|
METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP
|
Facility
|
OP
|
$11.56
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
7012115735
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.08 |
| Max. Negotiated Rate |
$9.25 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$6.36
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.12
|
| Rate for Payer: Aetna Government |
$0.12
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$0.08
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$0.08
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$0.08
|
| Rate for Payer: Brighton Health Commercial |
$8.67
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$0.12
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$9.25
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$7.86
|
| Rate for Payer: Elderplan Medicare Advantage |
$0.12
|
| Rate for Payer: EmblemHealth Commercial |
$0.12
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$0.11
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$0.10
|
| Rate for Payer: Fidelis Essential Plan QHP |
$0.11
|
| Rate for Payer: Fidelis Medicare Advantage |
$0.12
|
| Rate for Payer: Fidelis Qualified Health Plan |
$0.11
|
| Rate for Payer: Group Health Inc Commercial |
$0.12
|
| Rate for Payer: Group Health Inc Medicare |
$0.12
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.12
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.12
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.12
|
| Rate for Payer: Healthfirst Medicare Advantage |
$0.10
|
| Rate for Payer: Healthfirst QHP |
$0.12
|
| Rate for Payer: Humana Medicare |
$0.12
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$0.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$0.12
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$7.52
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$0.11
|
| Rate for Payer: Wellcare Medicare |
$0.11
|
|
|
METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP
|
Facility
|
OP
|
$13.64
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
0009307303
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.08 |
| Max. Negotiated Rate |
$10.91 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$7.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.12
|
| Rate for Payer: Aetna Government |
$0.12
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$0.08
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$0.08
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$0.08
|
| Rate for Payer: Brighton Health Commercial |
$10.23
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$0.12
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$10.91
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9.28
|
| Rate for Payer: Elderplan Medicare Advantage |
$0.12
|
| Rate for Payer: EmblemHealth Commercial |
$0.12
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$0.11
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$0.10
|
| Rate for Payer: Fidelis Essential Plan QHP |
$0.11
|
| Rate for Payer: Fidelis Medicare Advantage |
$0.12
|
| Rate for Payer: Fidelis Qualified Health Plan |
$0.11
|
| Rate for Payer: Group Health Inc Commercial |
$0.12
|
| Rate for Payer: Group Health Inc Medicare |
$0.12
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.12
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.12
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.12
|
| Rate for Payer: Healthfirst Medicare Advantage |
$0.10
|
| Rate for Payer: Healthfirst QHP |
$0.12
|
| Rate for Payer: Humana Medicare |
$0.12
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$0.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$0.12
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$8.87
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$0.11
|
| Rate for Payer: Wellcare Medicare |
$0.11
|
|
|
METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP
|
Facility
|
OP
|
$10.44
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
0703003101
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.08 |
| Max. Negotiated Rate |
$8.35 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$5.74
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.12
|
| Rate for Payer: Aetna Government |
$0.12
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$0.08
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$0.08
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$0.08
|
| Rate for Payer: Brighton Health Commercial |
$7.83
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$0.12
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$8.35
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$7.10
|
| Rate for Payer: Elderplan Medicare Advantage |
$0.12
|
| Rate for Payer: EmblemHealth Commercial |
$0.12
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$0.11
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$0.10
|
| Rate for Payer: Fidelis Essential Plan QHP |
$0.11
|
| Rate for Payer: Fidelis Medicare Advantage |
$0.12
|
| Rate for Payer: Fidelis Qualified Health Plan |
$0.11
|
| Rate for Payer: Group Health Inc Commercial |
$0.12
|
| Rate for Payer: Group Health Inc Medicare |
$0.12
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.12
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.12
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.12
|
| Rate for Payer: Healthfirst Medicare Advantage |
$0.10
|
| Rate for Payer: Healthfirst QHP |
$0.12
|
| Rate for Payer: Humana Medicare |
$0.12
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$0.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$0.12
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$6.79
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$0.11
|
| Rate for Payer: Wellcare Medicare |
$0.11
|
|
|
METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP
|
Facility
|
IP
|
$13.64
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
0009307303
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$6.82 |
| Max. Negotiated Rate |
$6.82 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$6.82
|
|
|
METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP
|
Facility
|
IP
|
$11.56
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
7012115735
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$5.78 |
| Max. Negotiated Rate |
$5.78 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$5.78
|
|
|
METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP
|
Facility
|
OP
|
$13.63
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
0009307301
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.08 |
| Max. Negotiated Rate |
$10.90 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$7.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.12
|
| Rate for Payer: Aetna Government |
$0.12
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$0.08
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$0.08
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$0.08
|
| Rate for Payer: Brighton Health Commercial |
$10.22
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$0.12
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$10.90
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9.27
|
| Rate for Payer: Elderplan Medicare Advantage |
$0.12
|
| Rate for Payer: EmblemHealth Commercial |
$0.12
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$0.11
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$0.10
|
| Rate for Payer: Fidelis Essential Plan QHP |
$0.11
|
| Rate for Payer: Fidelis Medicare Advantage |
$0.12
|
| Rate for Payer: Fidelis Qualified Health Plan |
$0.11
|
| Rate for Payer: Group Health Inc Commercial |
$0.12
|
| Rate for Payer: Group Health Inc Medicare |
$0.12
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.12
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.12
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.12
|
| Rate for Payer: Healthfirst Medicare Advantage |
$0.10
|
| Rate for Payer: Healthfirst QHP |
$0.12
|
| Rate for Payer: Humana Medicare |
$0.12
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$0.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$0.12
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$8.86
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$0.11
|
| Rate for Payer: Wellcare Medicare |
$0.11
|
|
|
METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP
|
Facility
|
IP
|
$10.44
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
0703003101
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$5.22 |
| Max. Negotiated Rate |
$5.22 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$5.22
|
|
|
METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP
|
Facility
|
IP
|
$11.57
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
7012115731
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$5.79 |
| Max. Negotiated Rate |
$5.79 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$5.79
|
|
|
METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP
|
Facility
|
IP
|
$13.63
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
0009307301
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$6.82 |
| Max. Negotiated Rate |
$6.82 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$6.82
|
|
|
METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP
|
Facility
|
OP
|
$11.57
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
7012115731
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.08 |
| Max. Negotiated Rate |
$9.26 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$6.36
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.12
|
| Rate for Payer: Aetna Government |
$0.12
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$0.08
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$0.08
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$0.08
|
| Rate for Payer: Brighton Health Commercial |
$8.68
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$0.12
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$9.26
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$7.87
|
| Rate for Payer: Elderplan Medicare Advantage |
$0.12
|
| Rate for Payer: EmblemHealth Commercial |
$0.12
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$0.11
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$0.10
|
| Rate for Payer: Fidelis Essential Plan QHP |
$0.11
|
| Rate for Payer: Fidelis Medicare Advantage |
$0.12
|
| Rate for Payer: Fidelis Qualified Health Plan |
$0.11
|
| Rate for Payer: Group Health Inc Commercial |
$0.12
|
| Rate for Payer: Group Health Inc Medicare |
$0.12
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.12
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.12
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.12
|
| Rate for Payer: Healthfirst Medicare Advantage |
$0.10
|
| Rate for Payer: Healthfirst QHP |
$0.12
|
| Rate for Payer: Humana Medicare |
$0.12
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$0.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$0.12
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$7.52
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$0.11
|
| Rate for Payer: Wellcare Medicare |
$0.11
|
|
|
METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP
|
Facility
|
OP
|
$23.66
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
0009347501
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.08 |
| Max. Negotiated Rate |
$18.93 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13.01
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.12
|
| Rate for Payer: Aetna Government |
$0.12
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$0.08
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$0.08
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$0.08
|
| Rate for Payer: Brighton Health Commercial |
$17.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$0.12
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18.93
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16.09
|
| Rate for Payer: Elderplan Medicare Advantage |
$0.12
|
| Rate for Payer: EmblemHealth Commercial |
$0.12
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$0.11
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$0.10
|
| Rate for Payer: Fidelis Essential Plan QHP |
$0.11
|
| Rate for Payer: Fidelis Medicare Advantage |
$0.12
|
| Rate for Payer: Fidelis Qualified Health Plan |
$0.11
|
| Rate for Payer: Group Health Inc Commercial |
$0.12
|
| Rate for Payer: Group Health Inc Medicare |
$0.12
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.12
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.12
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.12
|
| Rate for Payer: Healthfirst Medicare Advantage |
$0.10
|
| Rate for Payer: Healthfirst QHP |
$0.12
|
| Rate for Payer: Humana Medicare |
$0.12
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$0.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$0.12
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$15.38
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$0.11
|
| Rate for Payer: Wellcare Medicare |
$0.11
|
|
|
METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP
|
Facility
|
IP
|
$23.67
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
0009347503
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$11.83 |
| Max. Negotiated Rate |
$11.83 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$11.83
|
|
|
METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP
|
Facility
|
OP
|
$19.58
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
7012115741
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.08 |
| Max. Negotiated Rate |
$15.66 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10.77
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.12
|
| Rate for Payer: Aetna Government |
$0.12
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$0.08
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$0.08
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$0.08
|
| Rate for Payer: Brighton Health Commercial |
$14.69
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$0.12
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15.66
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13.31
|
| Rate for Payer: Elderplan Medicare Advantage |
$0.12
|
| Rate for Payer: EmblemHealth Commercial |
$0.12
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$0.11
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$0.10
|
| Rate for Payer: Fidelis Essential Plan QHP |
$0.11
|
| Rate for Payer: Fidelis Medicare Advantage |
$0.12
|
| Rate for Payer: Fidelis Qualified Health Plan |
$0.11
|
| Rate for Payer: Group Health Inc Commercial |
$0.12
|
| Rate for Payer: Group Health Inc Medicare |
$0.12
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.12
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.12
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.12
|
| Rate for Payer: Healthfirst Medicare Advantage |
$0.10
|
| Rate for Payer: Healthfirst QHP |
$0.12
|
| Rate for Payer: Humana Medicare |
$0.12
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$0.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$0.12
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$12.73
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$0.11
|
| Rate for Payer: Wellcare Medicare |
$0.11
|
|
|
METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP
|
Facility
|
OP
|
$19.58
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
7012115745
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.08 |
| Max. Negotiated Rate |
$15.67 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10.77
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.12
|
| Rate for Payer: Aetna Government |
$0.12
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$0.08
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$0.08
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$0.08
|
| Rate for Payer: Brighton Health Commercial |
$14.69
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$0.12
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15.67
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13.32
|
| Rate for Payer: Elderplan Medicare Advantage |
$0.12
|
| Rate for Payer: EmblemHealth Commercial |
$0.12
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$0.11
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$0.10
|
| Rate for Payer: Fidelis Essential Plan QHP |
$0.11
|
| Rate for Payer: Fidelis Medicare Advantage |
$0.12
|
| Rate for Payer: Fidelis Qualified Health Plan |
$0.11
|
| Rate for Payer: Group Health Inc Commercial |
$0.12
|
| Rate for Payer: Group Health Inc Medicare |
$0.12
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.12
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.12
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.12
|
| Rate for Payer: Healthfirst Medicare Advantage |
$0.10
|
| Rate for Payer: Healthfirst QHP |
$0.12
|
| Rate for Payer: Humana Medicare |
$0.12
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$0.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$0.12
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$12.73
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$0.11
|
| Rate for Payer: Wellcare Medicare |
$0.11
|
|
|
METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP
|
Facility
|
IP
|
$19.58
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
7012115741
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.79 |
| Max. Negotiated Rate |
$9.79 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$9.79
|
|
|
METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP
|
Facility
|
IP
|
$19.58
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
7012115745
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.79 |
| Max. Negotiated Rate |
$9.79 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$9.79
|
|
|
METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP
|
Facility
|
IP
|
$23.66
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
0009347501
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$11.83 |
| Max. Negotiated Rate |
$11.83 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$11.83
|
|
|
METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP
|
Facility
|
OP
|
$23.67
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
0009347503
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.08 |
| Max. Negotiated Rate |
$18.94 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13.02
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.12
|
| Rate for Payer: Aetna Government |
$0.12
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$0.08
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$0.08
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$0.08
|
| Rate for Payer: Brighton Health Commercial |
$17.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$0.12
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$18.94
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$16.09
|
| Rate for Payer: Elderplan Medicare Advantage |
$0.12
|
| Rate for Payer: EmblemHealth Commercial |
$0.12
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$0.11
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$0.10
|
| Rate for Payer: Fidelis Essential Plan QHP |
$0.11
|
| Rate for Payer: Fidelis Medicare Advantage |
$0.12
|
| Rate for Payer: Fidelis Qualified Health Plan |
$0.11
|
| Rate for Payer: Group Health Inc Commercial |
$0.12
|
| Rate for Payer: Group Health Inc Medicare |
$0.12
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.12
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.12
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.12
|
| Rate for Payer: Healthfirst Medicare Advantage |
$0.10
|
| Rate for Payer: Healthfirst QHP |
$0.12
|
| Rate for Payer: Humana Medicare |
$0.12
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$0.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$0.12
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$15.38
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$0.11
|
| Rate for Payer: Wellcare Medicare |
$0.11
|
|
|
METHYLPREDNISOLONE NA SUC (PF) 500 MG IJ SOLR
|
Facility
|
IP
|
$56.86
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
0009000302
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$28.43 |
| Max. Negotiated Rate |
$28.43 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$28.43
|
|
|
METHYLPREDNISOLONE NA SUC (PF) 500 MG IJ SOLR
|
Facility
|
OP
|
$56.86
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
0009000302
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.15 |
| Max. Negotiated Rate |
$45.49 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$31.27
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.21
|
| Rate for Payer: Aetna Government |
$0.21
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$0.15
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$0.15
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$0.15
|
| Rate for Payer: Brighton Health Commercial |
$42.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$0.21
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$45.49
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$38.66
|
| Rate for Payer: Elderplan Medicare Advantage |
$0.21
|
| Rate for Payer: EmblemHealth Commercial |
$0.21
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$0.19
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$0.18
|
| Rate for Payer: Fidelis Essential Plan QHP |
$0.19
|
| Rate for Payer: Fidelis Medicare Advantage |
$0.21
|
| Rate for Payer: Fidelis Qualified Health Plan |
$0.19
|
| Rate for Payer: Group Health Inc Commercial |
$0.21
|
| Rate for Payer: Group Health Inc Medicare |
$0.21
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.21
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.21
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.21
|
| Rate for Payer: Healthfirst Medicare Advantage |
$0.18
|
| Rate for Payer: Healthfirst QHP |
$0.21
|
| Rate for Payer: Humana Medicare |
$0.21
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$0.21
|
| Rate for Payer: United Healthcare Medicare Advantage |
$0.21
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36.96
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$0.20
|
| Rate for Payer: Wellcare Medicare |
$0.20
|
|
|
METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR (WRAPPED)
|
Facility
|
IP
|
$39.00
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
4359813074
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$19.50 |
| Max. Negotiated Rate |
$19.50 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$19.50
|
|
|
METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR (WRAPPED)
|
Facility
|
OP
|
$82.70
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
0009001820
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.15 |
| Max. Negotiated Rate |
$66.16 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$45.48
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.21
|
| Rate for Payer: Aetna Government |
$0.21
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$0.15
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$0.15
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$0.15
|
| Rate for Payer: Brighton Health Commercial |
$62.02
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$0.21
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$66.16
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$56.24
|
| Rate for Payer: Elderplan Medicare Advantage |
$0.21
|
| Rate for Payer: EmblemHealth Commercial |
$0.21
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$0.19
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$0.18
|
| Rate for Payer: Fidelis Essential Plan QHP |
$0.19
|
| Rate for Payer: Fidelis Medicare Advantage |
$0.21
|
| Rate for Payer: Fidelis Qualified Health Plan |
$0.19
|
| Rate for Payer: Group Health Inc Commercial |
$0.21
|
| Rate for Payer: Group Health Inc Medicare |
$0.21
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.21
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.21
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.21
|
| Rate for Payer: Healthfirst Medicare Advantage |
$0.18
|
| Rate for Payer: Healthfirst QHP |
$0.21
|
| Rate for Payer: Humana Medicare |
$0.21
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$0.21
|
| Rate for Payer: United Healthcare Medicare Advantage |
$0.21
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$53.76
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$0.20
|
| Rate for Payer: Wellcare Medicare |
$0.20
|
|
|
METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR (WRAPPED)
|
Facility
|
IP
|
$82.70
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
0009001820
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$41.35 |
| Max. Negotiated Rate |
$41.35 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$41.35
|
|
|
METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR (WRAPPED)
|
Facility
|
IP
|
$52.78
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
0009069802
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$26.39 |
| Max. Negotiated Rate |
$26.39 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$26.39
|
|
|
METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR (WRAPPED)
|
Facility
|
OP
|
$52.78
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
0009069801
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.15 |
| Max. Negotiated Rate |
$42.22 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$29.03
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.21
|
| Rate for Payer: Aetna Government |
$0.21
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$0.15
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$0.15
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$0.15
|
| Rate for Payer: Brighton Health Commercial |
$39.59
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$0.21
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$42.22
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$35.89
|
| Rate for Payer: Elderplan Medicare Advantage |
$0.21
|
| Rate for Payer: EmblemHealth Commercial |
$0.21
|
| Rate for Payer: Fidelis CHP/HARP/Medicaid |
$0.19
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$0.18
|
| Rate for Payer: Fidelis Essential Plan QHP |
$0.19
|
| Rate for Payer: Fidelis Medicare Advantage |
$0.21
|
| Rate for Payer: Fidelis Qualified Health Plan |
$0.19
|
| Rate for Payer: Group Health Inc Commercial |
$0.21
|
| Rate for Payer: Group Health Inc Medicare |
$0.21
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.21
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.21
|
| Rate for Payer: Healthfirst CHP/FHP/Medicaid |
$0.21
|
| Rate for Payer: Healthfirst Medicare Advantage |
$0.18
|
| Rate for Payer: Healthfirst QHP |
$0.21
|
| Rate for Payer: Humana Medicare |
$0.21
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$0.21
|
| Rate for Payer: United Healthcare Medicare Advantage |
$0.21
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$34.31
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$0.20
|
| Rate for Payer: Wellcare Medicare |
$0.20
|
|
