|
BALLOON CATH SYNERGY 7-2 75cm
|
Facility
|
OP
|
$875.00
|
|
| Hospital Charge Code |
270625139
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$21.09 |
| Max. Negotiated Rate |
$437.50 |
| Rate for Payer: Aetna Commercial |
$332.50
|
| Rate for Payer: Aetna Medicare Advantage |
$262.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$223.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$223.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$223.12
|
| Rate for Payer: Cigna Commercial |
$437.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$262.50
|
| Rate for Payer: Oxford Commercial |
$175.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$131.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$175.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$21.09
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23.19
|
|
|
BALLOON CATH SYNERGY 7-2 75cm
|
Facility
|
IP
|
$875.00
|
|
| Hospital Charge Code |
270625139
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$131.25 |
| Max. Negotiated Rate |
$131.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$131.25
|
|
|
BALLOON CATH SYNERGY 9-2 75cm
|
Facility
|
OP
|
$1,355.00
|
|
| Hospital Charge Code |
270625142
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$32.66 |
| Max. Negotiated Rate |
$677.50 |
| Rate for Payer: Aetna Commercial |
$514.90
|
| Rate for Payer: Aetna Medicare Advantage |
$406.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$345.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$345.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$345.52
|
| Rate for Payer: Cigna Commercial |
$677.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$406.50
|
| Rate for Payer: Oxford Commercial |
$271.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$203.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$271.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$32.66
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$35.91
|
|
|
BALLOON CATH SYNERGY 9-2 75cm
|
Facility
|
IP
|
$1,355.00
|
|
| Hospital Charge Code |
270625142
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$203.25 |
| Max. Negotiated Rate |
$203.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$203.25
|
|
|
BALLOON CATH SYNERGY 9-4 75cm
|
Facility
|
IP
|
$1,355.00
|
|
| Hospital Charge Code |
270625143
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$203.25 |
| Max. Negotiated Rate |
$203.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$203.25
|
|
|
BALLOON CATH SYNERGY 9-4 75cm
|
Facility
|
OP
|
$1,355.00
|
|
| Hospital Charge Code |
270625143
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$32.66 |
| Max. Negotiated Rate |
$677.50 |
| Rate for Payer: Aetna Commercial |
$514.90
|
| Rate for Payer: Aetna Medicare Advantage |
$406.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$345.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$345.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$345.52
|
| Rate for Payer: Cigna Commercial |
$677.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$406.50
|
| Rate for Payer: Oxford Commercial |
$271.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$203.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$271.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$32.66
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$35.91
|
|
|
BALLOON CATH XXL 12-4/5.8/75cm
|
Facility
|
OP
|
$1,432.75
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270623292
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$34.53 |
| Max. Negotiated Rate |
$716.38 |
| Rate for Payer: Aetna Commercial |
$544.45
|
| Rate for Payer: Aetna Medicare Advantage |
$429.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$365.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$365.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$286.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$365.35
|
| Rate for Payer: Cigna Commercial |
$716.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$346.73
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$315.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$214.91
|
| Rate for Payer: UnitedHealthcare Community & State |
$34.53
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$37.97
|
|
|
BALLOON CATH XXL 12-4/5.8/75cm
|
Facility
|
IP
|
$1,432.75
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270623292
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$214.91 |
| Max. Negotiated Rate |
$346.73 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$286.55
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$346.73
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$315.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$214.91
|
|
|
BALLOON CATH XXL 12-4/5.8/75CM
|
Facility
|
OP
|
$1,250.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270623292N
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$30.12 |
| Max. Negotiated Rate |
$625.00 |
| Rate for Payer: Aetna Commercial |
$475.00
|
| Rate for Payer: Aetna Medicare Advantage |
$375.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$318.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$318.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$250.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$318.75
|
| Rate for Payer: Cigna Commercial |
$625.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$302.50
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$275.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$187.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$30.12
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$33.12
|
|
|
BALLOON CATH XXL 12-4/5.8/75CM
|
Facility
|
OP
|
$1,432.75
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270623292C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$34.53 |
| Max. Negotiated Rate |
$716.38 |
| Rate for Payer: Aetna Commercial |
$544.45
|
| Rate for Payer: Aetna Medicare Advantage |
$429.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$365.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$365.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$286.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$365.35
|
| Rate for Payer: Cigna Commercial |
$716.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$346.73
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$315.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$214.91
|
| Rate for Payer: UnitedHealthcare Community & State |
$34.53
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$37.97
|
|
|
BALLOON CATH XXL 12-4/5.8/75CM
|
Facility
|
IP
|
$1,250.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270623292N
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$187.50 |
| Max. Negotiated Rate |
$302.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$250.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$302.50
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$275.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$187.50
|
|
|
BALLOON CATH XXL 12-4/5.8/75CM
|
Facility
|
IP
|
$1,432.75
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270623292C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$214.91 |
| Max. Negotiated Rate |
$346.73 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$286.55
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$346.73
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$315.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$214.91
|
|
|
BALLOON CATH XXL 12-6/5.8/75cm
|
Facility
|
OP
|
$1,432.75
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270626885S
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$34.53 |
| Max. Negotiated Rate |
$716.38 |
| Rate for Payer: Aetna Commercial |
$544.45
|
| Rate for Payer: Aetna Medicare Advantage |
$429.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$365.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$365.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$286.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$365.35
|
| Rate for Payer: Cigna Commercial |
$716.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$346.73
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$315.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$214.91
|
| Rate for Payer: UnitedHealthcare Community & State |
$34.53
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$37.97
|
|
|
BALLOON CATH XXL 12-6/5.8/75cm
|
Facility
|
OP
|
$1,432.75
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270626885N
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$34.53 |
| Max. Negotiated Rate |
$716.38 |
| Rate for Payer: Aetna Commercial |
$544.45
|
| Rate for Payer: Aetna Medicare Advantage |
$429.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$365.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$365.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$286.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$365.35
|
| Rate for Payer: Cigna Commercial |
$716.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$346.73
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$315.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$214.91
|
| Rate for Payer: UnitedHealthcare Community & State |
$34.53
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$37.97
|
|
|
BALLOON CATH XXL 12-6/5.8/75cm
|
Facility
|
IP
|
$1,432.75
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270626885
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$214.91 |
| Max. Negotiated Rate |
$346.73 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$286.55
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$346.73
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$315.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$214.91
|
|
|
BALLOON CATH XXL 12-6/5.8/75cm
|
Facility
|
IP
|
$1,432.75
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270626885N
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$214.91 |
| Max. Negotiated Rate |
$346.73 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$286.55
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$346.73
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$315.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$214.91
|
|
|
BALLOON CATH XXL 12-6/5.8/75cm
|
Facility
|
IP
|
$1,432.75
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270626885S
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$214.91 |
| Max. Negotiated Rate |
$346.73 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$286.55
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$346.73
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$315.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$214.91
|
|
|
BALLOON CATH XXL 12-6/5.8/75cm
|
Facility
|
OP
|
$1,432.75
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270626885
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$34.53 |
| Max. Negotiated Rate |
$716.38 |
| Rate for Payer: Aetna Commercial |
$544.45
|
| Rate for Payer: Aetna Medicare Advantage |
$429.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$365.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$365.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$286.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$365.35
|
| Rate for Payer: Cigna Commercial |
$716.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$346.73
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$315.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$214.91
|
| Rate for Payer: UnitedHealthcare Community & State |
$34.53
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$37.97
|
|
|
BALLOON CATH XXL 14-2/5.8/75cm
|
Facility
|
OP
|
$1,421.40
|
|
| Hospital Charge Code |
270623530
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$34.26 |
| Max. Negotiated Rate |
$710.70 |
| Rate for Payer: Aetna Commercial |
$540.13
|
| Rate for Payer: Aetna Medicare Advantage |
$426.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$362.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$362.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$362.46
|
| Rate for Payer: Cigna Commercial |
$710.70
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$426.42
|
| Rate for Payer: Oxford Commercial |
$284.28
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$213.21
|
| Rate for Payer: UnitedHealthcare Commercial |
$284.28
|
| Rate for Payer: UnitedHealthcare Community & State |
$34.26
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$37.67
|
|
|
BALLOON CATH XXL 14-2/5.8/75cm
|
Facility
|
IP
|
$1,421.40
|
|
| Hospital Charge Code |
270623530
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$213.21 |
| Max. Negotiated Rate |
$213.21 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$213.21
|
|
|
BALLOON CATH XXL 14-4/5.8/75cm
|
Facility
|
IP
|
$1,432.75
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270624069N
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$214.91 |
| Max. Negotiated Rate |
$346.73 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$286.55
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$346.73
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$315.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$214.91
|
|
|
BALLOON CATH XXL 14-4/5.8/75cm
|
Facility
|
OP
|
$1,300.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270624069S
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$31.33 |
| Max. Negotiated Rate |
$650.00 |
| Rate for Payer: Aetna Commercial |
$494.00
|
| Rate for Payer: Aetna Medicare Advantage |
$390.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$331.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$331.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$260.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$331.50
|
| Rate for Payer: Cigna Commercial |
$650.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$314.60
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$286.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$195.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$31.33
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$34.45
|
|
|
BALLOON CATH XXL 14-4/5.8/75cm
|
Facility
|
IP
|
$1,300.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270624069
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$195.00 |
| Max. Negotiated Rate |
$314.60 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$260.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$314.60
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$286.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$195.00
|
|
|
BALLOON CATH XXL 14-4/5.8/75cm
|
Facility
|
IP
|
$1,300.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270624069S
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$195.00 |
| Max. Negotiated Rate |
$314.60 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$260.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$314.60
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$286.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$195.00
|
|
|
BALLOON CATH XXL 14-4/5.8/75cm
|
Facility
|
OP
|
$1,300.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270624069
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$31.33 |
| Max. Negotiated Rate |
$650.00 |
| Rate for Payer: Aetna Commercial |
$494.00
|
| Rate for Payer: Aetna Medicare Advantage |
$390.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$331.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$331.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$260.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$331.50
|
| Rate for Payer: Cigna Commercial |
$650.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$314.60
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$286.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$195.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$31.33
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$34.45
|
|
