AMS 700 ACCESSORY KIT
|
Facility
OP
|
$1,495.84
|
|
Service Code
|
HCPCS C1813
|
Hospital Charge Code |
40003445
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$523.54 |
Max. Negotiated Rate |
$3,775.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$822.71
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$3,775.00
|
Rate for Payer: Aetna Government |
$3,775.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$747.92
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$860.11
|
Rate for Payer: Fidelis Medicare Advantage |
$1,570.63
|
Rate for Payer: Group Health Inc Commercial |
$747.92
|
Rate for Payer: Group Health Inc Medicare |
$523.54
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$747.92
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$747.92
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$972.30
|
|
AMS 700 ACCESSORY KIT
|
Facility
IP
|
$1,495.84
|
|
Service Code
|
HCPCS C1813
|
Hospital Charge Code |
40003445
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$747.92 |
Max. Negotiated Rate |
$747.92 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$747.92
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$747.92
|
|
AMS 700 LGX,MS PMP IZ 15 X 12
|
Facility
IP
|
$18,827.70
|
|
Service Code
|
HCPCS C1813
|
Hospital Charge Code |
40009265
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$9,413.85 |
Max. Negotiated Rate |
$9,413.85 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$9,413.85
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$9,413.85
|
|
AMS 700 LGX,MS PMP IZ 15 X 12
|
Facility
OP
|
$18,827.70
|
|
Service Code
|
HCPCS C1813
|
Hospital Charge Code |
40009265
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$3,775.00 |
Max. Negotiated Rate |
$19,769.08 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,355.24
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$3,775.00
|
Rate for Payer: Aetna Government |
$3,775.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$9,413.85
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$10,825.93
|
Rate for Payer: Fidelis Medicare Advantage |
$19,769.08
|
Rate for Payer: Group Health Inc Commercial |
$9,413.85
|
Rate for Payer: Group Health Inc Medicare |
$6,589.70
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$9,413.85
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$9,413.85
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$12,238.00
|
|
AMS 700 SPH RESERVOIR W/INH 65ML
|
Facility
IP
|
$4,615.94
|
|
Service Code
|
HCPCS C1813
|
Hospital Charge Code |
40203429
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$2,307.97 |
Max. Negotiated Rate |
$2,307.97 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2,307.97
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2,307.97
|
|
AMS 700 SPH RESERVOIR W/INH 65ML
|
Facility
OP
|
$4,615.94
|
|
Service Code
|
HCPCS C1813
|
Hospital Charge Code |
40203429
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$1,615.58 |
Max. Negotiated Rate |
$4,846.74 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$2,538.77
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$3,775.00
|
Rate for Payer: Aetna Government |
$3,775.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$2,307.97
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$2,654.17
|
Rate for Payer: Fidelis Medicare Advantage |
$4,846.74
|
Rate for Payer: Group Health Inc Commercial |
$2,307.97
|
Rate for Payer: Group Health Inc Medicare |
$1,615.58
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2,307.97
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2,307.97
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$3,000.36
|
|
AMS 800 ACCESSORY KIT
|
Facility
OP
|
$2,273.68
|
|
Hospital Charge Code |
40009736
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$795.79 |
Max. Negotiated Rate |
$1,818.94 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,250.52
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$1,136.84
|
Rate for Payer: Aetna Government |
$1,136.84
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$1,818.94
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$1,546.10
|
Rate for Payer: Group Health Inc Commercial |
$1,136.84
|
Rate for Payer: Group Health Inc Medicare |
$795.79
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,136.84
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1,136.84
|
|
AMS AMS 700 ACCESS
|
Facility
OP
|
$680.40
|
|
Hospital Charge Code |
40004045
|
Hospital Revenue Code
|
279
|
Min. Negotiated Rate |
$238.14 |
Max. Negotiated Rate |
$544.32 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$374.22
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$340.20
|
Rate for Payer: Aetna Government |
$340.20
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$544.32
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$462.67
|
Rate for Payer: Group Health Inc Commercial |
$340.20
|
Rate for Payer: Group Health Inc Medicare |
$238.14
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$340.20
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$340.20
|
|
AMS CUFF BLMS 800 CU IZ
|
Facility
OP
|
$11,411.08
|
|
Service Code
|
HCPCS C1815
|
Hospital Charge Code |
40009739
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$2,453.47 |
Max. Negotiated Rate |
$11,981.63 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$6,276.09
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$2,453.47
|
Rate for Payer: Aetna Government |
$2,453.47
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$5,705.54
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$6,561.37
|
Rate for Payer: Fidelis Medicare Advantage |
$11,981.63
|
Rate for Payer: Group Health Inc Commercial |
$5,705.54
|
Rate for Payer: Group Health Inc Medicare |
$3,993.88
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$5,705.54
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$5,705.54
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$7,417.20
|
|
AMS CUFF BLMS 800 CU IZ
|
Facility
IP
|
$11,411.08
|
|
Service Code
|
HCPCS C1815
|
Hospital Charge Code |
40009739
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$5,705.54 |
Max. Negotiated Rate |
$5,705.54 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$5,705.54
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$5,705.54
|
|
AMS DURA 11 PENILE PROSTHESIS
|
Facility
OP
|
$11,690.00
|
|
Hospital Charge Code |
40200270
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$4,091.50 |
Max. Negotiated Rate |
$9,352.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$6,429.50
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$5,845.00
|
Rate for Payer: Aetna Government |
$5,845.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$9,352.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$7,949.20
|
Rate for Payer: Group Health Inc Commercial |
$5,845.00
|
Rate for Payer: Group Health Inc Medicare |
$4,091.50
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$5,845.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$5,845.00
|
|
AMS PENILE PROSTHESIS
|
Facility
IP
|
$15,482.00
|
|
Service Code
|
HCPCS C1813
|
Hospital Charge Code |
40004043
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$7,741.00 |
Max. Negotiated Rate |
$7,741.00 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$7,741.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$7,741.00
|
|
AMS PENILE PROSTHESIS
|
Facility
OP
|
$15,482.00
|
|
Service Code
|
HCPCS C1813
|
Hospital Charge Code |
40004043
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$3,775.00 |
Max. Negotiated Rate |
$16,256.10 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$8,515.10
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$3,775.00
|
Rate for Payer: Aetna Government |
$3,775.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$7,741.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$8,902.15
|
Rate for Payer: Fidelis Medicare Advantage |
$16,256.10
|
Rate for Payer: Group Health Inc Commercial |
$7,741.00
|
Rate for Payer: Group Health Inc Medicare |
$5,418.70
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$7,741.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$7,741.00
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$10,063.30
|
|
AMS RESERVOIR CM
|
Facility
OP
|
$2,622.38
|
|
Hospital Charge Code |
40004044
|
Hospital Revenue Code
|
279
|
Min. Negotiated Rate |
$917.83 |
Max. Negotiated Rate |
$2,097.90 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,442.31
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$1,311.19
|
Rate for Payer: Aetna Government |
$1,311.19
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$2,097.90
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$1,783.22
|
Rate for Payer: Group Health Inc Commercial |
$1,311.19
|
Rate for Payer: Group Health Inc Medicare |
$917.83
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,311.19
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1,311.19
|
|
AMS SLING SYSTEM SPARC
|
Facility
IP
|
$1,990.00
|
|
Service Code
|
HCPCS C1771
|
Hospital Charge Code |
40201024
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$995.00 |
Max. Negotiated Rate |
$995.00 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$995.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$995.00
|
|
AMS SLING SYSTEM SPARC
|
Facility
OP
|
$1,990.00
|
|
Service Code
|
HCPCS C1771
|
Hospital Charge Code |
40201024
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$560.38 |
Max. Negotiated Rate |
$2,089.50 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,094.50
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$560.38
|
Rate for Payer: Aetna Government |
$560.38
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$995.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$1,144.25
|
Rate for Payer: Fidelis Medicare Advantage |
$2,089.50
|
Rate for Payer: Group Health Inc Commercial |
$995.00
|
Rate for Payer: Group Health Inc Medicare |
$696.50
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$995.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$995.00
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1,293.50
|
|
AMS URINARY BLTROL SYST
|
Facility
IP
|
$5,218.60
|
|
Service Code
|
HCPCS C1815
|
Hospital Charge Code |
40009738
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$2,609.30 |
Max. Negotiated Rate |
$2,609.30 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2,609.30
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2,609.30
|
|
AMS URINARY BLTROL SYST
|
Facility
OP
|
$5,218.60
|
|
Service Code
|
HCPCS C1815
|
Hospital Charge Code |
40009738
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$1,826.51 |
Max. Negotiated Rate |
$5,479.53 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$2,870.23
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$2,453.47
|
Rate for Payer: Aetna Government |
$2,453.47
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$2,609.30
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$3,000.70
|
Rate for Payer: Fidelis Medicare Advantage |
$5,479.53
|
Rate for Payer: Group Health Inc Commercial |
$2,609.30
|
Rate for Payer: Group Health Inc Medicare |
$1,826.51
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$2,609.30
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$2,609.30
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$3,392.09
|
|
AMS URINARY BLTROL SYST INH
|
Facility
OP
|
$10,991.08
|
|
Service Code
|
HCPCS C1815
|
Hospital Charge Code |
40009737
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$2,453.47 |
Max. Negotiated Rate |
$11,540.63 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$6,045.09
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$2,453.47
|
Rate for Payer: Aetna Government |
$2,453.47
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$5,495.54
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$6,319.87
|
Rate for Payer: Fidelis Medicare Advantage |
$11,540.63
|
Rate for Payer: Group Health Inc Commercial |
$5,495.54
|
Rate for Payer: Group Health Inc Medicare |
$3,846.88
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$5,495.54
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$5,495.54
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$7,144.20
|
|
AMS URINARY BLTROL SYST INH
|
Facility
IP
|
$10,991.08
|
|
Service Code
|
HCPCS C1815
|
Hospital Charge Code |
40009737
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$5,495.54 |
Max. Negotiated Rate |
$5,495.54 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$5,495.54
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$5,495.54
|
|
AMYLASE 27,000 + LIPASE 5,000 + PROTEASE
|
Facility
OP
|
$1.11
|
|
Hospital Charge Code |
41655522
|
Hospital Revenue Code
|
250
|
Min. Negotiated Rate |
$0.39 |
Max. Negotiated Rate |
$0.89 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.61
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.56
|
Rate for Payer: Aetna Government |
$0.56
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.89
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.75
|
Rate for Payer: Group Health Inc Commercial |
$0.56
|
Rate for Payer: Group Health Inc Medicare |
$0.39
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.56
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.56
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$0.72
|
|
AMYLASE 27,000 + LIPASE 5,000 + PROTEASE
|
Facility
OP
|
$1.11
|
|
Hospital Charge Code |
41645522
|
Hospital Revenue Code
|
250
|
Min. Negotiated Rate |
$0.39 |
Max. Negotiated Rate |
$0.89 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.61
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.56
|
Rate for Payer: Aetna Government |
$0.56
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.89
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.75
|
Rate for Payer: Group Health Inc Commercial |
$0.56
|
Rate for Payer: Group Health Inc Medicare |
$0.39
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.56
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$0.56
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$0.72
|
|
AMYLASE 30,000 + LIPASE 8,000 + PROTEASE
|
Facility
OP
|
$2.00
|
|
Hospital Charge Code |
41654008
|
Hospital Revenue Code
|
250
|
Min. Negotiated Rate |
$0.70 |
Max. Negotiated Rate |
$1.60 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1.10
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$1.00
|
Rate for Payer: Aetna Government |
$1.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$1.60
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$1.36
|
Rate for Payer: Group Health Inc Commercial |
$1.00
|
Rate for Payer: Group Health Inc Medicare |
$0.70
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1.00
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1.30
|
|
AMYLASE 30,000 + LIPASE 8,000 + PROTEASE
|
Facility
OP
|
$2.00
|
|
Hospital Charge Code |
41644008
|
Hospital Revenue Code
|
250
|
Min. Negotiated Rate |
$0.70 |
Max. Negotiated Rate |
$1.60 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1.10
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$1.00
|
Rate for Payer: Aetna Government |
$1.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$1.60
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$1.36
|
Rate for Payer: Group Health Inc Commercial |
$1.00
|
Rate for Payer: Group Health Inc Medicare |
$0.70
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1.00
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1.30
|
|
AMYLASE FLUID
|
Facility
OP
|
$16.20
|
|
Service Code
|
HCPCS 82150
|
Hospital Charge Code |
40602425
|
Hospital Revenue Code
|
301
|
Min. Negotiated Rate |
$5.18 |
Max. Negotiated Rate |
$10.31 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$8.91
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$6.48
|
Rate for Payer: Aetna Government |
$6.48
|
Rate for Payer: Cash Price |
$6.48
|
Rate for Payer: Cash Price |
$6.48
|
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$6.48
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$10.31
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$8.72
|
Rate for Payer: Elderplan Medicare Advantage |
$6.48
|
Rate for Payer: EmblemHealth Commercial |
$6.48
|
Rate for Payer: Fidelis CHP/HARP/Medicaid |
$5.83
|
Rate for Payer: Fidelis Essential Plan Aliesa |
$5.51
|
Rate for Payer: Fidelis Essential Plan QHP |
$5.77
|
Rate for Payer: Fidelis Medicare Advantage |
$6.48
|
Rate for Payer: Fidelis Qualified Health Plan |
$5.77
|
Rate for Payer: Group Health Inc Commercial |
$6.48
|
Rate for Payer: Group Health Inc Medicare |
$6.48
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$8.10
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$6.48
|
Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$6.48
|
Rate for Payer: Healthfirst Medicare Advantage |
$6.48
|
Rate for Payer: Healthfirst QHP |
$6.48
|
Rate for Payer: Senior Whole Health Medicare Advantage |
$6.48
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$6.48
|
Rate for Payer: Wellcare CHP/FHP/Medicaid |
$5.18
|
Rate for Payer: Wellcare Medicare |
$5.83
|
|