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Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

CANDESARTAN CILEXETIL 16 MG PO TABS

Facility

IP

$5.39

Service Code	NDC 6068724125
Hospital Charge Code	6068724125
Hospital Revenue Code	250
Min. Negotiated Rate	$2.69
Max. Negotiated Rate	$2.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.69

CANDESARTAN CILEXETIL 16 MG PO TABS

Facility

IP

$2.76

Service Code	NDC 6233234390
Hospital Charge Code	6233234390
Hospital Revenue Code	250
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$1.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.38

CANDESARTAN CILEXETIL 16 MG PO TABS

Facility

IP

$3.06

Service Code	NDC 3334211607
Hospital Charge Code	3334211607
Hospital Revenue Code	250
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$1.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.53

CANDESARTAN CILEXETIL 16 MG PO TABS

Facility

IP

$5.39

Service Code	NDC 6068724195
Hospital Charge Code	6068724195
Hospital Revenue Code	250
Min. Negotiated Rate	$2.69
Max. Negotiated Rate	$2.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.69

CANDESARTAN CILEXETIL 16 MG PO TABS

Facility

IP

$3.18

Service Code	NDC 4988466009
Hospital Charge Code	4988466009
Hospital Revenue Code	250
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$1.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.59

CANDESARTAN CILEXETIL 16 MG PO TABS

Facility

OP

$3.06

Service Code	NDC 3334211607
Hospital Charge Code	3334211607
Hospital Revenue Code	250
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$2.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.53
Rate for Payer: Aetna Government	$1.53
Rate for Payer: Brighton Health Commercial	$2.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.08
Rate for Payer: EmblemHealth Commercial	$1.53
Rate for Payer: Group Health Inc Commercial	$1.53
Rate for Payer: Group Health Inc Medicare	$1.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.53
Rate for Payer: Hamaspik Choice Inc Medicare	$1.53
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.99

CANDESARTAN CILEXETIL 16 MG PO TABS

Facility

OP

$2.76

Service Code	NDC 6233234390
Hospital Charge Code	6233234390
Hospital Revenue Code	250
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$2.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.38
Rate for Payer: Aetna Government	$1.38
Rate for Payer: Brighton Health Commercial	$2.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.87
Rate for Payer: EmblemHealth Commercial	$1.38
Rate for Payer: Group Health Inc Commercial	$1.38
Rate for Payer: Group Health Inc Medicare	$0.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.38
Rate for Payer: Hamaspik Choice Inc Medicare	$1.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.79

CANDESARTAN CILEXETIL 4 MG PO TABS

Facility

OP

$3.06

Service Code	NDC 3334211407
Hospital Charge Code	3334211407
Hospital Revenue Code	250
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$2.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.53
Rate for Payer: Aetna Government	$1.53
Rate for Payer: Brighton Health Commercial	$2.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.08
Rate for Payer: EmblemHealth Commercial	$1.53
Rate for Payer: Group Health Inc Commercial	$1.53
Rate for Payer: Group Health Inc Medicare	$1.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.53
Rate for Payer: Hamaspik Choice Inc Medicare	$1.53
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.99

CANDESARTAN CILEXETIL 4 MG PO TABS

Facility

OP

$3.06

Service Code	NDC 0378322493
Hospital Charge Code	0378322493
Hospital Revenue Code	250
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$2.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.53
Rate for Payer: Aetna Government	$1.53
Rate for Payer: Brighton Health Commercial	$2.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.08
Rate for Payer: EmblemHealth Commercial	$1.53
Rate for Payer: Group Health Inc Commercial	$1.53
Rate for Payer: Group Health Inc Medicare	$1.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.53
Rate for Payer: Hamaspik Choice Inc Medicare	$1.53
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.99

CANDESARTAN CILEXETIL 4 MG PO TABS

Facility

IP

$3.06

Service Code	NDC 3334211407
Hospital Charge Code	3334211407
Hospital Revenue Code	250
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$1.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.53

CANDESARTAN CILEXETIL 4 MG PO TABS

Facility

IP

$3.06

Service Code	NDC 0378322493
Hospital Charge Code	0378322493
Hospital Revenue Code	250
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$1.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.53

CANDESARTAN CILEXETIL 8 MG PO TABS

Facility

IP

$3.06

Service Code	NDC 0378322593
Hospital Charge Code	0378322593
Hospital Revenue Code	250
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$1.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.53

CANDESARTAN CILEXETIL 8 MG PO TABS

Facility

IP

$9.20

Service Code	NDC 6255964130
Hospital Charge Code	6255964130
Hospital Revenue Code	250
Min. Negotiated Rate	$4.60
Max. Negotiated Rate	$4.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.60

CANDESARTAN CILEXETIL 8 MG PO TABS

Facility

OP

$9.20

Service Code	NDC 6255964130
Hospital Charge Code	6255964130
Hospital Revenue Code	250
Min. Negotiated Rate	$3.22
Max. Negotiated Rate	$7.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.60
Rate for Payer: Aetna Government	$4.60
Rate for Payer: Brighton Health Commercial	$6.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.26
Rate for Payer: EmblemHealth Commercial	$4.60
Rate for Payer: Group Health Inc Commercial	$4.60
Rate for Payer: Group Health Inc Medicare	$3.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$4.60
Rate for Payer: Hamaspik Choice Inc Medicare	$4.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5.98

CANDESARTAN CILEXETIL 8 MG PO TABS

Facility

OP

$3.06

Service Code	NDC 0378322593
Hospital Charge Code	0378322593
Hospital Revenue Code	250
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$2.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.53
Rate for Payer: Aetna Government	$1.53
Rate for Payer: Brighton Health Commercial	$2.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.08
Rate for Payer: EmblemHealth Commercial	$1.53
Rate for Payer: Group Health Inc Commercial	$1.53
Rate for Payer: Group Health Inc Medicare	$1.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.53
Rate for Payer: Hamaspik Choice Inc Medicare	$1.53
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.99

CAPSAICIN 0.075 % EX CREA

Facility

IP

$0.10

Service Code	NDC 0536111825
Hospital Charge Code	0536111825
Hospital Revenue Code	250
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$0.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.05

CAPSAICIN 0.075 % EX CREA

Facility

OP

$0.10

Service Code	NDC 0536111825
Hospital Charge Code	0536111825
Hospital Revenue Code	250
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.05
Rate for Payer: Aetna Government	$0.05
Rate for Payer: Brighton Health Commercial	$0.07
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.07
Rate for Payer: EmblemHealth Commercial	$0.05
Rate for Payer: Group Health Inc Commercial	$0.05
Rate for Payer: Group Health Inc Medicare	$0.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.05
Rate for Payer: Hamaspik Choice Inc Medicare	$0.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.06

CAPSAICIN 0.1 % EX CREA

Facility

OP

$0.33

Service Code	NDC 0536126456
Hospital Charge Code	0536126456
Hospital Revenue Code	250
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$0.27
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.17
Rate for Payer: Aetna Government	$0.17
Rate for Payer: Brighton Health Commercial	$0.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.27
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.23
Rate for Payer: EmblemHealth Commercial	$0.17
Rate for Payer: Group Health Inc Commercial	$0.17
Rate for Payer: Group Health Inc Medicare	$0.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.17
Rate for Payer: Hamaspik Choice Inc Medicare	$0.17
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.22

CAPSAICIN 0.1 % EX CREA

Facility

IP

$0.26

Service Code	NDC 9999123480
Hospital Charge Code	9999123480
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.13

CAPSAICIN 0.1 % EX CREA

Facility

OP

$0.36

Service Code	NDC 4116775142
Hospital Charge Code	4116775142
Hospital Revenue Code	250
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.18
Rate for Payer: Aetna Government	$0.18
Rate for Payer: Brighton Health Commercial	$0.27
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.29
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.24
Rate for Payer: EmblemHealth Commercial	$0.18
Rate for Payer: Group Health Inc Commercial	$0.18
Rate for Payer: Group Health Inc Medicare	$0.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.18
Rate for Payer: Hamaspik Choice Inc Medicare	$0.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.23

CAPSAICIN 0.1 % EX CREA

Facility

IP

$0.36

Service Code	NDC 4116775142
Hospital Charge Code	4116775142
Hospital Revenue Code	250
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$0.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.18

CAPSAICIN 0.1 % EX CREA

Facility

OP

$0.26

Service Code	NDC 9999123480
Hospital Charge Code	9999123480
Hospital Revenue Code	250
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$0.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.13
Rate for Payer: Aetna Government	$0.13
Rate for Payer: Brighton Health Commercial	$0.19
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.21
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.17
Rate for Payer: EmblemHealth Commercial	$0.13
Rate for Payer: Group Health Inc Commercial	$0.13
Rate for Payer: Group Health Inc Medicare	$0.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.13
Rate for Payer: Hamaspik Choice Inc Medicare	$0.13
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.17

CAPSAICIN 0.1 % EX CREA

Facility

IP

$0.33

Service Code	NDC 0536126456
Hospital Charge Code	0536126456
Hospital Revenue Code	250
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$0.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.17

CAPTOPRIL 12.5 MG PO TABS

Facility

IP

$1.70

Service Code	NDC 0904710561
Hospital Charge Code	0904710561
Hospital Revenue Code	250
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.85

CAPTOPRIL 12.5 MG PO TABS

Facility

OP

$1.70

Service Code	NDC 0904710561
Hospital Charge Code	0904710561
Hospital Revenue Code	250
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$1.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.85
Rate for Payer: Aetna Government	$0.85
Rate for Payer: Brighton Health Commercial	$1.27
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.15
Rate for Payer: EmblemHealth Commercial	$0.85
Rate for Payer: Group Health Inc Commercial	$0.85
Rate for Payer: Group Health Inc Medicare	$0.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.85
Rate for Payer: Hamaspik Choice Inc Medicare	$0.85
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.10

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