|
CF,CARRIER SCREEN
|
Facility
|
IP
|
$395.00
|
|
|
Service Code
|
HCPCS 81220
|
| Hospital Charge Code |
39900014
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$59.25 |
| Max. Negotiated Rate |
$59.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$59.25
|
|
|
CF,CARRIER SCREEN
|
Facility
|
OP
|
$395.00
|
|
|
Service Code
|
HCPCS 81220
|
| Hospital Charge Code |
39900014
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$10.47 |
| Max. Negotiated Rate |
$2,009.16 |
| Rate for Payer: Aetna Commercial |
$1,513.95
|
| Rate for Payer: Aetna Medicare Advantage |
$1,803.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,009.16
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,009.16
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$556.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,009.16
|
| Rate for Payer: Cigna Commercial |
$197.50
|
| Rate for Payer: Cigna Medicare Advantage |
$556.60
|
| Rate for Payer: Clover Medicare Advantage |
$528.77
|
| Rate for Payer: EmblemHealth Commercial |
$1,669.80
|
| Rate for Payer: Humana Medicare Advantage |
$573.30
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$556.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$118.50
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$59.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$175.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$445.28
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$556.60
|
| Rate for Payer: Wellcare Medicare Advantage |
$556.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.47
|
|
|
CFH ACETAMINOPHEN 160MG
|
Facility
|
IP
|
$4.00
|
|
| Hospital Charge Code |
83652675
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.60 |
| Max. Negotiated Rate |
$0.60 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.60
|
|
|
CFH ACETAMINOPHEN 160MG
|
Facility
|
OP
|
$4.00
|
|
| Hospital Charge Code |
83652675
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.10 |
| Max. Negotiated Rate |
$2.00 |
| Rate for Payer: Aetna Commercial |
$1.52
|
| Rate for Payer: Aetna Medicare Advantage |
$1.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.02
|
| Rate for Payer: Cigna Commercial |
$2.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.20
|
| Rate for Payer: Oxford Commercial |
$0.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$0.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.10
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.11
|
|
|
CFH ANOSCOPY
|
Facility
|
IP
|
$274.00
|
|
|
Service Code
|
HCPCS 46600
|
| Hospital Charge Code |
83652105
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$41.10 |
| Max. Negotiated Rate |
$41.10 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.10
|
|
|
CFH ANOSCOPY
|
Facility
|
OP
|
$274.00
|
|
|
Service Code
|
HCPCS 46600
|
| Hospital Charge Code |
83652105
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6.60 |
| Max. Negotiated Rate |
$2,220.00 |
| Rate for Payer: Aetna Commercial |
$429.92
|
| Rate for Payer: Aetna Medicare Advantage |
$512.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$570.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$570.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$158.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$570.55
|
| Rate for Payer: Cigna Commercial |
$316.85
|
| Rate for Payer: Cigna Medicare Advantage |
$158.06
|
| Rate for Payer: Clover Medicare Advantage |
$150.16
|
| Rate for Payer: EmblemHealth Commercial |
$474.18
|
| Rate for Payer: Humana Medicare Advantage |
$162.80
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$158.06
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$82.20
|
| Rate for Payer: Oxford Commercial |
$1,487.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.10
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,220.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.60
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$158.06
|
| Rate for Payer: Wellcare Medicare Advantage |
$158.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.26
|
|
|
CFH COLPOSCOPY W BIOPSY
|
Facility
|
OP
|
$1,480.00
|
|
|
Service Code
|
HCPCS 57455
|
| Hospital Charge Code |
83652141
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$35.67 |
| Max. Negotiated Rate |
$2,220.00 |
| Rate for Payer: Aetna Commercial |
$984.72
|
| Rate for Payer: Aetna Medicare Advantage |
$1,172.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,306.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,306.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$362.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,306.82
|
| Rate for Payer: Cigna Commercial |
$725.69
|
| Rate for Payer: Cigna Medicare Advantage |
$362.03
|
| Rate for Payer: Clover Medicare Advantage |
$343.93
|
| Rate for Payer: EmblemHealth Commercial |
$1,086.09
|
| Rate for Payer: Humana Medicare Advantage |
$372.89
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$362.03
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$444.00
|
| Rate for Payer: Oxford Commercial |
$1,487.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$222.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,220.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$35.67
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$362.03
|
| Rate for Payer: Wellcare Medicare Advantage |
$362.03
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$39.22
|
|
|
CFH COLPOSCOPY W BIOPSY
|
Facility
|
IP
|
$1,480.00
|
|
|
Service Code
|
HCPCS 57455
|
| Hospital Charge Code |
83652141
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$222.00 |
| Max. Negotiated Rate |
$222.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$222.00
|
|
|
CFH CRYOCAUTERY OF CERVIX
|
Facility
|
IP
|
$669.00
|
|
|
Service Code
|
HCPCS 57511
|
| Hospital Charge Code |
83652149
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$100.35 |
| Max. Negotiated Rate |
$100.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.35
|
|
|
CFH CRYOCAUTERY OF CERVIX
|
Facility
|
OP
|
$669.00
|
|
|
Service Code
|
HCPCS 57511
|
| Hospital Charge Code |
83652149
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$16.12 |
| Max. Negotiated Rate |
$2,220.00 |
| Rate for Payer: Aetna Commercial |
$984.72
|
| Rate for Payer: Aetna Medicare Advantage |
$1,172.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,306.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,306.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$362.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,306.82
|
| Rate for Payer: Cigna Commercial |
$725.69
|
| Rate for Payer: Cigna Medicare Advantage |
$362.03
|
| Rate for Payer: Clover Medicare Advantage |
$343.93
|
| Rate for Payer: EmblemHealth Commercial |
$1,086.09
|
| Rate for Payer: Humana Medicare Advantage |
$372.89
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$362.03
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$200.70
|
| Rate for Payer: Oxford Commercial |
$1,487.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,220.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$16.12
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$362.03
|
| Rate for Payer: Wellcare Medicare Advantage |
$362.03
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$17.73
|
|
|
CFH DIGITAL RECTAL EXAM
|
Facility
|
IP
|
$67.00
|
|
|
Service Code
|
HCPCS G0102
|
| Hospital Charge Code |
83652527
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$10.05 |
| Max. Negotiated Rate |
$10.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.05
|
|
|
CFH DIGITAL RECTAL EXAM
|
Facility
|
OP
|
$67.00
|
|
|
Service Code
|
HCPCS G0102
|
| Hospital Charge Code |
83652527
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$1.61 |
| Max. Negotiated Rate |
$33.50 |
| Rate for Payer: Aetna Commercial |
$25.46
|
| Rate for Payer: Aetna Medicare Advantage |
$20.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$17.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$17.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$17.09
|
| Rate for Payer: Cigna Commercial |
$33.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$20.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.05
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.61
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.78
|
|
|
CFH EAR PEERCING
|
Facility
|
IP
|
$100.00
|
|
|
Service Code
|
HCPCS 69090
|
| Hospital Charge Code |
83652265
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$15.00 |
| Max. Negotiated Rate |
$15.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.00
|
|
|
CFH EAR PEERCING
|
Facility
|
OP
|
$100.00
|
|
|
Service Code
|
HCPCS 69090
|
| Hospital Charge Code |
83652265
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2.41 |
| Max. Negotiated Rate |
$50.00 |
| Rate for Payer: Aetna Commercial |
$38.00
|
| Rate for Payer: Aetna Medicare Advantage |
$30.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$25.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$25.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$25.50
|
| Rate for Payer: Cigna Commercial |
$50.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$30.00
|
| Rate for Payer: Oxford Commercial |
$20.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$20.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.41
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.65
|
|
|
CFH ECG TRACING FOR IPPE
|
Facility
|
OP
|
$65.00
|
|
|
Service Code
|
HCPCS G0404
|
| Hospital Charge Code |
83652531
|
|
Hospital Revenue Code
|
730
|
| Min. Negotiated Rate |
$1.57 |
| Max. Negotiated Rate |
$697.00 |
| Rate for Payer: Aetna Commercial |
$93.46
|
| Rate for Payer: Aetna Medicare Advantage |
$111.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$124.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$124.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$34.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$124.03
|
| Rate for Payer: Cigna Commercial |
$68.87
|
| Rate for Payer: Cigna Medicare Advantage |
$34.36
|
| Rate for Payer: Clover Medicare Advantage |
$32.64
|
| Rate for Payer: EmblemHealth Commercial |
$103.08
|
| Rate for Payer: Humana Medicare Advantage |
$35.39
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$34.36
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$19.50
|
| Rate for Payer: Oxford Commercial |
$531.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$697.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.57
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$34.36
|
| Rate for Payer: Wellcare Medicare Advantage |
$34.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.72
|
|
|
CFH ECG TRACING FOR IPPE
|
Facility
|
IP
|
$65.00
|
|
|
Service Code
|
HCPCS G0404
|
| Hospital Charge Code |
83652531
|
|
Hospital Revenue Code
|
730
|
| Min. Negotiated Rate |
$9.75 |
| Max. Negotiated Rate |
$9.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.75
|
|
|
CFH EPIPEN 0.31MG INJ ADU
|
Facility
|
OP
|
$139.00
|
|
|
Service Code
|
HCPCS J0171
|
| Hospital Charge Code |
83652660
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3.35 |
| Max. Negotiated Rate |
$69.50 |
| Rate for Payer: Aetna Commercial |
$52.82
|
| Rate for Payer: Aetna Medicare Advantage |
$41.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$35.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$35.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$35.45
|
| Rate for Payer: Cigna Commercial |
$69.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.85
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.68
|
|
|
CFH EPIPEN 0.31MG INJ ADU
|
Facility
|
IP
|
$139.00
|
|
|
Service Code
|
HCPCS J0171
|
| Hospital Charge Code |
83652660
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$20.85 |
| Max. Negotiated Rate |
$33.64 |
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.85
|
|
|
CFH EPIPEN 0.3MG INHALER
|
Facility
|
IP
|
$98.00
|
|
| Hospital Charge Code |
83652665
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$14.70 |
| Max. Negotiated Rate |
$14.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.70
|
|
|
CFH EPIPEN 0.3MG INHALER
|
Facility
|
OP
|
$98.00
|
|
| Hospital Charge Code |
83652665
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$2.36 |
| Max. Negotiated Rate |
$49.00 |
| Rate for Payer: Aetna Commercial |
$37.24
|
| Rate for Payer: Aetna Medicare Advantage |
$29.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$24.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$24.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$24.99
|
| Rate for Payer: Cigna Commercial |
$49.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$29.40
|
| Rate for Payer: Oxford Commercial |
$19.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$19.60
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.60
|
|
|
CFH FIT AND INSERT PESSARY
|
Facility
|
OP
|
$669.00
|
|
|
Service Code
|
HCPCS 57160
|
| Hospital Charge Code |
83652131
|
|
Hospital Revenue Code
|
514
|
| Min. Negotiated Rate |
$16.12 |
| Max. Negotiated Rate |
$866.98 |
| Rate for Payer: Aetna Commercial |
$653.29
|
| Rate for Payer: Aetna Medicare Advantage |
$778.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$866.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$866.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$240.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$38.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$866.98
|
| Rate for Payer: Cigna Commercial |
$481.45
|
| Rate for Payer: Cigna Medicare Advantage |
$240.18
|
| Rate for Payer: Clover Medicare Advantage |
$228.17
|
| Rate for Payer: EmblemHealth Commercial |
$720.54
|
| Rate for Payer: Humana Medicare Advantage |
$247.39
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$240.18
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$200.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.35
|
| Rate for Payer: UnitedHealthcare Community & State |
$16.12
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$240.18
|
| Rate for Payer: Wellcare Medicare Advantage |
$240.18
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$17.73
|
|
|
CFH FIT AND INSERT PESSARY
|
Facility
|
IP
|
$669.00
|
|
|
Service Code
|
HCPCS 57160
|
| Hospital Charge Code |
83652131
|
|
Hospital Revenue Code
|
514
|
| Min. Negotiated Rate |
$100.35 |
| Max. Negotiated Rate |
$100.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.35
|
|
|
CFH FP ARTHROCENTESIS MAJOR
|
Facility
|
IP
|
$227.24
|
|
|
Service Code
|
HCPCS 20610
|
| Hospital Charge Code |
83652097
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$34.09 |
| Max. Negotiated Rate |
$34.09 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$34.09
|
|
|
CFH FP ARTHROCENTESIS MAJOR
|
Facility
|
OP
|
$227.24
|
|
|
Service Code
|
HCPCS 20610
|
| Hospital Charge Code |
83652097
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$5.48 |
| Max. Negotiated Rate |
$1,316.35 |
| Rate for Payer: Aetna Commercial |
$991.90
|
| Rate for Payer: Aetna Medicare Advantage |
$1,181.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,316.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,316.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$364.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$75.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,316.35
|
| Rate for Payer: Cigna Commercial |
$730.97
|
| Rate for Payer: Cigna Medicare Advantage |
$364.67
|
| Rate for Payer: Clover Medicare Advantage |
$346.44
|
| Rate for Payer: EmblemHealth Commercial |
$1,094.01
|
| Rate for Payer: Humana Medicare Advantage |
$375.61
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$364.67
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$68.17
|
| Rate for Payer: Oxford Commercial |
$45.45
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$34.09
|
| Rate for Payer: UnitedHealthcare Commercial |
$45.45
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.48
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$364.67
|
| Rate for Payer: Wellcare Medicare Advantage |
$364.67
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.02
|
|
|
CFH FP ARTHROCENTESIS SM JOINT
|
Facility
|
OP
|
$175.91
|
|
|
Service Code
|
HCPCS 20600
|
| Hospital Charge Code |
83652093
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4.24 |
| Max. Negotiated Rate |
$1,316.35 |
| Rate for Payer: Aetna Commercial |
$991.90
|
| Rate for Payer: Aetna Medicare Advantage |
$1,181.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,316.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,316.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$364.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$58.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,316.35
|
| Rate for Payer: Cigna Commercial |
$730.97
|
| Rate for Payer: Cigna Medicare Advantage |
$364.67
|
| Rate for Payer: Clover Medicare Advantage |
$346.44
|
| Rate for Payer: EmblemHealth Commercial |
$1,094.01
|
| Rate for Payer: Humana Medicare Advantage |
$375.61
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$364.67
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$52.77
|
| Rate for Payer: Oxford Commercial |
$35.18
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$26.39
|
| Rate for Payer: UnitedHealthcare Commercial |
$35.18
|
| Rate for Payer: UnitedHealthcare Community & State |
$4.24
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$364.67
|
| Rate for Payer: Wellcare Medicare Advantage |
$364.67
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4.66
|
|
