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Service Code NDC 67877022205
Hospital Charge Code 67877022205
Hospital Revenue Code 250
Min. Negotiated Rate $0.19
Max. Negotiated Rate $0.43
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.27
Rate for Payer: Aetna Government $0.27
Rate for Payer: Brighton Health Commercial $0.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.43
Rate for Payer: Cigna LocalPlus Benefit Plan $0.36
Rate for Payer: Group Health Inc Commercial $0.27
Rate for Payer: Group Health Inc Medicare $0.19
Rate for Payer: Hamaspik Choice Inc Medicaid $0.27
Rate for Payer: Hamaspik Choice Inc Medicare $0.27
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.35
Service Code NDC 60687058001
Hospital Charge Code 60687058001
Hospital Revenue Code 250
Min. Negotiated Rate $0.20
Max. Negotiated Rate $0.47
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.29
Rate for Payer: Aetna Government $0.29
Rate for Payer: Brighton Health Commercial $0.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.47
Rate for Payer: Cigna LocalPlus Benefit Plan $0.40
Rate for Payer: Group Health Inc Commercial $0.29
Rate for Payer: Group Health Inc Medicare $0.20
Rate for Payer: Hamaspik Choice Inc Medicaid $0.29
Rate for Payer: Hamaspik Choice Inc Medicare $0.29
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.38
Service Code NDC 63739090210
Hospital Charge Code 63739090210
Hospital Revenue Code 250
Min. Negotiated Rate $0.04
Max. Negotiated Rate $0.09
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.05
Rate for Payer: Aetna Government $0.05
Rate for Payer: Brighton Health Commercial $0.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.09
Rate for Payer: Cigna LocalPlus Benefit Plan $0.07
Rate for Payer: Group Health Inc Commercial $0.05
Rate for Payer: Group Health Inc Medicare $0.04
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 $0.07
Service Code NDC 67877022201
Hospital Charge Code 67877022201
Hospital Revenue Code 250
Min. Negotiated Rate $0.19
Max. Negotiated Rate $0.43
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.27
Rate for Payer: Aetna Government $0.27
Rate for Payer: Brighton Health Commercial $0.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.43
Rate for Payer: Cigna LocalPlus Benefit Plan $0.36
Rate for Payer: Group Health Inc Commercial $0.27
Rate for Payer: Group Health Inc Medicare $0.19
Rate for Payer: Hamaspik Choice Inc Medicaid $0.27
Rate for Payer: Hamaspik Choice Inc Medicare $0.27
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.35
Service Code NDC 69097081312
Hospital Charge Code 69097081312
Hospital Revenue Code 250
Min. Negotiated Rate $0.19
Max. Negotiated Rate $0.43
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.27
Rate for Payer: Aetna Government $0.27
Rate for Payer: Brighton Health Commercial $0.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.43
Rate for Payer: Cigna LocalPlus Benefit Plan $0.36
Rate for Payer: Group Health Inc Commercial $0.27
Rate for Payer: Group Health Inc Medicare $0.19
Rate for Payer: Hamaspik Choice Inc Medicaid $0.27
Rate for Payer: Hamaspik Choice Inc Medicare $0.27
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.35
Hospital Charge Code 41644074
Hospital Revenue Code 250
Min. Negotiated Rate $0.06
Max. Negotiated Rate $0.13
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.08
Rate for Payer: Aetna Government $0.08
Rate for Payer: Brighton Health Commercial $0.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.13
Rate for Payer: Cigna LocalPlus Benefit Plan $0.11
Rate for Payer: Group Health Inc Commercial $0.08
Rate for Payer: Group Health Inc Medicare $0.06
Rate for Payer: Hamaspik Choice Inc Medicaid $0.08
Rate for Payer: Hamaspik Choice Inc Medicare $0.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.10
Hospital Charge Code 41654074
Hospital Revenue Code 250
Min. Negotiated Rate $0.06
Max. Negotiated Rate $0.13
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.08
Rate for Payer: Aetna Government $0.08
Rate for Payer: Brighton Health Commercial $0.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.13
Rate for Payer: Cigna LocalPlus Benefit Plan $0.11
Rate for Payer: Group Health Inc Commercial $0.08
Rate for Payer: Group Health Inc Medicare $0.06
Rate for Payer: Hamaspik Choice Inc Medicaid $0.08
Rate for Payer: Hamaspik Choice Inc Medicare $0.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.10
Service Code NDC 67877022301
Hospital Charge Code 67877022301
Hospital Revenue Code 250
Min. Negotiated Rate $0.47
Max. Negotiated Rate $1.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.67
Rate for Payer: Aetna Government $0.67
Rate for Payer: Brighton Health Commercial $1.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.07
Rate for Payer: Cigna LocalPlus Benefit Plan $0.91
Rate for Payer: Group Health Inc Commercial $0.67
Rate for Payer: Group Health Inc Medicare $0.47
Rate for Payer: Hamaspik Choice Inc Medicaid $0.67
Rate for Payer: Hamaspik Choice Inc Medicare $0.67
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.87
Service Code NDC 67877022310
Hospital Charge Code 67877022310
Hospital Revenue Code 250
Min. Negotiated Rate $0.47
Max. Negotiated Rate $1.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.67
Rate for Payer: Aetna Government $0.67
Rate for Payer: Brighton Health Commercial $1.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.06
Rate for Payer: Cigna LocalPlus Benefit Plan $0.91
Rate for Payer: Group Health Inc Commercial $0.67
Rate for Payer: Group Health Inc Medicare $0.47
Rate for Payer: Hamaspik Choice Inc Medicaid $0.67
Rate for Payer: Hamaspik Choice Inc Medicare $0.67
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.87
Service Code NDC 51224011960
Hospital Charge Code 51224011960
Hospital Revenue Code 250
Min. Negotiated Rate $0.47
Max. Negotiated Rate $1.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.67
Rate for Payer: Aetna Government $0.67
Rate for Payer: Brighton Health Commercial $1.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.06
Rate for Payer: Cigna LocalPlus Benefit Plan $0.90
Rate for Payer: Group Health Inc Commercial $0.67
Rate for Payer: Group Health Inc Medicare $0.47
Rate for Payer: Hamaspik Choice Inc Medicaid $0.67
Rate for Payer: Hamaspik Choice Inc Medicare $0.67
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.86
Service Code NDC 67877022305
Hospital Charge Code 67877022305
Hospital Revenue Code 250
Min. Negotiated Rate $0.47
Max. Negotiated Rate $1.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.67
Rate for Payer: Aetna Government $0.67
Rate for Payer: Brighton Health Commercial $1.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.06
Rate for Payer: Cigna LocalPlus Benefit Plan $0.91
Rate for Payer: Group Health Inc Commercial $0.67
Rate for Payer: Group Health Inc Medicare $0.47
Rate for Payer: Hamaspik Choice Inc Medicaid $0.67
Rate for Payer: Hamaspik Choice Inc Medicare $0.67
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.87
Service Code NDC 63739090310
Hospital Charge Code 63739090310
Hospital Revenue Code 250
Min. Negotiated Rate $0.07
Max. Negotiated Rate $0.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.10
Rate for Payer: Aetna Government $0.10
Rate for Payer: Brighton Health Commercial $0.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.16
Rate for Payer: Cigna LocalPlus Benefit Plan $0.13
Rate for Payer: Group Health Inc Commercial $0.10
Rate for Payer: Group Health Inc Medicare $0.07
Rate for Payer: Hamaspik Choice Inc Medicaid $0.10
Rate for Payer: Hamaspik Choice Inc Medicare $0.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.13
Service Code NDC 51224011950
Hospital Charge Code 51224011950
Hospital Revenue Code 250
Min. Negotiated Rate $0.47
Max. Negotiated Rate $1.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.67
Rate for Payer: Aetna Government $0.67
Rate for Payer: Brighton Health Commercial $1.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.06
Rate for Payer: Cigna LocalPlus Benefit Plan $0.90
Rate for Payer: Group Health Inc Commercial $0.67
Rate for Payer: Group Health Inc Medicare $0.47
Rate for Payer: Hamaspik Choice Inc Medicaid $0.67
Rate for Payer: Hamaspik Choice Inc Medicare $0.67
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.86
Service Code NDC 45963055650
Hospital Charge Code 45963055650
Hospital Revenue Code 250
Min. Negotiated Rate $0.47
Max. Negotiated Rate $1.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.67
Rate for Payer: Aetna Government $0.67
Rate for Payer: Brighton Health Commercial $1.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.06
Rate for Payer: Cigna LocalPlus Benefit Plan $0.90
Rate for Payer: Group Health Inc Commercial $0.67
Rate for Payer: Group Health Inc Medicare $0.47
Rate for Payer: Hamaspik Choice Inc Medicaid $0.67
Rate for Payer: Hamaspik Choice Inc Medicare $0.67
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.86
Service Code NDC 00904666661
Hospital Charge Code 00904666661
Hospital Revenue Code 250
Min. Negotiated Rate $0.07
Max. Negotiated Rate $0.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.10
Rate for Payer: Aetna Government $0.10
Rate for Payer: Brighton Health Commercial $0.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.16
Rate for Payer: Cigna LocalPlus Benefit Plan $0.13
Rate for Payer: Group Health Inc Commercial $0.10
Rate for Payer: Group Health Inc Medicare $0.07
Rate for Payer: Hamaspik Choice Inc Medicaid $0.10
Rate for Payer: Hamaspik Choice Inc Medicare $0.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.13
Hospital Charge Code 41654075
Hospital Revenue Code 250
Min. Negotiated Rate $0.08
Max. Negotiated Rate $0.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.12
Rate for Payer: Aetna Government $0.12
Rate for Payer: Brighton Health Commercial $0.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.19
Rate for Payer: Cigna LocalPlus Benefit Plan $0.16
Rate for Payer: Group Health Inc Commercial $0.12
Rate for Payer: Group Health Inc Medicare $0.08
Rate for Payer: Hamaspik Choice Inc Medicaid $0.12
Rate for Payer: Hamaspik Choice Inc Medicare $0.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.16
Hospital Charge Code 41644075
Hospital Revenue Code 250
Min. Negotiated Rate $0.08
Max. Negotiated Rate $0.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.12
Rate for Payer: Aetna Government $0.12
Rate for Payer: Brighton Health Commercial $0.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.19
Rate for Payer: Cigna LocalPlus Benefit Plan $0.16
Rate for Payer: Group Health Inc Commercial $0.12
Rate for Payer: Group Health Inc Medicare $0.08
Rate for Payer: Hamaspik Choice Inc Medicaid $0.12
Rate for Payer: Hamaspik Choice Inc Medicare $0.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.16
Service Code NDC 65862020005
Hospital Charge Code 65862020005
Hospital Revenue Code 250
Min. Negotiated Rate $0.56
Max. Negotiated Rate $1.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.80
Rate for Payer: Aetna Government $0.80
Rate for Payer: Brighton Health Commercial $1.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.28
Rate for Payer: Cigna LocalPlus Benefit Plan $1.09
Rate for Payer: Group Health Inc Commercial $0.80
Rate for Payer: Group Health Inc Medicare $0.56
Rate for Payer: Hamaspik Choice Inc Medicaid $0.80
Rate for Payer: Hamaspik Choice Inc Medicare $0.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.04
Service Code NDC 67877022405
Hospital Charge Code 67877022405
Hospital Revenue Code 250
Min. Negotiated Rate $0.56
Max. Negotiated Rate $1.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.80
Rate for Payer: Aetna Government $0.80
Rate for Payer: Brighton Health Commercial $1.21
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.29
Rate for Payer: Cigna LocalPlus Benefit Plan $1.09
Rate for Payer: Group Health Inc Commercial $0.80
Rate for Payer: Group Health Inc Medicare $0.56
Rate for Payer: Hamaspik Choice Inc Medicaid $0.80
Rate for Payer: Hamaspik Choice Inc Medicare $0.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.04
Service Code NDC 67877022410
Hospital Charge Code 67877022410
Hospital Revenue Code 250
Min. Negotiated Rate $0.56
Max. Negotiated Rate $1.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.80
Rate for Payer: Aetna Government $0.80
Rate for Payer: Brighton Health Commercial $1.21
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.29
Rate for Payer: Cigna LocalPlus Benefit Plan $1.09
Rate for Payer: Group Health Inc Commercial $0.80
Rate for Payer: Group Health Inc Medicare $0.56
Rate for Payer: Hamaspik Choice Inc Medicaid $0.80
Rate for Payer: Hamaspik Choice Inc Medicare $0.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.04
Service Code NDC 00904666761
Hospital Charge Code 00904666761
Hospital Revenue Code 250
Min. Negotiated Rate $0.09
Max. Negotiated Rate $0.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.12
Rate for Payer: Aetna Government $0.12
Rate for Payer: Brighton Health Commercial $0.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.20
Rate for Payer: Cigna LocalPlus Benefit Plan $0.17
Rate for Payer: Group Health Inc Commercial $0.12
Rate for Payer: Group Health Inc Medicare $0.09
Rate for Payer: Hamaspik Choice Inc Medicaid $0.12
Rate for Payer: Hamaspik Choice Inc Medicare $0.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.16
Service Code HCPCS 80171
Hospital Charge Code 40609812
Hospital Revenue Code 301
Min. Negotiated Rate $15.17
Max. Negotiated Rate $43.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial $29.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $21.67
Rate for Payer: Aetna Government $21.67
Rate for Payer: Affinity Essential Plan 1&2 $15.17
Rate for Payer: Affinity Essential Plan 3&4 $15.17
Rate for Payer: Affinity Medicaid/CHP/HARP $15.17
Rate for Payer: Brighton Health Commercial $40.64
Rate for Payer: Cash Price $21.67
Rate for Payer: Cash Price $21.67
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $21.67
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $43.34
Rate for Payer: Cigna LocalPlus Benefit Plan $36.84
Rate for Payer: Elderplan Medicare Advantage $21.67
Rate for Payer: EmblemHealth Commercial $21.67
Rate for Payer: Fidelis Essential Plan Aliesa $18.42
Rate for Payer: Fidelis Essential Plan QHP $19.29
Rate for Payer: Fidelis Medicare Advantage $21.67
Rate for Payer: Fidelis Qualified Health Plan $19.29
Rate for Payer: Group Health Inc Commercial $21.67
Rate for Payer: Group Health Inc Medicare $21.67
Rate for Payer: Hamaspik Choice Inc Medicaid $27.09
Rate for Payer: Hamaspik Choice Inc Medicare $21.67
Rate for Payer: Healthfirst Medicare Advantage $21.67
Rate for Payer: Healthfirst QHP $21.67
Rate for Payer: Humana Medicare $22.10
Rate for Payer: Senior Whole Health Medicare Advantage $21.67
Rate for Payer: United Healthcare Commercial $16.28
Rate for Payer: United Healthcare Medicare Advantage $21.67
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $21.67
Rate for Payer: Wellcare CHP/FHP/Medicaid $17.34
Rate for Payer: Wellcare Medicare $19.50
Service Code HCPCS 80171
Hospital Charge Code 40609812
Hospital Revenue Code 301
Rate for Payer: Cash Price $21.67
Service Code HCPCS 86341
Hospital Charge Code 40729342
Hospital Revenue Code 300
Rate for Payer: Cash Price $23.57
Service Code HCPCS 86341
Hospital Charge Code 40729342
Hospital Revenue Code 300
Min. Negotiated Rate $16.50
Max. Negotiated Rate $44.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial $32.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $23.57
Rate for Payer: Aetna Government $23.57
Rate for Payer: Affinity Essential Plan 1&2 $16.50
Rate for Payer: Affinity Essential Plan 3&4 $16.50
Rate for Payer: Affinity Medicaid/CHP/HARP $16.50
Rate for Payer: Brighton Health Commercial $44.20
Rate for Payer: Cash Price $23.57
Rate for Payer: Cash Price $23.57
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus $23.57
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $31.45
Rate for Payer: Cigna LocalPlus Benefit Plan $26.61
Rate for Payer: Elderplan Medicare Advantage $23.57
Rate for Payer: EmblemHealth Commercial $23.57
Rate for Payer: Fidelis Essential Plan Aliesa $20.03
Rate for Payer: Fidelis Essential Plan QHP $20.98
Rate for Payer: Fidelis Medicare Advantage $23.57
Rate for Payer: Fidelis Qualified Health Plan $20.98
Rate for Payer: Group Health Inc Commercial $23.57
Rate for Payer: Group Health Inc Medicare $23.57
Rate for Payer: Hamaspik Choice Inc Medicaid $29.46
Rate for Payer: Hamaspik Choice Inc Medicare $23.57
Rate for Payer: Healthfirst Medicare Advantage $23.57
Rate for Payer: Healthfirst QHP $23.57
Rate for Payer: Humana Medicare $24.04
Rate for Payer: Senior Whole Health Medicare Advantage $23.57
Rate for Payer: United Healthcare Commercial $25.06
Rate for Payer: United Healthcare Medicare Advantage $23.57
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $23.57
Rate for Payer: Wellcare CHP/FHP/Medicaid $18.86
Rate for Payer: Wellcare Medicare $21.21