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Service Code NDC 0245531901
Hospital Charge Code 0245531901
Hospital Revenue Code 250
Min. Negotiated Rate $0.24
Max. Negotiated Rate $0.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.37
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.34
Rate for Payer: Aetna Government $0.34
Rate for Payer: Brighton Health Commercial $0.51
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.54
Rate for Payer: Cigna LocalPlus Benefit Plan $0.46
Rate for Payer: EmblemHealth Commercial $0.34
Rate for Payer: Group Health Inc Commercial $0.34
Rate for Payer: Group Health Inc Medicare $0.24
Rate for Payer: Hamaspik Choice Inc Medicaid $0.34
Rate for Payer: Hamaspik Choice Inc Medicare $0.34
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.44
Service Code NDC 0245531911
Hospital Charge Code 0245531911
Hospital Revenue Code 250
Min. Negotiated Rate $0.22
Max. Negotiated Rate $0.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.31
Rate for Payer: Aetna Government $0.31
Rate for Payer: Brighton Health Commercial $0.47
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.50
Rate for Payer: Cigna LocalPlus Benefit Plan $0.43
Rate for Payer: EmblemHealth Commercial $0.31
Rate for Payer: Group Health Inc Commercial $0.31
Rate for Payer: Group Health Inc Medicare $0.22
Rate for Payer: Hamaspik Choice Inc Medicaid $0.31
Rate for Payer: Hamaspik Choice Inc Medicare $0.31
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.41
Service Code HCPCS J3480
Hospital Charge Code 0338070434
Hospital Revenue Code 258
Rate for Payer: Hamaspik Choice Inc Medicaid $0.00
Service Code HCPCS J3480
Hospital Charge Code 0338070434
Hospital Revenue Code 258
Max. Negotiated Rate $0.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.14
Rate for Payer: Aetna Government $0.14
Rate for Payer: Brighton Health Commercial $0.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.01
Rate for Payer: Cigna LocalPlus Benefit Plan $0.01
Rate for Payer: EmblemHealth Commercial $0.00
Rate for Payer: Group Health Inc Commercial $0.00
Rate for Payer: Group Health Inc Medicare $0.00
Rate for Payer: Hamaspik Choice Inc Medicaid $0.00
Rate for Payer: Hamaspik Choice Inc Medicare $0.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.11
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.01
Service Code HCPCS J3480
Hospital Charge Code 0338069104
Hospital Revenue Code 258
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.01
Rate for Payer: Hamaspik Choice Inc Medicaid $0.01
Service Code HCPCS J3480
Hospital Charge Code 0338069104
Hospital Revenue Code 258
Max. Negotiated Rate $0.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.14
Rate for Payer: Aetna Government $0.14
Rate for Payer: Brighton Health Commercial $0.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.01
Rate for Payer: Cigna LocalPlus Benefit Plan $0.01
Rate for Payer: EmblemHealth Commercial $0.01
Rate for Payer: Group Health Inc Commercial $0.01
Rate for Payer: Group Health Inc Medicare $0.00
Rate for Payer: Hamaspik Choice Inc Medicaid $0.01
Rate for Payer: Hamaspik Choice Inc Medicare $0.01
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.11
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.01
Service Code HCPCS J3480
Hospital Charge Code 0264786500
Hospital Revenue Code 258
Rate for Payer: Hamaspik Choice Inc Medicaid $0.00
Service Code HCPCS J3480
Hospital Charge Code 0264786500
Hospital Revenue Code 258
Max. Negotiated Rate $0.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.14
Rate for Payer: Aetna Government $0.14
Rate for Payer: Brighton Health Commercial $0.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.00
Rate for Payer: Cigna LocalPlus Benefit Plan $0.00
Rate for Payer: EmblemHealth Commercial $0.00
Rate for Payer: Group Health Inc Commercial $0.00
Rate for Payer: Group Health Inc Medicare $0.00
Rate for Payer: Hamaspik Choice Inc Medicaid $0.00
Rate for Payer: Hamaspik Choice Inc Medicare $0.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.11
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.00
Service Code HCPCS J3480
Hospital Charge Code 0338069504
Hospital Revenue Code 258
Max. Negotiated Rate $0.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.14
Rate for Payer: Aetna Government $0.14
Rate for Payer: Brighton Health Commercial $0.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.01
Rate for Payer: Cigna LocalPlus Benefit Plan $0.01
Rate for Payer: EmblemHealth Commercial $0.01
Rate for Payer: Group Health Inc Commercial $0.01
Rate for Payer: Group Health Inc Medicare $0.00
Rate for Payer: Hamaspik Choice Inc Medicaid $0.01
Rate for Payer: Hamaspik Choice Inc Medicare $0.01
Rate for Payer: Healthfirst CHP/FHP/Medicaid $0.11
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.01
Service Code HCPCS J3480
Hospital Charge Code 0338069504
Hospital Revenue Code 258
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.01
Rate for Payer: Hamaspik Choice Inc Medicaid $0.01
Service Code NDC 7174011230
Hospital Charge Code 7174011230
Hospital Revenue Code 250
Min. Negotiated Rate $8.66
Max. Negotiated Rate $8.66
Rate for Payer: Hamaspik Choice Inc Medicaid $8.66
Service Code NDC 7174011230
Hospital Charge Code 7174011230
Hospital Revenue Code 250
Min. Negotiated Rate $6.06
Max. Negotiated Rate $13.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial $9.53
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $8.66
Rate for Payer: Aetna Government $8.66
Rate for Payer: Brighton Health Commercial $12.99
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $13.86
Rate for Payer: Cigna LocalPlus Benefit Plan $11.78
Rate for Payer: EmblemHealth Commercial $8.66
Rate for Payer: Group Health Inc Commercial $8.66
Rate for Payer: Group Health Inc Medicare $6.06
Rate for Payer: Hamaspik Choice Inc Medicaid $8.66
Rate for Payer: Hamaspik Choice Inc Medicare $8.66
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $11.26
Service Code NDC 6521905229
Hospital Charge Code 6521905229
Hospital Revenue Code 258
Min. Negotiated Rate $2.01
Max. Negotiated Rate $4.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial $3.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $2.88
Rate for Payer: Aetna Government $2.88
Rate for Payer: Brighton Health Commercial $4.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $4.60
Rate for Payer: Cigna LocalPlus Benefit Plan $3.91
Rate for Payer: EmblemHealth Commercial $2.88
Rate for Payer: Group Health Inc Commercial $2.88
Rate for Payer: Group Health Inc Medicare $2.01
Rate for Payer: Hamaspik Choice Inc Medicaid $2.88
Rate for Payer: Hamaspik Choice Inc Medicare $2.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $3.74
Service Code NDC 6521905229
Hospital Charge Code 6521905229
Hospital Revenue Code 258
Min. Negotiated Rate $2.88
Max. Negotiated Rate $2.88
Rate for Payer: Hamaspik Choice Inc Medicaid $2.88
Service Code NDC 0409729511
Hospital Charge Code 0409729511
Hospital Revenue Code 258
Min. Negotiated Rate $0.59
Max. Negotiated Rate $0.59
Rate for Payer: Hamaspik Choice Inc Medicaid $0.59
Service Code NDC 0517210225
Hospital Charge Code 0517210225
Hospital Revenue Code 258
Min. Negotiated Rate $1.34
Max. Negotiated Rate $3.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1.92
Rate for Payer: Aetna Government $1.92
Rate for Payer: Brighton Health Commercial $2.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $3.07
Rate for Payer: Cigna LocalPlus Benefit Plan $2.61
Rate for Payer: EmblemHealth Commercial $1.92
Rate for Payer: Group Health Inc Commercial $1.92
Rate for Payer: Group Health Inc Medicare $1.34
Rate for Payer: Hamaspik Choice Inc Medicaid $1.92
Rate for Payer: Hamaspik Choice Inc Medicare $1.92
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2.49
Service Code NDC 0517210225
Hospital Charge Code 0517210225
Hospital Revenue Code 258
Min. Negotiated Rate $1.92
Max. Negotiated Rate $1.92
Rate for Payer: Hamaspik Choice Inc Medicaid $1.92
Service Code NDC 0409729501
Hospital Charge Code 0409729501
Hospital Revenue Code 258
Min. Negotiated Rate $0.41
Max. Negotiated Rate $0.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.59
Rate for Payer: Aetna Government $0.59
Rate for Payer: Brighton Health Commercial $0.89
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.95
Rate for Payer: Cigna LocalPlus Benefit Plan $0.80
Rate for Payer: EmblemHealth Commercial $0.59
Rate for Payer: Group Health Inc Commercial $0.59
Rate for Payer: Group Health Inc Medicare $0.41
Rate for Payer: Hamaspik Choice Inc Medicaid $0.59
Rate for Payer: Hamaspik Choice Inc Medicare $0.59
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.77
Service Code NDC 0409729501
Hospital Charge Code 0409729501
Hospital Revenue Code 258
Min. Negotiated Rate $0.59
Max. Negotiated Rate $0.59
Rate for Payer: Hamaspik Choice Inc Medicaid $0.59
Service Code NDC 0517210201
Hospital Charge Code 0517210201
Hospital Revenue Code 258
Min. Negotiated Rate $1.34
Max. Negotiated Rate $3.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial $2.11
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $1.92
Rate for Payer: Aetna Government $1.92
Rate for Payer: Brighton Health Commercial $2.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $3.07
Rate for Payer: Cigna LocalPlus Benefit Plan $2.61
Rate for Payer: EmblemHealth Commercial $1.92
Rate for Payer: Group Health Inc Commercial $1.92
Rate for Payer: Group Health Inc Medicare $1.34
Rate for Payer: Hamaspik Choice Inc Medicaid $1.92
Rate for Payer: Hamaspik Choice Inc Medicare $1.92
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $2.49
Service Code NDC 0409729511
Hospital Charge Code 0409729511
Hospital Revenue Code 258
Min. Negotiated Rate $0.41
Max. Negotiated Rate $0.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.59
Rate for Payer: Aetna Government $0.59
Rate for Payer: Brighton Health Commercial $0.89
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.95
Rate for Payer: Cigna LocalPlus Benefit Plan $0.80
Rate for Payer: EmblemHealth Commercial $0.59
Rate for Payer: Group Health Inc Commercial $0.59
Rate for Payer: Group Health Inc Medicare $0.41
Rate for Payer: Hamaspik Choice Inc Medicaid $0.59
Rate for Payer: Hamaspik Choice Inc Medicare $0.59
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.77
Service Code NDC 0517210201
Hospital Charge Code 0517210201
Hospital Revenue Code 258
Min. Negotiated Rate $1.92
Max. Negotiated Rate $1.92
Rate for Payer: Hamaspik Choice Inc Medicaid $1.92
Service Code NDC 7000484140
Hospital Charge Code 7000484140
Hospital Revenue Code 258
Min. Negotiated Rate $0.06
Max. Negotiated Rate $0.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.09
Rate for Payer: Aetna Government $0.09
Rate for Payer: Brighton Health Commercial $0.13
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.14
Rate for Payer: Cigna LocalPlus Benefit Plan $0.12
Rate for Payer: EmblemHealth Commercial $0.09
Rate for Payer: Group Health Inc Commercial $0.09
Rate for Payer: Group Health Inc Medicare $0.06
Rate for Payer: Hamaspik Choice Inc Medicaid $0.09
Rate for Payer: Hamaspik Choice Inc Medicare $0.09
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.12
Service Code NDC 7000484140
Hospital Charge Code 7000484140
Hospital Revenue Code 258
Min. Negotiated Rate $0.09
Max. Negotiated Rate $0.09
Rate for Payer: Hamaspik Choice Inc Medicaid $0.09
Service Code NDC 0990711109
Hospital Charge Code 0990711109
Hospital Revenue Code 258
Max. Negotiated Rate $0.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial $0.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper $0.01
Rate for Payer: Aetna Government $0.01
Rate for Payer: Brighton Health Commercial $0.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access $0.01
Rate for Payer: Cigna LocalPlus Benefit Plan $0.01
Rate for Payer: EmblemHealth Commercial $0.01
Rate for Payer: Group Health Inc Commercial $0.01
Rate for Payer: Group Health Inc Medicare $0.00
Rate for Payer: Hamaspik Choice Inc Medicaid $0.01
Rate for Payer: Hamaspik Choice Inc Medicare $0.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $0.01