Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

HEPARIN SODIUM (PORCINE) PF 1000 UNIT/ML IJ SOLN

Facility

OP

$6.24

Service Code	HCPCS J1644
Hospital Charge Code	2502140102
Hospital Revenue Code	250
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$4.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.43
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.25
Rate for Payer: Aetna Government	$0.25
Rate for Payer: Brighton Health Commercial	$4.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.99
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.24
Rate for Payer: EmblemHealth Commercial	$3.12
Rate for Payer: Group Health Inc Commercial	$3.12
Rate for Payer: Group Health Inc Medicare	$2.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.12
Rate for Payer: Hamaspik Choice Inc Medicare	$3.12
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4.06

HEPARIN SODIUM (PORCINE) PF 1000 UNIT/ML IJ SOLN

Facility

IP

$5.70

Service Code	HCPCS J1644
Hospital Charge Code	7128840002
Hospital Revenue Code	250
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$2.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.85

HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN

Facility

IP

$0.05

Service Code	HCPCS J1644
Hospital Charge Code	0409452002
Hospital Revenue Code	258
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.03

HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN

Facility

OP

$0.04

Service Code	HCPCS J1644
Hospital Charge Code	6332352374
Hospital Revenue Code	258
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.25
Rate for Payer: Aetna Government	$0.25
Rate for Payer: Brighton Health Commercial	$0.03
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.03
Rate for Payer: EmblemHealth Commercial	$0.02
Rate for Payer: Group Health Inc Commercial	$0.02
Rate for Payer: Group Health Inc Medicare	$0.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.02
Rate for Payer: Hamaspik Choice Inc Medicare	$0.02
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.03

HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN

Facility

OP

$0.07

Service Code	HCPCS J1644
Hospital Charge Code	0264958720
Hospital Revenue Code	258
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.25
Rate for Payer: Aetna Government	$0.25
Rate for Payer: Brighton Health Commercial	$0.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.05
Rate for Payer: EmblemHealth Commercial	$0.04
Rate for Payer: Group Health Inc Commercial	$0.04
Rate for Payer: Group Health Inc Medicare	$0.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.04
Rate for Payer: Hamaspik Choice Inc Medicare	$0.04
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.05

HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN

Facility

IP

$0.04

Service Code	HCPCS J1644
Hospital Charge Code	6332352374
Hospital Revenue Code	258
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.02

HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN

Facility

OP

$0.05

Service Code	HCPCS J1644
Hospital Charge Code	0409452002
Hospital Revenue Code	258
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.25
Rate for Payer: Aetna Government	$0.25
Rate for Payer: Brighton Health Commercial	$0.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.04
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.03
Rate for Payer: EmblemHealth Commercial	$0.03
Rate for Payer: Group Health Inc Commercial	$0.03
Rate for Payer: Group Health Inc Medicare	$0.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.03
Rate for Payer: Hamaspik Choice Inc Medicare	$0.03
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.03

HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN

Facility

IP

$0.07

Service Code	HCPCS J1644
Hospital Charge Code	0264958720
Hospital Revenue Code	258
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.04

HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN

Facility

IP

$0.05

Service Code	HCPCS J1644
Hospital Charge Code	0409452030
Hospital Revenue Code	258
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.03

HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN

Facility

OP

$0.05

Service Code	HCPCS J1644
Hospital Charge Code	0409452030
Hospital Revenue Code	258
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.25
Rate for Payer: Aetna Government	$0.25
Rate for Payer: Brighton Health Commercial	$0.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.04
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.03
Rate for Payer: EmblemHealth Commercial	$0.03
Rate for Payer: Group Health Inc Commercial	$0.03
Rate for Payer: Group Health Inc Medicare	$0.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.03
Rate for Payer: Hamaspik Choice Inc Medicare	$0.03
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.03

HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN

Facility

IP

$0.04

Service Code	HCPCS J1644
Hospital Charge Code	6332352301
Hospital Revenue Code	258
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.02

HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN

Facility

OP

$0.04

Service Code	HCPCS J1644
Hospital Charge Code	6332352301
Hospital Revenue Code	258
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.25
Rate for Payer: Aetna Government	$0.25
Rate for Payer: Brighton Health Commercial	$0.03
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.03
Rate for Payer: EmblemHealth Commercial	$0.02
Rate for Payer: Group Health Inc Commercial	$0.02
Rate for Payer: Group Health Inc Medicare	$0.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.02
Rate for Payer: Hamaspik Choice Inc Medicare	$0.02
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.03

HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN

Facility

OP

$1.93

Service Code	HCPCS J1642
Hospital Charge Code	6332354501
Hospital Revenue Code	258
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$1.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.02
Rate for Payer: Aetna Government	$0.02
Rate for Payer: Brighton Health Commercial	$1.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.55
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.31
Rate for Payer: EmblemHealth Commercial	$0.97
Rate for Payer: Group Health Inc Commercial	$0.97
Rate for Payer: Group Health Inc Medicare	$0.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.97
Rate for Payer: Hamaspik Choice Inc Medicare	$0.97
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.02
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.26

HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN

Facility

OP

$0.50

Service Code	HCPCS J1642
Hospital Charge Code	6332354505
Hospital Revenue Code	258
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.02
Rate for Payer: Aetna Government	$0.02
Rate for Payer: Brighton Health Commercial	$0.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.34
Rate for Payer: EmblemHealth Commercial	$0.25
Rate for Payer: Group Health Inc Commercial	$0.25
Rate for Payer: Group Health Inc Medicare	$0.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.25
Rate for Payer: Hamaspik Choice Inc Medicare	$0.25
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$0.02
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.32

HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN

Facility

IP

$1.93

Service Code	HCPCS J1642
Hospital Charge Code	6332354501
Hospital Revenue Code	258
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$0.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.97

HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN

Facility

IP

$0.50

Service Code	HCPCS J1642
Hospital Charge Code	6332354505
Hospital Revenue Code	258
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.25

Hepatic coma & other major acute liver disorders

Facility

IP

$41,682.74

Service Code	APR-DRG 2791
Min. Negotiated Rate	$6,684.00
Max. Negotiated Rate	$41,682.74
Rate for Payer: Affinity Essential Plan 1&2	$41,682.74
Rate for Payer: Affinity Essential Plan 3&4	$41,682.74
Rate for Payer: Affinity Medicaid/CHP/HARP	$18,525.66
Rate for Payer: Amida Care Medicaid	$18,525.66
Rate for Payer: EmblemHealth Essential Plan 1&2	$41,682.74
Rate for Payer: EmblemHealth Essential Plan 3&4	$18,525.66
Rate for Payer: Fidelis CHP/HARP/Medicaid	$18,525.66
Rate for Payer: Fidelis Qualified Health Plan	$22,230.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$18,525.66
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$18,525.66
Rate for Payer: Healthfirst Commercial	$10,995.00
Rate for Payer: Healthfirst Essential Plan	$41,682.74
Rate for Payer: Healthfirst QHP	$6,684.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$18,525.66
Rate for Payer: SOMOS Essential	$41,682.74
Rate for Payer: United Healthcare Essential Plan 1&2	$41,682.74
Rate for Payer: United Healthcare Essential Plan 3&4	$41,682.74
Rate for Payer: United Healthcare Medicaid	$18,525.66
Rate for Payer: Wellcare CHP/FHP/Medicaid	$18,525.66

Hepatic coma & other major acute liver disorders

Facility

IP

$55,895.18

Service Code	APR-DRG 2793
Min. Negotiated Rate	$13,799.00
Max. Negotiated Rate	$55,895.18
Rate for Payer: Affinity Essential Plan 1&2	$55,895.18
Rate for Payer: Affinity Essential Plan 3&4	$55,895.18
Rate for Payer: Affinity Medicaid/CHP/HARP	$24,842.30
Rate for Payer: Amida Care Medicaid	$24,842.30
Rate for Payer: EmblemHealth Essential Plan 1&2	$55,895.18
Rate for Payer: EmblemHealth Essential Plan 3&4	$24,842.30
Rate for Payer: Fidelis CHP/HARP/Medicaid	$24,842.30
Rate for Payer: Fidelis Qualified Health Plan	$29,810.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$24,842.30
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$24,842.30
Rate for Payer: Healthfirst Commercial	$23,629.00
Rate for Payer: Healthfirst Essential Plan	$55,895.18
Rate for Payer: Healthfirst QHP	$13,799.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$24,842.30
Rate for Payer: SOMOS Essential	$55,895.18
Rate for Payer: United Healthcare Essential Plan 1&2	$55,895.18
Rate for Payer: United Healthcare Essential Plan 3&4	$55,895.18
Rate for Payer: United Healthcare Medicaid	$24,842.30
Rate for Payer: Wellcare CHP/FHP/Medicaid	$24,842.30

Hepatic coma & other major acute liver disorders

Facility

IP

$45,775.35

Service Code	APR-DRG 2792
Min. Negotiated Rate	$8,823.00
Max. Negotiated Rate	$45,775.35
Rate for Payer: Affinity Essential Plan 1&2	$45,775.35
Rate for Payer: Affinity Essential Plan 3&4	$45,775.35
Rate for Payer: Affinity Medicaid/CHP/HARP	$20,344.60
Rate for Payer: Amida Care Medicaid	$20,344.60
Rate for Payer: EmblemHealth Essential Plan 1&2	$45,775.35
Rate for Payer: EmblemHealth Essential Plan 3&4	$20,344.60
Rate for Payer: Fidelis CHP/HARP/Medicaid	$20,344.60
Rate for Payer: Fidelis Qualified Health Plan	$24,413.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$20,344.60
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$20,344.60
Rate for Payer: Healthfirst Commercial	$14,956.00
Rate for Payer: Healthfirst Essential Plan	$45,775.35
Rate for Payer: Healthfirst QHP	$8,823.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$20,344.60
Rate for Payer: SOMOS Essential	$45,775.35
Rate for Payer: United Healthcare Essential Plan 1&2	$45,775.35
Rate for Payer: United Healthcare Essential Plan 3&4	$45,775.35
Rate for Payer: United Healthcare Medicaid	$20,344.60
Rate for Payer: Wellcare CHP/FHP/Medicaid	$20,344.60

Hepatic coma & other major acute liver disorders

Facility

IP

$97,178.22

Service Code	APR-DRG 2794
Min. Negotiated Rate	$32,285.00
Max. Negotiated Rate	$97,178.22
Rate for Payer: Affinity Essential Plan 1&2	$97,178.22
Rate for Payer: Affinity Essential Plan 3&4	$97,178.22
Rate for Payer: Affinity Medicaid/CHP/HARP	$43,190.32
Rate for Payer: Amida Care Medicaid	$43,190.32
Rate for Payer: EmblemHealth Essential Plan 1&2	$97,178.22
Rate for Payer: EmblemHealth Essential Plan 3&4	$43,190.32
Rate for Payer: Fidelis CHP/HARP/Medicaid	$43,190.32
Rate for Payer: Fidelis Qualified Health Plan	$51,828.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$43,190.32
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$43,190.32
Rate for Payer: Healthfirst Commercial	$61,708.00
Rate for Payer: Healthfirst Essential Plan	$97,178.22
Rate for Payer: Healthfirst QHP	$32,285.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$43,190.32
Rate for Payer: SOMOS Essential	$97,178.22
Rate for Payer: United Healthcare Essential Plan 1&2	$97,178.22
Rate for Payer: United Healthcare Essential Plan 3&4	$97,178.22
Rate for Payer: United Healthcare Medicaid	$43,190.32
Rate for Payer: Wellcare CHP/FHP/Medicaid	$43,190.32

HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY

Facility

IP

$151.14

Service Code	NDC 5816081552
Hospital Charge Code	5816081552
Hospital Revenue Code	250
Min. Negotiated Rate	$75.57
Max. Negotiated Rate	$75.57
Rate for Payer: Hamaspik Choice Inc Medicaid	$75.57

HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY

Facility

IP

$151.14

Service Code	NDC 5816081543
Hospital Charge Code	5816081543
Hospital Revenue Code	250
Min. Negotiated Rate	$75.57
Max. Negotiated Rate	$75.57
Rate for Payer: Hamaspik Choice Inc Medicaid	$75.57

HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY

Facility

OP

$151.14

Service Code	NDC 5816081552
Hospital Charge Code	5816081552
Hospital Revenue Code	250
Min. Negotiated Rate	$52.90
Max. Negotiated Rate	$120.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$83.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$75.57
Rate for Payer: Aetna Government	$75.57
Rate for Payer: Brighton Health Commercial	$113.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$120.91
Rate for Payer: Cigna LocalPlus Benefit Plan	$102.77
Rate for Payer: EmblemHealth Commercial	$75.57
Rate for Payer: Group Health Inc Commercial	$75.57
Rate for Payer: Group Health Inc Medicare	$52.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$75.57
Rate for Payer: Hamaspik Choice Inc Medicare	$75.57
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$98.24

HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY

Facility

OP

$151.14

Service Code	NDC 5816081543
Hospital Charge Code	5816081543
Hospital Revenue Code	250
Min. Negotiated Rate	$52.90
Max. Negotiated Rate	$120.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$83.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$75.57
Rate for Payer: Aetna Government	$75.57
Rate for Payer: Brighton Health Commercial	$113.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$120.91
Rate for Payer: Cigna LocalPlus Benefit Plan	$102.77
Rate for Payer: EmblemHealth Commercial	$75.57
Rate for Payer: Group Health Inc Commercial	$75.57
Rate for Payer: Group Health Inc Medicare	$52.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$75.57
Rate for Payer: Hamaspik Choice Inc Medicare	$75.57
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$98.24

HEPATITIS A VACCINE 1440 EL U/ML IM SUSP

Facility

OP

$99.29

Service Code	HCPCS 90632
Hospital Charge Code	5816082652
Hospital Revenue Code	250
Min. Negotiated Rate	$34.75
Max. Negotiated Rate	$7,039.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$54.61
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$64.08
Rate for Payer: Aetna Government	$64.08
Rate for Payer: Affinity Essential Plan 1&2	$158.38
Rate for Payer: Affinity Essential Plan 3&4	$158.38
Rate for Payer: Affinity Medicaid/CHP/HARP	$70.39
Rate for Payer: Amida Care Medicaid	$70.39
Rate for Payer: Brighton Health Commercial	$74.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$79.43
Rate for Payer: Cigna LocalPlus Benefit Plan	$67.52
Rate for Payer: EmblemHealth Commercial	$49.64
Rate for Payer: EmblemHealth Essential Plan 1&2	$158.38
Rate for Payer: EmblemHealth Essential Plan 3&4	$70.39
Rate for Payer: Fidelis CHP/HARP/Medicaid	$70.39
Rate for Payer: Fidelis Essential Plan Aliesa	$158.38
Rate for Payer: Fidelis Essential Plan QHP	$158.38
Rate for Payer: Fidelis Qualified Health Plan	$73.91
Rate for Payer: Group Health Inc Commercial	$49.64
Rate for Payer: Group Health Inc Medicare	$34.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$70.39
Rate for Payer: Hamaspik Choice Inc Medicare	$49.64
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$7,039.00
Rate for Payer: Healthfirst Essential Plan	$158.38
Rate for Payer: Healthfirst QHP	$114.74
Rate for Payer: SOMOS CHP/HARP/Medicaid	$70.39
Rate for Payer: SOMOS Essential	$158.38
Rate for Payer: United Healthcare Essential Plan 1&2	$158.38
Rate for Payer: United Healthcare Essential Plan 3&4	$77.43
Rate for Payer: United Healthcare Medicaid	$70.39
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$64.54
Rate for Payer: Wellcare CHP/FHP/Medicaid	$70.39

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