|
CULTURE TYPING MRSA WITH KIT
|
Facility
|
OP
|
$50.00
|
|
|
Service Code
|
HCPCS 87147
|
| Hospital Charge Code |
3036050
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$1.32 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$14.09
|
| Rate for Payer: Aetna Medicare Advantage |
$16.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$5.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.70
|
| Rate for Payer: Cigna Commercial |
$25.00
|
| Rate for Payer: Cigna Medicare Advantage |
$5.18
|
| Rate for Payer: Clover Medicare Advantage |
$4.92
|
| Rate for Payer: EmblemHealth Commercial |
$15.54
|
| Rate for Payer: Humana Medicare Advantage |
$5.34
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$5.18
|
| 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 |
$4.14
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.18
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.18
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.32
|
|
|
CULTURE TYPING MRSA WITH KIT
|
Facility
|
IP
|
$50.00
|
|
|
Service Code
|
HCPCS 87147
|
| Hospital Charge Code |
3036050
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$7.50 |
| Max. Negotiated Rate |
$7.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.50
|
|
|
CULTURE,TYPING;OTHER METHODS
|
Facility
|
OP
|
$37.00
|
|
|
Service Code
|
HCPCS 87158
|
| Hospital Charge Code |
38477042
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$0.98 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$21.05
|
| Rate for Payer: Aetna Medicare Advantage |
$25.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$27.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$27.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$7.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$5.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$27.94
|
| Rate for Payer: Cigna Commercial |
$18.50
|
| Rate for Payer: Cigna Medicare Advantage |
$7.74
|
| Rate for Payer: Clover Medicare Advantage |
$7.35
|
| Rate for Payer: EmblemHealth Commercial |
$23.22
|
| Rate for Payer: Humana Medicare Advantage |
$7.97
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$7.74
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$11.10
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.55
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.19
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$7.74
|
| Rate for Payer: Wellcare Medicare Advantage |
$7.74
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.98
|
|
|
CULTURE,TYPING;OTHER METHODS
|
Facility
|
IP
|
$37.00
|
|
|
Service Code
|
HCPCS 87158
|
| Hospital Charge Code |
38477042
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$5.55 |
| Max. Negotiated Rate |
$5.55 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.55
|
|
|
CULTURE, UMBILICAL
|
Facility
|
OP
|
$93.65
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
3030152
|
|
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, UMBILICAL
|
Facility
|
IP
|
$93.65
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
3030152
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$14.05 |
| Max. Negotiated Rate |
$14.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.05
|
|
|
CULTURE, URINE
|
Facility
|
IP
|
$550.62
|
|
|
Service Code
|
HCPCS 87086
|
| Hospital Charge Code |
3009461
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$82.59 |
| Max. Negotiated Rate |
$82.59 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.59
|
|
|
CULTURE, URINE
|
Facility
|
OP
|
$550.62
|
|
|
Service Code
|
HCPCS 87086
|
| Hospital Charge Code |
3009461
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$6.46 |
| Max. Negotiated Rate |
$275.31 |
| Rate for Payer: Aetna Commercial |
$21.95
|
| Rate for Payer: Aetna Medicare Advantage |
$26.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$29.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$29.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$8.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$11.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$29.13
|
| Rate for Payer: Cigna Commercial |
$275.31
|
| Rate for Payer: Cigna Medicare Advantage |
$8.07
|
| Rate for Payer: Clover Medicare Advantage |
$7.67
|
| Rate for Payer: EmblemHealth Commercial |
$24.21
|
| Rate for Payer: Humana Medicare Advantage |
$8.31
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$8.07
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$165.19
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.59
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.46
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$8.07
|
| Rate for Payer: Wellcare Medicare Advantage |
$8.07
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.59
|
|
|
CULTURE, URINE, BLADDER
|
Facility
|
IP
|
$399.41
|
|
|
Service Code
|
HCPCS 87086
|
| Hospital Charge Code |
3009487
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$59.91 |
| Max. Negotiated Rate |
$59.91 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$59.91
|
|
|
CULTURE, URINE, BLADDER
|
Facility
|
OP
|
$399.41
|
|
|
Service Code
|
HCPCS 87086
|
| Hospital Charge Code |
3009487
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$6.46 |
| Max. Negotiated Rate |
$199.71 |
| Rate for Payer: Aetna Commercial |
$21.95
|
| Rate for Payer: Aetna Medicare Advantage |
$26.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$29.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$29.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$8.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$11.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$29.13
|
| Rate for Payer: Cigna Commercial |
$199.71
|
| Rate for Payer: Cigna Medicare Advantage |
$8.07
|
| Rate for Payer: Clover Medicare Advantage |
$7.67
|
| Rate for Payer: EmblemHealth Commercial |
$24.21
|
| Rate for Payer: Humana Medicare Advantage |
$8.31
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$8.07
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$119.82
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$59.91
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.46
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$8.07
|
| Rate for Payer: Wellcare Medicare Advantage |
$8.07
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.58
|
|
|
CULTURE URINE ROUTINE-SO
|
Facility
|
IP
|
$66.83
|
|
|
Service Code
|
HCPCS 87086
|
| Hospital Charge Code |
401387086
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$10.02 |
| Max. Negotiated Rate |
$10.02 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.02
|
|
|
CULTURE URINE ROUTINE-SO
|
Facility
|
OP
|
$66.83
|
|
|
Service Code
|
HCPCS 87086
|
| Hospital Charge Code |
401387086
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$1.77 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$21.95
|
| Rate for Payer: Aetna Medicare Advantage |
$26.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$29.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$29.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$8.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$11.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$29.13
|
| Rate for Payer: Cigna Commercial |
$33.41
|
| Rate for Payer: Cigna Medicare Advantage |
$8.07
|
| Rate for Payer: Clover Medicare Advantage |
$7.67
|
| Rate for Payer: EmblemHealth Commercial |
$24.21
|
| Rate for Payer: Humana Medicare Advantage |
$8.31
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$8.07
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$20.05
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.02
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.46
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$8.07
|
| Rate for Payer: Wellcare Medicare Advantage |
$8.07
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.77
|
|
|
CULTURE, VARICELLA ZOSTER
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 86171
|
| Hospital Charge Code |
3006806
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
CULTURE, VARICELLA ZOSTER
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 86171
|
| Hospital Charge Code |
3006806
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$8.01 |
| Max. Negotiated Rate |
$195.00 |
| Rate for Payer: Aetna Commercial |
$27.23
|
| Rate for Payer: Aetna Medicare Advantage |
$32.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$36.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$36.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$10.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$8.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$36.13
|
| Rate for Payer: Cigna Commercial |
$195.00
|
| Rate for Payer: Cigna Medicare Advantage |
$10.01
|
| Rate for Payer: Clover Medicare Advantage |
$9.51
|
| Rate for Payer: EmblemHealth Commercial |
$30.03
|
| Rate for Payer: Humana Medicare Advantage |
$10.31
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$10.01
|
| 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 |
$8.01
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$10.01
|
| Rate for Payer: Wellcare Medicare Advantage |
$10.01
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.34
|
|
|
CULTURE, VIRAL
|
Facility
|
IP
|
$287.25
|
|
|
Service Code
|
HCPCS 87252
|
| Hospital Charge Code |
3006772
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$43.09 |
| Max. Negotiated Rate |
$43.09 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.09
|
|
|
CULTURE, VIRAL
|
Facility
|
OP
|
$287.25
|
|
|
Service Code
|
HCPCS 87252
|
| Hospital Charge Code |
3006772
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$7.61 |
| Max. Negotiated Rate |
$143.62 |
| Rate for Payer: Aetna Commercial |
$70.91
|
| Rate for Payer: Aetna Medicare Advantage |
$84.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$94.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$94.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$26.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$57.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$94.10
|
| Rate for Payer: Cigna Commercial |
$143.62
|
| Rate for Payer: Cigna Medicare Advantage |
$26.07
|
| Rate for Payer: Clover Medicare Advantage |
$24.77
|
| Rate for Payer: EmblemHealth Commercial |
$78.21
|
| Rate for Payer: Humana Medicare Advantage |
$26.85
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$26.07
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$86.17
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.09
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$20.86
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$26.07
|
| Rate for Payer: Wellcare Medicare Advantage |
$26.07
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.61
|
|
|
CULTURE,VIRAL,FLD,TISSUE
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 87252
|
| Hospital Charge Code |
39900496
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
CULTURE,VIRAL,FLD,TISSUE
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 87252
|
| Hospital Charge Code |
39900496
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$10.34 |
| Max. Negotiated Rate |
$195.00 |
| Rate for Payer: Aetna Commercial |
$70.91
|
| Rate for Payer: Aetna Medicare Advantage |
$84.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$94.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$94.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$26.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$57.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$94.10
|
| Rate for Payer: Cigna Commercial |
$195.00
|
| Rate for Payer: Cigna Medicare Advantage |
$26.07
|
| Rate for Payer: Clover Medicare Advantage |
$24.77
|
| Rate for Payer: EmblemHealth Commercial |
$78.21
|
| Rate for Payer: Humana Medicare Advantage |
$26.85
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$26.07
|
| 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 |
$20.86
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$26.07
|
| Rate for Payer: Wellcare Medicare Advantage |
$26.07
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.34
|
|
|
CULTURE,VIRUS
|
Facility
|
OP
|
$179.15
|
|
|
Service Code
|
HCPCS 87252
|
| Hospital Charge Code |
39900276
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$4.75 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$70.91
|
| Rate for Payer: Aetna Medicare Advantage |
$84.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$94.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$94.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$26.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$57.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$94.10
|
| Rate for Payer: Cigna Commercial |
$89.58
|
| Rate for Payer: Cigna Medicare Advantage |
$26.07
|
| Rate for Payer: Clover Medicare Advantage |
$24.77
|
| Rate for Payer: EmblemHealth Commercial |
$78.21
|
| Rate for Payer: Humana Medicare Advantage |
$26.85
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$26.07
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$53.74
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$26.87
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$20.86
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$26.07
|
| Rate for Payer: Wellcare Medicare Advantage |
$26.07
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4.75
|
|
|
CULTURE,VIRUS
|
Facility
|
IP
|
$179.15
|
|
|
Service Code
|
HCPCS 87252
|
| Hospital Charge Code |
39900276
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$26.87 |
| Max. Negotiated Rate |
$26.87 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$26.87
|
|
|
CULTURE, WOUND
|
Facility
|
IP
|
$32.00
|
|
| Hospital Charge Code |
3010147
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$4.80 |
| Max. Negotiated Rate |
$4.80 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.80
|
|
|
CULTURE, WOUND
|
Facility
|
OP
|
$32.00
|
|
| Hospital Charge Code |
3010147
|
|
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, WOUND
|
Facility
|
OP
|
$770.30
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
3000148
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$6.90 |
| Max. Negotiated Rate |
$385.15 |
| 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 |
$385.15
|
| 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 |
$231.09
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$115.55
|
| 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 |
$20.41
|
|
|
CULTURE, WOUND
|
Facility
|
IP
|
$770.30
|
|
|
Service Code
|
HCPCS 87070
|
| Hospital Charge Code |
3000148
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$115.55 |
| Max. Negotiated Rate |
$115.55 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$115.55
|
|
|
CULTURE,YEAST DEFINITIVE ID @
|
Facility
|
OP
|
$73.00
|
|
|
Service Code
|
HCPCS 87106
|
| Hospital Charge Code |
38477068
|
|
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 |
$15.49
|
| 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
|
|
