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Service Code NDC 2315519401
Hospital Charge Code 2315519401
Hospital Revenue Code 250
Min. Negotiated Rate $0.16
Max. Negotiated Rate $0.37
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.23
Rate for Payer: Aetna Government $0.23
Rate for Payer: Brighton Health Commercial $0.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.37
Rate for Payer: Cigna LocalPlus Benefit Plan $0.31
Rate for Payer: EmblemHealth Commercial $0.23
Rate for Payer: Group Health Inc Commercial $0.23
Rate for Payer: Group Health Inc Medicare $0.16
Rate for Payer: Hamaspik Choice Inc Medicaid $0.23
Rate for Payer: Hamaspik Choice Inc Medicare $0.23
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.30
Service Code NDC 0904722961
Hospital Charge Code 0904722961
Hospital Revenue Code 250
Min. Negotiated Rate $0.45
Max. Negotiated Rate $1.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.65
Rate for Payer: Aetna Government $0.65
Rate for Payer: Brighton Health Commercial $0.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.03
Rate for Payer: Cigna LocalPlus Benefit Plan $0.88
Rate for Payer: EmblemHealth Commercial $0.65
Rate for Payer: Group Health Inc Commercial $0.65
Rate for Payer: Group Health Inc Medicare $0.45
Rate for Payer: Hamaspik Choice Inc Medicaid $0.65
Rate for Payer: Hamaspik Choice Inc Medicare $0.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.84
Service Code NDC 0904722961
Hospital Charge Code 0904722961
Hospital Revenue Code 250
Min. Negotiated Rate $0.65
Max. Negotiated Rate $0.65
Rate for Payer: Hamaspik Choice Inc Medicaid $0.65
Service Code NDC 2315519401
Hospital Charge Code 2315519401
Hospital Revenue Code 250
Min. Negotiated Rate $0.23
Max. Negotiated Rate $0.23
Rate for Payer: Hamaspik Choice Inc Medicaid $0.23
Service Code NDC 5074226003
Hospital Charge Code 5074226003
Hospital Revenue Code 250
Min. Negotiated Rate $0.46
Max. Negotiated Rate $1.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.66
Rate for Payer: Aetna Government $0.66
Rate for Payer: Brighton Health Commercial $0.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.05
Rate for Payer: Cigna LocalPlus Benefit Plan $0.89
Rate for Payer: EmblemHealth Commercial $0.66
Rate for Payer: Group Health Inc Commercial $0.66
Rate for Payer: Group Health Inc Medicare $0.46
Rate for Payer: Hamaspik Choice Inc Medicaid $0.66
Rate for Payer: Hamaspik Choice Inc Medicare $0.66
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.85
Service Code NDC 6217526037
Hospital Charge Code 6217526037
Hospital Revenue Code 250
Min. Negotiated Rate $0.67
Max. Negotiated Rate $0.67
Rate for Payer: Hamaspik Choice Inc Medicaid $0.67
Service Code NDC 5026859711
Hospital Charge Code 5026859711
Hospital Revenue Code 250
Min. Negotiated Rate $0.66
Max. Negotiated Rate $0.66
Rate for Payer: Hamaspik Choice Inc Medicaid $0.66
Service Code NDC 5026859715
Hospital Charge Code 5026859715
Hospital Revenue Code 250
Min. Negotiated Rate $0.66
Max. Negotiated Rate $0.66
Rate for Payer: Hamaspik Choice Inc Medicaid $0.66
Service Code NDC 5026859715
Hospital Charge Code 5026859715
Hospital Revenue Code 250
Min. Negotiated Rate $0.46
Max. Negotiated Rate $1.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.66
Rate for Payer: Aetna Government $0.66
Rate for Payer: Brighton Health Commercial $0.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.05
Rate for Payer: Cigna LocalPlus Benefit Plan $0.89
Rate for Payer: EmblemHealth Commercial $0.66
Rate for Payer: Group Health Inc Commercial $0.66
Rate for Payer: Group Health Inc Medicare $0.46
Rate for Payer: Hamaspik Choice Inc Medicaid $0.66
Rate for Payer: Hamaspik Choice Inc Medicare $0.66
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.85
Service Code NDC 6217526037
Hospital Charge Code 6217526037
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: EmblemHealth Commercial $0.67
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 5074226001
Hospital Charge Code 5074226001
Hospital Revenue Code 250
Min. Negotiated Rate $0.66
Max. Negotiated Rate $0.66
Rate for Payer: Hamaspik Choice Inc Medicaid $0.66
Service Code NDC 5074226001
Hospital Charge Code 5074226001
Hospital Revenue Code 250
Min. Negotiated Rate $0.46
Max. Negotiated Rate $1.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.66
Rate for Payer: Aetna Government $0.66
Rate for Payer: Brighton Health Commercial $0.99
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.06
Rate for Payer: Cigna LocalPlus Benefit Plan $0.90
Rate for Payer: EmblemHealth Commercial $0.66
Rate for Payer: Group Health Inc Commercial $0.66
Rate for Payer: Group Health Inc Medicare $0.46
Rate for Payer: Hamaspik Choice Inc Medicaid $0.66
Rate for Payer: Hamaspik Choice Inc Medicare $0.66
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.86
Service Code NDC 5074226003
Hospital Charge Code 5074226003
Hospital Revenue Code 250
Min. Negotiated Rate $0.66
Max. Negotiated Rate $0.66
Rate for Payer: Hamaspik Choice Inc Medicaid $0.66
Service Code NDC 6808459711
Hospital Charge Code 6808459711
Hospital Revenue Code 250
Min. Negotiated Rate $0.90
Max. Negotiated Rate $0.90
Rate for Payer: Hamaspik Choice Inc Medicaid $0.90
Service Code NDC 5026859711
Hospital Charge Code 5026859711
Hospital Revenue Code 250
Min. Negotiated Rate $0.46
Max. Negotiated Rate $1.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.66
Rate for Payer: Aetna Government $0.66
Rate for Payer: Brighton Health Commercial $0.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.05
Rate for Payer: Cigna LocalPlus Benefit Plan $0.89
Rate for Payer: EmblemHealth Commercial $0.66
Rate for Payer: Group Health Inc Commercial $0.66
Rate for Payer: Group Health Inc Medicare $0.46
Rate for Payer: Hamaspik Choice Inc Medicaid $0.66
Rate for Payer: Hamaspik Choice Inc Medicare $0.66
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.85
Service Code NDC 6808459711
Hospital Charge Code 6808459711
Hospital Revenue Code 250
Min. Negotiated Rate $0.63
Max. Negotiated Rate $1.43
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.98
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.90
Rate for Payer: Aetna Government $0.90
Rate for Payer: Brighton Health Commercial $1.34
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.43
Rate for Payer: Cigna LocalPlus Benefit Plan $1.22
Rate for Payer: EmblemHealth Commercial $0.90
Rate for Payer: Group Health Inc Commercial $0.90
Rate for Payer: Group Health Inc Medicare $0.63
Rate for Payer: Hamaspik Choice Inc Medicaid $0.90
Rate for Payer: Hamaspik Choice Inc Medicare $0.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.16
Service Code NDC 5074226103
Hospital Charge Code 5074226103
Hospital Revenue Code 250
Min. Negotiated Rate $0.79
Max. Negotiated Rate $1.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1.13
Rate for Payer: Aetna Government $1.13
Rate for Payer: Brighton Health Commercial $1.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.81
Rate for Payer: Cigna LocalPlus Benefit Plan $1.54
Rate for Payer: EmblemHealth Commercial $1.13
Rate for Payer: Group Health Inc Commercial $1.13
Rate for Payer: Group Health Inc Medicare $0.79
Rate for Payer: Hamaspik Choice Inc Medicaid $1.13
Rate for Payer: Hamaspik Choice Inc Medicare $1.13
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.47
Service Code NDC 5074226103
Hospital Charge Code 5074226103
Hospital Revenue Code 250
Min. Negotiated Rate $1.13
Max. Negotiated Rate $1.13
Rate for Payer: Hamaspik Choice Inc Medicaid $1.13
Service Code NDC 5074226101
Hospital Charge Code 5074226101
Hospital Revenue Code 250
Min. Negotiated Rate $0.80
Max. Negotiated Rate $1.83
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1.15
Rate for Payer: Aetna Government $1.15
Rate for Payer: Brighton Health Commercial $1.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.83
Rate for Payer: Cigna LocalPlus Benefit Plan $1.56
Rate for Payer: EmblemHealth Commercial $1.15
Rate for Payer: Group Health Inc Commercial $1.15
Rate for Payer: Group Health Inc Medicare $0.80
Rate for Payer: Hamaspik Choice Inc Medicaid $1.15
Rate for Payer: Hamaspik Choice Inc Medicare $1.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.49
Service Code NDC 5074226101
Hospital Charge Code 5074226101
Hospital Revenue Code 250
Min. Negotiated Rate $1.15
Max. Negotiated Rate $1.15
Rate for Payer: Hamaspik Choice Inc Medicaid $1.15
Service Code NDC 5026859815
Hospital Charge Code 5026859815
Hospital Revenue Code 250
Min. Negotiated Rate $0.79
Max. Negotiated Rate $1.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1.24
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1.13
Rate for Payer: Aetna Government $1.13
Rate for Payer: Brighton Health Commercial $1.69
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.80
Rate for Payer: Cigna LocalPlus Benefit Plan $1.53
Rate for Payer: EmblemHealth Commercial $1.13
Rate for Payer: Group Health Inc Commercial $1.13
Rate for Payer: Group Health Inc Medicare $0.79
Rate for Payer: Hamaspik Choice Inc Medicaid $1.13
Rate for Payer: Hamaspik Choice Inc Medicare $1.13
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.47
Service Code NDC 5026859815
Hospital Charge Code 5026859815
Hospital Revenue Code 250
Min. Negotiated Rate $1.13
Max. Negotiated Rate $1.13
Rate for Payer: Hamaspik Choice Inc Medicaid $1.13
Service Code NDC 5026859811
Hospital Charge Code 5026859811
Hospital Revenue Code 250
Min. Negotiated Rate $0.79
Max. Negotiated Rate $1.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1.24
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1.13
Rate for Payer: Aetna Government $1.13
Rate for Payer: Brighton Health Commercial $1.69
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $1.80
Rate for Payer: Cigna LocalPlus Benefit Plan $1.53
Rate for Payer: EmblemHealth Commercial $1.13
Rate for Payer: Group Health Inc Commercial $1.13
Rate for Payer: Group Health Inc Medicare $0.79
Rate for Payer: Hamaspik Choice Inc Medicaid $1.13
Rate for Payer: Hamaspik Choice Inc Medicare $1.13
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.47
Service Code NDC 5026859811
Hospital Charge Code 5026859811
Hospital Revenue Code 250
Min. Negotiated Rate $1.13
Max. Negotiated Rate $1.13
Rate for Payer: Hamaspik Choice Inc Medicaid $1.13
Service Code NDC 0904708161
Hospital Charge Code 0904708161
Hospital Revenue Code 250
Min. Negotiated Rate $1.22
Max. Negotiated Rate $2.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial $1.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1.75
Rate for Payer: Aetna Government $1.75
Rate for Payer: Brighton Health Commercial $2.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $2.80
Rate for Payer: Cigna LocalPlus Benefit Plan $2.38
Rate for Payer: EmblemHealth Commercial $1.75
Rate for Payer: Group Health Inc Commercial $1.75
Rate for Payer: Group Health Inc Medicare $1.22
Rate for Payer: Hamaspik Choice Inc Medicaid $1.75
Rate for Payer: Hamaspik Choice Inc Medicare $1.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2.27