|
CYTOLOGY,THINPREP PAP
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 88142
|
| Hospital Charge Code |
39900311
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$10.34 |
| Max. Negotiated Rate |
$195.00 |
| Rate for Payer: Aetna Commercial |
$55.11
|
| Rate for Payer: Aetna Medicare Advantage |
$65.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$73.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$73.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$20.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$73.13
|
| Rate for Payer: Cigna Commercial |
$195.00
|
| Rate for Payer: Cigna Medicare Advantage |
$20.26
|
| Rate for Payer: Clover Medicare Advantage |
$19.25
|
| Rate for Payer: EmblemHealth Commercial |
$60.78
|
| Rate for Payer: Humana Medicare Advantage |
$20.87
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$20.26
|
| 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 |
$175.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$16.21
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$20.26
|
| Rate for Payer: Wellcare Medicare Advantage |
$20.26
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.34
|
|
|
CYTOMEGALOVIRUS AB IGM
|
Facility
|
IP
|
$319.00
|
|
|
Service Code
|
HCPCS 86645
|
| Hospital Charge Code |
38479472
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$47.85 |
| Max. Negotiated Rate |
$47.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.85
|
|
|
CYTOMEGALOVIRUS AB IGM
|
Facility
|
OP
|
$319.00
|
|
|
Service Code
|
HCPCS 86645
|
| Hospital Charge Code |
38479472
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$8.45 |
| Max. Negotiated Rate |
$159.50 |
| Rate for Payer: Aetna Commercial |
$45.83
|
| Rate for Payer: Aetna Medicare Advantage |
$54.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$60.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$60.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$23.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$60.82
|
| Rate for Payer: Cigna Commercial |
$159.50
|
| Rate for Payer: Cigna Medicare Advantage |
$16.85
|
| Rate for Payer: Clover Medicare Advantage |
$16.01
|
| Rate for Payer: EmblemHealth Commercial |
$50.55
|
| Rate for Payer: Humana Medicare Advantage |
$17.36
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$16.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$95.70
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.48
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.85
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.85
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.45
|
|
|
CYTOMEGALOVIRUS ANTIBODIES,IGG
|
Facility
|
OP
|
$319.00
|
|
|
Service Code
|
HCPCS 86644
|
| Hospital Charge Code |
38476096
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$8.45 |
| Max. Negotiated Rate |
$159.50 |
| Rate for Payer: Aetna Commercial |
$39.14
|
| Rate for Payer: Aetna Medicare Advantage |
$46.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$51.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$51.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$14.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$23.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$51.94
|
| Rate for Payer: Cigna Commercial |
$159.50
|
| Rate for Payer: Cigna Medicare Advantage |
$14.39
|
| Rate for Payer: Clover Medicare Advantage |
$13.67
|
| Rate for Payer: EmblemHealth Commercial |
$43.17
|
| Rate for Payer: Humana Medicare Advantage |
$14.82
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$14.39
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$95.70
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$11.51
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$14.39
|
| Rate for Payer: Wellcare Medicare Advantage |
$14.39
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.45
|
|
|
CYTOMEGALOVIRUS ANTIBODIES,IGG
|
Facility
|
IP
|
$319.00
|
|
|
Service Code
|
HCPCS 86644
|
| Hospital Charge Code |
38476096
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$47.85 |
| Max. Negotiated Rate |
$47.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.85
|
|
|
CYTOMEGALOVIRUS ANTIBODIES,IGM
|
Facility
|
OP
|
$319.00
|
|
|
Service Code
|
HCPCS 86645
|
| Hospital Charge Code |
38476099
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$8.45 |
| Max. Negotiated Rate |
$159.50 |
| Rate for Payer: Aetna Commercial |
$45.83
|
| Rate for Payer: Aetna Medicare Advantage |
$54.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$60.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$60.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$23.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$60.82
|
| Rate for Payer: Cigna Commercial |
$159.50
|
| Rate for Payer: Cigna Medicare Advantage |
$16.85
|
| Rate for Payer: Clover Medicare Advantage |
$16.01
|
| Rate for Payer: EmblemHealth Commercial |
$50.55
|
| Rate for Payer: Humana Medicare Advantage |
$17.36
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$16.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$95.70
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.48
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.85
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.85
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.45
|
|
|
CYTOMEGALOVIRUS ANTIBODIES,IGM
|
Facility
|
IP
|
$319.00
|
|
|
Service Code
|
HCPCS 86645
|
| Hospital Charge Code |
38476099
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$47.85 |
| Max. Negotiated Rate |
$47.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.85
|
|
|
CYTOMEGALOVIRUS ANTIBODY
|
Facility
|
OP
|
$157.45
|
|
|
Service Code
|
HCPCS 86645
|
| Hospital Charge Code |
3006583B
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.17 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$45.83
|
| Rate for Payer: Aetna Medicare Advantage |
$54.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$60.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$60.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$23.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$60.82
|
| Rate for Payer: Cigna Commercial |
$78.72
|
| Rate for Payer: Cigna Medicare Advantage |
$16.85
|
| Rate for Payer: Clover Medicare Advantage |
$16.01
|
| Rate for Payer: EmblemHealth Commercial |
$50.55
|
| Rate for Payer: Humana Medicare Advantage |
$17.36
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$16.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$47.23
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$23.62
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.48
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.85
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.85
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4.17
|
|
|
CYTOMEGALOVIRUS ANTIBODY
|
Facility
|
IP
|
$188.85
|
|
|
Service Code
|
HCPCS 86644
|
| Hospital Charge Code |
3006583A
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$28.33 |
| Max. Negotiated Rate |
$28.33 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.33
|
|
|
CYTOMEGALOVIRUS ANTIBODY
|
Facility
|
IP
|
$157.45
|
|
|
Service Code
|
HCPCS 86645
|
| Hospital Charge Code |
3006583B
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$23.62 |
| Max. Negotiated Rate |
$23.62 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$23.62
|
|
|
CYTOMEGALOVIRUS ANTIBODY
|
Facility
|
OP
|
$188.85
|
|
|
Service Code
|
HCPCS 86644
|
| Hospital Charge Code |
3006583A
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$5.00 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$39.14
|
| Rate for Payer: Aetna Medicare Advantage |
$46.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$51.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$51.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$14.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$23.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$51.94
|
| Rate for Payer: Cigna Commercial |
$94.42
|
| Rate for Payer: Cigna Medicare Advantage |
$14.39
|
| Rate for Payer: Clover Medicare Advantage |
$13.67
|
| Rate for Payer: EmblemHealth Commercial |
$43.17
|
| Rate for Payer: Humana Medicare Advantage |
$14.82
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$14.39
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$56.66
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.33
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$11.51
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$14.39
|
| Rate for Payer: Wellcare Medicare Advantage |
$14.39
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5.00
|
|
|
CYTOMEGALOVIRUS (CMV) QUAL PCR
|
Facility
|
IP
|
$281.65
|
|
|
Service Code
|
HCPCS 87496
|
| Hospital Charge Code |
3035054
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$42.25 |
| Max. Negotiated Rate |
$42.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$42.25
|
|
|
CYTOMEGALOVIRUS (CMV) QUAL PCR
|
Facility
|
OP
|
$281.65
|
|
|
Service Code
|
HCPCS 87496
|
| Hospital Charge Code |
3035054
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$7.46 |
| Max. Negotiated Rate |
$153.02 |
| Rate for Payer: Aetna Commercial |
$95.44
|
| Rate for Payer: Aetna Medicare Advantage |
$113.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$126.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$126.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$35.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$153.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$126.66
|
| Rate for Payer: Cigna Commercial |
$140.82
|
| Rate for Payer: Cigna Medicare Advantage |
$35.09
|
| Rate for Payer: Clover Medicare Advantage |
$33.34
|
| Rate for Payer: EmblemHealth Commercial |
$105.27
|
| Rate for Payer: Humana Medicare Advantage |
$36.14
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$35.09
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$84.50
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$42.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$28.07
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$35.09
|
| Rate for Payer: Wellcare Medicare Advantage |
$35.09
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.46
|
|
|
CYTOMEGALOVIRUS PCR AMP PROBE
|
Facility
|
OP
|
$281.65
|
|
|
Service Code
|
HCPCS 87496
|
| Hospital Charge Code |
3006575
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$7.46 |
| Max. Negotiated Rate |
$153.02 |
| Rate for Payer: Aetna Commercial |
$95.44
|
| Rate for Payer: Aetna Medicare Advantage |
$113.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$126.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$126.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$35.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$153.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$126.66
|
| Rate for Payer: Cigna Commercial |
$140.82
|
| Rate for Payer: Cigna Medicare Advantage |
$35.09
|
| Rate for Payer: Clover Medicare Advantage |
$33.34
|
| Rate for Payer: EmblemHealth Commercial |
$105.27
|
| Rate for Payer: Humana Medicare Advantage |
$36.14
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$35.09
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$84.50
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$42.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$28.07
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$35.09
|
| Rate for Payer: Wellcare Medicare Advantage |
$35.09
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.46
|
|
|
CYTOMEGALOVIRUS PCR AMP PROBE
|
Facility
|
IP
|
$281.65
|
|
|
Service Code
|
HCPCS 87496
|
| Hospital Charge Code |
3006575
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$42.25 |
| Max. Negotiated Rate |
$42.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$42.25
|
|
|
CYTOMEL/25MCG/TAB
|
Facility
|
OP
|
$3.00
|
|
| Hospital Charge Code |
60635873
|
|
Hospital Revenue Code
|
259
|
| Min. Negotiated Rate |
$0.07 |
| Max. Negotiated Rate |
$1.50 |
| Rate for Payer: Aetna Commercial |
$1.14
|
| Rate for Payer: Aetna Medicare Advantage |
$0.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.77
|
| Rate for Payer: Cigna Commercial |
$1.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.90
|
| Rate for Payer: Oxford Commercial |
$0.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$0.60
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.07
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.08
|
|
|
CYTOMEL/25MCG/TAB
|
Facility
|
IP
|
$3.00
|
|
| Hospital Charge Code |
60635873
|
|
Hospital Revenue Code
|
259
|
| Min. Negotiated Rate |
$0.45 |
| Max. Negotiated Rate |
$0.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.45
|
|
|
CYTOMEL/5MCG/TAB
|
Facility
|
IP
|
$3.00
|
|
| Hospital Charge Code |
60632766
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.45 |
| Max. Negotiated Rate |
$0.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.45
|
|
|
CYTOMEL/5MCG/TAB
|
Facility
|
OP
|
$3.00
|
|
| Hospital Charge Code |
60632766
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.07 |
| Max. Negotiated Rate |
$1.50 |
| Rate for Payer: Aetna Commercial |
$1.14
|
| Rate for Payer: Aetna Medicare Advantage |
$0.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.77
|
| Rate for Payer: Cigna Commercial |
$1.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.90
|
| Rate for Payer: Oxford Commercial |
$0.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$0.60
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.07
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.08
|
|
|
CYTOMETRY FLOW, 1ST MARKER,TEC
|
Facility
|
OP
|
$101.00
|
|
|
Service Code
|
HCPCS 88184
|
| Hospital Charge Code |
38474163
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$2.68 |
| Max. Negotiated Rate |
$1,537.15 |
| Rate for Payer: Aetna Commercial |
$1,158.28
|
| Rate for Payer: Aetna Medicare Advantage |
$1,379.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,537.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,537.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$425.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,537.15
|
| Rate for Payer: Cigna Commercial |
$853.60
|
| Rate for Payer: Cigna Medicare Advantage |
$425.84
|
| Rate for Payer: Clover Medicare Advantage |
$404.55
|
| Rate for Payer: EmblemHealth Commercial |
$1,277.52
|
| Rate for Payer: Humana Medicare Advantage |
$438.62
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$425.84
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$30.30
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$175.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$64.38
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$425.84
|
| Rate for Payer: Wellcare Medicare Advantage |
$425.84
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.68
|
|
|
CYTOMETRY FLOW, 1ST MARKER,TEC
|
Facility
|
IP
|
$101.00
|
|
|
Service Code
|
HCPCS 88184
|
| Hospital Charge Code |
38474163
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$15.15 |
| Max. Negotiated Rate |
$15.15 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.15
|
|
|
CYTO NON-GYN SPEC,BODY FLUID
|
Facility
|
IP
|
$264.85
|
|
|
Service Code
|
HCPCS 88104
|
| Hospital Charge Code |
3005345
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$39.73 |
| Max. Negotiated Rate |
$39.73 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$39.73
|
|
|
CYTO NON-GYN SPEC,BODY FLUID
|
Facility
|
OP
|
$264.85
|
|
|
Service Code
|
HCPCS 88104
|
| Hospital Charge Code |
3005345
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$7.02 |
| Max. Negotiated Rate |
$175.00 |
| Rate for Payer: Aetna Commercial |
$120.69
|
| Rate for Payer: Aetna Medicare Advantage |
$143.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$160.16
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$160.16
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$44.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$160.16
|
| Rate for Payer: Cigna Commercial |
$88.94
|
| Rate for Payer: Cigna Medicare Advantage |
$44.37
|
| Rate for Payer: Clover Medicare Advantage |
$42.15
|
| Rate for Payer: EmblemHealth Commercial |
$133.11
|
| Rate for Payer: Humana Medicare Advantage |
$45.70
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$44.37
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$79.45
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$39.73
|
| Rate for Payer: UnitedHealthcare Commercial |
$175.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$61.56
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$44.37
|
| Rate for Payer: Wellcare Medicare Advantage |
$44.37
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.02
|
|
|
CYTO ON SITE FST STAIN,EA ADD
|
Facility
|
OP
|
$66.00
|
|
|
Service Code
|
HCPCS 88177
|
| Hospital Charge Code |
38477057
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$1.75 |
| Max. Negotiated Rate |
$175.00 |
| Rate for Payer: Aetna Commercial |
$25.08
|
| Rate for Payer: Aetna Medicare Advantage |
$19.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$16.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$16.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$16.83
|
| Rate for Payer: Cigna Commercial |
$33.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$19.80
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$175.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$23.54
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.75
|
|
|
CYTO ON SITE FST STAIN,EA ADD
|
Facility
|
IP
|
$66.00
|
|
|
Service Code
|
HCPCS 88177
|
| Hospital Charge Code |
38477057
|
|
Hospital Revenue Code
|
311
|
| Min. Negotiated Rate |
$9.90 |
| Max. Negotiated Rate |
$9.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.90
|
|
