|
ASPIRATE PLEURA W IMAGINIG
|
Facility
|
OP
|
$2,429.51
|
|
|
Service Code
|
HCPCS 32555
|
| Hospital Charge Code |
5701001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$64.38 |
| Max. Negotiated Rate |
$2,690.13 |
| Rate for Payer: Aetna Commercial |
$2,027.08
|
| Rate for Payer: Aetna Medicare Advantage |
$2,414.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,690.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,690.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$745.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,690.13
|
| Rate for Payer: Cigna Commercial |
$1,493.86
|
| Rate for Payer: Cigna Medicare Advantage |
$745.25
|
| Rate for Payer: Clover Medicare Advantage |
$707.99
|
| Rate for Payer: EmblemHealth Commercial |
$2,235.75
|
| Rate for Payer: Humana Medicare Advantage |
$767.61
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$745.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$728.85
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$850.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$364.43
|
| Rate for Payer: UnitedHealthcare Community & State |
$140.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$745.25
|
| Rate for Payer: Wellcare Medicare Advantage |
$745.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$64.38
|
|
|
ASPIRATE PLEURA W IMAGINIG
|
Facility
|
OP
|
$2,429.50
|
|
|
Service Code
|
HCPCS 32555
|
| Hospital Charge Code |
366832555
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$58.55 |
| Max. Negotiated Rate |
$3,593.00 |
| Rate for Payer: Aetna Commercial |
$2,027.08
|
| Rate for Payer: Aetna Medicare Advantage |
$2,414.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,690.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,690.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$745.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,690.13
|
| Rate for Payer: Cigna Commercial |
$1,493.86
|
| Rate for Payer: Cigna Medicare Advantage |
$745.25
|
| Rate for Payer: Clover Medicare Advantage |
$707.99
|
| Rate for Payer: EmblemHealth Commercial |
$2,235.75
|
| Rate for Payer: Humana Medicare Advantage |
$767.61
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$745.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$728.85
|
| Rate for Payer: Oxford Commercial |
$2,269.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$364.43
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,593.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$58.55
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$745.25
|
| Rate for Payer: Wellcare Medicare Advantage |
$745.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$64.38
|
|
|
ASPIRATE PLEURA W/O IMAGING
|
Facility
|
OP
|
$2,873.16
|
|
|
Service Code
|
HCPCS 32554
|
| Hospital Charge Code |
16000639
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$69.24 |
| Max. Negotiated Rate |
$3,593.00 |
| Rate for Payer: Aetna Commercial |
$2,027.08
|
| Rate for Payer: Aetna Medicare Advantage |
$2,414.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,690.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,690.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$745.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,690.13
|
| Rate for Payer: Cigna Commercial |
$1,493.86
|
| Rate for Payer: Cigna Medicare Advantage |
$745.25
|
| Rate for Payer: Clover Medicare Advantage |
$707.99
|
| Rate for Payer: EmblemHealth Commercial |
$2,235.75
|
| Rate for Payer: Humana Medicare Advantage |
$767.61
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$745.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$861.95
|
| Rate for Payer: Oxford Commercial |
$2,269.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$430.97
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,593.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$69.24
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$745.25
|
| Rate for Payer: Wellcare Medicare Advantage |
$745.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$76.14
|
|
|
ASPIRATE PLEURA W/O IMAGING
|
Facility
|
IP
|
$2,873.16
|
|
|
Service Code
|
HCPCS 32554
|
| Hospital Charge Code |
16000639
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$430.97 |
| Max. Negotiated Rate |
$430.97 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$430.97
|
|
|
ASPIRATE PLEURA W/O IMAGINIG
|
Facility
|
OP
|
$2,429.51
|
|
|
Service Code
|
HCPCS 32554
|
| Hospital Charge Code |
5701000
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$64.38 |
| Max. Negotiated Rate |
$2,690.13 |
| Rate for Payer: Aetna Commercial |
$2,027.08
|
| Rate for Payer: Aetna Medicare Advantage |
$2,414.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,690.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,690.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$745.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$641.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,690.13
|
| Rate for Payer: Cigna Commercial |
$1,493.86
|
| Rate for Payer: Cigna Medicare Advantage |
$745.25
|
| Rate for Payer: Clover Medicare Advantage |
$707.99
|
| Rate for Payer: EmblemHealth Commercial |
$2,235.75
|
| Rate for Payer: Humana Medicare Advantage |
$767.61
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$745.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$728.85
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$850.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$364.43
|
| Rate for Payer: UnitedHealthcare Community & State |
$140.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$745.25
|
| Rate for Payer: Wellcare Medicare Advantage |
$745.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$64.38
|
|
|
ASPIRATE PLEURA W/O IMAGINIG
|
Facility
|
IP
|
$2,429.51
|
|
|
Service Code
|
HCPCS 32554
|
| Hospital Charge Code |
2250418
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$364.43 |
| Max. Negotiated Rate |
$364.43 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$364.43
|
|
|
ASPIRATE PLEURA W/O IMAGINIG
|
Facility
|
OP
|
$2,429.51
|
|
|
Service Code
|
HCPCS 32554
|
| Hospital Charge Code |
2250418
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$58.55 |
| Max. Negotiated Rate |
$3,593.00 |
| Rate for Payer: Aetna Commercial |
$2,027.08
|
| Rate for Payer: Aetna Medicare Advantage |
$2,414.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,690.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,690.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$745.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,690.13
|
| Rate for Payer: Cigna Commercial |
$1,493.86
|
| Rate for Payer: Cigna Medicare Advantage |
$745.25
|
| Rate for Payer: Clover Medicare Advantage |
$707.99
|
| Rate for Payer: EmblemHealth Commercial |
$2,235.75
|
| Rate for Payer: Humana Medicare Advantage |
$767.61
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$745.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$728.85
|
| Rate for Payer: Oxford Commercial |
$2,269.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$364.43
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,593.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$58.55
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$745.25
|
| Rate for Payer: Wellcare Medicare Advantage |
$745.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$64.38
|
|
|
ASPIRATE PLEURA W/O IMAGINIG
|
Facility
|
OP
|
$2,429.51
|
|
|
Service Code
|
HCPCS 32554
|
| Hospital Charge Code |
7411380
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$58.55 |
| Max. Negotiated Rate |
$3,593.00 |
| Rate for Payer: Aetna Commercial |
$2,027.08
|
| Rate for Payer: Aetna Medicare Advantage |
$2,414.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,690.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,690.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$745.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,690.13
|
| Rate for Payer: Cigna Commercial |
$1,493.86
|
| Rate for Payer: Cigna Medicare Advantage |
$745.25
|
| Rate for Payer: Clover Medicare Advantage |
$707.99
|
| Rate for Payer: EmblemHealth Commercial |
$2,235.75
|
| Rate for Payer: Humana Medicare Advantage |
$767.61
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$745.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$728.85
|
| Rate for Payer: Oxford Commercial |
$2,269.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$364.43
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,593.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$58.55
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$745.25
|
| Rate for Payer: Wellcare Medicare Advantage |
$745.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$64.38
|
|
|
ASPIRATE PLEURA W/O IMAGINIG
|
Facility
|
OP
|
$2,429.51
|
|
|
Service Code
|
HCPCS 32554
|
| Hospital Charge Code |
2301102
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$58.55 |
| Max. Negotiated Rate |
$3,593.00 |
| Rate for Payer: Aetna Commercial |
$2,027.08
|
| Rate for Payer: Aetna Medicare Advantage |
$2,414.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,690.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,690.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$745.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,690.13
|
| Rate for Payer: Cigna Commercial |
$1,493.86
|
| Rate for Payer: Cigna Medicare Advantage |
$745.25
|
| Rate for Payer: Clover Medicare Advantage |
$707.99
|
| Rate for Payer: EmblemHealth Commercial |
$2,235.75
|
| Rate for Payer: Humana Medicare Advantage |
$767.61
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$745.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$728.85
|
| Rate for Payer: Oxford Commercial |
$2,269.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$364.43
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,593.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$58.55
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$745.25
|
| Rate for Payer: Wellcare Medicare Advantage |
$745.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$64.38
|
|
|
ASPIRATE PLEURA W/O IMAGINIG
|
Facility
|
OP
|
$2,429.51
|
|
|
Service Code
|
HCPCS 32554
|
| Hospital Charge Code |
2011456
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$58.55 |
| Max. Negotiated Rate |
$3,593.00 |
| Rate for Payer: Aetna Commercial |
$2,027.08
|
| Rate for Payer: Aetna Medicare Advantage |
$2,414.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,690.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,690.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$745.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,690.13
|
| Rate for Payer: Cigna Commercial |
$1,493.86
|
| Rate for Payer: Cigna Medicare Advantage |
$745.25
|
| Rate for Payer: Clover Medicare Advantage |
$707.99
|
| Rate for Payer: EmblemHealth Commercial |
$2,235.75
|
| Rate for Payer: Humana Medicare Advantage |
$767.61
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$745.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$728.85
|
| Rate for Payer: Oxford Commercial |
$2,269.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$364.43
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,593.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$58.55
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$745.25
|
| Rate for Payer: Wellcare Medicare Advantage |
$745.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$64.38
|
|
|
ASPIRATE PLEURA W/O IMAGINIG
|
Facility
|
IP
|
$2,429.51
|
|
|
Service Code
|
HCPCS 32554
|
| Hospital Charge Code |
5700312
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$364.43 |
| Max. Negotiated Rate |
$364.43 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$364.43
|
|
|
ASPIRATE PLEURA W/O IMAGINIG
|
Facility
|
OP
|
$2,429.51
|
|
|
Service Code
|
HCPCS 32554
|
| Hospital Charge Code |
5700312
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$58.55 |
| Max. Negotiated Rate |
$3,593.00 |
| Rate for Payer: Aetna Commercial |
$2,027.08
|
| Rate for Payer: Aetna Medicare Advantage |
$2,414.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,690.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,690.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$745.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,690.13
|
| Rate for Payer: Cigna Commercial |
$1,493.86
|
| Rate for Payer: Cigna Medicare Advantage |
$745.25
|
| Rate for Payer: Clover Medicare Advantage |
$707.99
|
| Rate for Payer: EmblemHealth Commercial |
$2,235.75
|
| Rate for Payer: Humana Medicare Advantage |
$767.61
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$745.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$728.85
|
| Rate for Payer: Oxford Commercial |
$2,269.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$364.43
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,593.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$58.55
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$745.25
|
| Rate for Payer: Wellcare Medicare Advantage |
$745.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$64.38
|
|
|
ASPIRATE PLEURA W/O IMAGINIG
|
Facility
|
IP
|
$2,429.51
|
|
|
Service Code
|
HCPCS 32554
|
| Hospital Charge Code |
2301102
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$364.43 |
| Max. Negotiated Rate |
$364.43 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$364.43
|
|
|
ASPIRATE PLEURA W/O IMAGINIG
|
Facility
|
IP
|
$2,429.51
|
|
|
Service Code
|
HCPCS 32554
|
| Hospital Charge Code |
7411380
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$364.43 |
| Max. Negotiated Rate |
$364.43 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$364.43
|
|
|
ASPIRATE PLEURA W/O IMAGINIG
|
Facility
|
IP
|
$2,429.51
|
|
|
Service Code
|
HCPCS 32554
|
| Hospital Charge Code |
5701000
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$364.43 |
| Max. Negotiated Rate |
$364.43 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$364.43
|
|
|
ASPIRATE PLEURA W/O IMAGINIG
|
Facility
|
IP
|
$2,429.51
|
|
|
Service Code
|
HCPCS 32554
|
| Hospital Charge Code |
2011456
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$364.43 |
| Max. Negotiated Rate |
$364.43 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$364.43
|
|
|
ASPIRATING KIT
|
Facility
|
OP
|
$1,085.00
|
|
| Hospital Charge Code |
270683741
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$26.15 |
| Max. Negotiated Rate |
$542.50 |
| Rate for Payer: Aetna Commercial |
$412.30
|
| Rate for Payer: Aetna Medicare Advantage |
$325.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$276.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$276.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$276.68
|
| Rate for Payer: Cigna Commercial |
$542.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$325.50
|
| Rate for Payer: Oxford Commercial |
$217.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$162.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$217.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$26.15
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$28.75
|
|
|
ASPIRATING KIT
|
Facility
|
IP
|
$1,085.00
|
|
| Hospital Charge Code |
270683741
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$162.75 |
| Max. Negotiated Rate |
$162.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$162.75
|
|
|
Aspirating Reservoir (Cell SAV
|
Facility
|
OP
|
$335.50
|
|
| Hospital Charge Code |
270661374
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.09 |
| Max. Negotiated Rate |
$167.75 |
| Rate for Payer: Aetna Commercial |
$127.49
|
| Rate for Payer: Aetna Medicare Advantage |
$100.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$85.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$85.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$85.55
|
| Rate for Payer: Cigna Commercial |
$167.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$100.65
|
| Rate for Payer: Oxford Commercial |
$67.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$50.33
|
| Rate for Payer: UnitedHealthcare Commercial |
$67.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$8.09
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.89
|
|
|
Aspirating Reservoir (Cell SAV
|
Facility
|
IP
|
$335.50
|
|
| Hospital Charge Code |
270661374
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$50.33 |
| Max. Negotiated Rate |
$50.33 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$50.33
|
|
|
ASPIRATING TUBING
|
Facility
|
OP
|
$96.00
|
|
| Hospital Charge Code |
270335496
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.31 |
| Max. Negotiated Rate |
$48.00 |
| Rate for Payer: Aetna Commercial |
$36.48
|
| Rate for Payer: Aetna Medicare Advantage |
$28.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$24.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$24.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$24.48
|
| Rate for Payer: Cigna Commercial |
$48.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$28.80
|
| Rate for Payer: Oxford Commercial |
$19.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$19.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.31
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.54
|
|
|
ASPIRATING TUBING
|
Facility
|
IP
|
$96.00
|
|
| Hospital Charge Code |
270335496
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.40 |
| Max. Negotiated Rate |
$14.40 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.40
|
|
|
ASPIRATION ASSEMBLY A&A SOR100
|
Facility
|
OP
|
$148.75
|
|
| Hospital Charge Code |
270616336
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.58 |
| Max. Negotiated Rate |
$74.38 |
| Rate for Payer: Aetna Commercial |
$56.52
|
| Rate for Payer: Aetna Medicare Advantage |
$44.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$37.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$37.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$37.93
|
| Rate for Payer: Cigna Commercial |
$74.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$44.62
|
| Rate for Payer: Oxford Commercial |
$29.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$22.31
|
| Rate for Payer: UnitedHealthcare Commercial |
$29.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.58
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.94
|
|
|
ASPIRATION ASSEMBLY A&A SOR100
|
Facility
|
IP
|
$148.75
|
|
| Hospital Charge Code |
270616336
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$22.31 |
| Max. Negotiated Rate |
$22.31 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$22.31
|
|
|
ASPIRATION ASSEMBLY COBE100
|
Facility
|
OP
|
$141.65
|
|
| Hospital Charge Code |
270605812
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.41 |
| Max. Negotiated Rate |
$70.83 |
| Rate for Payer: Aetna Commercial |
$53.83
|
| Rate for Payer: Aetna Medicare Advantage |
$42.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$36.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$36.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$36.12
|
| Rate for Payer: Cigna Commercial |
$70.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$42.49
|
| Rate for Payer: Oxford Commercial |
$28.33
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$21.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$28.33
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.41
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.75
|
|
