|
CRISIS PSYCHOTHERAPY 60 MINS
|
Facility
|
IP
|
$550.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
84518017
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$82.50 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
|
|
CRISIS PSYCHOTHERAPY 60 MINS
|
Facility
|
OP
|
$550.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
84310090
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$13.26 |
| Max. Negotiated Rate |
$761.18 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$761.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$761.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$120.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$761.18
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$165.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.26
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.57
|
|
|
CRISIS PSYCHOTHERAPY 60 MINS
|
Facility
|
OP
|
$550.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
8450917
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$13.26 |
| Max. Negotiated Rate |
$761.18 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$761.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$761.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$120.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$761.18
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$165.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.26
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.57
|
|
|
CRISIS PSYCHOTHERAPY 60 MINS
|
Facility
|
IP
|
$550.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
8450917
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$82.50 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
|
|
CRISIS PSYCHOTHERAPY 60 MINS
|
Facility
|
IP
|
$1,094.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
87504045
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$164.10 |
| Max. Negotiated Rate |
$164.10 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$164.10
|
|
|
CRISIS PSYCHOTHERAPY 60 MINS
|
Facility
|
OP
|
$1,094.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
87504045
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$26.37 |
| Max. Negotiated Rate |
$761.18 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$761.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$761.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$120.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$761.18
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$328.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$164.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$26.37
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$28.99
|
|
|
CRISIS PSYCHOTHERAPY 60 MINS
|
Facility
|
IP
|
$550.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
84310090
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$82.50 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
|
|
CRISIS PSYCHOTHERAPY 60 MINS
|
Facility
|
IP
|
$550.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
84517017
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$82.50 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
|
|
CRISIS PSYCHOTHERAPY 60 MINS
|
Facility
|
OP
|
$550.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
84517017
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$13.26 |
| Max. Negotiated Rate |
$761.18 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$761.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$761.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$120.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$761.18
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$165.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.26
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.57
|
|
|
CRISIS PSYCHOTHERAPY 60 MINS
|
Facility
|
IP
|
$550.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
84509017
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$82.50 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
|
|
CRISIS PSYCHOTHERAPY 60 MINS
|
Facility
|
OP
|
$550.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
84509017
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$13.26 |
| Max. Negotiated Rate |
$761.18 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$761.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$761.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$120.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$761.18
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$165.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.26
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.57
|
|
|
CRISIS PSYCHOTHERAPY 60 MINS
|
Facility
|
IP
|
$550.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
84511017
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$82.50 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
|
|
CRISIS PSYCHOTHERAPY 60 MINS
|
Facility
|
OP
|
$550.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
84511017
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$13.26 |
| Max. Negotiated Rate |
$761.18 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$761.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$761.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$120.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$761.18
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$165.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.26
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.57
|
|
|
CRISIS PSYCHOTHERAPY ADD30MINS
|
Facility
|
IP
|
$275.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
84509019
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$41.25 |
| Max. Negotiated Rate |
$41.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
|
|
CRISIS PSYCHOTHERAPY ADD30MINS
|
Facility
|
OP
|
$275.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
84509019
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$6.63 |
| Max. Negotiated Rate |
$137.50 |
| Rate for Payer: Aetna Commercial |
$104.50
|
| Rate for Payer: Aetna Medicare Advantage |
$82.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$70.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$70.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$70.12
|
| Rate for Payer: Cigna Commercial |
$137.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$82.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.29
|
|
|
CRISIS PSYCHOTHERAPY ADD30MINS
|
Facility
|
IP
|
$275.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
84511019
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$41.25 |
| Max. Negotiated Rate |
$41.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
|
|
CRISIS PSYCHOTHERAPY ADD30MINS
|
Facility
|
IP
|
$1,094.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
97504050
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$164.10 |
| Max. Negotiated Rate |
$164.10 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$164.10
|
|
|
CRISIS PSYCHOTHERAPY ADD30MINS
|
Facility
|
IP
|
$1,094.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
87504050
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$164.10 |
| Max. Negotiated Rate |
$164.10 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$164.10
|
|
|
CRISIS PSYCHOTHERAPY ADD30MINS
|
Facility
|
OP
|
$1,094.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
97504050
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$26.37 |
| Max. Negotiated Rate |
$547.00 |
| Rate for Payer: Aetna Commercial |
$415.72
|
| Rate for Payer: Aetna Medicare Advantage |
$328.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$278.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$278.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$278.97
|
| Rate for Payer: Cigna Commercial |
$547.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$328.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$164.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$26.37
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$28.99
|
|
|
CRISIS PSYCHOTHERAPY ADD30MINS
|
Facility
|
OP
|
$1,094.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
87504050
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$26.37 |
| Max. Negotiated Rate |
$547.00 |
| Rate for Payer: Aetna Commercial |
$415.72
|
| Rate for Payer: Aetna Medicare Advantage |
$328.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$278.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$278.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$278.97
|
| Rate for Payer: Cigna Commercial |
$547.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$328.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$164.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$26.37
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$28.99
|
|
|
CRISIS PSYCHOTHERAPY ADD30MINS
|
Facility
|
OP
|
$275.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
84310095
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$6.63 |
| Max. Negotiated Rate |
$137.50 |
| Rate for Payer: Aetna Commercial |
$104.50
|
| Rate for Payer: Aetna Medicare Advantage |
$82.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$70.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$70.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$70.12
|
| Rate for Payer: Cigna Commercial |
$137.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$82.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.29
|
|
|
CRISIS PSYCHOTHERAPY ADD30MINS
|
Facility
|
OP
|
$275.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
84518019
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$6.63 |
| Max. Negotiated Rate |
$137.50 |
| Rate for Payer: Aetna Commercial |
$104.50
|
| Rate for Payer: Aetna Medicare Advantage |
$82.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$70.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$70.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$70.12
|
| Rate for Payer: Cigna Commercial |
$137.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$82.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.29
|
|
|
CRISIS PSYCHOTHERAPY ADD30MINS
|
Facility
|
IP
|
$275.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
84518019
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$41.25 |
| Max. Negotiated Rate |
$41.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
|
|
CRISIS PSYCHOTHERAPY ADD30MINS
|
Facility
|
IP
|
$275.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
84517019
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$41.25 |
| Max. Negotiated Rate |
$41.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
|
|
CRISIS PSYCHOTHERAPY ADD30MINS
|
Facility
|
OP
|
$275.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
84511019
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$6.63 |
| Max. Negotiated Rate |
$137.50 |
| Rate for Payer: Aetna Commercial |
$104.50
|
| Rate for Payer: Aetna Medicare Advantage |
$82.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$70.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$70.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$70.12
|
| Rate for Payer: Cigna Commercial |
$137.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$82.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.29
|
|
