Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

IMMUNOFIXATION ELECTROP, SERUM

Facility

$56.60

Service Code	HCPCS 86344
Hospital Charge Code	3001625A
Hospital Revenue Code	302
Min. Negotiated Rate	$8.49
Max. Negotiated Rate	$8.49
Rate for Payer: Qualcare PPO/HMO/WC	$8.49

IMMUNOFIXATION ELECTROP, SERUM

Facility

$56.60

Service Code	HCPCS 86344
Hospital Charge Code	3001625A
Hospital Revenue Code	302
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$28.26
Rate for Payer: Aetna Medicare Advantage	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.50
Rate for Payer: Cigna Commercial	$28.30
Rate for Payer: Cigna Medicare Advantage	$10.39
Rate for Payer: Clover Medicare Advantage	$9.87
Rate for Payer: EmblemHealth Commercial	$31.17
Rate for Payer: Humana Medicare Advantage	$10.70
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$10.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.98
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.49
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$8.31
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.39
Rate for Payer: Wellcare Medicare Advantage	$10.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.50

IMMUNOFIXATION (SERUM)

Facility

$226.45

Hospital Charge Code	3001625
Hospital Revenue Code	302
Min. Negotiated Rate	$5.46
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$86.05
Rate for Payer: Aetna Medicare Advantage	$67.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.74
Rate for Payer: Cigna Commercial	$113.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.94
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.97
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$5.46
Rate for Payer: Wellpoint Medicaid Managed Care	$6.00

IMMUNOFIXATION (SERUM)

Facility

$226.45

Hospital Charge Code	3001625
Hospital Revenue Code	302
Min. Negotiated Rate	$33.97
Max. Negotiated Rate	$33.97
Rate for Payer: Qualcare PPO/HMO/WC	$33.97

IMMUNOFIXATION,SERUM

Facility

$390.00

Service Code	HCPCS 86334
Hospital Charge Code	39900214
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

IMMUNOFIXATION,SERUM

Facility

$390.00

Service Code	HCPCS 86334
Hospital Charge Code	39900214
Hospital Revenue Code	302
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$60.76
Rate for Payer: Aetna Medicare Advantage	$72.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$58.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.64
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$22.34
Rate for Payer: Clover Medicare Advantage	$21.22
Rate for Payer: EmblemHealth Commercial	$67.02
Rate for Payer: Humana Medicare Advantage	$23.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22.34
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	$17.87
Rate for Payer: UnitedHealthcare Medicare Advantage	$22.34
Rate for Payer: Wellcare Medicare Advantage	$22.34
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

IMMUNOFIXATION,URINE

Facility

$390.00

Service Code	HCPCS 86335
Hospital Charge Code	39900215
Hospital Revenue Code	302
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$79.83
Rate for Payer: Aetna Medicare Advantage	$95.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.94
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$29.35
Rate for Payer: Clover Medicare Advantage	$27.88
Rate for Payer: EmblemHealth Commercial	$88.05
Rate for Payer: Humana Medicare Advantage	$30.23
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$29.35
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	$23.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.35
Rate for Payer: Wellcare Medicare Advantage	$29.35
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

IMMUNOFIXATION,URINE

Facility

$390.00

Service Code	HCPCS 86335
Hospital Charge Code	39900215
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

IMMUNOFIXATION (URINE IFE)

Facility

$450.27

Service Code	HCPCS 86335
Hospital Charge Code	3031499
Hospital Revenue Code	302
Min. Negotiated Rate	$67.54
Max. Negotiated Rate	$67.54
Rate for Payer: Qualcare PPO/HMO/WC	$67.54

IMMUNOFIXATION (URINE IFE)

Facility

$450.27

Service Code	HCPCS 86335
Hospital Charge Code	3031499
Hospital Revenue Code	302
Min. Negotiated Rate	$11.93
Max. Negotiated Rate	$225.13
Rate for Payer: Aetna Commercial	$79.83
Rate for Payer: Aetna Medicare Advantage	$95.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.94
Rate for Payer: Cigna Commercial	$225.13
Rate for Payer: Cigna Medicare Advantage	$29.35
Rate for Payer: Clover Medicare Advantage	$27.88
Rate for Payer: EmblemHealth Commercial	$88.05
Rate for Payer: Humana Medicare Advantage	$30.23
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$29.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.08
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.54
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$23.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.35
Rate for Payer: Wellcare Medicare Advantage	$29.35
Rate for Payer: Wellpoint Medicaid Managed Care	$11.93

IMMUNOFIX ELECT-PJORESIS FLUID

Facility

$207.84

Service Code	HCPCS 86335
Hospital Charge Code	38477181
Hospital Revenue Code	302
Min. Negotiated Rate	$5.51
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$79.83
Rate for Payer: Aetna Medicare Advantage	$95.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.94
Rate for Payer: Cigna Commercial	$103.92
Rate for Payer: Cigna Medicare Advantage	$29.35
Rate for Payer: Clover Medicare Advantage	$27.88
Rate for Payer: EmblemHealth Commercial	$88.05
Rate for Payer: Humana Medicare Advantage	$30.23
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$29.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.35
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.18
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$23.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.35
Rate for Payer: Wellcare Medicare Advantage	$29.35
Rate for Payer: Wellpoint Medicaid Managed Care	$5.51

IMMUNOFIX ELECT-PJORESIS FLUID

Facility

$207.84

Service Code	HCPCS 86335
Hospital Charge Code	38477181
Hospital Revenue Code	302
Min. Negotiated Rate	$31.18
Max. Negotiated Rate	$31.18
Rate for Payer: Qualcare PPO/HMO/WC	$31.18

IMMUNOFLUOR STDY EA ANTIB DIRC

Facility

$218.74

Service Code	HCPCS 88346
Hospital Charge Code	38477185
Hospital Revenue Code	312
Min. Negotiated Rate	$5.80
Max. Negotiated Rate	$730.60
Rate for Payer: Aetna Commercial	$550.53
Rate for Payer: Aetna Medicare Advantage	$655.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$730.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$730.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$202.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$730.60
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$202.40
Rate for Payer: Clover Medicare Advantage	$192.28
Rate for Payer: EmblemHealth Commercial	$607.20
Rate for Payer: Humana Medicare Advantage	$208.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$202.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.62
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.81
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$122.65
Rate for Payer: UnitedHealthcare Medicare Advantage	$202.40
Rate for Payer: Wellcare Medicare Advantage	$202.40
Rate for Payer: Wellpoint Medicaid Managed Care	$5.80

IMMUNOFLUOR STDY EA ANTIB DIRC

Facility

$218.74

Service Code	HCPCS 88346
Hospital Charge Code	38477185
Hospital Revenue Code	312
Min. Negotiated Rate	$32.81
Max. Negotiated Rate	$32.81
Rate for Payer: Qualcare PPO/HMO/WC	$32.81

IMMUNOGLOBULIN 5G IV

Facility

$1,877.15

Hospital Charge Code	60629197
Hospital Revenue Code	636
Min. Negotiated Rate	$45.24
Max. Negotiated Rate	$938.58
Rate for Payer: Aetna Commercial	$713.32
Rate for Payer: Aetna Medicare Advantage	$563.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.67
Rate for Payer: Cigna Commercial	$938.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$454.27
Rate for Payer: Qualcare PPO/HMO/WC	$281.57
Rate for Payer: UnitedHealthcare Community & State	$45.24
Rate for Payer: Wellpoint Medicaid Managed Care	$49.74

IMMUNOGLOBULIN 5G IV

Facility

$1,877.15

Hospital Charge Code	60629197
Hospital Revenue Code	636
Min. Negotiated Rate	$281.57
Max. Negotiated Rate	$454.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$454.27
Rate for Payer: Qualcare PPO/HMO/WC	$281.57

Immunoglobulin A

Facility

$390.00

Service Code	HCPCS 82784
Hospital Charge Code	39888026
Hospital Revenue Code	301
Min. Negotiated Rate	$7.44
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$25.30
Rate for Payer: Aetna Medicare Advantage	$30.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.57
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$9.30
Rate for Payer: Clover Medicare Advantage	$8.84
Rate for Payer: EmblemHealth Commercial	$27.90
Rate for Payer: Humana Medicare Advantage	$9.58
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.30
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	$7.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.30
Rate for Payer: Wellcare Medicare Advantage	$9.30
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

Immunoglobulin A

Facility

$390.00

Service Code	HCPCS 82784
Hospital Charge Code	39888026
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

IMMUNOGLOBULIN A (IGA)

Facility

$81.25

Service Code	HCPCS 82784
Hospital Charge Code	3009669
Hospital Revenue Code	301
Min. Negotiated Rate	$2.15
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$25.30
Rate for Payer: Aetna Medicare Advantage	$30.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.57
Rate for Payer: Cigna Commercial	$40.62
Rate for Payer: Cigna Medicare Advantage	$9.30
Rate for Payer: Clover Medicare Advantage	$8.84
Rate for Payer: EmblemHealth Commercial	$27.90
Rate for Payer: Humana Medicare Advantage	$9.58
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.38
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.19
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$7.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.30
Rate for Payer: Wellcare Medicare Advantage	$9.30
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

IMMUNOGLOBULIN A (IGA)

Facility

$81.25

Service Code	HCPCS 82784
Hospital Charge Code	3001625C
Hospital Revenue Code	301
Min. Negotiated Rate	$2.15
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$25.30
Rate for Payer: Aetna Medicare Advantage	$30.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.57
Rate for Payer: Cigna Commercial	$40.62
Rate for Payer: Cigna Medicare Advantage	$9.30
Rate for Payer: Clover Medicare Advantage	$8.84
Rate for Payer: EmblemHealth Commercial	$27.90
Rate for Payer: Humana Medicare Advantage	$9.58
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.38
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.19
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$7.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.30
Rate for Payer: Wellcare Medicare Advantage	$9.30
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

IMMUNOGLOBULIN A (IGA)

Facility

$81.25

Service Code	HCPCS 82784
Hospital Charge Code	3009669
Hospital Revenue Code	301
Min. Negotiated Rate	$12.19
Max. Negotiated Rate	$12.19
Rate for Payer: Qualcare PPO/HMO/WC	$12.19

IMMUNOGLOBULIN A (IGA)

Facility

$81.25

Service Code	HCPCS 82784
Hospital Charge Code	3001625C
Hospital Revenue Code	301
Min. Negotiated Rate	$12.19
Max. Negotiated Rate	$12.19
Rate for Payer: Qualcare PPO/HMO/WC	$12.19

IMMUNOGLOBULIN D

Facility

$81.25

Service Code	HCPCS 82784
Hospital Charge Code	3009672
Hospital Revenue Code	301
Min. Negotiated Rate	$2.15
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$25.30
Rate for Payer: Aetna Medicare Advantage	$30.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.57
Rate for Payer: Cigna Commercial	$40.62
Rate for Payer: Cigna Medicare Advantage	$9.30
Rate for Payer: Clover Medicare Advantage	$8.84
Rate for Payer: EmblemHealth Commercial	$27.90
Rate for Payer: Humana Medicare Advantage	$9.58
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.38
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.19
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$7.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.30
Rate for Payer: Wellcare Medicare Advantage	$9.30
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

IMMUNOGLOBULIN D

Facility

$81.25

Service Code	HCPCS 82784
Hospital Charge Code	3009672
Hospital Revenue Code	301
Min. Negotiated Rate	$12.19
Max. Negotiated Rate	$12.19
Rate for Payer: Qualcare PPO/HMO/WC	$12.19

Immunoglobulin E

Facility

$390.00

Service Code	HCPCS 82784
Hospital Charge Code	39888029
Hospital Revenue Code	301
Min. Negotiated Rate	$7.44
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$25.30
Rate for Payer: Aetna Medicare Advantage	$30.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.57
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$9.30
Rate for Payer: Clover Medicare Advantage	$8.84
Rate for Payer: EmblemHealth Commercial	$27.90
Rate for Payer: Humana Medicare Advantage	$9.58
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.30
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	$7.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.30
Rate for Payer: Wellcare Medicare Advantage	$9.30
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

Know your out-of-pocket cost for care.

All Charges