|
IMDEVIMAB
|
Facility
|
IP
|
$0.01
|
|
|
Service Code
|
HCPCS Q0244
|
| Hospital Charge Code |
41650233
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$0.01 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.01
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.01
|
|
|
IMDEVIMAB INFUSION
|
Facility
|
IP
|
$450.00
|
|
|
Service Code
|
HCPCS M0243
|
| Hospital Charge Code |
30300259
|
|
Hospital Revenue Code
|
260
|
| Rate for Payer: Cash Price |
$546.78
|
|
|
IMDEVIMAB INFUSION
|
Facility
|
OP
|
$450.00
|
|
|
Service Code
|
HCPCS M0243
|
| Hospital Charge Code |
30300259
|
|
Hospital Revenue Code
|
260
|
| Min. Negotiated Rate |
$76.00 |
| Max. Negotiated Rate |
$557.72 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$247.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$546.78
|
| Rate for Payer: Aetna Government |
$546.78
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$382.75
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$382.75
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$382.75
|
| Rate for Payer: Brighton Health Commercial |
$337.50
|
| Rate for Payer: Cash Price |
$546.78
|
| Rate for Payer: Cash Price |
$546.78
|
| Rate for Payer: Cash Price |
$546.78
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$546.78
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$360.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$306.00
|
| Rate for Payer: Elderplan Medicare Advantage |
$546.78
|
| Rate for Payer: EmblemHealth Commercial |
$546.78
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$464.76
|
| Rate for Payer: Fidelis Essential Plan QHP |
$486.63
|
| Rate for Payer: Fidelis Medicare Advantage |
$546.78
|
| Rate for Payer: Fidelis Qualified Health Plan |
$486.63
|
| Rate for Payer: Group Health Inc Commercial |
$546.78
|
| Rate for Payer: Group Health Inc Medicare |
$546.78
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$225.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$546.78
|
| Rate for Payer: Healthfirst Medicare Advantage |
$464.76
|
| Rate for Payer: Healthfirst QHP |
$546.78
|
| Rate for Payer: Humana Medicare |
$557.72
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$546.78
|
| Rate for Payer: United Healthcare Commercial |
$76.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$546.78
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$546.78
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$437.42
|
| Rate for Payer: Wellcare Medicare |
$519.44
|
|
|
IMDEVIMAB REGN 10987
|
Facility
|
IP
|
$0.01
|
|
|
Service Code
|
HCPCS Q0243
|
| Hospital Charge Code |
41650201
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$0.01 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.01
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.01
|
|
|
IMDEVIMAB REGN 10987
|
Facility
|
IP
|
$0.01
|
|
|
Service Code
|
HCPCS Q0243
|
| Hospital Charge Code |
41640201
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$0.01 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.01
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.01
|
|
|
IMDEVIMAB REGN 10987
|
Facility
|
OP
|
$0.01
|
|
|
Service Code
|
HCPCS Q0243
|
| Hospital Charge Code |
41640201
|
|
Hospital Revenue Code
|
636
|
| 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: 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: United Healthcare Commercial |
$0.01
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$0.01
|
|
|
IMDEVIMAB REGN 10987
|
Facility
|
OP
|
$0.01
|
|
|
Service Code
|
HCPCS Q0243
|
| Hospital Charge Code |
41650201
|
|
Hospital Revenue Code
|
636
|
| 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: 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: United Healthcare Commercial |
$0.01
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$0.01
|
|
|
IMG HD ABNML NEURO EXAM
|
Facility
|
OP
|
$0.01
|
|
|
Service Code
|
HCPCS G2189
|
| Hospital Charge Code |
30300317
|
|
Hospital Revenue Code
|
929
|
| Max. Negotiated Rate |
$94.00 |
| 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: 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: United Healthcare Commercial |
$94.00
|
|
|
IMIPENDEM 250MG INJ
|
Facility
|
IP
|
$1.10
|
|
|
Service Code
|
HCPCS J0743
|
| Hospital Charge Code |
41648027
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.55 |
| Max. Negotiated Rate |
$0.55 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.55
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.55
|
|
|
IMIPENDEM 250MG INJ
|
Facility
|
OP
|
$1.10
|
|
|
Service Code
|
HCPCS J0743
|
| Hospital Charge Code |
41648027
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.39 |
| Max. Negotiated Rate |
$8.01 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.61
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$7.61
|
| Rate for Payer: Aetna Government |
$7.61
|
| Rate for Payer: Brighton Health Commercial |
$0.66
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.55
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.63
|
| Rate for Payer: Group Health Inc Commercial |
$0.55
|
| Rate for Payer: Group Health Inc Medicare |
$0.39
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.55
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.55
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$8.01
|
| Rate for Payer: SOMOS Essential |
$8.01
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$0.72
|
|
|
IMIPENEM 250MG INJ
|
Facility
|
IP
|
$1.10
|
|
|
Service Code
|
HCPCS J0743
|
| Hospital Charge Code |
41658027
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.55 |
| Max. Negotiated Rate |
$0.55 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.55
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.55
|
|
|
IMIPENEM 250MG INJ
|
Facility
|
OP
|
$1.10
|
|
|
Service Code
|
HCPCS J0743
|
| Hospital Charge Code |
41658027
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.39 |
| Max. Negotiated Rate |
$8.01 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.61
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$7.61
|
| Rate for Payer: Aetna Government |
$7.61
|
| Rate for Payer: Brighton Health Commercial |
$0.66
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.55
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.63
|
| Rate for Payer: Group Health Inc Commercial |
$0.55
|
| Rate for Payer: Group Health Inc Medicare |
$0.39
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.55
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.55
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$8.01
|
| Rate for Payer: SOMOS Essential |
$8.01
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$0.72
|
|
|
IMIPENEM 500MG - PER 250 MG
|
Facility
|
OP
|
$22.00
|
|
|
Service Code
|
HCPCS J0743
|
| Hospital Charge Code |
41657086
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.61 |
| Max. Negotiated Rate |
$14.30 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12.10
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$7.61
|
| Rate for Payer: Aetna Government |
$7.61
|
| Rate for Payer: Brighton Health Commercial |
$13.20
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12.65
|
| Rate for Payer: Group Health Inc Commercial |
$11.00
|
| Rate for Payer: Group Health Inc Medicare |
$7.70
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$11.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$11.00
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$8.01
|
| Rate for Payer: SOMOS Essential |
$8.01
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$14.30
|
|
|
IMIPENEM 500MG - PER 250 MG
|
Facility
|
IP
|
$22.00
|
|
|
Service Code
|
HCPCS J0743
|
| Hospital Charge Code |
41657086
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.00 |
| Max. Negotiated Rate |
$11.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$11.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$11.00
|
|
|
IMIPENEM 500MG - PER 250MG
|
Facility
|
OP
|
$22.00
|
|
|
Service Code
|
HCPCS J0743
|
| Hospital Charge Code |
41647086
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.61 |
| Max. Negotiated Rate |
$14.30 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$12.10
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$7.61
|
| Rate for Payer: Aetna Government |
$7.61
|
| Rate for Payer: Brighton Health Commercial |
$13.20
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$12.65
|
| Rate for Payer: Group Health Inc Commercial |
$11.00
|
| Rate for Payer: Group Health Inc Medicare |
$7.70
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$11.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$11.00
|
| Rate for Payer: SOMOS CHP/HARP/Medicaid |
$8.01
|
| Rate for Payer: SOMOS Essential |
$8.01
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$14.30
|
|
|
IMIPENEM 500MG - PER 250MG
|
Facility
|
IP
|
$22.00
|
|
|
Service Code
|
HCPCS J0743
|
| Hospital Charge Code |
41647086
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.00 |
| Max. Negotiated Rate |
$11.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$11.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$11.00
|
|
|
IMIPENEM-CILASTATIN 250 MG IV SOLR [9602]
|
Facility
|
IP
|
$17.99
|
|
|
Service Code
|
HCPCS J0743
|
| Hospital Charge Code |
63323034925
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$8.99 |
| Max. Negotiated Rate |
$8.99 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$8.99
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$8.99
|
|
|
IMIPENEM-CILASTATIN 250 MG IV SOLR [9602]
|
Facility
|
OP
|
$17.99
|
|
|
Service Code
|
HCPCS J0743
|
| Hospital Charge Code |
63323034925
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6.30 |
| Max. Negotiated Rate |
$18.89 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9.89
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$7.61
|
| Rate for Payer: Aetna Government |
$7.61
|
| Rate for Payer: Brighton Health Commercial |
$10.79
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$8.99
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$10.34
|
| Rate for Payer: EmblemHealth Commercial |
$8.99
|
| Rate for Payer: Fidelis Medicare Advantage |
$18.89
|
| Rate for Payer: Group Health Inc Commercial |
$8.99
|
| Rate for Payer: Group Health Inc Medicare |
$6.30
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$8.99
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$8.99
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$11.69
|
|
|
IMIPENEM-CILASTATIN 500 MG IV SOLR [9603]
|
Facility
|
IP
|
$32.82
|
|
|
Service Code
|
HCPCS J0743
|
| Hospital Charge Code |
44567070501
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$16.41 |
| Max. Negotiated Rate |
$16.41 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$16.41
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$16.41
|
|
|
IMIPENEM-CILASTATIN 500 MG IV SOLR [9603]
|
Facility
|
OP
|
$39.18
|
|
|
Service Code
|
HCPCS J0743
|
| Hospital Charge Code |
00006351659
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7.61 |
| Max. Negotiated Rate |
$41.14 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$21.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$7.61
|
| Rate for Payer: Aetna Government |
$7.61
|
| Rate for Payer: Brighton Health Commercial |
$23.51
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19.59
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$22.53
|
| Rate for Payer: EmblemHealth Commercial |
$19.59
|
| Rate for Payer: Fidelis Medicare Advantage |
$41.14
|
| Rate for Payer: Group Health Inc Commercial |
$19.59
|
| Rate for Payer: Group Health Inc Medicare |
$13.71
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$19.59
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$19.59
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25.47
|
|
|
IMIPENEM-CILASTATIN 500 MG IV SOLR [9603]
|
Facility
|
IP
|
$39.18
|
|
|
Service Code
|
HCPCS J0743
|
| Hospital Charge Code |
00006351659
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$19.59 |
| Max. Negotiated Rate |
$19.59 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$19.59
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$19.59
|
|
|
IMIPENEM-CILASTATIN 500 MG IV SOLR [9603]
|
Facility
|
IP
|
$32.82
|
|
|
Service Code
|
HCPCS J0743
|
| Hospital Charge Code |
44567070510
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$16.41 |
| Max. Negotiated Rate |
$16.41 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$16.41
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$16.41
|
|
|
IMIPENEM-CILASTATIN 500 MG IV SOLR [9603]
|
Facility
|
OP
|
$32.82
|
|
|
Service Code
|
HCPCS J0743
|
| Hospital Charge Code |
44567070501
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7.61 |
| Max. Negotiated Rate |
$34.46 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18.05
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$7.61
|
| Rate for Payer: Aetna Government |
$7.61
|
| Rate for Payer: Brighton Health Commercial |
$19.69
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16.41
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18.87
|
| Rate for Payer: EmblemHealth Commercial |
$16.41
|
| Rate for Payer: Fidelis Medicare Advantage |
$34.46
|
| Rate for Payer: Group Health Inc Commercial |
$16.41
|
| Rate for Payer: Group Health Inc Medicare |
$11.49
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$16.41
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$16.41
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21.33
|
|
|
IMIPENEM-CILASTATIN 500 MG IV SOLR [9603]
|
Facility
|
OP
|
$32.82
|
|
|
Service Code
|
HCPCS J0743
|
| Hospital Charge Code |
44567070510
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7.61 |
| Max. Negotiated Rate |
$34.46 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18.05
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$7.61
|
| Rate for Payer: Aetna Government |
$7.61
|
| Rate for Payer: Brighton Health Commercial |
$19.69
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16.41
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18.87
|
| Rate for Payer: EmblemHealth Commercial |
$16.41
|
| Rate for Payer: Fidelis Medicare Advantage |
$34.46
|
| Rate for Payer: Group Health Inc Commercial |
$16.41
|
| Rate for Payer: Group Health Inc Medicare |
$11.49
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$16.41
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$16.41
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21.33
|
|
|
IMIPRAMINE 10MG TAB
|
Facility
|
OP
|
$1.00
|
|
| Hospital Charge Code |
41653454
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.35 |
| Max. Negotiated Rate |
$0.80 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$0.55
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$0.50
|
| Rate for Payer: Aetna Government |
$0.50
|
| Rate for Payer: Brighton Health Commercial |
$0.75
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$0.80
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$0.68
|
| Rate for Payer: Group Health Inc Commercial |
$0.50
|
| Rate for Payer: Group Health Inc Medicare |
$0.35
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$0.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$0.50
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$0.65
|
|
