Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NUR GALACTOSEMIA SCREEN

Facility

$51.00

Service Code	HCPCS 82776
Hospital Charge Code	73092025
Hospital Revenue Code	301
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$7.65
Rate for Payer: Qualcare PPO/HMO/WC	$7.65

NUR GALACTOSEMIA SCREEN

Facility

$51.00

Service Code	HCPCS 82776
Hospital Charge Code	73092025
Hospital Revenue Code	301
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$31.93
Rate for Payer: Aetna Medicare Advantage	$38.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.38
Rate for Payer: Cigna Commercial	$25.50
Rate for Payer: Cigna Medicare Advantage	$11.74
Rate for Payer: Clover Medicare Advantage	$11.15
Rate for Payer: EmblemHealth Commercial	$35.22
Rate for Payer: Humana Medicare Advantage	$12.09
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.65
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$9.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.74
Rate for Payer: Wellcare Medicare Advantage	$11.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1.35

NUR GALACTOSEMIA SCREEN

Facility

$51.00

Service Code	HCPCS 82776
Hospital Charge Code	93082080
Hospital Revenue Code	301
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$31.93
Rate for Payer: Aetna Medicare Advantage	$38.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.38
Rate for Payer: Cigna Commercial	$25.50
Rate for Payer: Cigna Medicare Advantage	$11.74
Rate for Payer: Clover Medicare Advantage	$11.15
Rate for Payer: EmblemHealth Commercial	$35.22
Rate for Payer: Humana Medicare Advantage	$12.09
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.65
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$9.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.74
Rate for Payer: Wellcare Medicare Advantage	$11.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1.35

NUR HEMOGLOBIN SCREEN

Facility

$390.00

Service Code	HCPCS 85660
Hospital Charge Code	73092045
Hospital Revenue Code	305
Min. Negotiated Rate	$4.41
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$14.99
Rate for Payer: Aetna Medicare Advantage	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.51
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	$19.89
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$5.51
Rate for Payer: Clover Medicare Advantage	$5.23
Rate for Payer: EmblemHealth Commercial	$16.53
Rate for Payer: Humana Medicare Advantage	$5.68
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.51
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	$4.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.51
Rate for Payer: Wellcare Medicare Advantage	$5.51
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

NUR HEMOGLOBIN SCREEN

Facility

$390.00

Service Code	HCPCS 85660
Hospital Charge Code	73092045
Hospital Revenue Code	305
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

NUR INSERTION CATH,ARTERY UMB

Facility

$420.00

Service Code	HCPCS 36660
Hospital Charge Code	93082060
Hospital Revenue Code	361
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$63.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

NUR INSERTION CATH,ARTERY UMB

Facility

$420.00

Service Code	HCPCS 36660
Hospital Charge Code	73092005
Hospital Revenue Code	361
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$63.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

NUR INSERTION CATH,ARTERY UMB

Facility

$420.00

Service Code	HCPCS 36660
Hospital Charge Code	73092005
Hospital Revenue Code	361
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$159.60
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
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	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.00
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$10.12
Rate for Payer: Wellpoint Medicaid Managed Care	$11.13

NUR INSERTION CATH,ARTERY UMB

Facility

$420.00

Service Code	HCPCS 36660
Hospital Charge Code	93082060
Hospital Revenue Code	361
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$159.60
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
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	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.00
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$10.12
Rate for Payer: Wellpoint Medicaid Managed Care	$11.13

NUR LUMBAR PUNC, NURSERY

Facility

$3,185.75

Service Code	HCPCS 62270
Hospital Charge Code	93082075
Hospital Revenue Code	361
Min. Negotiated Rate	$477.86
Max. Negotiated Rate	$477.86
Rate for Payer: Qualcare PPO/HMO/WC	$477.86

NUR LUMBAR PUNC, NURSERY

Facility

$3,185.75

Service Code	HCPCS 62270
Hospital Charge Code	73092020
Hospital Revenue Code	361
Min. Negotiated Rate	$76.78
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,281.02
Rate for Payer: Aetna Medicare Advantage	$2,717.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,027.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,027.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$838.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$862.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,027.13
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: Cigna Medicare Advantage	$838.61
Rate for Payer: Clover Medicare Advantage	$796.68
Rate for Payer: EmblemHealth Commercial	$2,515.83
Rate for Payer: Humana Medicare Advantage	$863.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$838.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$955.73
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$477.86
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$76.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$838.61
Rate for Payer: Wellcare Medicare Advantage	$838.61
Rate for Payer: Wellpoint Medicaid Managed Care	$84.42

NUR LUMBAR PUNC, NURSERY

Facility

$3,185.75

Service Code	HCPCS 62270
Hospital Charge Code	93082075
Hospital Revenue Code	361
Min. Negotiated Rate	$76.78
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,281.02
Rate for Payer: Aetna Medicare Advantage	$2,717.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,027.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,027.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$838.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$862.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,027.13
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: Cigna Medicare Advantage	$838.61
Rate for Payer: Clover Medicare Advantage	$796.68
Rate for Payer: EmblemHealth Commercial	$2,515.83
Rate for Payer: Humana Medicare Advantage	$863.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$838.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$955.73
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$477.86
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$76.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$838.61
Rate for Payer: Wellcare Medicare Advantage	$838.61
Rate for Payer: Wellpoint Medicaid Managed Care	$84.42

NUR LUMBAR PUNC, NURSERY

Facility

$3,185.75

Service Code	HCPCS 62270
Hospital Charge Code	73092020
Hospital Revenue Code	361
Min. Negotiated Rate	$477.86
Max. Negotiated Rate	$477.86
Rate for Payer: Qualcare PPO/HMO/WC	$477.86

NUR NEWBORN HEARING SCREEN

Facility

$1,216.36

Service Code	HCPCS 92585
Hospital Charge Code	73092050
Hospital Revenue Code	471
Min. Negotiated Rate	$29.31
Max. Negotiated Rate	$1,823.00
Rate for Payer: Aetna Commercial	$462.22
Rate for Payer: Aetna Medicare Advantage	$364.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$310.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$310.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$310.17
Rate for Payer: Cigna Commercial	$608.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.91
Rate for Payer: Oxford Commercial	$1,040.00
Rate for Payer: Qualcare PPO/HMO/WC	$182.45
Rate for Payer: UnitedHealthcare Commercial	$1,823.00
Rate for Payer: UnitedHealthcare Community & State	$29.31
Rate for Payer: Wellpoint Medicaid Managed Care	$32.23

NUR NEWBORN HEARING SCREEN

Facility

$1,216.36

Service Code	HCPCS 92585
Hospital Charge Code	73092050
Hospital Revenue Code	471
Min. Negotiated Rate	$182.45
Max. Negotiated Rate	$182.45
Rate for Payer: Qualcare PPO/HMO/WC	$182.45

NUR PKU

Facility

$390.00

Service Code	HCPCS 84030
Hospital Charge Code	73092030
Hospital Revenue Code	301
Min. Negotiated Rate	$4.40
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$14.96
Rate for Payer: Aetna Medicare Advantage	$17.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.50
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	$19.85
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$5.50
Rate for Payer: Clover Medicare Advantage	$5.22
Rate for Payer: EmblemHealth Commercial	$16.50
Rate for Payer: Humana Medicare Advantage	$5.67
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.50
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	$4.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.50
Rate for Payer: Wellcare Medicare Advantage	$5.50
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

NUR PKU

Facility

$35.00

Service Code	HCPCS 84030
Hospital Charge Code	93082085
Hospital Revenue Code	301
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$14.96
Rate for Payer: Aetna Medicare Advantage	$17.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.50
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	$19.85
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: Cigna Medicare Advantage	$5.50
Rate for Payer: Clover Medicare Advantage	$5.22
Rate for Payer: EmblemHealth Commercial	$16.50
Rate for Payer: Humana Medicare Advantage	$5.67
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.50
Rate for Payer: Wellcare Medicare Advantage	$5.50
Rate for Payer: Wellpoint Medicaid Managed Care	$0.93

NUR PKU

Facility

$35.00

Service Code	HCPCS 84030
Hospital Charge Code	93082085
Hospital Revenue Code	301
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

NUR PKU

Facility

$390.00

Service Code	HCPCS 84030
Hospital Charge Code	73092030
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

NUR REMOVE DIGIT/SKIN TAG

Facility

$500.00

Service Code	HCPCS 11200
Hospital Charge Code	93082055
Hospital Revenue Code	361
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$648.34
Rate for Payer: Aetna Medicare Advantage	$772.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$238.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$862.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$860.41
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: Cigna Medicare Advantage	$238.36
Rate for Payer: Clover Medicare Advantage	$226.44
Rate for Payer: EmblemHealth Commercial	$715.08
Rate for Payer: Humana Medicare Advantage	$245.51
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$238.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.00
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$12.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$238.36
Rate for Payer: Wellcare Medicare Advantage	$238.36
Rate for Payer: Wellpoint Medicaid Managed Care	$13.25

NUR REMOVE DIGIT/SKIN TAG

Facility

$500.00

Service Code	HCPCS 11200
Hospital Charge Code	93082055
Hospital Revenue Code	361
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

NUR REMOVE DIGIT/SKIN TAG

Facility

$500.00

Service Code	HCPCS 11200
Hospital Charge Code	73092001
Hospital Revenue Code	361
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$648.34
Rate for Payer: Aetna Medicare Advantage	$772.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$238.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$862.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$860.41
Rate for Payer: Cigna Commercial	$477.79
Rate for Payer: Cigna Medicare Advantage	$238.36
Rate for Payer: Clover Medicare Advantage	$226.44
Rate for Payer: EmblemHealth Commercial	$715.08
Rate for Payer: Humana Medicare Advantage	$245.51
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$238.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.00
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$12.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$238.36
Rate for Payer: Wellcare Medicare Advantage	$238.36
Rate for Payer: Wellpoint Medicaid Managed Care	$13.25

NUR REMOVE DIGIT/SKIN TAG

Facility

$500.00

Service Code	HCPCS 11200
Hospital Charge Code	73092001
Hospital Revenue Code	361
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

NURSE VISIT OP LEVEL I

Facility

$300.74

Service Code	HCPCS 99211
Hospital Charge Code	4800020
Hospital Revenue Code	510
Min. Negotiated Rate	$45.11
Max. Negotiated Rate	$45.11
Rate for Payer: Qualcare PPO/HMO/WC	$45.11

NURSE VISIT OP LEVEL I

Facility

$300.74

Service Code	HCPCS 99211
Hospital Charge Code	4800020
Hospital Revenue Code	510
Min. Negotiated Rate	$7.25
Max. Negotiated Rate	$150.37
Rate for Payer: Aetna Commercial	$114.28
Rate for Payer: Aetna Medicare Advantage	$90.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.69
Rate for Payer: Cigna Commercial	$150.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.22
Rate for Payer: Qualcare PPO/HMO/WC	$45.11
Rate for Payer: UnitedHealthcare Community & State	$7.25
Rate for Payer: Wellpoint Medicaid Managed Care	$7.97

Know your out-of-pocket cost for care.

All Charges