|
CATH LIFEPORT DT 8.4FR LPS7513
|
Facility
|
IP
|
$1,165.65
|
|
| Hospital Charge Code |
270636940
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$174.85 |
| Max. Negotiated Rate |
$282.09 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$233.13
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$282.09
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$256.44
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$174.85
|
|
|
CATH LIFEPORT DUAL LPS-7255
|
Facility
|
OP
|
$2,872.00
|
|
| Hospital Charge Code |
270626552
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$69.22 |
| Max. Negotiated Rate |
$1,436.00 |
| Rate for Payer: Aetna Commercial |
$1,091.36
|
| Rate for Payer: Aetna Medicare Advantage |
$861.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$732.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$732.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$574.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$732.36
|
| Rate for Payer: Cigna Commercial |
$1,436.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$695.02
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$631.84
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$430.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$69.22
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$76.11
|
|
|
CATH LIFEPORT DUAL LPS-7255
|
Facility
|
IP
|
$2,872.00
|
|
| Hospital Charge Code |
270626552
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$430.80 |
| Max. Negotiated Rate |
$695.02 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$574.40
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$695.02
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$631.84
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$430.80
|
|
|
CATH LNCHR 7FR EBU 3.5 LA7EU35
|
Facility
|
OP
|
$245.00
|
|
| Hospital Charge Code |
270645940C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5.90 |
| Max. Negotiated Rate |
$122.50 |
| Rate for Payer: Aetna Commercial |
$93.10
|
| Rate for Payer: Aetna Medicare Advantage |
$73.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$62.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$62.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$49.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$62.48
|
| Rate for Payer: Cigna Commercial |
$122.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$59.29
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$53.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.90
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.49
|
|
|
CATH LNCHR 7FR EBU 3.5 LA7EU35
|
Facility
|
IP
|
$245.00
|
|
| Hospital Charge Code |
270645940C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$36.75 |
| Max. Negotiated Rate |
$59.29 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$49.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$59.29
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$53.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.75
|
|
|
CATH LNCHR 7FR EBU 3 LA7EBU30
|
Facility
|
IP
|
$245.00
|
|
|
Service Code
|
HCPCS C1887
|
| Hospital Charge Code |
270645939C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$36.75 |
| Max. Negotiated Rate |
$59.29 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$49.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$59.29
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$53.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.75
|
|
|
CATH LNCHR 7FR EBU 3 LA7EBU30
|
Facility
|
OP
|
$245.00
|
|
|
Service Code
|
HCPCS C1887
|
| Hospital Charge Code |
270645939C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5.90 |
| Max. Negotiated Rate |
$122.50 |
| Rate for Payer: Aetna Commercial |
$93.10
|
| Rate for Payer: Aetna Medicare Advantage |
$73.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$62.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$62.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$49.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$62.48
|
| Rate for Payer: Cigna Commercial |
$122.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$59.29
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$53.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.90
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.49
|
|
|
CATH LNCHR 7FR EBU4.0 LA7EBU40
|
Facility
|
OP
|
$245.00
|
|
| Hospital Charge Code |
270645942C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5.90 |
| Max. Negotiated Rate |
$122.50 |
| Rate for Payer: Aetna Commercial |
$93.10
|
| Rate for Payer: Aetna Medicare Advantage |
$73.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$62.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$62.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$49.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$62.48
|
| Rate for Payer: Cigna Commercial |
$122.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$59.29
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$53.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.90
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.49
|
|
|
CATH LNCHR 7FR EBU4.0 LA7EBU40
|
Facility
|
IP
|
$245.00
|
|
| Hospital Charge Code |
270645942C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$36.75 |
| Max. Negotiated Rate |
$59.29 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$49.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$59.29
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$53.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.75
|
|
|
CATH LNCHR7FR RBU3.5 LA7RBU350
|
Facility
|
IP
|
$245.00
|
|
| Hospital Charge Code |
270645945C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$36.75 |
| Max. Negotiated Rate |
$59.29 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$49.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$59.29
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$53.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.75
|
|
|
CATH LNCHR7FR RBU3.5 LA7RBU350
|
Facility
|
OP
|
$245.00
|
|
| Hospital Charge Code |
270645945C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5.90 |
| Max. Negotiated Rate |
$122.50 |
| Rate for Payer: Aetna Commercial |
$93.10
|
| Rate for Payer: Aetna Medicare Advantage |
$73.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$62.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$62.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$49.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$62.48
|
| Rate for Payer: Cigna Commercial |
$122.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$59.29
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$53.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.90
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.49
|
|
|
CATH LNCHR 7FR RBU 4 LA7RBU40
|
Facility
|
IP
|
$245.00
|
|
| Hospital Charge Code |
270645944C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$36.75 |
| Max. Negotiated Rate |
$59.29 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$49.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$59.29
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$53.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.75
|
|
|
CATH LNCHR 7FR RBU 4 LA7RBU40
|
Facility
|
OP
|
$245.00
|
|
| Hospital Charge Code |
270645944C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5.90 |
| Max. Negotiated Rate |
$122.50 |
| Rate for Payer: Aetna Commercial |
$93.10
|
| Rate for Payer: Aetna Medicare Advantage |
$73.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$62.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$62.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$49.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$62.48
|
| Rate for Payer: Cigna Commercial |
$122.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$59.29
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$53.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.90
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.49
|
|
|
CATH LOCKING DRAIN 14F PIGTAIL
|
Facility
|
IP
|
$346.75
|
|
|
Service Code
|
HCPCS C1729
|
| Hospital Charge Code |
270673897
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$52.01 |
| Max. Negotiated Rate |
$83.91 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$69.35
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$83.91
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$76.28
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$52.01
|
|
|
CATH LOCKING DRAIN 14F PIGTAIL
|
Facility
|
OP
|
$346.75
|
|
|
Service Code
|
HCPCS C1729
|
| Hospital Charge Code |
270673897N
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$8.36 |
| Max. Negotiated Rate |
$173.38 |
| Rate for Payer: Aetna Commercial |
$131.76
|
| Rate for Payer: Aetna Medicare Advantage |
$104.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$88.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$88.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$69.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$88.42
|
| Rate for Payer: Cigna Commercial |
$173.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$83.91
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$76.28
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$52.01
|
| Rate for Payer: UnitedHealthcare Community & State |
$8.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.19
|
|
|
CATH LOCKING DRAIN 14F PIGTAIL
|
Facility
|
IP
|
$346.75
|
|
| Hospital Charge Code |
270673897R
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$52.01 |
| Max. Negotiated Rate |
$52.01 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$52.01
|
|
|
CATH LOCKING DRAIN 14F PIGTAIL
|
Facility
|
OP
|
$346.75
|
|
|
Service Code
|
HCPCS C1729
|
| Hospital Charge Code |
270673897
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$8.36 |
| Max. Negotiated Rate |
$173.38 |
| Rate for Payer: Aetna Commercial |
$131.76
|
| Rate for Payer: Aetna Medicare Advantage |
$104.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$88.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$88.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$69.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$88.42
|
| Rate for Payer: Cigna Commercial |
$173.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$83.91
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$76.28
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$52.01
|
| Rate for Payer: UnitedHealthcare Community & State |
$8.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.19
|
|
|
CATH LOCKING DRAIN 14F PIGTAIL
|
Facility
|
IP
|
$346.75
|
|
|
Service Code
|
HCPCS C1729
|
| Hospital Charge Code |
270673897N
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$52.01 |
| Max. Negotiated Rate |
$83.91 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$69.35
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$83.91
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$76.28
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$52.01
|
|
|
CATH LOCKING DRAIN 14F PIGTAIL
|
Facility
|
OP
|
$346.75
|
|
| Hospital Charge Code |
270673897R
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.36 |
| Max. Negotiated Rate |
$173.38 |
| Rate for Payer: Aetna Commercial |
$131.76
|
| Rate for Payer: Aetna Medicare Advantage |
$104.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$88.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$88.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$88.42
|
| Rate for Payer: Cigna Commercial |
$173.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$104.03
|
| Rate for Payer: Oxford Commercial |
$69.35
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$52.01
|
| Rate for Payer: UnitedHealthcare Commercial |
$69.35
|
| Rate for Payer: UnitedHealthcare Community & State |
$8.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.19
|
|
|
CATH MACH1 6FR 55cm 19604
|
Facility
|
IP
|
$601.45
|
|
| Hospital Charge Code |
270635041
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$90.22 |
| Max. Negotiated Rate |
$145.55 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$120.29
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$145.55
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$132.32
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$90.22
|
|
|
CATH MACH1 6FR 55cm 19604
|
Facility
|
OP
|
$601.45
|
|
| Hospital Charge Code |
270635041
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$14.49 |
| Max. Negotiated Rate |
$300.73 |
| Rate for Payer: Aetna Commercial |
$228.55
|
| Rate for Payer: Aetna Medicare Advantage |
$180.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$153.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$153.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$120.29
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$153.37
|
| Rate for Payer: Cigna Commercial |
$300.73
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$145.55
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$132.32
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$90.22
|
| Rate for Payer: UnitedHealthcare Community & State |
$14.49
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$15.94
|
|
|
CATH MAHURKA DUAL LUMEN *****
|
Facility
|
IP
|
$169.00
|
|
| Hospital Charge Code |
8002941
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$25.35 |
| Max. Negotiated Rate |
$25.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$25.35
|
|
|
CATH MAHURKA DUAL LUMEN *****
|
Facility
|
OP
|
$169.00
|
|
| Hospital Charge Code |
8002941
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$4.07 |
| Max. Negotiated Rate |
$84.50 |
| Rate for Payer: Aetna Commercial |
$64.22
|
| Rate for Payer: Aetna Medicare Advantage |
$50.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$43.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$43.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$43.09
|
| Rate for Payer: Cigna Commercial |
$84.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$50.70
|
| Rate for Payer: Oxford Commercial |
$33.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$25.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$33.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$4.07
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4.48
|
|
|
CATH MALECOT NEPHROSTOMY 16FR
|
Facility
|
IP
|
$385.00
|
|
| Hospital Charge Code |
270655437
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.75 |
| Max. Negotiated Rate |
$57.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.75
|
|
|
CATH MALECOT NEPHROSTOMY 16FR
|
Facility
|
OP
|
$385.00
|
|
| Hospital Charge Code |
270655437
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.28 |
| Max. Negotiated Rate |
$192.50 |
| Rate for Payer: Aetna Commercial |
$146.30
|
| Rate for Payer: Aetna Medicare Advantage |
$115.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$98.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$98.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$98.17
|
| Rate for Payer: Cigna Commercial |
$192.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$115.50
|
| Rate for Payer: Oxford Commercial |
$77.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$77.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.28
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.20
|
|
