|
PACEMAKER INTERR DUAL
|
Facility
|
IP
|
$332.85
|
|
|
Service Code
|
HCPCS 93731
|
| Hospital Charge Code |
5100199
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$49.93 |
| Max. Negotiated Rate |
$49.93 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.93
|
|
|
PACEMAKER INTERROGRATION
|
Facility
|
IP
|
$214.68
|
|
|
Service Code
|
HCPCS 93288
|
| Hospital Charge Code |
74117021
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$32.20 |
| Max. Negotiated Rate |
$32.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$32.20
|
|
|
PACEMAKER INTERROGRATION
|
Facility
|
OP
|
$214.68
|
|
| Hospital Charge Code |
74116021
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$5.17 |
| Max. Negotiated Rate |
$2,770.00 |
| Rate for Payer: Aetna Commercial |
$81.58
|
| Rate for Payer: Aetna Medicare Advantage |
$64.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$54.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$54.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$54.74
|
| Rate for Payer: Cigna Commercial |
$107.34
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$64.40
|
| Rate for Payer: Oxford Commercial |
$1,580.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$32.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,770.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.17
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5.69
|
|
|
PACEMAKER INTERROGRATION
|
Facility
|
IP
|
$214.68
|
|
|
Service Code
|
HCPCS 93288
|
| Hospital Charge Code |
74115021
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$32.20 |
| Max. Negotiated Rate |
$32.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$32.20
|
|
|
PACEMAKER INTERROGRATION
|
Facility
|
IP
|
$301.65
|
|
|
Service Code
|
HCPCS 93288
|
| Hospital Charge Code |
94053085
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$45.25 |
| Max. Negotiated Rate |
$45.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.25
|
|
|
PACEMAKER INTERROGRATION
|
Facility
|
OP
|
$301.65
|
|
|
Service Code
|
HCPCS 93288
|
| Hospital Charge Code |
94053085
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$7.27 |
| Max. Negotiated Rate |
$2,770.00 |
| Rate for Payer: Aetna Commercial |
$120.60
|
| Rate for Payer: Aetna Medicare Advantage |
$143.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$160.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$160.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$44.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$41.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$160.05
|
| Rate for Payer: Cigna Commercial |
$88.88
|
| Rate for Payer: Cigna Medicare Advantage |
$44.34
|
| Rate for Payer: Clover Medicare Advantage |
$42.12
|
| Rate for Payer: EmblemHealth Commercial |
$133.02
|
| Rate for Payer: Humana Medicare Advantage |
$45.67
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$44.34
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$90.50
|
| Rate for Payer: Oxford Commercial |
$1,580.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,770.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.27
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$44.34
|
| Rate for Payer: Wellcare Medicare Advantage |
$44.34
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.99
|
|
|
PACEMAKER INTERROGRATION
|
Facility
|
IP
|
$301.65
|
|
|
Service Code
|
HCPCS 93288
|
| Hospital Charge Code |
5100275
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$45.25 |
| Max. Negotiated Rate |
$45.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.25
|
|
|
PACEMAKER INTERROGRATION
|
Facility
|
OP
|
$214.68
|
|
|
Service Code
|
HCPCS 93288
|
| Hospital Charge Code |
74117021
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$5.17 |
| Max. Negotiated Rate |
$2,770.00 |
| Rate for Payer: Aetna Commercial |
$120.60
|
| Rate for Payer: Aetna Medicare Advantage |
$143.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$160.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$160.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$44.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$41.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$160.05
|
| Rate for Payer: Cigna Commercial |
$88.88
|
| Rate for Payer: Cigna Medicare Advantage |
$44.34
|
| Rate for Payer: Clover Medicare Advantage |
$42.12
|
| Rate for Payer: EmblemHealth Commercial |
$133.02
|
| Rate for Payer: Humana Medicare Advantage |
$45.67
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$44.34
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$64.40
|
| Rate for Payer: Oxford Commercial |
$1,580.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$32.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,770.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.17
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$44.34
|
| Rate for Payer: Wellcare Medicare Advantage |
$44.34
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5.69
|
|
|
PACEMAKER INTERROGRATION
|
Facility
|
IP
|
$214.68
|
|
| Hospital Charge Code |
74116021
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$32.20 |
| Max. Negotiated Rate |
$32.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$32.20
|
|
|
PACEMAKER INTERROGRATION
|
Facility
|
OP
|
$301.65
|
|
|
Service Code
|
HCPCS 93288
|
| Hospital Charge Code |
5100275
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$7.27 |
| Max. Negotiated Rate |
$2,770.00 |
| Rate for Payer: Aetna Commercial |
$120.60
|
| Rate for Payer: Aetna Medicare Advantage |
$143.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$160.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$160.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$44.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$41.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$160.05
|
| Rate for Payer: Cigna Commercial |
$88.88
|
| Rate for Payer: Cigna Medicare Advantage |
$44.34
|
| Rate for Payer: Clover Medicare Advantage |
$42.12
|
| Rate for Payer: EmblemHealth Commercial |
$133.02
|
| Rate for Payer: Humana Medicare Advantage |
$45.67
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$44.34
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$90.50
|
| Rate for Payer: Oxford Commercial |
$1,580.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,770.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.27
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$44.34
|
| Rate for Payer: Wellcare Medicare Advantage |
$44.34
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.99
|
|
|
PACEMAKER INTERROGRATION
|
Facility
|
OP
|
$214.68
|
|
|
Service Code
|
HCPCS 93288
|
| Hospital Charge Code |
74115021
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$5.17 |
| Max. Negotiated Rate |
$2,770.00 |
| Rate for Payer: Aetna Commercial |
$120.60
|
| Rate for Payer: Aetna Medicare Advantage |
$143.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$160.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$160.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$44.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$41.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$160.05
|
| Rate for Payer: Cigna Commercial |
$88.88
|
| Rate for Payer: Cigna Medicare Advantage |
$44.34
|
| Rate for Payer: Clover Medicare Advantage |
$42.12
|
| Rate for Payer: EmblemHealth Commercial |
$133.02
|
| Rate for Payer: Humana Medicare Advantage |
$45.67
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$44.34
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$64.40
|
| Rate for Payer: Oxford Commercial |
$1,580.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$32.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,770.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.17
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$44.34
|
| Rate for Payer: Wellcare Medicare Advantage |
$44.34
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5.69
|
|
|
PACEMAKER INTERR SNGL
|
Facility
|
IP
|
$301.65
|
|
|
Service Code
|
HCPCS 93734
|
| Hospital Charge Code |
5100200
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$45.25 |
| Max. Negotiated Rate |
$45.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.25
|
|
|
PACEMAKER INTERR SNGL
|
Facility
|
OP
|
$301.65
|
|
|
Service Code
|
HCPCS 93734
|
| Hospital Charge Code |
5100200
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$7.27 |
| Max. Negotiated Rate |
$6,760.00 |
| Rate for Payer: Aetna Commercial |
$114.63
|
| Rate for Payer: Aetna Medicare Advantage |
$90.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$76.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$76.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$76.92
|
| Rate for Payer: Cigna Commercial |
$150.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$90.50
|
| Rate for Payer: Oxford Commercial |
$4,459.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$6,760.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.27
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.99
|
|
|
PACEMAKER INTGY ADX XL DR 5366
|
Facility
|
OP
|
$30,475.00
|
|
| Hospital Charge Code |
270639307C
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$734.45 |
| Max. Negotiated Rate |
$15,237.50 |
| Rate for Payer: Aetna Commercial |
$11,580.50
|
| Rate for Payer: Aetna Medicare Advantage |
$9,142.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$7,771.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$7,771.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$6,095.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$7,771.12
|
| Rate for Payer: Cigna Commercial |
$15,237.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7,374.95
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$6,704.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4,571.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$734.45
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$807.59
|
|
|
PACEMAKER INTGY ADX XL DR 5366
|
Facility
|
IP
|
$30,475.00
|
|
| Hospital Charge Code |
270639307C
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$4,571.25 |
| Max. Negotiated Rate |
$7,374.95 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$6,095.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7,374.95
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$6,704.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4,571.25
|
|
|
PACEMAKER KAPPA SGL CH KSR901
|
Facility
|
OP
|
$26,536.00
|
|
| Hospital Charge Code |
270629829C
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$639.52 |
| Max. Negotiated Rate |
$13,268.00 |
| Rate for Payer: Aetna Commercial |
$10,083.68
|
| Rate for Payer: Aetna Medicare Advantage |
$7,960.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6,766.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6,766.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$5,307.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6,766.68
|
| Rate for Payer: Cigna Commercial |
$13,268.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,421.71
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$5,837.92
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,980.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$639.52
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$703.20
|
|
|
PACEMAKER KAPPA SGL CH KSR901
|
Facility
|
IP
|
$26,536.00
|
|
| Hospital Charge Code |
270629829C
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,980.40 |
| Max. Negotiated Rate |
$6,421.71 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$5,307.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,421.71
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$5,837.92
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,980.40
|
|
|
PACEMAKER KAPPA SGL CH KSR901
|
Facility
|
OP
|
$26,536.00
|
|
| Hospital Charge Code |
270629829
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$639.52 |
| Max. Negotiated Rate |
$13,268.00 |
| Rate for Payer: Aetna Commercial |
$10,083.68
|
| Rate for Payer: Aetna Medicare Advantage |
$7,960.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6,766.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6,766.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$5,307.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6,766.68
|
| Rate for Payer: Cigna Commercial |
$13,268.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,421.71
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$5,837.92
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,980.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$639.52
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$703.20
|
|
|
PACEMAKER KAPPA SGL CH KSR901
|
Facility
|
IP
|
$26,536.00
|
|
| Hospital Charge Code |
270629829
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,980.40 |
| Max. Negotiated Rate |
$6,421.71 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$5,307.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,421.71
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$5,837.92
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,980.40
|
|
|
PACEMAKER LEAD
|
Facility
|
IP
|
$3,500.00
|
|
| Hospital Charge Code |
270656327
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$525.00 |
| Max. Negotiated Rate |
$847.00 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$700.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$847.00
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$770.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$525.00
|
|
|
PACEMAKER LEAD
|
Facility
|
OP
|
$3,500.00
|
|
|
Service Code
|
HCPCS C1779
|
| Hospital Charge Code |
270656326
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$84.35 |
| Max. Negotiated Rate |
$1,750.00 |
| Rate for Payer: Aetna Commercial |
$1,330.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,050.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$892.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$892.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$700.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$892.50
|
| Rate for Payer: Cigna Commercial |
$1,750.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$847.00
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$770.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$525.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$84.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$92.75
|
|
|
PACEMAKER LEAD
|
Facility
|
OP
|
$3,500.00
|
|
| Hospital Charge Code |
270656327
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$84.35 |
| Max. Negotiated Rate |
$1,750.00 |
| Rate for Payer: Aetna Commercial |
$1,330.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,050.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$892.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$892.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$700.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$892.50
|
| Rate for Payer: Cigna Commercial |
$1,750.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$847.00
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$770.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$525.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$84.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$92.75
|
|
|
PACEMAKER LEAD
|
Facility
|
IP
|
$3,500.00
|
|
|
Service Code
|
HCPCS C1779
|
| Hospital Charge Code |
270656326
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$525.00 |
| Max. Negotiated Rate |
$847.00 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$700.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$847.00
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$770.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$525.00
|
|
|
PACEMAKER LEADS DUAL INSERT
|
Facility
|
OP
|
$27,008.30
|
|
|
Service Code
|
HCPCS 33217
|
| Hospital Charge Code |
5100296
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$650.90 |
| Max. Negotiated Rate |
$35,488.33 |
| Rate for Payer: Aetna Commercial |
$26,741.35
|
| Rate for Payer: Aetna Medicare Advantage |
$31,853.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$35,488.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$35,488.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$9,831.38
|
| 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 |
$35,488.33
|
| Rate for Payer: Cigna Commercial |
$19,706.96
|
| Rate for Payer: Cigna Medicare Advantage |
$9,831.38
|
| Rate for Payer: Clover Medicare Advantage |
$9,339.81
|
| Rate for Payer: EmblemHealth Commercial |
$29,494.14
|
| Rate for Payer: Humana Medicare Advantage |
$10,126.32
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$9,831.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$8,102.49
|
| Rate for Payer: Oxford Commercial |
$8,679.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4,051.24
|
| Rate for Payer: UnitedHealthcare Commercial |
$14,834.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$650.90
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$9,831.38
|
| Rate for Payer: Wellcare Medicare Advantage |
$9,831.38
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$1,899.11
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,861.87
|
|
|
PACEMAKER LEADS DUAL INSERT
|
Facility
|
OP
|
$27,008.30
|
|
|
Service Code
|
HCPCS 33217
|
| Hospital Charge Code |
74110033
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$650.90 |
| Max. Negotiated Rate |
$35,488.33 |
| Rate for Payer: Aetna Commercial |
$26,741.35
|
| Rate for Payer: Aetna Medicare Advantage |
$31,853.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$35,488.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$35,488.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$9,831.38
|
| 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 |
$35,488.33
|
| Rate for Payer: Cigna Commercial |
$19,706.96
|
| Rate for Payer: Cigna Medicare Advantage |
$9,831.38
|
| Rate for Payer: Clover Medicare Advantage |
$9,339.81
|
| Rate for Payer: EmblemHealth Commercial |
$29,494.14
|
| Rate for Payer: Humana Medicare Advantage |
$10,126.32
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$9,831.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$8,102.49
|
| Rate for Payer: Oxford Commercial |
$8,679.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4,051.24
|
| Rate for Payer: UnitedHealthcare Commercial |
$14,834.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$650.90
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$9,831.38
|
| Rate for Payer: Wellcare Medicare Advantage |
$9,831.38
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$1,899.11
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,861.87
|
|
