facility
|
OP
|
$241.00
|
|
|
Service Code
|
CPT 73140 TC
|
| Hospital Charge Code |
3207314001
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$19.11 |
| Max. Negotiated Rate |
$180.75 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$132.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$19.11
|
| Rate for Payer: Aetna Government |
$19.11
|
| Rate for Payer: Brighton Health Commercial |
$180.75
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$96.38
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$81.13
|
| Rate for Payer: EmblemHealth Commercial |
$33.39
|
| Rate for Payer: Group Health Inc Commercial |
$120.50
|
| Rate for Payer: Group Health Inc Medicare |
$84.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$120.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$120.50
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$33.39
|
| Rate for Payer: Healthfirst Essential Plan |
$45.79
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$20.35
|
|
|
HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS BILATERAL
|
Facility
|
OP
|
$241.00
|
|
|
Service Code
|
CPT 73140 TC
|
| Hospital Charge Code |
3207314003
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$19.11 |
| Max. Negotiated Rate |
$180.75 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$132.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$19.11
|
| Rate for Payer: Aetna Government |
$19.11
|
| Rate for Payer: Brighton Health Commercial |
$180.75
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$96.38
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$81.13
|
| Rate for Payer: EmblemHealth Commercial |
$33.39
|
| Rate for Payer: Group Health Inc Commercial |
$120.50
|
| Rate for Payer: Group Health Inc Medicare |
$84.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$120.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$120.50
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$33.39
|
| Rate for Payer: Healthfirst Essential Plan |
$45.79
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$20.35
|
|
|
HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS BILATERAL
|
Facility
|
IP
|
$241.00
|
|
|
Service Code
|
CPT 73140 TC
|
| Hospital Charge Code |
3207314003
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$120.50 |
| Max. Negotiated Rate |
$120.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$120.50
|
|
|
HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS LEFT
|
Facility
|
IP
|
$241.00
|
|
|
Service Code
|
CPT 73140 TC
|
| Hospital Charge Code |
3207314002
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$120.50 |
| Max. Negotiated Rate |
$120.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$120.50
|
|
|
HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS LEFT
|
Facility
|
OP
|
$241.00
|
|
|
Service Code
|
CPT 73140 TC
|
| Hospital Charge Code |
3207314002
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$19.11 |
| Max. Negotiated Rate |
$180.75 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$132.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$19.11
|
| Rate for Payer: Aetna Government |
$19.11
|
| Rate for Payer: Brighton Health Commercial |
$180.75
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$96.38
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$81.13
|
| Rate for Payer: EmblemHealth Commercial |
$33.39
|
| Rate for Payer: Group Health Inc Commercial |
$120.50
|
| Rate for Payer: Group Health Inc Medicare |
$84.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$120.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$120.50
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$33.39
|
| Rate for Payer: Healthfirst Essential Plan |
$45.79
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$20.35
|
|
|
HC X-RAY EXAM OF SMALL BOWEL - FL SMALL BOWEL SERIES
|
Facility
|
OP
|
$551.00
|
|
|
Service Code
|
CPT 74250 TC
|
| Hospital Charge Code |
3207425001
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$62.90 |
| Max. Negotiated Rate |
$413.25 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$303.05
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$62.90
|
| Rate for Payer: Aetna Government |
$62.90
|
| Rate for Payer: Brighton Health Commercial |
$413.25
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$185.58
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$156.21
|
| Rate for Payer: EmblemHealth Commercial |
$86.15
|
| Rate for Payer: Group Health Inc Commercial |
$275.50
|
| Rate for Payer: Group Health Inc Medicare |
$192.85
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$275.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$275.50
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$86.15
|
| Rate for Payer: Healthfirst Essential Plan |
$155.16
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$68.96
|
|
