|
CULTURE, HERPES SIMPLEX
|
Facility
|
IP
|
$253.45
|
|
|
Service Code
|
HCPCS 83520
|
| Hospital Charge Code |
3006814
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$38.02 |
| Max. Negotiated Rate |
$38.02 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$38.02
|
|
|
CULTURE, HSV, RAPID
|
Facility
|
IP
|
$232.75
|
|
|
Service Code
|
HCPCS 87255
|
| Hospital Charge Code |
39900278
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$34.91 |
| Max. Negotiated Rate |
$34.91 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$34.91
|
|
|
CULTURE, HSV, RAPID
|
Facility
|
OP
|
$232.75
|
|
|
Service Code
|
HCPCS 87255
|
| Hospital Charge Code |
39900278
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$6.17 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$92.10
|
| Rate for Payer: Aetna Medicare Advantage |
$109.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$122.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$122.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$33.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$36.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$122.22
|
| Rate for Payer: Cigna Commercial |
$116.38
|
| Rate for Payer: Cigna Medicare Advantage |
$33.86
|
| Rate for Payer: Clover Medicare Advantage |
$32.17
|
| Rate for Payer: EmblemHealth Commercial |
$101.58
|
| Rate for Payer: Humana Medicare Advantage |
$34.88
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$33.86
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$69.83
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$34.91
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$27.09
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$33.86
|
| Rate for Payer: Wellcare Medicare Advantage |
$33.86
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.17
|
|
|
CULTURE, HSV, RAPID W/TYP
|
Facility
|
IP
|
$232.75
|
|
|
Service Code
|
HCPCS 87255
|
| Hospital Charge Code |
39900279
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$34.91 |
| Max. Negotiated Rate |
$34.91 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$34.91
|
|
|
CULTURE, HSV, RAPID W/TYP
|
Facility
|
OP
|
$232.75
|
|
|
Service Code
|
HCPCS 87255
|
| Hospital Charge Code |
39900279
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$6.17 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$92.10
|
| Rate for Payer: Aetna Medicare Advantage |
$109.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$122.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$122.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$33.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$36.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$122.22
|
| Rate for Payer: Cigna Commercial |
$116.38
|
| Rate for Payer: Cigna Medicare Advantage |
$33.86
|
| Rate for Payer: Clover Medicare Advantage |
$32.17
|
| Rate for Payer: EmblemHealth Commercial |
$101.58
|
| Rate for Payer: Humana Medicare Advantage |
$34.88
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$33.86
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$69.83
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$34.91
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$27.09
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$33.86
|
| Rate for Payer: Wellcare Medicare Advantage |
$33.86
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.17
|
|
|
CULTURE HSV RAPID W/TYPE
|
Facility
|
OP
|
$325.00
|
|
|
Service Code
|
HCPCS 87255
|
| Hospital Charge Code |
3007609
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$8.61 |
| Max. Negotiated Rate |
$162.50 |
| Rate for Payer: Aetna Commercial |
$92.10
|
| Rate for Payer: Aetna Medicare Advantage |
$109.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$122.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$122.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$33.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$36.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$122.22
|
| Rate for Payer: Cigna Commercial |
$162.50
|
| Rate for Payer: Cigna Medicare Advantage |
$33.86
|
| Rate for Payer: Clover Medicare Advantage |
$32.17
|
| Rate for Payer: EmblemHealth Commercial |
$101.58
|
| Rate for Payer: Humana Medicare Advantage |
$34.88
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$33.86
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$97.50
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$48.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$27.09
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$33.86
|
| Rate for Payer: Wellcare Medicare Advantage |
$33.86
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.61
|
|
|
CULTURE HSV RAPID W/TYPE
|
Facility
|
IP
|
$325.00
|
|
|
Service Code
|
HCPCS 87255
|
| Hospital Charge Code |
3007609
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$48.75 |
| Max. Negotiated Rate |
$48.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$48.75
|
|
|
CULTURE, LEGIONELLA
|
Facility
|
IP
|
$358.65
|
|
|
Service Code
|
HCPCS 87081
|
| Hospital Charge Code |
3009727
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$53.80 |
| Max. Negotiated Rate |
$53.80 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$53.80
|
|
|
CULTURE, LEGIONELLA
|
Facility
|
OP
|
$358.65
|
|
|
Service Code
|
HCPCS 87081
|
| Hospital Charge Code |
3009727
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$5.30 |
| Max. Negotiated Rate |
$179.32 |
| Rate for Payer: Aetna Commercial |
$18.03
|
| Rate for Payer: Aetna Medicare Advantage |
$21.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$23.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$23.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$6.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$19.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$23.93
|
| Rate for Payer: Cigna Commercial |
$179.32
|
| Rate for Payer: Cigna Medicare Advantage |
$6.63
|
| Rate for Payer: Clover Medicare Advantage |
$6.30
|
| Rate for Payer: EmblemHealth Commercial |
$19.89
|
| Rate for Payer: Humana Medicare Advantage |
$6.83
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$6.63
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$107.59
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$53.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.30
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$6.63
|
| Rate for Payer: Wellcare Medicare Advantage |
$6.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.50
|
|
|
CULTURE,LEGIONELLA
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 87081
|
| Hospital Charge Code |
39900483
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
CULTURE,LEGIONELLA
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 87081
|
| Hospital Charge Code |
39900483
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$5.30 |
| Max. Negotiated Rate |
$195.00 |
| Rate for Payer: Aetna Commercial |
$18.03
|
| Rate for Payer: Aetna Medicare Advantage |
$21.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$23.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$23.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$6.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$19.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$23.93
|
| Rate for Payer: Cigna Commercial |
$195.00
|
| Rate for Payer: Cigna Medicare Advantage |
$6.63
|
| Rate for Payer: Clover Medicare Advantage |
$6.30
|
| Rate for Payer: EmblemHealth Commercial |
$19.89
|
| Rate for Payer: Humana Medicare Advantage |
$6.83
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$6.63
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$117.00
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.30
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$6.63
|
| Rate for Payer: Wellcare Medicare Advantage |
$6.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.34
|
|
|
CULTURE, LEPTOSPIRA
|
Facility
|
IP
|
$93.65
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
3009362
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$14.05 |
| Max. Negotiated Rate |
$14.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.05
|
|
|
CULTURE, LEPTOSPIRA
|
Facility
|
OP
|
$93.65
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
3009362
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$2.48 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$23.45
|
| Rate for Payer: Aetna Medicare Advantage |
$27.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$31.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$31.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$8.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$17.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$31.12
|
| Rate for Payer: Cigna Commercial |
$46.83
|
| Rate for Payer: Cigna Medicare Advantage |
$8.62
|
| Rate for Payer: Clover Medicare Advantage |
$8.19
|
| Rate for Payer: EmblemHealth Commercial |
$25.86
|
| Rate for Payer: Humana Medicare Advantage |
$8.88
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$8.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$28.09
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.90
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$8.62
|
| Rate for Payer: Wellcare Medicare Advantage |
$8.62
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.48
|
|
|
CULTURE, MISCELLANEOUS****
|
Facility
|
OP
|
$32.00
|
|
| Hospital Charge Code |
3010089
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$0.77 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$12.16
|
| Rate for Payer: Aetna Medicare Advantage |
$9.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$8.16
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$8.16
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$8.16
|
| Rate for Payer: Cigna Commercial |
$16.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9.60
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.85
|
|
|
CULTURE, MISCELLANEOUS****
|
Facility
|
IP
|
$32.00
|
|
| Hospital Charge Code |
3010089
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$4.80 |
| Max. Negotiated Rate |
$4.80 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.80
|
|
|
CULTURE,MOLD,DEFINITIVE ID @
|
Facility
|
IP
|
$73.00
|
|
|
Service Code
|
HCPCS 87107
|
| Hospital Charge Code |
38477069
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$10.95 |
| Max. Negotiated Rate |
$10.95 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.95
|
|
|
CULTURE,MOLD,DEFINITIVE ID @
|
Facility
|
OP
|
$73.00
|
|
|
Service Code
|
HCPCS 87107
|
| Hospital Charge Code |
38477069
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$1.93 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$28.07
|
| Rate for Payer: Aetna Medicare Advantage |
$33.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$37.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$37.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$10.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$11.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$37.25
|
| Rate for Payer: Cigna Commercial |
$36.50
|
| Rate for Payer: Cigna Medicare Advantage |
$10.32
|
| Rate for Payer: Clover Medicare Advantage |
$9.80
|
| Rate for Payer: EmblemHealth Commercial |
$30.96
|
| Rate for Payer: Humana Medicare Advantage |
$10.63
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$10.32
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$21.90
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.95
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$8.26
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$10.32
|
| Rate for Payer: Wellcare Medicare Advantage |
$10.32
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.93
|
|
|
CULTURE, MYCOPLASMA PNEUMONIAE
|
Facility
|
IP
|
$185.00
|
|
|
Service Code
|
HCPCS 87109
|
| Hospital Charge Code |
38475007
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$27.75 |
| Max. Negotiated Rate |
$27.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$27.75
|
|
|
CULTURE, MYCOPLASMA PNEUMONIAE
|
Facility
|
OP
|
$185.00
|
|
|
Service Code
|
HCPCS 87109
|
| Hospital Charge Code |
38475007
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$4.90 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$41.86
|
| Rate for Payer: Aetna Medicare Advantage |
$49.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$55.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$55.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$15.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$27.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$55.55
|
| Rate for Payer: Cigna Commercial |
$92.50
|
| Rate for Payer: Cigna Medicare Advantage |
$15.39
|
| Rate for Payer: Clover Medicare Advantage |
$14.62
|
| Rate for Payer: EmblemHealth Commercial |
$46.17
|
| Rate for Payer: Humana Medicare Advantage |
$15.85
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$15.39
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$55.50
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$27.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$12.31
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$15.39
|
| Rate for Payer: Wellcare Medicare Advantage |
$15.39
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4.90
|
|
|
CULTURE, NOSE
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
3008877
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
CULTURE, NOSE
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
3008877
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$6.90 |
| Max. Negotiated Rate |
$195.00 |
| Rate for Payer: Aetna Commercial |
$23.45
|
| Rate for Payer: Aetna Medicare Advantage |
$27.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$31.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$31.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$8.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$17.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$31.12
|
| Rate for Payer: Cigna Commercial |
$195.00
|
| Rate for Payer: Cigna Medicare Advantage |
$8.62
|
| Rate for Payer: Clover Medicare Advantage |
$8.19
|
| Rate for Payer: EmblemHealth Commercial |
$25.86
|
| Rate for Payer: Humana Medicare Advantage |
$8.88
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$8.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$117.00
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.90
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$8.62
|
| Rate for Payer: Wellcare Medicare Advantage |
$8.62
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.34
|
|
|
CULTURE, OTHER SOURCE
|
Facility
|
IP
|
$349.00
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
38475026
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$52.35 |
| Max. Negotiated Rate |
$52.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$52.35
|
|
|
CULTURE, OTHER SOURCE
|
Facility
|
OP
|
$50.00
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
3008869
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$1.32 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$23.45
|
| Rate for Payer: Aetna Medicare Advantage |
$27.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$31.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$31.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$8.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$17.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$31.12
|
| Rate for Payer: Cigna Commercial |
$25.00
|
| Rate for Payer: Cigna Medicare Advantage |
$8.62
|
| Rate for Payer: Clover Medicare Advantage |
$8.19
|
| Rate for Payer: EmblemHealth Commercial |
$25.86
|
| Rate for Payer: Humana Medicare Advantage |
$8.88
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$8.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$15.00
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.90
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$8.62
|
| Rate for Payer: Wellcare Medicare Advantage |
$8.62
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.32
|
|
|
CULTURE, OTHER SOURCE
|
Facility
|
IP
|
$50.00
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
3008869
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$7.50 |
| Max. Negotiated Rate |
$7.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.50
|
|
|
CULTURE, OTHER SOURCE
|
Facility
|
OP
|
$349.00
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
38475026
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$6.90 |
| Max. Negotiated Rate |
$174.50 |
| Rate for Payer: Aetna Commercial |
$23.45
|
| Rate for Payer: Aetna Medicare Advantage |
$27.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$31.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$31.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$8.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$17.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$31.12
|
| Rate for Payer: Cigna Commercial |
$174.50
|
| Rate for Payer: Cigna Medicare Advantage |
$8.62
|
| Rate for Payer: Clover Medicare Advantage |
$8.19
|
| Rate for Payer: EmblemHealth Commercial |
$25.86
|
| Rate for Payer: Humana Medicare Advantage |
$8.88
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$8.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$104.70
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$52.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.90
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$8.62
|
| Rate for Payer: Wellcare Medicare Advantage |
$8.62
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.25
|
|
